AMLS Post Test Exam 3rd Edition Cpp Questions and Answers., Exams of Nursing

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Which of the following may cause primary respiratory alkalosis? B. Chest Wall Pain C. Vomiting D. Renal Failure {{Correct Ans- A. Fever A quadriplegic male is experiencing difficulty breathing and restlessness. His skin is flush and his urine is dark yellow and cloudy. Vital signs are BP 86/68, P 128, R 24, temp is 38 C. Which type of shock should you suspect? A. Hypovolemic B. Obstructive D. Cardiogenic {{Correct Ans- C. Septic A 20-year old male college student complains of acute onset of fever, headaches, vomiting and malaise. He appears ill and has a petechial rash on his extremities. What should you suspect? A. Acute gastroenteritis B. Encephalitis D. Influenza {{Correct Ans- C. Meningitis A 20-year old male complains of severe pain after a jellyfish sting. He has a red, swollen ankle and foot. What should you do? A. Apply a hot pack to the area and mark the affected area B. Splint the limb and administer an antipyretic D. Apply an ice pack and administer an opiod {{Correct Ans- C. Wash the area and administer an analgesic The renin-angiotensin-aldosterone system is activated during shock in order to cause the following? B. Hypotension and bradycardia C. Decrease in Preload, afterload, and reabsorption of sodium D. Vasodilation and sodium reabsorption {{Correct Ans- A. Increase in preload, afterload, and reabsorption of sodium An elderly COPD patient complains of difficulty in breathing upon exertion. She has a 1-week history of productive cough. She has pursed lip breathing. She is prescribed a bronchodilator as needed. Vital signs are BP 132/70, P 88, R 20 with Rhonchi. What should you suspect? A. Pulmonary embolism B. Epiglottitis D. Congestive Heart Failure {{Correct Ans- C. Chronic Bronchitis An anxious 32 year old female complains of chest pain with palpitations. She has a history of Graves’ disease. She reports she was seen in the ED earlier that day and has a CT scan of her abdomen with IV contrast. She is diaphoretic and has a temperature of 101.5 F. Vital signs are 100/62 P 156 R30 BGL 133 mg/dL. What should you administer? A. Calcium Chloride C. Amiodarone D. Pulses alternans is present {{Correct Ans- A. Diffuse ST segment elevation A 21-year old male complains of sharp chest pain and shortness of breath. The symptoms started when he lifted a heavy object. Vital signs are BP 152/96 P 108 R 24 and diminished on the left. What should you suspect? A. Spontaneous Pneumothorax B. Pectoralis muscle tear C. Aortic Dissection D. Pulmonary Embolism {{Correct Ans- A. Spontaneous Pneumothorax A 72-year old female complains of a sudden onset of a burning sensation to the left side of her forehead and blurred vision. She wants to follow up with her family physician tomorrow. Vital signs are BP 150/70 P 80 R 16 What should you do? {{Correct Ans- B. Encourage her to be transported by ambulance to the hospital An anxious 61-year old male complains of severe shortness of breath and localized chest pain with blood-tinged sputum. His dyspnea started when he stood up from watching television all day and increased in severity as he moved around. Vital signs are BP 104/60 P 98 and irregular R 26 and labored. What should you suspect? {{Correct Ans- B. Pulmonary Embolism Anaphylaxis is most commonly associated with which physiological event? {{Correct Ans- C. Vasodilation Aconfused 67 year old male has vomited multiple times prior to EMS arrival. He was involved in a car crash 48 hours prior. Bystanders state he became increasingly confused and lost coordination since the crash. Vital signs are BP 150/88 P 72 R 16 BGL 92 mg/dL. What should you suspect? {{Correct Ans- D. Subdural hematoma What condition causes paroxysmal nocturnal dyspnea? {{Correct Ans- B. Left-sided heart failure What is the initial treatment for a patient experiencing hyperosmolar hyperglycemic state? {{Correct Ans- B. Normal Saline An 18 year old male nearly drowned at a local lake after treading water for 25 minutes. He is shivering uncontrollably and complains of nausea and weakness. Vital signs are BP 122/62 R 28 P 136 and a temp of 93.2 F. What should you suspect? {{Correct Ans- A. Mild Hypothermia A 45 year old male complains of shortness of breath. He has a history of alcohol abuse and presents with severe ascites. Vitals are BP 142/78 P 104 R 24 with crackles. What should you suspect? {{Correct Ans- C. Liver failure A 22 year old male has recently undergone a surgical procedure to repair an injury to thoracic vertabrae T1-T2. Assessment indicates the patient is