Questions, Answers & Complete Exam Prep
1. A team is called to transport a man who was found unconscious in a shed
h h h h h h h h h h h h h h
onhisfarm.Hishandsshowburnscharacteristic offrostbite,hisclothing
h h h h h h h h h h h h
is saturated with an acrid-smelling liquid, and there is evidence of redness and
h h h h h h h h h h h h
blistering where his clothes are wet. The nurse should suspect exposure to:
h h h h h h h h h h h h
AnhydrousAmmonia
h h
2. Slow Decompression: Slow decompression, also known as gradual or subtle decompression, is a gradual
h h h h h h h h h h h h h
decrease in cabin pressure that can occur over a long period of time. It can be diflcult to notice before warning devices
h h h h h h h h h h h h h h h h h h h h h h
activate or oxygen masks fall. Slow decompression can be caused by:
h h h h h h h h h h h
Afaultydoorseal
h h h
A malfunctioning pressurization system A
h h h h
cracked window
h h
A leak in the aircraft pressure vessel A
h h h h h h h
malfunctioning outflow valve
h h h
A reduction in cabin air inflow due to a malfunctioning compressor A
h h h h h h h h h h h
failure to cabin pressurization as an aircraft climbs to altitude
h h h h h h h h h h
3. Which of the following should be done during slow decompression?: Thebiggest h h h h h h h h h h h
concern with a slowdecompressionisinsidious onsetofhypoxia. Usingsupplemental oxygenis the mostimportant action
h h h h h h h h h h h h h h h h h
totake.
h h
4. Epidural hematomas: classicallypresentwithbriefperiodsoflucidnesswithsuddenchangesinrespon-
h h h h h h h h h h h h h
siveness.
5. In the setting of septic shock, if the lactate level does not decrease by at least 10%
h h h h h h h h h h h h h h h h
despite fluid resuscitation and vasopressor administration,: thenapositive inotropic
h h h h h h h h h h
agentshouldbeadded.
h h h h
6. Positive inotropes: canhelpwhenyourheartcan'tgetenoughbloodtoyourbodybecauseitistooweak to pump the
h h h h h h h h h h h h h h h h h h h h h
amount of blood your body needs.
h h h h h h
7. How do positive inotropes work?: Positive inotropes make your heart musclecontractions stronger, raising
h h h h h h h h h h h h h
your cardiac output to a normal level and increasing the amount of blood your heart can pump out.
h h h h h h h h h h h h h h h h h h
8. Dopamine: During resuscitation, treatment with dopamine is usually reserved for hypotension that occurs withh h h h h h h h h h h h h
symptomatic bradycardia or after ROSC. Dopamine in combination with other agents, including dobutamine, remains an
h h h h h h h h h h h h h h h
option in the management of postresuscitation shock.
h h h h h h h
9. Dobutamine (Dobutrex): *class*:beta-adrenergicagonist,inotropic h h h h h
1/ 4
h h