Download PHTLS Test Questions & Answers A+ Graded and more Exams Nursing in PDF only on Docsity!
Science/Medicine/Emergency Medicine
PHTLS Test Questions & Answers
A+ Graded
1. A 15 year-old was inyolved in a convenience store robbery and has sus tained a gunshot wound to his lower left abdomen, He is semi-conscious with a blood pressure of 74/40, pulse 136 and a respiratory rate of 28. What should you do first?: Prepare for imme diate transfer to a trauma center; establish IV on the way. 2, A 20 year-old female has fallen off the back of a truck while off road racing with friends. Her jaw is clenched; she is responding to noxious stimuli only, and has an increasing ETCO2 with a oxygen saturation of 80%. Initially, you unsuccessfully allempt to assist her ventilations with a bag valve mask. The next best step to secure (he airway would be:: Initiate a pharmacologically assisted intubation 3. A young man fell 25 feet while rock climbing. [le is alert bul complaining of left sided chest pain when he breathes, He has tenderness noted to the left side with severely diminished breath sounds to that arca. What is your initial thought regarding his presentation?: Simple pneumothorax 4, A 45 y.o. man fell from a roof and has a Glasgow Coma Scale of 3, Ideally, what is the best plan to proceed for advanced airway management?: Intubate using a video laryngoscope while maintaining spinal precautions a. Decerebrate posturing is a sign of?: Herniation of the brain stem 11. A 20 year-old who hit the steering wheel during a MVA is complaining of shortness of breath and pain to the chest. He is experiencing crepitus to the area and difficulty taking a deep breath. What is the current priority?: Admin ister high flaw oxygen, 12, What is the initial priority when a patient has an obyious open fracture of an extremity with severe blecding fram the wound?: Apply direct pressure to the wound 13, What can decrease the fall risk for an elderly individual?: Regular visual screenings lo maintain/assist with visual acuity. 14, One of the key points to consider when administering fluids to patients in shock is?: Ideally, [V fluids should be warmed: nat room temperature or cold 15, Distributive shock includes which of the following?: Neurogenic and Ana Phylactic 16, Which of the following regarding helmet removal is important to know?: All of the above 17, A 6 year-old child was thrown from a roller coaster at a local amusement park, He has a traumatic avulsion to his left lower calf area, and the bleeding has not been controlled by direct pressure, What is your next action?: Apply a tourniquet 18, Hitting the stecring wheel during a violent head on collision often results in which type of injury?: Cardiac contusion 19, Which of the following symptoms might you see with a Basilar skull fracture?: All of the above 20, When placing a pregnant paticnt on spinal motion restriction, which of the follawing will help to minimize hypotension,: On her left side; by cleyating the right side of a backboard, 21, Which best describes a [ull thickness burn?: Thick dry white leathery burns. 22, A train accident has resulted in you caring for a patient thal is consciaus and alert with stable vital signs. [lowever, she has an angulaled fracture to her arm with absent radial pulses. What should you do next?: Attempt to realign the extremity prior to splinting. 23, A victim of gang violence has been stabbed in the chest. The wound is oozing blood slightly to the left of the sternum. The patient is hypotensive and tachycardie with distant heart sounds and jugular vein distention. What is your initial impression?: Cardiac tamponade 24, A splint or cast that is applied too tightly may cause which of the following orientated and crying from pain. What would you do to specifically address the pain?: Administer 100 meg of Fentany! . A 45 yo man was pulled from a burning truck, Burns are noted to his entire left arm & hand as well as the entire posterior surface of his torso. What is your estimation for body surface that is affected by these burns?: 28% 33, You have responded to a nursing home where a 94 y.o, woman slipped and fell in the hallway and is slow to respond to verbal stimuli; responsive to pain, Bleeding to the scalp is controlled. Glascow Cora Seale is 5, BP 160/90, P 50, R 28 (irreg), Glucose 144. What should you consider next?: Ask if the patient has a MOI farm or advanced directives 34, A 63 y.o. has been pulled from a high speed train accident. She does not have obvious signs of bleeding but appears disoriented, pale, diaphoretic. Her BP is 74/52, P 134, R24. What type of shock do you suspect?: Hemorrhagic 35, The safety of the EMS team cannot be stressed cnough, Which of the follawing events causes the majority of deaths to EMS personnel?: Vehicle collisions (on scene or in an EMS unit) 36, A 14 y.a, fell from a high jump at the skatcboard park. He is complaining of abrasions to his left hip, knee and arm and hands. There was no loss of con sciousness. Vitals are all stable. What action should you take next?: Complete a primary and secondary survey 37. When is rapid extrication indicated?: All of the above 38, A primary concern when a patient has an obvious traumatic facial injury is?: Obstruction of the airway 39, An explosion at a local warchousce has left a 50 y.o, man with back injuries from an impact. He has sensation and movement to this lawer legs. BP 140/92, P 108, R 28, His chief complaint is cxeruciating back pain and guarding of the rib arca, What pain medication would be indicated?: Ketamine 40, What should you do first if a burn yictim with stridor suddenly stops breathing during the initial assessment?: Perform a needle cricothyrotomy 41, Critical thinking on the scene is essential for optimizing patient outcomes. Which of the following is utilized in the PIITLS primary surveys lo assess lhe trauma patient?: XABCDE Assessment 42, The time lo abtain the SAMPLER information is:: During the secondary survey, aller life threatening conditions have been ruled out 43, Which of the following is not a goal of the Golden Period’?: Fallow the strict one-hour time frame 44, The correet sequence for pre-haspital trauma care is:: Control significant hemorrhage, identify life threatening conditions, airway management. 45, One of the goals of prehospital trauma care is ta keep the scene time brief when life threatening conditions such as significant internal or external hem orrhage are present, Which of the following represents the goal of adequate scene time to transport?: 10 min
