BCEN CFRN EXAM 2 QUESTIONS
AND CORRECT ANSWERS
If a patient is involved in an MVC and their upper pulses are good but their lower pulses
suck and they are mottled below the belly button, what is the patient experiencing? -
Answer- -Traumatic aortic dissection
How does rewarming a first degree frostbite look? - Answer- -Painful, cyanotic, mottled
feet
What precaution is pertussis? - Answer- -Droplet
If you have to choose between fentanyl and ketamine post RSI, what do you choose
and why? - Answer- -Ketamine because it is for sedation and analgesia
After prolonged BVM of a intubated pediatric patient, what do you want to drop next?
Why? What do you see? - Answer- -NG tube
What causes dampening of an EVD as ascent increases? - Answer- air bubbles
If a patient develops bilateral infiltrates and has a low Pf Ratio < 200 what do they
have?
How quickly do s/s develop?
What is the difference between ARDS and Contusion? - Answer- ARDS
12-24 hours
Contusion usually is limited to one lung and develops quicker.
What's the difference between a diaphragmatic hernia and perforated bowel in a
pediatric? - Answer- Scaphoid Abdomen vs. Distended abdomen with fever
Why do elderly have more time for s/s with Subdural? - Answer- Brain atrophy allows for
more swelling and bleeding to take place
, What tells us about the oxygenation in a CO poisoning patient? - Answer- The PaO2
What can be given to prevent the hyperkalemia from a crush accident in a trauma
patient? - Answer- Calcium gluconate
If you are crashing and you are in a forward facing seat without shoulder belts, what
position should you take?
How should you sit if there are shoulder belts? - Answer- -Bend forward at the waste
and encircle knees with arms
-cross arms with an x and grasp shoulder harness
Why is it important neurologically for a neonate to be transported in an isolette? -
Answer- -Vibration and noise can cause stress and neurological damage
What is the cardiac concern with lightning strikes? - Answer- Lethal arrhythmias
What is a late sign of shock in children?
How do children compensate in shock? - Answer- Hypotension
They increase their HR, SVR, Venous tone
How do you protect a ruptured globe? Should you exam or manipulate it - Answer- -You
want to patch both eyes. You should not examine or manipulatre it
If a fat patient's PIP is high on the aircraft, what can you do to decrease it? - Answer- -
Sit the patient up
We know that opiates and fluids won't help a hypoxic patient with pulmonary contusion,
what will? - Answer- -NIPPV
After you crash, what do you want to consider when you're looking for shelter? -
Answer- -Look out for any physical hazards
What is the end product of all physiological and psychological stressors of transport? -
Answer- -Fatigue
If your patient is showing increased signs of ICP, what can you do with the ventilator to
decrease the ICP? - Answer- -Increase the RR to make them more alkalotic
When the DKA patient has a normal corrected sodium, what type of fluids do you switch
them to? Why?
AND CORRECT ANSWERS
If a patient is involved in an MVC and their upper pulses are good but their lower pulses
suck and they are mottled below the belly button, what is the patient experiencing? -
Answer- -Traumatic aortic dissection
How does rewarming a first degree frostbite look? - Answer- -Painful, cyanotic, mottled
feet
What precaution is pertussis? - Answer- -Droplet
If you have to choose between fentanyl and ketamine post RSI, what do you choose
and why? - Answer- -Ketamine because it is for sedation and analgesia
After prolonged BVM of a intubated pediatric patient, what do you want to drop next?
Why? What do you see? - Answer- -NG tube
What causes dampening of an EVD as ascent increases? - Answer- air bubbles
If a patient develops bilateral infiltrates and has a low Pf Ratio < 200 what do they
have?
How quickly do s/s develop?
What is the difference between ARDS and Contusion? - Answer- ARDS
12-24 hours
Contusion usually is limited to one lung and develops quicker.
What's the difference between a diaphragmatic hernia and perforated bowel in a
pediatric? - Answer- Scaphoid Abdomen vs. Distended abdomen with fever
Why do elderly have more time for s/s with Subdural? - Answer- Brain atrophy allows for
more swelling and bleeding to take place
, What tells us about the oxygenation in a CO poisoning patient? - Answer- The PaO2
What can be given to prevent the hyperkalemia from a crush accident in a trauma
patient? - Answer- Calcium gluconate
If you are crashing and you are in a forward facing seat without shoulder belts, what
position should you take?
How should you sit if there are shoulder belts? - Answer- -Bend forward at the waste
and encircle knees with arms
-cross arms with an x and grasp shoulder harness
Why is it important neurologically for a neonate to be transported in an isolette? -
Answer- -Vibration and noise can cause stress and neurological damage
What is the cardiac concern with lightning strikes? - Answer- Lethal arrhythmias
What is a late sign of shock in children?
How do children compensate in shock? - Answer- Hypotension
They increase their HR, SVR, Venous tone
How do you protect a ruptured globe? Should you exam or manipulate it - Answer- -You
want to patch both eyes. You should not examine or manipulatre it
If a fat patient's PIP is high on the aircraft, what can you do to decrease it? - Answer- -
Sit the patient up
We know that opiates and fluids won't help a hypoxic patient with pulmonary contusion,
what will? - Answer- -NIPPV
After you crash, what do you want to consider when you're looking for shelter? -
Answer- -Look out for any physical hazards
What is the end product of all physiological and psychological stressors of transport? -
Answer- -Fatigue
If your patient is showing increased signs of ICP, what can you do with the ventilator to
decrease the ICP? - Answer- -Increase the RR to make them more alkalotic
When the DKA patient has a normal corrected sodium, what type of fluids do you switch
them to? Why?
