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1. A 45-year-old patient is found supine
on the floor. Healthcare providers note
pinpoint pupils, shallow respirations, and
vomitus in and around the mouth. What
course of action should be taken next?
b. Supplemental oxygen and suction
a. Initiate an IV and administer naloxone
b. Supplemental oxygen and suction
c. Obtain a blood glucose level
d. Begin BVM ventilations
2. Patients with a history of COPD that
present with an acute onset of shortness
of breath are likely to have what condi-
tion?
a. Pulmonary embolism
a. Pulmonary embolism
b. Angina pectoris
c. Angioedema
d. Hypertensive crisis
3. During compensatory shock, the
renin-angiotensin-aldosterone system is
activated to cause a/an:
a. Increase in preload, afterload, and a. Increase in preload, afterload, and
re-absorption of sodium re-absorption of sodium
b. Decrease in preload, afterload, and
re-absorption of sodium
c. Hypotension and bradycardia
d. Vasodilation and sodium retention
4. What clinical findings are most com-
monly associated with a pulmonary em-
bolus?
a. Clear breath sounds with tachypnea a. Clear breath sounds with tachypnea
b. Rhonchi auscultated bilaterally with
hypercarbia
c. Crackles heard in the bases with
bradycardia
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d. Fever, tachycardia, and tachypnea
with increased work of breathing
5. What condition is most likely to cause
respiratory acidosis?
a. Anxiety/panic attack b. Narcotic overdose
b. Narcotic overdose
c. Methanol ingestion
d. Diabetic ketoacidosis
6. A 55-year-old complains of an 'aching'
chest discomfort that persists over sev-
eral days. The patient has a temperature
of 101F (38.3C). Which finding will help
narrow the diagnosis to pericarditis?
d. ST-segment elevation in all leads
a. Pain is relieved when supine
b. Pulsus alternans is present
c. S3 gallop is auscultated
d. ST-segment elevation in all leads
7. Anaphylaxis is most associated with
which physiological event?
a. Hemorrhage b. Vasodilation
b. Vasodilation
c. Bradycardia
d. Hypertension
8. Acute Respiratory Distress Syndrome
(ARDS) is characterized by what patho-
logical change?
a. Excessive mucous production c. Breakdown of the alveolar-capillary
b. Inflammation of the visceral pleura membrane
c. Breakdown of the alveolar-capillary
membrane
d. Accumulation of fluid between the
pleural layers
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9. Continuous positive airway pressure
would be most beneficial in treating
which patient?
a. A 43yo with a decreased LOC with
respiratory difficulty b. A 22yo with severe asthma who is not
b. A 22yo with severe asthma who is not responding to nebulizer treatments
responding to nebulizer treatments
c. A 38yo with carpal pedal spasms, clear
lung sounds, and respirations of 40/min
d. A 55yo with jugular vein distension and
a BP of 90/60
10. What is the initial treatment for a pa-
tient experiencing hyperosmolar hyper-
glycemic nonketotic coma (HHNC)?
a. Crystalloid IV fluid administration a. Crystalloid IV fluid administration
b. Administration of dextrose
c. Administration of insulin
d. Fluid bolus of 5% dextrose in water
(D5W)
11. Your patient has had a seizure sec-
ondary to a nerve agent exposure. What
medication would be best to diminish the
seizure?
c. Midazolam
a. Atropine
b. Diphenhydramine
c. Midazolam
d. Pralidoxime
12. Respiratory alkalosis may occur as a
result of:
a. Fever and anxiety a. Fever and anxiety
b. Renal failure and dehydration
c. Airway obstruction and chest wall pain
d. Prolonged vomiting