PHTLS 10th Edition Questions with 100% Correct verified
Answers Updated
Which of the following requires you to develop a plan of action, initiate the plan,
reassess the plan as care for the patient moves forward, and adjust the plan as the
patient's condition or circumstances change?
A. Principles of PHTLS
B. The Golden Period
C. The XABCDE assessment
D. Critical thinking process
To help achieve the PHTLS goals, you will apply your critical thinking skills in the field.
Critical thinking in medicine is a process in which the healthcare practitioner assesses
the situation, the patient, and the resources available and uses the information to decide
on and provide the best care for the patient.
Which of the following is a goal of the Golden Period?
B. Provide written documentation from field care to receiving hospital.
B. Expedite the field care and transport of the patient.
C. Use a team approach for optimal patient care.
D. Use the XABCDE approach to patient assessment.
One of your most important responsibilities as a prehospital care practitioner is to
spendas little time on the scene as possible and expedite your field care and transport
of the patient.Studies show that the time from injury to arrival at the appropriate site for
definitive care is critical to survival.
. What is the best way to control the bleeding?
A. Direct pressure
B. Elevation of the arm above the heart
C. Tourniquet
,D. Occlusive dressing
With venous bleeds, direct pressure is usually sufficient to stop the flow.
The patient becomes apneic. You suspect he has a cervical injury. Which type of
airway should you use?
A. Supraglottic airway
B. Blind nasotracheal intubation
C. Oropharyngeal airway
D. Surgical airway
The supraglottic airway's greatest advantage is that it can be inserted independent of
the patient's position, which may be especially important in trauma patients with high
suspicion of cervical injury.
You have been performing ongoing management on a 35-year-old female patient
who sustained thoracic trauma when a car hit her as she crossed the street. Originally,
your electronic monitoring devices all produce results consistent with your patient's
clinical condition. However, en route the trauma center, the monitors start to differ from
your patient's current clinical condition each time you reassess. How should you handle
this situation?
A. Treat the patient's condition, not the monitor results.
B. Continue to reassess the patient and record the results for the trauma center.
C. Treat your patient based on the test results.
D. Stop testing and wait until you arrive at the trauma center for them to perform an
assessment.
If there are inconsistent data from electronic monitoring devices, reassess to be sure
the monitor matches the patient's current clinical condition. However, it is most
important to treat the patient, not the monitor, so use other signs and symptoms of
potential patient deterioration.
What is one reason to use capnography as part of your patient reassessment?
A. To get accurate readings for blood pressure
B. To assure proper ET tube placement
C. To measure arterial blood saturation
D. To ensure proper placement for needle decompression
, Capnography can monitor proper endotracheal tube placement. It doesn't read blood
pressure, so it cannot beused to determine if a patient is hypotensive. Pulse bead
ministered,not whereas the, measures arterial blood saturation. Capnography is not
useful in needle decompression.
While en route to the hospital, you manage to put an 18-gauge IV in the right arm.
Your patient is still confused, and you still have no radial pulse. Your next move is to:
A. give 1-L fluid bolus.
B. give one 250-mL fluid bolus, and then stop.
C. give fluid until you get a radial pulse.
D. administer TXA.
Now is the time to titrate IV fluids to restore tissue perfusion. Giving 1 liter blindly could
overshoot your target pressure and reinforce internal bleeding. TXA is not a priority,
although it can run parallel to fluids.
You're called out to an assisted living facility for a 72-year-old woman complaining of
a severe headache and experiencing increased confusion. Staff reports she fell out of
her wheelchair earlier in the week but didn't appear to be hurt; however, she's become
increasingly disoriented over the last day or so. Vital signs show: BP 110/90; heart rate
118 and irregularly regular; ventilation rate 20 and slightly labored; SpO2 93% on room
air. She is taking warfarin for a clotting issue. Which of the following should you
suspect?
A. Cerebral contusion
B. Epidural hematoma
C. Subarachnoid hemorrhage
D. Subdural hematoma
The patient's age, use of a blood thinner, and the fact she fell recently point to a
subdural hematoma.
When you examine the patient's pupils, you notice the right one is dilated significantly
and her motor response on the left is delayed. What does this suggest?
