PHTLS Study Guide Questions with 100% Verified Answers Latest Update, Exams of Nursing

Download PHTLS Study Guide Questions with 100% Verified Answers Latest Update and more Exams Nursing in PDF only on Docsity! PHTLS Study Guide Questions with 100% Verified Answers Latest Update 1. Inadequate perfusion/energy production at the cellular level. - ✅✅✅Shock 2. Why are case studies important in the hospital? - ✅✅✅It gives us evidence based practice. 3. What is the definition of anaerobic metabolism? - ✅✅✅Without oxygen 4. When does hemorrhage control start in the trauma assessment? - ✅✅✅Right away. 5. Why do we needle decompress somebody? - ✅✅✅If there is an increase work of breathing/absent lung sounds/ inadequate perfusion 6. What is the easiest way to open the airway of a trauma patient? - ✅✅✅Jaw thrust 7. What is the problem with intubation? - ✅✅✅It requires a lot of practice. 8. When you arrive on scene and find your patient with their airway full of blood, how long should you suction for? - ✅✅✅Until the airway is clear from blood. Ten seconds 9. What is the best way to confirm you have the ET tube in place? - ✅✅✅End tidal 10. When should you start the secondary assessment on a trauma patient? - ✅✅✅When time and situation allows 11. What are some pre-arrival factors you should be considering upon arrival to your designated call? - ✅✅✅Time of day, weather, location, hazards and possible additional needs 12. What is the main reason for a primary assessment on a trauma patient? - ✅✅✅To identify and treat immediate life threats 13. What is the most common type of shock and what is the main cause of shock? - ✅✅✅Hemorrhagic shock due to either uncontrolled internal/external hemorrhage 14. When wanting to get a patient off scene quickly what is a piece of equipment that is best suited for this situation? - ✅✅✅Scoop stretcher 15. What is the first thing that should be treated on a trauma patient? - ✅✅✅XABCDE 16. What is one of the earliest signs you may see on a patient who is starting to go into shock? - ✅✅✅Increased ventilator rate the patient's head is in flexed position. Which of the following actions is the most appropriate? - ✅✅✅Place padding under the patient's torso 33. A 30 year old male is injured in a terror bombing. He experiences traumatic amputation of his left leg at knee level. An improvised tourniquet was put in place by bystanders. The victim is conscious and in severe pain. You first action should be to do which of the following? - ✅✅✅Confirm the tourniquet was properly applied. 34. When managing a pediatric patient, pre-hospital providers should do all of the following except: - ✅✅✅Use half the adult dose or medication administration 35. Hypotension due to a spinal cord injury is a result of what physiological mechanism? - ✅✅✅Loss of sympathetic tone causing vasodilation. 36. What is the most likely source of bleeding in a patient with signs of shock and no obvious injury? - ✅✅✅Intra-abdominal injury 37. In a multi-system trauma patient what is considered the best method for confirming proper placement of an ET tube? - ✅✅✅Waveform capnography 38. Which of the following best guides the decision to provide spinal immobilization> - ✅✅✅History and complaint 39. Excessive fluid resuscitation of the trauma patient can result in which of the following? - ✅✅✅Worsening coagulopathy 40. When approaching a trauma patient, what is the first assessment that must be made? - ✅✅✅Scene safety 41. In a patient with a suspected Tim what is the most concerning physical finding? - ✅✅✅ALOC 42. Approximately 20% of all child abuse is the result of intentional burning. The majority of children intentionally burned are of what age? - ✅✅✅1-2 years 43. EMS responds for a patient involved in a motorcycle vs. motor vehicle collision. The patient is poorly responsive with no movement of lower extremities and loss of temperature sensation below the T10. Which of the following types of shock is the patient most likely experiencing? - ✅✅✅Neurogenic 44. A 38 year old male sustains a large would to his right thigh while at work. Which of the following actions is most important initial step? - ✅✅✅Hemorrhage control 45. Which of the following is the best indicator of shock in a trauma patient? - ✅✅✅Depressed level of cognition 46. In a blast-related multiple patient situation, which of the following patients should be treated first? - ✅✅✅A 33 year old female wit altered level of consciousness and decreased capillary refill. 47. A patient presents with a blunt trauma injury to the chest. On exam, he has absent breath sounds on one side of his chest and respiratory distress. Which additional sign would indicate that the patient has a tension pneumothorax? - ✅✅✅Distended neck veins 48. Which best describes the goal of airway management in a trauma patient? - ✅✅✅Provide for adequate exchange of oxygen and CO2 49. The secondary survey should be accomplished? - ✅✅✅When time and situation allow 50. EMS is treating a 24 year old soccer player who was kicked in the chest. Prehospital providers note paradoxical movement of a portion of the patient's chest wall. The patient's respiratory is 16 and O2 sat is 94%. What is the most appropriate action? - ✅✅✅Provide supplemental oxygen and transport to a trauma center. 51. Which of the following information is assessed during the secondary survey? - ✅✅✅Vital signs 52. Which of the following patients will compensate for blood loss the longest? - ✅✅✅6 year old male