Answers
1.You suspect that a 6-year-old girl has broken her leg after
falling from a swing at a playground. Shortly after you arrive,
the child's mother appears and refuses to allow you to continue
treatment. You should:
A. use your authority under the implied consent law.
B. ask the mother to sign a refusal form and then leave.
C. tell the mother that her refusal is a form of child abuse.
D. try to persuade the mother that treatment is needed
Answer D. try to persuade the mother that treatment is needed.
2.A 62-year-old man with a history of congestive heart failure
presents with severe respiratory distress and an oxygen
saturation of 82%. When you auscultate his lungs, you hear
widespread rales. He is conscious and alert, is able to follow
simple commands, and can only speak in two- to three-word
sentences at a time. You should:
A. place him in a position of comfort, deliver oxygen via nasal
cannula, and closely monitor his breathing.
B. force fluid from his alveoli by hyperventilating him with a
bag-mask device at a rate of at least 20 breaths/min.
,C. place him in a supine position and assist his ventilations with
a bag-mask device and high-flow oxygen.
D. apply a continuous positive airway pressure (CPAP) device,
monitor his blood pressure, and observe him for signs of
improvement or deterioration
Answer D. apply a continuous positive airway pressure (CPAP) device,
monitor his blood pressure, and observe him for signs of improvement
or deterioration.
3.A 6-year-old male presents with acute respiratory distress.
His mother states that she saw him put a small toy into his
mouth shortly before the episode began. The child is conscious,
obviously frightened, and is coughing forcefully. You should:
A. encourage him to cough, give oxygen as tolerated, and
transport.
B. deliver a series of five back blows and then reassess his
condition.
C. place the child in a supine position and perform abdominal
thrusts.
D. carefully look into his mouth and remove the object if you see
it
Answer A. encourage him to cough, give oxygen as tolerated, and
transport.
4.A 33-year-old woman who is 36 weeks pregnant is
,experiencing scant vaginal bleeding. During transport, you
note that she suddenly becomes diaphoretic, tachycardic, and
hypotensive. In addition to administering 100% oxygen, you
should:
A. place her in a left lateral recumbent position.
B. position her supine and elevate her legs 12.3
C. carefully place sterile gauze into her vagina.
D. assist her ventilations with a bag-mask device
Answer A. place her in a left lateral recumbent position.
5.A 19-year-old female is found unconscious by her roommate.
Your primary assessment reveals that her breathing is
inadequate. As you insert an oropharyngeal airway, she begins
to gag violently. You should:
A. insert the airway no further but leave it in place as a bite
block.
B. select a smaller oropharyngeal airway and attempt to insert it.
C. remove the airway and be prepared to suction her oropharynx.
D. continue to insert the airway as you suction her oropharynx
Answer C. remove the airway and be prepared to suction her
oropharynx.
6.A 37-year-old male has an apparent foreign body airway
obstruction. He is conscious and alert and is coughing
, forcefully. His skin is pink, warm, and moist. The MOST
appropriate treatment for this patient includes:
A. performing a series of abdominal thrusts.
B. finger sweeps to remove the obstruction.
C. encouraging him to cough and transporting.
D. a series of back blows and chest thrusts
Answer C. encouraging him to cough and transporting.
7.Febrile seizures:
A. are usually benign but should be evaluated.
B. are also referred to as petit mal seizures.
C. often result in permanent brain damage.
D. occur when a child's fever progressively rises
Answer A. are usually benign but should be evaluated.
8.A 17-year-old football player collided with another player and
has pain to his left clavicular area. He is holding his arm against
his chest and refuses to move it. Your assessment reveals
obvious deformity to the mid-shaft clavicle. After assessing
distal pulse, sensory, and motor functions, you should:
A. straighten his arm and apply a board splint.
B. perform a rapid secondary assessment.
C. immobilize the injury with a sling and swathe.