A. Coup-countercoup injury
B. Hyphema
Answers Updated
Which of the following requires you to develop a plan of action, initiate the plan,
reassess the plan as care for the patient moves forward, and adjust the plan as the
patient's condition or circumstances change?
A. Principles of PHTLS
B. The Golden Period
C. The XABCDE assessment
D. Critical thinking process
To help achieve the PHTLS goals, you will apply your critical thinking skills in the field.
Critical thinking in medicine is a process in which the healthcare practitioner assesses
the situation, the patient, and the resources available and uses the information to decide
on and provide the best care for the patient.
Which of the following is a goal of the Golden Period?
B. Provide written documentation from field care to receiving hospital.
B. Expedite the field care and transport of the patient.
C. Use a team approach for optimal patient care.
D. Use the XABCDE approach to patient assessment.
One of your most important responsibilities as a prehospital care practitioner is to
spendas little time on the scene as possible and expedite your field care and transport
of the patient.Studies show that the time from injury to arrival at the appropriate site for
definitive care is critical to survival.
. What is the best way to control the bleeding?
A. Direct pressure
B. Elevation of the arm above the heart
C. Tourniquet
,D. Occlusive dressing
With venous bleeds, direct pressure is usually sufficient to stop the flow.
The patient becomes apneic. You suspect he has a cervical injury. Which type of
airway should you use?
A. Supraglottic airway
B. Blind nasotracheal intubation
C. Oropharyngeal airway
D. Surgical airway
The supraglottic airway's greatest advantage is that it can be inserted independent of
the patient's position, which may be especially important in trauma patients with high
suspicion of cervical injury.
You have been performing ongoing management on a 35-year-old female patient
who sustained thoracic trauma when a car hit her as she crossed the street. Originally,
your electronic monitoring devices all produce results consistent with your patient's
clinical condition. However, en route the trauma center, the monitors start to differ from
your patient's current clinical condition each time you reassess. How should you handle
this situation?
A. Treat the patient's condition, not the monitor results.
B. Continue to reassess the patient and record the results for the trauma center.
C. Treat your patient based on the test results.
D. Stop testing and wait until you arrive at the trauma center for them to perform an
assessment.
If there are inconsistent data from electronic monitoring devices, reassess to be sure
the monitor matches the patient's current clinical condition. However, it is most
important to treat the patient, not the monitor, so use other signs and symptoms of
potential patient deterioration.
What is one reason to use capnography as part of your patient reassessment?
A. To get accurate readings for blood pressure
B. To assure proper ET tube placement
C. To measure arterial blood saturation
D. To ensure proper placement for needle decompression
, Capnography can monitor proper endotracheal tube placement. It doesn't read blood
pressure, so it cannot beused to determine if a patient is hypotensive. Pulse bead
ministered,not whereas the, measures arterial blood saturation. Capnography is not
useful in needle decompression.
While en route to the hospital, you manage to put an 18-gauge IV in the right arm.
Your patient is still confused, and you still have no radial pulse. Your next move is to:
A. give 1-L fluid bolus.
B. give one 250-mL fluid bolus, and then stop.
C. give fluid until you get a radial pulse.
D. administer TXA.
Now is the time to titrate IV fluids to restore tissue perfusion. Giving 1 liter blindly could
overshoot your target pressure and reinforce internal bleeding. TXA is not a priority,
although it can run parallel to fluids.
You're called out to an assisted living facility for a 72-year-old woman complaining of
a severe headache and experiencing increased confusion. Staff reports she fell out of
her wheelchair earlier in the week but didn't appear to be hurt; however, she's become
increasingly disoriented over the last day or so. Vital signs show: BP 110/90; heart rate
118 and irregularly regular; ventilation rate 20 and slightly labored; SpO2 93% on room
air. She is taking warfarin for a clotting issue. Which of the following should you
suspect?
A. Cerebral contusion
B. Epidural hematoma
C. Subarachnoid hemorrhage
D. Subdural hematoma
The patient's age, use of a blood thinner, and the fact she fell recently point to a
subdural hematoma.
When you examine the patient's pupils, you notice the right one is dilated significantly
and her motor response on the left is delayed. What does this suggest?
A. Coup-countercoup injury
B. Hyphema
