NUR 2063 Pathophysiology Final Exam LATEST UPDATE 2023 GRADED/A
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Course
NUR 2063 Pathophysiology
Institution
NUR 2063 Pathophysiology
NUR 2063 Pathophysiology Final
Exam LATEST UPDATE 2023
GRADED/A
1. If a patient reports SOB, which term below describes this feeling?
a. sign
b. symptom
c. contraindication
d. objective data
Answer: symptom
2. thyroid gland is located where?
a. head
b. throat
c. chest
d. neck
Answer:...
ATLS Pre-Test & post exam2023-2024
questions and answers
A 22-year-old man is hypotensive and tachycardic after a shotgun wound to the left
shoulder. His blood pressure is initially 80/40 mm Hg. After initial fluid resuscitation his
blood pressure increases to 122/84 mm Hg. His heart rate is now 100 beats per minute and
his respiratory rate is 28 breaths per minute. A tube thoracostomy is performed for
decreased left chest breath sounds with the return of a small amount of blood and no air
leak. After chest tube insertion, the most appropriate next step is:
--- re-examine the chest
A construction worker falls two stories from a building and sustains bilateral calcaneal
fractures. In the emergency department, he is alert, vital signs are normal, and he is
complaining of severe pain in both heels and his lower back. Lower extremity pulses are
strong and there is no other deformity. The suspected diagnosis is most likely to be
confirmed by:
--- complete spine x-ray series
What is true regarding the initial resuscitation of a trauma patient? --- Evidence of
improved perfusion after fluid resuscitation could include improvement in Glasgow Coma
Scale score on reevaluation
In managing a patient with a severe traumatic brain injury, the most important initial step is
to:
--- secure the airway
A previously healthy, 70-kg (154-pound) man suffers an estimated acute blood loss of 2
liters. What applies to this patient?
--- An ABG would demonstrate a base deficit between -6 and -10 mEq/L.
The physiological hypervolemia of pregnancy has clinical significance in the management
of the severely injured, gravid woman by: --- increasing the volume of blood loss to
produce maternal hypotension.
The best assessment of fluid resuscitation of the adult burn patient is:
--- urinary output of 0.5 mL/kg/hr
The diagnosis of shock must include:
--- evidence of inadequate organ perfusion
, A 7-year-old boy is brought to the emergency department by his parents several minutes
after he fell through a window. He is bleeding profusely from a 6-cm wound of his medial
right thigh. Immediate management of the wound should consist of:
`
,For the patient with severe traumatic brain injury, profound hypocarbia should be avoided
to prevent:
--- cerebral vasoconstriction with diminished perfusion
After being involved in a motor vehicle crash, a 25-year-old man is brought to a hospital
that has surgery capabilities available.. Computed tomography of the chest and abdomen
shows an aortic injury and splenic laceration with free abdominal fluid. His blood pressure
falls to 70 mm Hg after CT. The next step is:
--- perform an exploratory laparotomy
What statements regarding abdominal trauma in the pregnant patient is TRUE?
--- Leakage of amniotic fluid is an indication for hospital admission.
The first maneuver to improve oxygenation after chest injury is:
--- administer supplemental oxygen
A 25-year-old man, injured in a motor vehicular crash, is admitted to the emergency
department. His pupils react sluggishly and his eyes open to pressure. He does not follow
commands, but he does moan periodically. His right arm is deformed and does not respond
to pressure; however, his left hand reaches purposefully toward the stimulus. Both legs are
stiffly extended. His GCS score is:
--- 9
A 20-year-old woman who is at 32 weeks gestation, is stabbed in the upper right chest. In
the emergency department, her blood pressure is 80/60 mm Hg. She is gasping for breath,
extremely anxious, and yelling for help. Breath sounds are diminished in the right chest.
The most appropriate first step is to:
--- perform needle or finger decompression of the right chest
What findings in an adult is most likely to require immediate management during the
primary survey?
--- respiratory rate of 40 breaths per minute
The most important, immediate step in the management of an open pneumothorax is:
--- placement of an occlusive dressing over the wound
, The following are contraindications for tetanus toxoid administration:
--- history of neurological reaction or severe hypersensitivity to the product
A 56-year-old man is thrown violently against the steering wheel of his truck during a
motor vehicle crash. On arrival in the emergency department he is diaphoretic and
complaining of chest pain. His blood pressure is 60/40 mm Hg and his respiratory rate is 40
breaths per minute. What best differentiates cardiac tamponade from tension pneumothorax
as the cause of his hypotension?
--- breath sounds
Bronchial intubation of the right or left mainstem bronchus can easily occur during infant
endotracheal intubation because:
--- The trachea is relatively short.
A 23-year-old man sustains 4 stab wounds to the upper right chest during an altercation and
is brought by ambulance to a hospital that has full surgical capabilities. His wounds are all
above the nipple. He is endotracheally intubated, closed tube thoracostomy is performed,
fluid resuscitation is initiated through 2 large-caliber IVs. FAST exam does not reveal
intraabdominal injuries. His blood pressure now is 60/0 mm Hg, heart rate is 160 beats per
minute, and respiratory rate is 14 breaths per minute (ventilated with 100% O2). 1500 mL
of blood has drained from the right chest. The most appropriate next step in managing this
patient is to:
--- urgently transfer the patient to the operating room
A 39-year-old man is admitted to the emergency department after an automobile collision.
He is cyanotic, has insufficient respiratory effort, and has a GCS score of 6. His full beard
makes it difficult to fit the oxygen facemask to his face. The most appropriate next step is
to:
--- restrict cervical motion and attempt orotracheal intubation using 2 people
A patient is brought to the emergency department after a motor vehicle crash. He is
conscious and there is no obvious external trauma. He arrives at the hospital completely
immobilized on a long spine board. His blood pressure is 60/40 mm Hg and his heart rate is
70 beats per minute. His skin is warm. What do you expect to see with the patient?
--- Flaccidity of the lower extremities and loss of deep tendon reflexes are expected.
What is the most effective method for initially treating frostbite?
--- Moist heat
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