Summary MDC 4 Final Review Questions and Answers 2022.

MDC 4 Final Review Questions 1. Which treatment for frostbite is appropriate? • Vigorously rubbing the skin • Dry heat • Tightly wrapping skin to retain warmth • Moist heat 2. Which choice is the best treatment for heat exhaustion? • Have the pt lie down in the bleachers • Offer an umbrella or a hat for shade • Give him a cold soda to drink • Move pt to a shady area and wet his clothes with water 3. When assessing a pt in the ER, what is the priority? • Hemorrhage • Mobility • Ecchymosis • Breathing 4. What is the quickest way to cool body temperature? • Provide iced drinks • Apply wet washcloth to forehead • Sponge baths • Remove clothing and linen 5. Which of the following symptoms would be expected in a pt with a pneumothorax? • Bradycardia • Normal O2 Saturation • Sucking sound at the injury site • Diminished breath sounds 6. What is an appropriate action to take if a ventilator malfunctions? • Ventilate the pt manually • Start CPR • Administer O2 per Trach cannula • Check VS 7. What is the early sign of ARDS? • Increased resp rate 8. How do you assess motor function in an unconscious client? • Nail bed pressure • Iced saline to the inner ear • Sternal rub • Pinching the pt in the inner thigh 9. Which intervention can minimize the risk of autonomic dysreflexia? • Provide tight clothing for support • Adhering to a strict bowel retraining program • Limit straight cathing to bid • Placing an adult depends on an incontinent pt 10. Interventions for a pt with homonymous hemianopsia include all of the following except • Discourage pt from using eye glasses to correct the problem • Move objects to the patients field of vision • Remind client to turn their head to scan the room • Approach the client from the impaired side 11. One risk of Guillain Barre syndrome that can cause an exacerbation is • Recent respiratory infection • high caffeine intake • Traveling on an airplane • Daily walks of greater then 20 minutes 12. Which of the following is a sign of meningitis? • GCS score of 15 • Positive Brudzinski sign • Negative Kernig sign • Absence of nuchal rigidity 13. How is a nurses licenses affected if they are on a DMAT team? • RN must get a licenses in every state they wish to work in • DMAT does not require a nursing license • DMAT is a federal position, the license is good in all 50 states DMAT is a federal position, the license is good in all 50 states 14. Which type of surgical drain works with gravity? • Penrose drain • Hemovac • JP drain Wound vac • Penrose drain 15. What are the signs of decorticate posturing? • Back hunched over and rigid flexion of all four extremities • Supination of arms and dorsiflexion of the feet • Back arched and rigid extension of all four extremities • Internal rotation and adduction of arms / flexion elbows, wrists, fingers 16. Cherry red lips are a sign of • Carbon monoxide poisoning • MI • CVA • COPD 17. Extensive tissue damage after a burn can result in? • Hyperkalemia 18. Which type of shock can occur after an MI • Hypovolemic • Cardiogenic • Septic • Neurogenic 19. An order states Infuse NS 1000 ml over 6 hours with a gtt factor of 10 What is the rate? • 32ml/hr • 32 ml /min • 28 ml/ min 20. The parkland formula is TBSA of burn x wt in KG / 4. • True • False 21. The E in the primary survey stands for Exhale. T/F 22. Assessment findings/interventions that relate to A for Airway (primary survey) 23. Assessment findings/interventions that relate to B for Breathing (primary survey) 24. Interventions for a tension pneumothorax 25. Assessment findings/interventions that relate to C for Circulation (primary survey) 26. Assessment findings/interventions that relate to E for Exposure (primary survey) 27. Assessment findings/interventions that relate to D for Disability (primary survey) 28. Treatment for frostbite include all except: • warm bath • administer tetanus vaccine • IV Hydration • warm with friction - that can cause more damage to the tissue 29. 4 Stages of Frostbite 30. Clinical manifestations of Heat Stroke include: • hot skin, oliguria, ALOC • disaster response black tagging • red skin with blisters • paradoxical chest movement shivering 31. If a patient has heat stroke and ALOC do you want to feed them? 32. Interventions for heat stroke 33. Antidote for benzodiazepines 34. Assessing clients to determine severity of illness/injury before administering care is: • Black tagging • External disaster 35. Examples of external disasters 36. Who gets evacuated first during a fire? 37. _______ is a continued decrease in core body temperature after the victim is removed from the cold environment 38. Ways to warm people up with hypothermia: 39. All of the following will be done during the primary survey, except: • Monitor breathing Assess for a patent airway Splint fractures Use tourniquet to stop profuse bleeding Splint fractures - because this is part of the secondary survey 40. Interventions of a secondary survey 41. Drowning can cause alveolar collapse and ARDS: T/F 42. ARDS clinical manifestations 43. ARDS treatments 44. Which of the following is an examples of an internal disaster: • Fire in a client's hospital room • Explosion at a nearby factory • Flood • Winter storm 45. A sternal rub is the best way to test peripheral response to pain: T/F 46. In a mass casualty event which client would get a red tag? • Closed fracture of the left tibia -green • Asystole with a head injury - black • Facial injuries and difficulty breathing (RED) • dislocated shoulder 47. In traditional triage-which clients would be seen first? 48. The priority medication to give to a client with anaphylaxis is: 49. A Group that can help communities during a disaster by setting up first-aid stations 50. If you are part of DMAT, do you need a new license every time you assist with DMAT? 51. Actions to prevent PTSD include all except: • Drink Plenty of water • Get plenty of rest • Do not work more than 12-hr shifts • Drink 2 glasses of wine each night 52. The R in RACE stands for: • Return • Ring the alarm • Rest • Rescue 53. Order for fire extinguishers: PRESS • Press • Aim • Squeeze • Sweep 54. Critical stress debriefing is confidential and non-judgmental • False • True 55. Client with Carbon Monoxide poisoning can complain of headaches and have a red appearance of the skin • False • True 56. Treatment for Carbon Monoxide poisoning