ATLS 10th Edition Post Test 1 - 4 (Latest
): Most Comprehensive Qs & Ans,
Exams of Nursing
Bronchial intubation of the right or left mainstem
bronchus can easily occur during infant endotracheal
intubation because: - Correct Answer The trachea is
relatively short.
A 23-year-old man sustains 4 stab wounds to the upper
right chest during an altercation and is brought by
ambulance to a hospital that has full surgical capabilities.
His wounds are all above the nipple. He is endotracheally
intubated, closed tube thoracostomy is performed, fluid
resuscitation is initiated through 2 large-caliber IVs. FAST
exam does not reveal intraabdominal injuries. His blood
pressure now is 60/0 mm Hg, heart rate is 160 beats per
minute, and respiratory rate is 14 breaths per minute
(ventilated with 100% O2). 1500 mL of blood has drained
from the right chest. The most appropriate next step in
managing this patient is to: - Correct Answer urgently
transfer the patient to the operating room
Page 1 of 34
,A 39-year-old man is admitted to the emergency
department after an automobile collision. He is cyanotic,
has insufficient respiratory effort, and has a GCS score of
6. His full beard makes it difficult to fit the oxygen
facemask to his face. The most appropriate next step is
to: - Correct Answer restrict cervical motion and attempt
orotracheal intubation using 2 people
A patient is brought to the emergency department after a
motor vehicle crash. He is conscious and there is no
obvious external trauma. He arrives at the hospital
completely immobilized on a long spine board. His blood
pressure is 60/40 mm Hg and his heart rate is 70 beats
per minute. His skin is warm. Which one of the following
statements is TRUE? - Correct Answer Flaccidity of the
lower extremities and loss of deep tendon reflexes are
expected.
Page 2 of 34
,Which one of the following is the most effective method
for initially treating frostbite? - Correct Answer moist
heat
A 32-year-old man's right leg is trapped beneath his
overturned car for nearly 2 hours before he is extricated.
On arrival in the emergency department, his right lower
extremity is cool, mottled, insensate, and motionless.
Despite normal vital signs, pulses cannot be palpated
below the right femoral artery and the muscles of the
lower extremity are firm and hard. During the
management of this patient, which of the following is
most likely to improve the chances for limb salvage? -
Correct Answersurgical consultation for right lower
extremity fasciotomy
A patient arrives in the emergency department after
being beaten about the head and face with a wooden
club. He is comatose and has a palpable depressed skull
fracture. His face is swollen and ecchymotic. He has
gurgling respirations and vomitus on his face and
Page 3 of 34
, clothing. The most appropriate step after providing
supplemental oxygen and elevating his jaw is to: - Correct
Answer suction the oropharynx
A 22-year-old man sustains a gunshot wound to the left
chest and is transported to a small community hospital
no surgical capabilities are available. In the emergency
department, a chest tube is inserted and 700 mL of blood
is evacuated. The trauma center accepts the patient in
transfer. Just before the patient is placed in the
ambulance for transfer, his blood pressure decreases to
80/68 mm Hg and his heart rate increases to 136 beats
per minute. The next step should be to: - Correct
Answerrepeat the primary survey and proceed with
transfer
A 64-year-old man involved in a high-speed car crash, is
resuscitated initially in a small hospital without surgical
capabilities. He has a closed head injury with a GCS score
of 13. He has a widened mediastinum on chest x-ray with
fractures of left ribs 2 through 4, but no pneumothorax.
Page 4 of 34
): Most Comprehensive Qs & Ans,
Exams of Nursing
Bronchial intubation of the right or left mainstem
bronchus can easily occur during infant endotracheal
intubation because: - Correct Answer The trachea is
relatively short.
A 23-year-old man sustains 4 stab wounds to the upper
right chest during an altercation and is brought by
ambulance to a hospital that has full surgical capabilities.
His wounds are all above the nipple. He is endotracheally
intubated, closed tube thoracostomy is performed, fluid
resuscitation is initiated through 2 large-caliber IVs. FAST
exam does not reveal intraabdominal injuries. His blood
pressure now is 60/0 mm Hg, heart rate is 160 beats per
minute, and respiratory rate is 14 breaths per minute
(ventilated with 100% O2). 1500 mL of blood has drained
from the right chest. The most appropriate next step in
managing this patient is to: - Correct Answer urgently
transfer the patient to the operating room
Page 1 of 34
,A 39-year-old man is admitted to the emergency
department after an automobile collision. He is cyanotic,
has insufficient respiratory effort, and has a GCS score of
6. His full beard makes it difficult to fit the oxygen
facemask to his face. The most appropriate next step is
to: - Correct Answer restrict cervical motion and attempt
orotracheal intubation using 2 people
A patient is brought to the emergency department after a
motor vehicle crash. He is conscious and there is no
obvious external trauma. He arrives at the hospital
completely immobilized on a long spine board. His blood
pressure is 60/40 mm Hg and his heart rate is 70 beats
per minute. His skin is warm. Which one of the following
statements is TRUE? - Correct Answer Flaccidity of the
lower extremities and loss of deep tendon reflexes are
expected.
Page 2 of 34
,Which one of the following is the most effective method
for initially treating frostbite? - Correct Answer moist
heat
A 32-year-old man's right leg is trapped beneath his
overturned car for nearly 2 hours before he is extricated.
On arrival in the emergency department, his right lower
extremity is cool, mottled, insensate, and motionless.
Despite normal vital signs, pulses cannot be palpated
below the right femoral artery and the muscles of the
lower extremity are firm and hard. During the
management of this patient, which of the following is
most likely to improve the chances for limb salvage? -
Correct Answersurgical consultation for right lower
extremity fasciotomy
A patient arrives in the emergency department after
being beaten about the head and face with a wooden
club. He is comatose and has a palpable depressed skull
fracture. His face is swollen and ecchymotic. He has
gurgling respirations and vomitus on his face and
Page 3 of 34
, clothing. The most appropriate step after providing
supplemental oxygen and elevating his jaw is to: - Correct
Answer suction the oropharynx
A 22-year-old man sustains a gunshot wound to the left
chest and is transported to a small community hospital
no surgical capabilities are available. In the emergency
department, a chest tube is inserted and 700 mL of blood
is evacuated. The trauma center accepts the patient in
transfer. Just before the patient is placed in the
ambulance for transfer, his blood pressure decreases to
80/68 mm Hg and his heart rate increases to 136 beats
per minute. The next step should be to: - Correct
Answerrepeat the primary survey and proceed with
transfer
A 64-year-old man involved in a high-speed car crash, is
resuscitated initially in a small hospital without surgical
capabilities. He has a closed head injury with a GCS score
of 13. He has a widened mediastinum on chest x-ray with
fractures of left ribs 2 through 4, but no pneumothorax.
Page 4 of 34
