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JB Learning Thoroughly Analyzed and Adequately Answered Questions

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40-year-old construction worker fell approximately 10 feet and sustained an open fracture of the left femur. Further examination reveals that the distal femur is protruding through the skin. What is the MOST appropriate care for this injury? - CORRECT ANSWER -Cover the wound with a sterile dressing and immobilize the leg. A 17-year-old female was ejected from her car during a motor vehicle crash. You find her in a supine position lying motionless. She is conscious, but confused, and her skin is warm and dry. Her blood pressure is 76/50 mm Hg, her pulse rate is 54 beats/min, and her respiratory rate is 26 breaths/min. You should treat this patient for: - CORRECT ANSWER -neurogenic shock. A 170-lb adult lost a large amount of blood from an external wound. He is conscious and alert, but restless, and has cool, clammy skin. His blood pressure is 112/70 mm Hg and his pulse is 110 beats/min and strong. Which of the following statements regarding IV therapy in this patient is MOST correct? - CORRECT ANSWER -Establish at least one large-bore IV and give enough crystalloid solution to maintain perfusion. A 19-year-old female with blunt head trauma presents with a respiratory rate of 8 breaths/min and irregular, a blood pressure of 160/96 mm Hg, and a Glasgow Coma scale score of 8. What is her revised trauma score? - CORRECT ANSWER -8

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JB Learning Thoroughly Analyzed and Adequately

Answered Questions

40-year-old construction worker fell approximately 10 feet and sustained an open fracture of the

left femur. Further examination reveals that the distal femur is protruding through the skin. What

is the MOST appropriate care for this injury? - CORRECT ANSWER ✔✔ -Cover the wound

with a sterile dressing and immobilize the leg.

A 17-year-old female was ejected from her car during a motor vehicle crash. You find her in a

supine position lying motionless. She is conscious, but confused, and her skin is warm and dry.

Her blood pressure is 76/50 mm Hg, her pulse rate is 54 beats/min, and her respiratory rate is 26

breaths/min. You should treat this patient for: - CORRECT ANSWER ✔✔ -neurogenic shock.


A 170-lb adult lost a large amount of blood from an external wound. He is conscious and alert,

but restless, and has cool, clammy skin. His blood pressure is 112/70 mm Hg and his pulse is 110

beats/min and strong. Which of the following statements regarding IV therapy in this patient is

MOST correct? - CORRECT ANSWER ✔✔ -Establish at least one large-bore IV and give

enough crystalloid solution to maintain perfusion.

A 19-year-old female with blunt head trauma presents with a respiratory rate of 8 breaths/min

and irregular, a blood pressure of 160/96 mm Hg, and a Glasgow Coma scale score of 8. What is

her revised trauma score? - CORRECT ANSWER ✔✔ -8


A 19-year-old male fell during a basketball game and landed directly on his right elbow when his

arm was flexed. He is in moderate pain. Your assessment reveals obvious deformity to the

,elbow. You are unable to feel a radial pulse, and his forearm is cool and pale. You should: -

CORRECT ANSWER ✔✔ -splint the injury in the position found and transport without delay.


A 19-year-old male was ejected from his vehicle when it struck a tree head-on. The patient is

found lying in a prone position on the road. After log-rolling him to a supine position, your

partner, who is manually stabilizing the patient's head, opens his airway with the jaw-thrust

maneuver. The patient is unresponsive; has copious amounts of blood and large debris in his

mouth; and has slow, irregular respirations. You should: - CORRECT ANSWER ✔✔ -remove

the large visible debris from his mouth with a finger sweep.

A 21-year-old man sustained a large laceration to the left groin area while using a chainsaw. The

patient is attempting to control the severe bleeding himself, without success, and tells you that he

cannot feel his left leg. You should - CORRECT ANSWER ✔✔ -place a trauma dressing over

the wound and apply firm direct pressure.

A 22 YOM experienced blunt abdominal trauma. He is conscious and alert but appears anxious.

His BP is 100/62, P 118, RR 22. Further assessment reveals that his radial pulse are easily

palpable, What is the MOST appropriate IV fluid regimen for the patient? - CORRECT

ANSWER ✔✔ -25 mL/hr (KVO) due to vitals are stable


A 22-year-old male was involved in a fight and sustained a large laceration to his abdomen when

he was cut. Law enforcement personnel have secured the scene. The patient is conscious, has

slurred speech, and is in severe pain. You note the possible smell of alcohol on his breath. Your

assessment reveals a loop of bowel protruding through the laceration to his abdomen; bleeding is

minimal. His blood pressure is 84/60 mm Hg, pulse is 120 beats/min, and respirations are 24

breaths/min. In addition to administering high-flow oxygen, you should: - CORRECT ANSWER

, ✔✔ -cover the exposed bowel with a moist, sterile dressing; establish vascular access with a

large-bore IV catheter; assess his blood glucose level; and prepare for rapid transport.

A 30-year-old man has a closed head injury and is unresponsive. His left pupil is dilated and he

has extensor posturing. His BP is 180/100 mm Hg, his pulse rate is 50 beats/min, and his

respirations are 8 breaths/min and irregular. Treatment for him should include - CORRECT

ANSWER ✔✔ -intubation with ventilations aimed at maintaining an ETCO2 of 30 to 35 mm

Hg.

A 30-year-old man has a closed head injury and is unresponsive. His left pupil is dilated and he

has extensor posturing. His BP is 180/100 mm Hg, his pulse rate is 50 beats/min, and his

respirations are 8 breaths/min and irregular. Treatment for him should include: - CORRECT

ANSWER ✔✔ -intubation with ventilations aimed at maintaining an ETCO2 of 30 to 35 mm

Hg.

A 30-year-old man has an obvious head injury. You are unable to locate any other injuries during

your rapid assessment. He has a blood pressure of 88/62 mm Hg, a weak pulse rate of 118

beats/min, and respirations of 28 breaths/min. Which of the following represents the MOST

appropriate treatment for this patient? - CORRECT ANSWER ✔✔ -High-flow oxygen and IV

fluids to maintain adequate perfusion

A 30-year-old man has an obvious head injury. You are unable to locate any other injuries during

your rapid assessment. He has a blood pressure of 88/62 mm Hg, a weak pulse rate of 118

beats/min, and respirations of 28 breaths/min. Which of the following represents the MOST

appropriate treatment for this patient? - CORRECT ANSWER ✔✔ -High-flow oxygen and IV

fluids to maintain adequate perfusion

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