ACCURATE RESPONSES FULL SOLUTION
◉ A 25-year-old helmeted female was thrown from a horse. She is
complaining of weakness in her upper extremities. You ask her to
close her eyes and identify whether you are moving her thumb up or
down. She is unable to do so. This indicates she does not have
normal: Answer: Proprioception
◉ A 25-year-old woman was involved in a motor vehicle collision.
Her initial vital signs were BP 122/80 mm Hg, P 128 bpm, R 20
breath/min. Which of the following findings on repeat assessment
would indicate that she is developing shock? Answer: Pulse pressure
32 mm Hg
◉ A 32-year-old complains of headache and dizziness. He vomited
once and is walking with a staggering gait. His blood pressure is
148/72, pulse 92, respirations 20. He has a steady stare up toward
his right ear. Which sign or symptom makes you consider
intracerebral hemorrhage more strongly than migraine headache as
a cause of his emergency? Answer: Abnormal gaze
◉ A 33-year-old male has right lower quadrant abdominal pain and
vomiting. Five minutes after you administer a dose of ondansetron,
he vomits forcefully. His vitals are now BP 102/72, P 52, R 20. The
, alteration in his vital signs is likely related to: Answer: Vagal
stimulation
◉ A 40-year-old male has chest pain reported as an "elephant sitting
on my chest." He confides that he snorted cocaine 5 minutes before
his pain began. You should first administer: Answer: Lorazepam, 2
mg IV
◉ A 42-year-old male complains of a gnawing, sever pain in the
epigastric area that radiates to his back. His vital signs are T 102*F,
BP 94/68, P 128, R 24. Your highest priority intervention would be
to administer: Answer: Normal saline, 250 mL bolus
◉ A 43-year-old male with diffuse abdominal pain and vomiting has
a yellowish discoloration of his sclera. This indicates he has excess
serum: Answer: Bilirubin
◉ A 44-year-old male is postictal after a witnessed grand mal
seizure. He is arousable to light pain and is presently snoring. His
vital signs are BP 142/86, P 120, R 20, Sa02 98%. You should:
Answer: Insert a nasopharyngeal airway
◉ A 45-year-old female complains of right upper quadrant
abdominal pain. To help confirm your differential if you suspect
cholecystitis you should: Answer: Ask her to take a deep breath as
you press upward into her right upper quadrant