COMPLETE ACTUAL TEST QUESTIONS AND CORRECT
DETAILED ANSWERS (100% CORRECT VERIFIED
ANSWERS) LATEST UPDATES |GUARANTEED PASS A+
(BRAND NEW!!)
Which one of the following is a sign of Cushing's triad (Cushing's reflex)
that occurs with traumatic brain injury? - Answer-The vital signs are an
increased blood pressure, slowing pulse rate, and irregular respirations
(classically seen as Cheyne-Stokes).
Classes of hemorrhage - Answer-A Class III hemorrhage is said to occur
when the patient has lost 30-40% of their circulating blood volume. This
is a significant bleed due to the fact that the body's compensatory
mechanisms are maximized, and any additional blood loss will now
create significant disturbances in hemodynamic stability. In Class I and
II hemorrhage, blood pressure remains acceptable, in Class IV
hemorrhage the blood pressure drops dangerously low.
APGAR SCORE - Answer-Appearance: 0=blue/pale; 1=blue & pink; 2=no
cyanosis-all pink
Pulse Rate: 0=Absent; 1=<100; 2=>100
Reflex: 0=no response to stimuli; 1=grimace; 2=cry or pull away
,Activity: 0=None; 1=some flexion,2=flexed arms/legs resisting extension
Respiratory: 0=Absent; 1=weak, irregular; 2=strong, lusty cry
Organs in Upper Right Quadrant of Abs - Answer-The liver is found
primarily within the boundaries of the upper right quadrant.
Organs in Upper Left Quadrant of Abs - Answer-The stomach and
spleen are typically found in the upper left quadrant.
Bladder location - Answer-The bladder is found on the midline between
the lower two quadrants.
Communication "Reflection" - Answer-Reflection is a technique where
you paraphrase the patient's words to encourage more information and
to build trust
Minimum safe residual pressure in oxygen tank is? - Answer-The
minimum safe residual pressure in an oxygen tank is 200 psi.
Nasal cannula oxygen flow rate - Answer-1 to 6L/min
Nasal cannula oxygen concentration - Answer-24% to 44%
,NRB Flow rate - Answer-12 to 15L/min
NRB oxygen delivered - Answer-90% to 100%
Venturi mask oxygen delivery - Answer-24, 28, 35, 40 percent
BVM flow rate and oxygen delivery - Answer-15L /min and nearly 100%
Cheyne-Stokes Respirations - Answer-Shows irregular respirations
followed by a period of apnea
Ataxic Respirations - Answer-irregular, ineffective respirations that may
or may not have an identifiable pattern.
ICP (intracranial Pressure) Signs/symptoms - Answer-decreased pulse
(Bradycardia), increased B/P (Hypertension), irregular respirations.
ICP Defined - Answer-Accumulations of blood within the skull or
swelling of the brain.
Triad of signs (Cushing's Reflex) are: (Usually seen with ICP) - Answer-1.
Increased systolic B/P
, 2. Decreased pulse rate
3. Irregular respirations.
Glascow Comas Scale (GCS) Components; - Answer-Eye opening,
Verbal Response
Motor Response
GCS (Eye Opening) Ratings - Answer-Spontaneous-4
Verbal response-3
Response to pain-2
None-1
GCS (Verbal Response) Ratings - Answer-Oriented Conversation-5
Confused Conversation-4
Inappropriate Words-3
Incomprehensible sounds-2
None-1
GCS (Best Motor Response) - Answer-Obeys Commands-6
Localizes Pain-5
Withdraws Pain-4
Abnormal Flexion-3