NSER 7210 Quiz 1+2 Exam Questions and Answers
During RSI, the patient's O2 saturations have dropped down to 85% after a few minutes
into attempted intubation, Actions to follow should be: - -intubation attempt be aborted,
and the patient should be oxygenated with BVM until saturations improve prior to another
attempt
-Which of the following statements about medications used in RSI are true? - -An
induction agent should be given prior to a neuromuscular blocking agent
A non-depolarizing NMBA might be preferred over a depolarizing NMBA in a patient with a
crush injury, renal disease, or hyperkalemia
A dose of Atropine should be considered in infants < 12 months of age to prevent reflex
bradycardia
-An elderly patient presents to the ED with vomiting and abdominal pain. The patient is
sitting up, speaking in full sentences with no WOB. His radial pulse is rapid and his skin is
warm and dry. His peripheral cap refill is 3 seconds. His vital signs are HR 102, BP 110/70,
RR 22, O2 97% on RA, and his temperature is 37.2. What best describes what shock state
this patient is in? - -Compensated Shock
-Which of the following statements about interpersonal violence screening in the ED is
false? - -It should only be performed on adolescents or adults at increased risk for IPV
-An elderly patient presents to the ED with vomiting and abdominal pain. The patient is
sitting up alert, is pale, and speaking in short 3-4 word sentences. His radial pulse is rapid
and weak, and his skin is cool and slightly clammy. His vital signs are HR 122, BP 88/60, RR
28, O2 92% on RA, and his temperature is 37.2. What best describes which shock state this
patient is in? - -Uncompensated shock
-In the presence of pregnancy, which blood test would be positive? - -BHCG
-When an elderly patient has had a fall, what systems need to be investigated as a cause of
the fall? - -Cardiac
Neuro
Muskeoskeltal
-Which of the following statements about norepinephrine are false?
a) It is a catecholamine with potent alpha-adrenergic effects
b) It Is very helpful in distributive forms of shock because of it's potent vasoconstrictive
characteristics
c) It does not significantly increase heart rate as compared to epinephrine
d) It is a good choice for patients with low cardiac outputs states secondary to hypovolemia
- -d) It is a good choice for patients with low cardiac outputs states secondary to
hypovolemia
, -What is the most significant potential problem for a patient with a tubal rupture from an
ectopic pregnancy is? - -hypovolemic shock
-What should a CTAS score for a patient with delirium tremens? - -CTAS 1 or 2
-What is the priority medication that targets the laryngeal edema and bronchoconstriciotn
of anayphylaxis? - -Epinephrine
-Why do we look for criteria of SIRS on initial presentation of patients? - -Early
recognition can lead to early treatment and decrease mortality in the sepsis continuum
Waiting for signs of septic shock leads to poorer patient outcomes
Prompt assessment and treatment of patients with SIRS can prevent sepsis and patient
admission which decreases overcrowding in the ER
-As you walk by a patient's bedside, who is admitted for alcohol withdrawal, you note his
eyes roll back and he goes into a generalized tonic-clonic seizure. What does your
immediate assessment include? - -assessing for airway and breathing by looking and
listening for tongue obstruction, secretions, or cyanosis
-You are caring for Jim who present to the ED with abdominal pain and dizziness. He
admits to drinking alcohol daily. His vitals are: T 37.4 (o), HR 130/minute, RR 20/minute,
BP 145/85, and SpO2 of 96%. Anticipated care to investigate his tachycardia includes
which of the following? - -Dehygration assessment, pain assessment, bleeding assessment,
alcohol withdrawal assessment
-In addition to epinephrine what other medication treatments in anaphylaxis might be
included? - -Antihistamines such as benadryl
H2 blockers such as ranitidine
Steroids such as Solu-metrol
-The mechanism in shock that leads to stimulation of the sympathetic nervous system and
the release of catecholamines epinephrine and norepinephrine is:
A) a decrease in blood pressure recognized by baroreceptors in the aortic arch and carotid
sinus.
B) a decrease in blood pressure recognized by chemoreceptors in the aortic arch and
carotid sinus.
C) a change in capillary hydrostatic pressure.
D) Antidiuretic hormone reaching the heart - -A) a decrease in blood pressure recognized
by baroreceptors in the aortic arch and carotid sinus.