alert and oriented, bradycardic, hypotensive and has warm, dry skin. Which type of shock is most likely occurring? {{Correct Ans- D. Neurogenic It is 0600 hours and you are treating a 63 year old female with slurred speech, facial droop, and altered mental status. At 0400 hours her husband heard her go to the bathroom. At 2300 hours they went to bed and everything was "fine". How should you report the last time she was known normal? {{Correct Ans- B 2300 hrs Continuous positive airway pressure would be most beneficial in treating which of the following patients? {{Correct Ans- B. 22 year old with severe asthma that is unresponsive to albuterol treatments A 27 year old male is breathing fast and deep. he works at a preschool and believes the children plan to harm him. Which of the following statements is most helpful when treating the patient? {{Correct Ans- C. | understand that you are concerned. Please tell me more about why you feel this way. A 15 year old male complains of lower abdominal pain with nausea. He is in the fetal position and states, "It hurts to walk" What should you suspect. {{Correct Ans- B. Appendicitis A 13 year old male has been skateboarding in temperatures of 100F and has been drinking caffeinated soft drinks. He complains of palpitations. The cardiac monitor displays a narrow QRS tachycardia at a rate of 150 bpm. BP 108/62 R 24. What should you do? {{Correct Ans- D. Transport the patient by ambulance, monitor closely, and administer fluids en route An 82 year old female complains of foul-smelling diarrhea, abdominal cramping, and loss of appetite. She developed an infection following knee surgery 2 weeks ago. She is prescribed antibiotics. What should you suspect? {{Correct Ans- C. Clostridium difficile An 62 year old female presents with severe nausea and blurred vision that began while watching TV. She describes the headache as the worst headache she has ever had in her life. Vital signs are BP 194/110 P 98 R 20 What should you suspect? {{Correct Ans- C. Subarachnoid hemorrhage A 33 year old female is threatening suicide because her partner left her. Which of the following would be an appropriate response? {{Correct Ans- C. What was your plan to kill yourself? A71 year old female complains of shortness of breath. She has a productive cough that has increased in severity over the last week. She speaks in 1- to 2- word broken sentences with pursed lips. What should you suspect? {{Correct Ans- B. COPD What is an age related change that increases the risk of respiratory compromise? {{Correct Ans- A. Decrease in lung compliance A 45 year old female is supine on the floor. Her pupils are pinpoint, and she has vomitus in and around her mouth. Vital signs are P 48 R 8 with gurgling. What should you do? {{Correct Ans- A. Suction the airway A 68 year old female who has a history of COPD may rely on which of the following breathing mechanics? {{Correct Ans- D. A decrease in the oxygen level in the blood as the stimulus to breathe Which of the following is a hallmark sign of tricyclic antidepressant toxicity? {{Correct Ans- A. Dysrhythmias An alert 22 year old male complains of a "lump in his throat" and a hoarse voice after a failed suicide attempt. he unsuccessfully attempted to hang himself with a bed sheet. Vital signs are BP 150/80 P 120 R 16 SpO2 96% ETCO2 40 mmHg. What should you do? {{Correct Ans- B. Administer Oxygen and transport to a trauma center A. 45 year old female reports a headache, vertigo, and leg cramps after exercising. Vital signs are BP 108/62 P 124 R 18 Temp 100.6F and SpO2 98%. What should you do? {{Correct Ans- C. Provide Oral fluid replacement A 60 year old female complains of indigestion and mild upper abdominal discomfort. What should you do? {{Correct Ans- A. Acquire a 12-lead and transport to a cardiac center 4.49 year old male presents in a tripod position with audible stridor and marked respiratory distress. His skin is flushed, and her complaint is dysphagia. What should you do? {{Correct Ans- B. Epiglottitis A patient complains of nausea and is passing black, tarry stools. What should you suspect? {{Correct Ans- D. Upper Gl bleeding An alert 49 year old male complains of headache. He has tremors in his hands and has been in the detoxification unit for 36 hours. He has a history of alcoholism. Vital signs are BP 168/96 P 104 R 22. What is he most at risk for? {{Correct Ans- D. Seizure A 27 year old male is agitated and talks continuously. His pupils are dilated. He admits to being awake for 36 hours straight. Vital signs are BP 188/98 P 140 R 30. What type of overdose should you suspect? {{Correct Ans- D. bath salts