Answers.
A 24 year old male with a history of sickle cell anemia complains of leg and lower
abdominal pain. He is lying in the fetal position. Vital signs are BP 140/92, P 114, R 18,
Sp02 98% with 15 lpm. What should you do?
a. Monitor vital signs and transport.
b. Administer a hypertonic saline solution.
c. Administer morphine sulfate intravenously.
d. Obtain a 12 lead ECG. - Correct Answer Administer morphine sulfate intravenously
A 20 year old female is postictal after having a 10 minute seizure. Her family states that
the she had a traumatic brain injury 8 months ago. Vital signs are BP 144/82, P 92, R 16,
Sp02 90%, blood glucose analysis 66 mg/dL. What should you do?
a. Administer 50% dextrose.
b. Apply supplemental oxygen.
c. Administer a benzodiazepine.
d. Perform a stroke scale assessment . - Correct Answer Apply supplemental oxygen
A 46 year old female is vomiting blood. She is holding a bucket of approximately 1500 mL
dark, purple blood by her bed. She has a history of peptic ulcer disease, reflux, and
alcoholism. Her upper right quadrant is tender on palpation. Vital signs are BP 90/50, P
130, R 18, skin pale, cool, and moist. What should you suspect?
a. Hemorrhagic pancreatitis
b. Esophageal varices
c. Acute gastroenteritis
d. Gastric ulcer perforation - Correct Answer Esophageal varices
A 68 year old female is confused, and her husband states that she has had a general
malaise and loose stools. She has a history of diabetes for which she takes metformin.
, Vital signs are BP 82/54, P 98, R 18, blood glucose analysis 720 mgldL. What should you
suspect?
a. Hyperglycemia
b. Hypoglycemia
c. DKA
d. HHNS - Correct Answer HHNS
A 46 year old female complains of shortness of breath. She has a history of alcohol abuse
and presents with severe ascites. Her vital signs are BP 142/84, P 102, R 24 with
crackles. What should you suspect?
a. Cholecystitis
b. Congestive heart failure
c. Gastroenteritis
d. Liver failure - Correct Answer Liver failure
Why do patients with hyperglycemia have Kussmaul respirations?
a. Excessive ketones
b. Hyperventilation syndrome
c. Insulin shock
d. Respiratory acidosis - Correct Answer Excessive ketones
Which condition would make a patient more prone to thyroid storm?
a. Myxedema coma
b. Addison's disease
c. Graves' disease
d. Cushing's syndrome - Correct Answer Graves' disease