-True or false-all ectopic pregnancies must be managed surgically? - -False
-Which of the following statements about geriatric patients is false:
A) the geriatric patient is more likely to present with dyspnea, dizziness, and/or confusion
than crushing ischemic chest pain during an acute MI
During RSI, the patient's O2 saturations have dropped down to 85% after a few minutes
into attempted intubation, Actions to follow should be: - -intubation attempt be aborted,
and the patient should be oxygenated with BVM until saturations improve prior to another
attempt
-Which of the following statements about medications used in RSI are true? - -An
induction agent should be given prior to a neuromuscular blocking agent
A non-depolarizing NMBA might be preferred over a depolarizing NMBA in a patient with a
crush injury, renal disease, or hyperkalemia
A dose of Atropine should be considered in infants < 12 months of age to prevent reflex
bradycardia
-An elderly patient presents to the ED with vomiting and abdominal pain. The patient is
sitting up, speaking in full sentences with no WOB. His radial pulse is rapid and his skin is
warm and dry. His peripheral cap refill is 3 seconds. His vital signs are HR 102, BP 110/70,
RR 22, O2 97% on RA, and his temperature is 37.2. What best describes what shock state
this patient is in? - -Compensated Shock
-Which of the following statements about interpersonal violence screening in the ED is
false? - -It should only be performed on adolescents or adults at increased risk for IPV
-An elderly patient presents to the ED with vomiting and abdominal pain. The patient is
sitting up alert, is pale, and speaking in short 3-4 word sentences. His radial pulse is rapid
and weak, and his skin is cool and slightly clammy. His vital signs are HR 122, BP 88/60, RR
28, O2 92% on RA, and his temperature is 37.2. What best describes which shock state this
patient is in? - -Uncompensated shock
-In the presence of pregnancy, which blood test would be positive? - -BHCG
-When an elderly patient has had a fall, what systems need to be investigated as a cause of
the fall? - -Cardiac
Neuro
Muskeoskeltal
-Which of the following statements about norepinephrine are false?
a) It is a catecholamine with potent alpha-adrenergic effects
b) It Is very helpful in distributive forms of shock because of it's potent vasoconstrictive
characteristics
c) It does not significantly increase heart rate as compared to epinephrine
d) It is a good choice for patients with low cardiac outputs states secondary to hypovolemia
- -d) It is a good choice for patients with low cardiac outputs states secondary to
hypovolemia
, -What is the most significant potential problem for a patient with a tubal rupture from an
ectopic pregnancy is? - -hypovolemic shock
-What should a CTAS score for a patient with delirium tremens? - -CTAS 1 or 2
-What is the priority medication that targets the laryngeal edema and bronchoconstriciotn
of anayphylaxis? - -Epinephrine
-Why do we look for criteria of SIRS on initial presentation of patients? - -Early
recognition can lead to early treatment and decrease mortality in the sepsis continuum
Waiting for signs of septic shock leads to poorer patient outcomes
Prompt assessment and treatment of patients with SIRS can prevent sepsis and patient
admission which decreases overcrowding in the ER
-As you walk by a patient's bedside, who is admitted for alcohol withdrawal, you note his
eyes roll back and he goes into a generalized tonic-clonic seizure. What does your
immediate assessment include? - -assessing for airway and breathing by looking and
listening for tongue obstruction, secretions, or cyanosis
-You are caring for Jim who present to the ED with abdominal pain and dizziness. He
admits to drinking alcohol daily. His vitals are: T 37.4 (o), HR 130/minute, RR 20/minute,
BP 145/85, and SpO2 of 96%. Anticipated care to investigate his tachycardia includes
which of the following? - -Dehygration assessment, pain assessment, bleeding assessment,
alcohol withdrawal assessment
-In addition to epinephrine what other medication treatments in anaphylaxis might be
included? - -Antihistamines such as benadryl
H2 blockers such as ranitidine
Steroids such as Solu-metrol
-The mechanism in shock that leads to stimulation of the sympathetic nervous system and
the release of catecholamines epinephrine and norepinephrine is:
A) a decrease in blood pressure recognized by baroreceptors in the aortic arch and carotid
sinus.
B) a decrease in blood pressure recognized by chemoreceptors in the aortic arch and
carotid sinus.
C) a change in capillary hydrostatic pressure.
D) Antidiuretic hormone reaching the heart - -A) a decrease in blood pressure recognized
by baroreceptors in the aortic arch and carotid sinus.
-True or false-all ectopic pregnancies must be managed surgically? - -False
-Which of the following statements about geriatric patients is false:
A) the geriatric patient is more likely to present with dyspnea, dizziness, and/or confusion
than crushing ischemic chest pain during an acute MI
