A4-year-oldfemaletracheostomy pt haspulledout hertracheostomy tube. Theopeningispartially obstructedwith skin.
Youshould
A. Usea soft tipcatheterandsuctionuntil clear
B. Insert a nasal airway intostoma
C. Wipethearea cleanandperformmouthtostoma ventilation
D. Cut theskinaway fromthestomaans: usea soft tipcatheterandsuctionuntil clear
Toprotect yourself frominjury whenliftinga stretcher youshould
A. Keeptheweight asclosetoyourbody aspossible
B. Usetwoadditional ppl forthelift
C. Leanforwardtowardthestretcherans: keeptheweight asclosetoyourbodyaspossible
Anunresponsive10yearoldmalewashit by a carandisbleedingheavily fromanopenlegfracture. Aftersecuring
hisairwayandmanuallystabilizingc-spine, youshould:
A. Placethepatient intredelenburgposition
B. Performa rapidtrauma assessment
C. Control bleedingfromthelegwound
D. Immobilizetheextremityusingaladdersplint correctanswer control bleedingfromthelegwound*
Thestrongest portionof theheart that isresponsibleforcirculatingbloodtotheentirebodyisthe
A. Left atrium
B. Right atrium
C. Left ventricle
D. Right ventricleans: left ventricle
,A46 y/ofemalewasinvolvedinabarfight andhasanobviousopenneck wound. Youshoulddressthiswoundwitha/ an
A. Occlusivedressing
B. Sterilegauzedressing
C. Pressuredressing
D. Moist gauzedressingans: occlusivedressing*
Whenassessingapulse, youarefeelingthe:
A. Relaxationof theatria
B. Contractionof theleft ventricle
C. Contractionof theleft atrium
D. Relaxationof bothventriclesans: contractionof theleft ventricle*
A60 y/ofemalehaschest pain. Shehasnot takenherprescribednitroyoushould
A. Determinewhat typeof cardiac problemthept has, andassist herwithtakingthenitro
B. Immediately attachedtheaedandbegintransport tohospital
C. Administeraspirinonly andwithholdthenitro
D. Consult medical directionwithregardtoassistingthept intakingthenitroans: determinewhat type of cardiac
problemthept has, andassist herwithtakingthenitro
Whichof thefollowingisthebest definitionof hypoperfusion?
A. Lessbloodreachingcapillary beds
B. Inadequateoxygendelivery tocells
C. Loweredheart rateandbp
D. Bloodvessel dilationcausingdistal poolingans: inadequateoxygendeliverytocells
Youareventilatinganapneic asthmatic patient witha bvm, but noticethereisinadequatechest rise. What should
youdo?
A. Reassesstheairway for anobstruction
B. Increasetheventilationpressure
C. Switchtoano2 poweredventilationdevice
D. Increasetherateof theventilationsans: reassesstheairway foranobstruction*
For whichof thefollowingpatientswouldanopabemost appropriate?
A. A19 y/owitha mandiblefracturewhoisonly responsivetopain
B. Unresponsive25y/owitha suspectedspinal injury
C. Unresponsivefive-year-oldwithasuspectedairway obstruction
D. Semiconscious76 y.ooldwhoisgaspingfor airans: unresponsive25y/owitha suspectedspinal injury
Your patient ispale, diaphoretic, andcomplainsof chest pressure. Hervitalsarer18p58, andbp88/50. Youshould
suspect
A. Unstableangina
, B. Athoracic aneurysm
C. Cardiogenic shock
D. Pulmonaryembolismans: cardiogenicshock
A66 y/omaleisconfused. Hehasa history of substanceabuseandfalls. Hisbreathsmellsof alcoholic beverage. He isalert
andrefusingservice. Youshould
A. Obtainconsent fromhisfamily andtransport
B. Document hisrefusal andrecommendthat heseehisdoctor
C. Speak calmlytohimandconvincehimtoaccept transport
D. Havethepolicetransport thept todetoxunit ans: speak calmly tohimandconvincehimtoaccept transport
Your 12 yr oldpatient hasa penetratingwoundtotheabdomen. Youmay providecarebasedon
A. Informedconsent
B. Expressedconsent
C. Impliedconsentans: impliedconsent
Avictimofsmokeinhalationhasdevelopeddifficulty breathing. Hedoesnotlikethesmell of themaskyouareusing
todelivero2. Youshould
A. Switchtoa ncset todeliver o2 @6 lpm
B. Restraintheptandcontinueadministeringo2 via nrb
C. Explainthat themaskisvery important andcontinueitsuse
D. Administerblow-byo2via simplemaskans: explainthat themaskisveryimportant andcontinue itsuse
A23 y/oconstructionworkertwistedhisfoot climbingupaladder. Hehasanobviousdeformity ontheright legjust
belowtheknee. Thelowerlegandfoot arecyanoticandpulseless. Youshould
A. Apply anairsplint andtransport
B. Applyspinal immobilizationandelevatetheleg
C. Pull gentletractionandapply a splint
D. Applyatractionsplint andtransport ans: pull gentletractionandapply a splint
Whichof thefollowingistrueabout theinsertionof anopa?
A. Theopaisalwaysrotated360 degreesasit isinserted
B. If properly inserted, theopawill keepthetongueout of theway
C. Theopashouldbeinserted until theflangerestsbelowthepatient'steethans: theopashouldbe inserteduntil
theflangerestsbelowthepatient'steeth*
Whileventilatinga near drowningpt, yousuddenly feel increasedresistanceintheairway. Youshould
A. Performabdominal thrust
B. Placept inlateral recovery position
C. Attempt torepositionthehead
D. Applyfirmpressuretotheabdomenans: attempt torepositionthehead