Interim Exam Questions and Correct Answers the Latest Update

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Interim Exam Questions and Correct
Answers the Latest Update
An office worker reports to you complaining of "tightness in the chest", and

"light headedness". The patient claims the symptoms started shortly after

renovations (sawing, sanding and applying sealant) began in the office. The

patient is breathing regularly and effortlessly at 32 breaths per minute, appears

anxious but shows no signs of shock.

1. Which one of the following interventions is appropriate?

(a) expose and examine the patient's chest

(b) assist the patient's respiration using a pocket mask

(c) apply oxygen at 10 lpm

(d) lay the patient down with c-spine control


✓ (c) apply oxygen at 10 lpm



2. Which of the following secondary survey assessment would not be critical for

this patient?

(a) head to toe examination

(b) history taking

(c) vital signs

(d) medications and allergies



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✓ (a) head to toe examination



3. After 5 minutes in your care the patient's breathing rate is 16 per minute,

regular and effortless. The feeling of "tightness" and "light headedness" has

stopped. When questioned, the patient feels fine, appears calm and wants to

return to work. You should:




(a) send the patient home for the rest of the day with instructions to report to

you next morning

(b) provide instructions for follow up and allow the patient to return to the

office and go back to work

(c) notify the supervisor and inquire about changing the patient's work station

and monitor the worker's condition throughout the day

(d) call an ambulance because the patient must be transported to medical aid


✓ (c) notify the supervisor and inquire about changing the patient's work station and
monitor the worker's condition throughout the day



4. From the list below identify the signs and symptoms which would indicate

that assisted ventilation must be initiated during the primary survey:




1. respiration rate of 36

2. pale, cool and clammy skin

3. respiration rate of 8
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4. gasping, distressed breathing

5. patient unresponsive to verbal stimuli

6. obvious cyanosis




(a) 1,2and5

(b) 1,4and6

(c) 2,4and5

(d) 3,4and6


✓ (d) 3,4and6



5. You are waiting for the ambulance to arrive to transport a patient to the

hospital and the secondary survey has been completed. You elect to switch from

the pocket mask to the bag-valve mask to relieve your helper. You would

squeeze the bag:




(a) approximately once every 5 seconds, timed with the patient's breaths if

possible

(b) whenever the bag is fully inflated and the patient is attempting to take a

breath

(c) every time the patient takes a breath

(d) 20 times per minute timed with the patient's breaths if possible

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