TPACT ACTUAL FINAL EXAMS QUESTIONS AND
ANSWERS SURE A+
✔✔An endotracheal tube introducer or bougie placed into the trachea will: (airway and
mechanical ventilation) - ✔✔"hang up" when the tip reaches the right mainstem
bronchus.
✔✔When using neuromuscular blocking agents to intubate a patient in shock, the
subsequent minute ventilation should be: (airway and mechanical ventilation) -
✔✔higher than normal
✔✔Which of the following represents optimal airway management positioning? (airway
and mechanical ventilation) - ✔✔face parallel with the ceiling
✔✔Which of the following patterns best characterizes multiple organ dysfunction
syndrome (MODS)? (shock) - ✔✔Hepatic and renal dysfunction
✔✔Which of the following is considered a principal goal of shock management? (shock)
- ✔✔Restoring cellular perfusion
✔✔Which of the following conditions is considered the most critical potential
complication of massive blood transfusion (MTP)? (shock) - ✔✔Coagulopathy
✔✔Which of the following physiologic changes is associated with aging and may alter
the clinical presentation of an elderly patient in shock? (shock) - ✔✔Decreased
response to beta-adrenergic stimulation
✔✔A patient who has severe, right sided chest pain and increasing dyspnea after
ejection from a motor vehicle is pale, diaphoretic, tachycardic, and hypotensive. Initial
intervention should include: (shock) - ✔✔Needle decompression on the right side
, ✔✔A patient with a chemical burn to the eye has a conjunctival pH of 10.5. The next
appropriate step is to: (burns) - ✔✔Continue irrigation with normal saline solution
✔✔After a house fire, a patient awaits transport to a burn center with a
carboxyhemoglobin level of 36. After administration of 100% O2 for 45 minutes, what
should the patient's carboxyhemoglobin level be? (burns) - ✔✔18%
✔✔Which of the following is the best way to remove heme pigments out of the urine of a
patient who sustained an electrical burn? (burns) - ✔✔Ensure lactated ringer's (LR)
solution is used for resuscitation fluid
✔✔Immediate care of a partial-thickness thermal burn >30% of the TBSA consists of:
(burns) - ✔✔Stopping the burning process
✔✔Initial management of a pregnant trauma patient should include: (trauma in
pregnancy) - ✔✔Placing the mother in a lateral recumbent position to prevent supine
hypotensive syndrome
✔✔Which of the following is the most common cause of fetal death following a traumatic
injury to the mother? (trauma in pregnancy) - ✔✔Maternal shock
✔✔Which of the following interventions will reduce the incidence of aspiration of
stomach contents in a pregnant trauma patient? (trauma in pregnancy) - ✔✔Elevating
the patient's head
✔✔Which of the following clinical findings is a physiologic change associated with
pregnancy? (trauma in pregnancy) - ✔✔Increased respirations
✔✔The catheter size necessary for fluid resuscitation in newborns and infants is:
(pediatric trauma) - ✔✔22 to 24-gauge
✔✔Which of the following is the correct cuffed ETT size for an 8 year old patient?
(pediatric trauma) - ✔✔5.5 mm
✔✔A child's head should be placed in which of the following positions for optimal airway
positioning? (pediatric trauma) - ✔✔Sniffing
✔✔Which of the following signs indicates optimal management of a severe brain injury?
(neurologic trauma) - ✔✔SBP of 92 mm Hg
✔✔Which of the following is an indication for endotracheal intubation in a patient with a
spinal cord injury? (neurologic trauma) - ✔✔Acute respiratory failure.
ANSWERS SURE A+
✔✔An endotracheal tube introducer or bougie placed into the trachea will: (airway and
mechanical ventilation) - ✔✔"hang up" when the tip reaches the right mainstem
bronchus.
✔✔When using neuromuscular blocking agents to intubate a patient in shock, the
subsequent minute ventilation should be: (airway and mechanical ventilation) -
✔✔higher than normal
✔✔Which of the following represents optimal airway management positioning? (airway
and mechanical ventilation) - ✔✔face parallel with the ceiling
✔✔Which of the following patterns best characterizes multiple organ dysfunction
syndrome (MODS)? (shock) - ✔✔Hepatic and renal dysfunction
✔✔Which of the following is considered a principal goal of shock management? (shock)
- ✔✔Restoring cellular perfusion
✔✔Which of the following conditions is considered the most critical potential
complication of massive blood transfusion (MTP)? (shock) - ✔✔Coagulopathy
✔✔Which of the following physiologic changes is associated with aging and may alter
the clinical presentation of an elderly patient in shock? (shock) - ✔✔Decreased
response to beta-adrenergic stimulation
✔✔A patient who has severe, right sided chest pain and increasing dyspnea after
ejection from a motor vehicle is pale, diaphoretic, tachycardic, and hypotensive. Initial
intervention should include: (shock) - ✔✔Needle decompression on the right side
, ✔✔A patient with a chemical burn to the eye has a conjunctival pH of 10.5. The next
appropriate step is to: (burns) - ✔✔Continue irrigation with normal saline solution
✔✔After a house fire, a patient awaits transport to a burn center with a
carboxyhemoglobin level of 36. After administration of 100% O2 for 45 minutes, what
should the patient's carboxyhemoglobin level be? (burns) - ✔✔18%
✔✔Which of the following is the best way to remove heme pigments out of the urine of a
patient who sustained an electrical burn? (burns) - ✔✔Ensure lactated ringer's (LR)
solution is used for resuscitation fluid
✔✔Immediate care of a partial-thickness thermal burn >30% of the TBSA consists of:
(burns) - ✔✔Stopping the burning process
✔✔Initial management of a pregnant trauma patient should include: (trauma in
pregnancy) - ✔✔Placing the mother in a lateral recumbent position to prevent supine
hypotensive syndrome
✔✔Which of the following is the most common cause of fetal death following a traumatic
injury to the mother? (trauma in pregnancy) - ✔✔Maternal shock
✔✔Which of the following interventions will reduce the incidence of aspiration of
stomach contents in a pregnant trauma patient? (trauma in pregnancy) - ✔✔Elevating
the patient's head
✔✔Which of the following clinical findings is a physiologic change associated with
pregnancy? (trauma in pregnancy) - ✔✔Increased respirations
✔✔The catheter size necessary for fluid resuscitation in newborns and infants is:
(pediatric trauma) - ✔✔22 to 24-gauge
✔✔Which of the following is the correct cuffed ETT size for an 8 year old patient?
(pediatric trauma) - ✔✔5.5 mm
✔✔A child's head should be placed in which of the following positions for optimal airway
positioning? (pediatric trauma) - ✔✔Sniffing
✔✔Which of the following signs indicates optimal management of a severe brain injury?
(neurologic trauma) - ✔✔SBP of 92 mm Hg
✔✔Which of the following is an indication for endotracheal intubation in a patient with a
spinal cord injury? (neurologic trauma) - ✔✔Acute respiratory failure.
