ACTUAL EXAMS WITH 350 QUESTIONS AND CORREC n n n n n n
T DETAILED CORRECT ANSWERS /LATEST UPDATE 2
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026-2027/ALREADY GRADED A+ n n
n A trauma client presents to your emergency departmentwith inspiratory stri
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dor and a suspected c-spine injury.
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Oxygen saturation is 88% on high- n n n n n
flow oxygen via a nonrebreathing mask. The most appropriate next step is to: -
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...CORRECT ANS:- n
>>>...restrict cervical motion and establish adefinitive airway
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When applying the Rule of Nines to infants: -
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...CORRECT ANS:- n
>>>...The head is proportionally larger in infantsthan in adults.
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A healthy young male is brought to the emergency department following a moto
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r vehicle crash. His vital signsare a blood pressure of 84/60, pulse 123, GCS 10.
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The client moans when his pelvis is palpated. After initiating fluid resuscitation,
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n the next step in management is: -
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...CORRECT ANS:->>>...placement of a pelvic binder n n n n n
Which one of the following situations requires Rh immunoglobulin admini
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stration to an injured woman? - n n n n n
,...CORRECT ANS:- n
>>>...positive pregnancy test, Rh negative, and hastorso trauma
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A 22-year-
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old female athlete is stabbed in her left chest at the third interspace in the anterior a
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xillary line. On admission to the emergency department and 15 minutes afterthe in
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cident, she is awake and alert. Her heart rate is 100 beats per minute, blood pressur
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e 80/60 mm Hg, and respiratory rate 20 breaths per minute. A chest x-
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ray reveals a large left hemothorax. A left chest tube is placed with an immediate r
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eturn of 1600 mL of blood. The next management step for this client is: -
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n ...CORRECT ANS:->>>...prepare for an exploratory thoracotomy
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A 6-year-
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old boy walking across the street is struck by thefront bumper of a sports utility
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vehicle traveling at 32 kph (20 mph). Which one of the following statements is
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TRUEabout this client? - ...CORRECT ANS:-
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>>>...A pulmonary contusionmay be present in the absence of rib fractures.
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When something crashes in secondary survey, you... -
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...CORRECT ANS:->>>...GO BACK TO PRIAMRY SURVEY n n n n n
If the question says you do not have capabilities, you will most likely -
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n ...CORRECT ANS:- n
>>>...PREPARE FOR AND DO NOTDELAY TRANSPORT n n n n n n
,How much blood can femur lose - ...CORRECT ANS:->>>...2L
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What is always going to be the shock type to pick -
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...CORRECT ANS:->>>...Hemorrhagic n
What are the classes of hemorrhagic shock -
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...CORRECT ANS:->>>...0-15% is class 1 n n n n
15-30 is class 2
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30-40% is class 3n n n
>40% is class 4
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What is the EARLIEST predictor of shock at what class -
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...CORRECT ANS:->>>...Narrowed pulse pressure in class 2
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What will be base deficit for class 2 shock? - ...CORRECT ANS:->>>...-2 to -
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6 meQ
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What will be the deficit for class 4? - ...CORRECT ANS:->>>...-10 orless
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When will urine output start to decrease in shock? -
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...CORRECT ANS:->>>...Class 3 and 4 n n n n
, When does BP start to fall in shock - ...CORRECT ANS:->>>...Class 3
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What is GCS? - ...CORRECT ANS:->>>...E-
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4V-5
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M-6
Eye spont 4 To co
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mmand 3To pain 2 n n n n n
None 1 n
Verbal spont is 5 Verbal co
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nfused is 4Inappropriate 3
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Garbling is 2 n n
None is 1 n n
Motor spont is 6 Localize pai
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n is 5 Withdrawal pain is 4
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Decorticating (flexion) is 3Decebrat n n n n
e (extension) is 2 None is 1
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Two main reasons to think about why GCS goes down? -
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...CORRECT ANS:->>>...TBI n
Hemorrhagic shock n