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NCCER BOILERMAKER MAINTENANCE EXAM
NEWEST ACTUAL EXAM COMPLETE 150 QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+||LATEST
VERSION!!!
A 22-year-old man is hypotensive and tachycardic after a
shotgun wound to the left shoulder. His blood pressure is
initially 80/40 mm Hg. After initial fluid resuscitation his
blood pressure increases to 122/84 mm Hg. His heart rate
is now 100 beats per minute and his respiratory rate is 28
breaths per minute. A tube thoracostomy is performed for
decreased left chest breath sounds with the return of a
small amount of blood and no air leak. After chest tube
insertion, the most appropriate next step is: - Answer-re-
examine the chest
A construction worker falls two stories from a building and
sustains bilateral calcaneal fractures. In the emergency
department, he is alert, vital signs are normal, and he is
complaining of severe pain in both heels and his lower
back. Lower extremity pulses are strong and there is no
other deformity. The suspected diagnosis is most likely to
be confirmed by: - Answer-complete spine x-ray series
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Which of the following is true regarding the initial
resuscitation of a trauma patient? - Answer-Evidence of
improved perfusion after fluid resuscitation could include
improvement in Glasgow Coma Scale score on
reevaluation.
In managing a patient with a severe traumatic brain injury,
the most important initial step is to: - Answer-secure the
airway
A previously healthy, 70-kg (154-pound) man suffers an
estimated acute blood loss of 2 liters. Which one of the
following statements applies to this patient? - Answer-An
ABG would demonstrate a base deficit between -6 and -10
mEq/L.
The physiological hypervolemia of pregnancy has clinical
significance in the management of the severely injured,
gravid woman by: - Answer-increasing the volume of blood
loss to produce maternal hypotension
The best assessment of fluid resuscitation of the adult
burn patient is: - Answer-urinary output of 0.5 mL/kg/hr
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The diagnosis of shock must include: - Answer-evidence
of inadequate organ perfusion
A 7-year-old boy is brought to the emergency department
by his parents several minutes after he fell through a
window. He is bleeding profusely from a 6-cm wound of
his medial right thigh. Immediate management of the
wound should consist of: - Answer-direct pressure on the
wound
For the patient with severe traumatic brain injury, profound
hypocarbia should be avoided to prevent: - Answer-
cerebral vasoconstriction with diminished perfusion
After being involved in a motor vehicle crash, a 25-year-
old man is brought to a hospital that has surgery
capabilities available.. Computed tomography of the chest
and abdomen shows an aortic injury and splenic laceration
with free abdominal fluid. His blood pressure falls to 70
mm Hg after CT. The next step is: - Answer-perform an
exploratory laparotomy
Which one of the following statements regarding
abdominal trauma in the pregnant patient is TRUE? -
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Answer-Leakage of amniotic fluid is an indication for
hospital admission.
The first maneuver to improve oxygenation after chest
injury is: - Answer-administer supplemental oxygen
A 25-year-old man, injured in a motor vehicular crash, is
admitted to the emergency department. His pupils react
sluggishly and his eyes open to pressure. He does not
follow commands, but he does moan periodically. His right
arm is deformed and does not respond to pressure;
however, his left hand reaches purposefully toward the
stimulus. Both legs are stiffly extended. His GCS score is:
- Answer-9
A 20-year-old woman who is at 32 weeks gestation, is
stabbed in the upper right chest. In the emergency
department, her blood pressure is 80/60 mm Hg. She is
gasping for breath, extremely anxious, and yelling for help.
Breath sounds are diminished in the right chest. The most
appropriate first step is to: - Answer-perform needle or
finger decompression of the right chest
NCCER BOILERMAKER MAINTENANCE EXAM
NEWEST ACTUAL EXAM COMPLETE 150 QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+||LATEST
VERSION!!!
A 22-year-old man is hypotensive and tachycardic after a
shotgun wound to the left shoulder. His blood pressure is
initially 80/40 mm Hg. After initial fluid resuscitation his
blood pressure increases to 122/84 mm Hg. His heart rate
is now 100 beats per minute and his respiratory rate is 28
breaths per minute. A tube thoracostomy is performed for
decreased left chest breath sounds with the return of a
small amount of blood and no air leak. After chest tube
insertion, the most appropriate next step is: - Answer-re-
examine the chest
A construction worker falls two stories from a building and
sustains bilateral calcaneal fractures. In the emergency
department, he is alert, vital signs are normal, and he is
complaining of severe pain in both heels and his lower
back. Lower extremity pulses are strong and there is no
other deformity. The suspected diagnosis is most likely to
be confirmed by: - Answer-complete spine x-ray series
,2|Page
Which of the following is true regarding the initial
resuscitation of a trauma patient? - Answer-Evidence of
improved perfusion after fluid resuscitation could include
improvement in Glasgow Coma Scale score on
reevaluation.
In managing a patient with a severe traumatic brain injury,
the most important initial step is to: - Answer-secure the
airway
A previously healthy, 70-kg (154-pound) man suffers an
estimated acute blood loss of 2 liters. Which one of the
following statements applies to this patient? - Answer-An
ABG would demonstrate a base deficit between -6 and -10
mEq/L.
The physiological hypervolemia of pregnancy has clinical
significance in the management of the severely injured,
gravid woman by: - Answer-increasing the volume of blood
loss to produce maternal hypotension
The best assessment of fluid resuscitation of the adult
burn patient is: - Answer-urinary output of 0.5 mL/kg/hr
,3|Page
The diagnosis of shock must include: - Answer-evidence
of inadequate organ perfusion
A 7-year-old boy is brought to the emergency department
by his parents several minutes after he fell through a
window. He is bleeding profusely from a 6-cm wound of
his medial right thigh. Immediate management of the
wound should consist of: - Answer-direct pressure on the
wound
For the patient with severe traumatic brain injury, profound
hypocarbia should be avoided to prevent: - Answer-
cerebral vasoconstriction with diminished perfusion
After being involved in a motor vehicle crash, a 25-year-
old man is brought to a hospital that has surgery
capabilities available.. Computed tomography of the chest
and abdomen shows an aortic injury and splenic laceration
with free abdominal fluid. His blood pressure falls to 70
mm Hg after CT. The next step is: - Answer-perform an
exploratory laparotomy
Which one of the following statements regarding
abdominal trauma in the pregnant patient is TRUE? -
, 4|Page
Answer-Leakage of amniotic fluid is an indication for
hospital admission.
The first maneuver to improve oxygenation after chest
injury is: - Answer-administer supplemental oxygen
A 25-year-old man, injured in a motor vehicular crash, is
admitted to the emergency department. His pupils react
sluggishly and his eyes open to pressure. He does not
follow commands, but he does moan periodically. His right
arm is deformed and does not respond to pressure;
however, his left hand reaches purposefully toward the
stimulus. Both legs are stiffly extended. His GCS score is:
- Answer-9
A 20-year-old woman who is at 32 weeks gestation, is
stabbed in the upper right chest. In the emergency
department, her blood pressure is 80/60 mm Hg. She is
gasping for breath, extremely anxious, and yelling for help.
Breath sounds are diminished in the right chest. The most
appropriate first step is to: - Answer-perform needle or
finger decompression of the right chest
