PHTLS Post Test 9th/ 75+ Q&A/ 2024-2025., Exams of Nursing

Download PHTLS Post Test 9th/ 75+ Q&A/ 2024-2025. and more Exams Nursing in PDF only on Docsity! 1 PHTLS Post Test 9th/ 75+ Q&A/ 2024-2025. During the primary survey and management of a trauma patient, the E in ABCDE stands for _________? - Answer: Expose/Environment The time in which surgical intervention can make a difference in patient outcome is the __________? - Answer: Golden period (hour) In the absence of extenuating circumstances, the maximum amount of time it should take to identify and manage immediate threats to life, prepare the patient for transport and begin transport is _________? - Answer: 10 minutes 2 In which of the following situations is the use of a short spinal immobilization device indicated? - Answer: None of the above Your patient is a 32 year old man, restrained driver of a vehicle that has been involved in a frontal impact with a concrete bridge abutment. The patient is awake, but has difficulty answering questions due to shortness of breath. His ventilatory rate is 30 per minute. Of the following choices, when is the first time the patient's breath sounds should be checked? - Answer: Prior to being removed from the vehicle Which of the following represents adequate spontaneous ventilation in an adult? - Answer: Tidal volume 600 mL, ventilatory rate 12/minute Which of the following is 100% accurate in verifying endotracheal tube placement? - Answer: None of the above When utilizing percutaneous transtracheal ventilation, the correct ration of lung inflation to lung inflation time, in seconds, is: - Answer: 1:4 Which of the following is a possible complication of using a manually triggered oxygen powered device for ventilation? 5 Which of the following is a limitation of prehospital fluid resuscitation of the patient in hemorrhagic shock? - Answer: All of the above Which of the following statements regarding signs of intraabdominal injury is NOT true? - Answer: Substantial intraabdominal hemorrhage always causes tenderness and abdominal rigidity Which of the following assessment techniques is least useful in the prehospital assessment of the patient with suspected intraabdominal trauma? - Answer: Auscultation Pregnant trauma patients should be placed on the left side because: - Answer: This prevents compression of the vena cava Survival of the fetus in a trauma situation is most dependent upon which of the following factors? - Answer: Good resuscitation of the mother A patient struck in the back of the head with a baseball bat may sustain a cerebral contusion to which area of the brain? - Answer: Occipital (probably too low velocity for Coup & Contre Coup) 6 In the context of the caring for an adult patient with traumatic brain injury who is deteriorating and exhibiting signs of herniation, hyperventilation means ventilating with a BVM and 100% oxygen at a rate of: - Answer: 20 In the United State, which of the following mechanisms most frequently causes spinal cord injury in adults? - Answer: Vehicle crashes Which of the following presentation indicate spinal cord injury? - Answer: All of the above Of the following, which is the earliest indication of compartment syndrome? - Answer: Tense swelling of the involved area A traction splint may be used for which of the following - Answer: Femur fractures Which of the following descriptions meets the criteria for transport to a facility with a burn unit? - Answer: A 25 year old male with an electrical burn across his chest The preferred method of dressing burns in the prehospital setting is: - Answer: Dry sterile dressing 7 In assessing the hypothermic patient in the prehospital setting, the most reliable indicator of the severity of hypothermia is: - Answer: Rectal temperature In the normal child, which general statement is most accurate in comparison with the adult patient? - Answer: Blood pressure is lower, heart rate is higher, and ventilatory rate is higher A patient who withdraws from painful stimuli, opens eyes on verbal command, and cannot speak because of intubation has a Glasgow Coma Scale of which of the following: - Answer: 8T (E-3, V-T, M-4) The earliest site for intraosseous infusion is: - Answer: Anterior tibia, just below the tibial tuberosity Which of the following behaviors is the most reliable indication of confusion in the elderly patient - Answer: Inability to recall his/her name In the elderly trauma patient a high index of suspicion for shock should occur beginning when the systolic blood pressure is less than: - Answer: C. 120 mmHg 10 Which is the preferred adjunct device for verifying placement of an endotracheal tube in a patient with a perfusing rhythm? - Answer: End-tidal CO2 monitoring (capnography) Which is the most important reason to maintain an open airway in the trauma - Answer: Prevents hypoxemia and hypercarbia Essential airway skills include manual clearing of the airway, manual maneuvers, suctioning and which of the following? - Answer: Oropharyngeal airway Your patient is a middle aged male who crashed his motorcycle. He is unresponsive. After opening the airway using a modified jaw thrust, you note the patient has respirations at a rate of 6. Auscultation reveals breath sounds are absent on the left side. Which of the following is the most appropriate next intervention? - Answer: Begin ventilation with a BVM Which best describes shock? - Answer: Generalized inadequate tissue perfusion Your patient has a deep laceration to his antecubital fossa with significant bleeding. What is the most appropriate initial action? - Answer: Apply direct pressure 11 Hypotension of unknown etiology in a trauma patient should be assumed to result from which of the following? - Answer: Blood loss Which assessment is most beneficial in differentiating hemorrhagic shock from neurogenic shock in the prehospital setting? - Answer: Skin The body initially compensates for blood loss through activation of which of the following? - Answer: Sympathetic nervous system Medication used by trauma patients for pre-existing conditions may cause which of the following? - Answer: Beta blockers may prevent tachycardia with blood loss The target blood pressure for a trauma patient with suspected intraabdominal hemorrhage is which of the following? - Answer: 80 - 90 mm Hg Which best explains the mechanism by which gas exchange is impaired in pulmonary contusion? - Answer: Blood in the alveoli 12 Which of the following is a key finding that differentiates cardiac tamponade from tension pneumothorax? - Answer: Equal breath sounds Your patient is a 20 year old male who struck his head on a teammate's knee while diving to catch a football. He was not wearing a helmet. He demonstrates decerebrate posturing and has a GCS score of 4. His heart rate is 58, blood pressure 180/102 and his left pupil is dilated. What is the best ventilation rate to use when managing this patient? - Answer: 20 breaths per minute A 20 year old female was ejected from her vehicle during a high speed roll-over motor vehicle collision. She has significant bleeding from a large laceration. Your initial assessment reveals a GCS score of 7, systolic blood pressure of 70 mm Hg and pupils that are equal but respond sluggishly to light. After establishing two large bore IV lines, you should titrate the infusion rate to achieve a target blood pressure of at least - Answer: 90 mm Hg. Which of the following is the preferred prehospital wound management for a patient with a 36% body surface area flame burn? - Answer: Dry sterile dressings The most immediate life threatening condition resulting from injury to solid abdominal organs is which of the following?