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ATLSPOST TEST 4 LATEST VERSIONS REAL EXAM 260 QUESTIONS AND CORRECT ANSWERS |AGRADE $13.49   Add to cart

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ATLSPOST TEST 4 LATEST VERSIONS REAL EXAM 260 QUESTIONS AND CORRECT ANSWERS |AGRADE

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A 22-year-old man is hypotensive and tachycardic after a shotgun wound to the left shoulder. His BP is initially 80/40 mm Hg. After 2 liters of crystalloid solution his BP increases to 122/84. His heart rate is now 100 BPM and his RR is 28 breaths per minute. His breath sounds are decreased i...

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  • October 23, 2024
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ATLSPOST TEST 4 LATEST VERSIONS
REAL EXAM 260 QUESTIONS AND
CORRECT ANSWERS |AGRADE
A 22-year-old man is hypotensive and tachycardic after a shotgun wound to the left

shoulder. His BP is initially 80/40 mm Hg. After 2 liters of crystalloid solution his BP increases

to 122/84. His heart rate is now 100 BPM and his RR is 28 breaths per minute. His breath

sounds are decreased in the left hemithorax, and after initial IV fluid resuscitation, a closed

tube thoracostomy is performed for decreased left 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-rays


In managing the head-injured patient, the most important initial step is to ________.

✓ secure the airway


A previously healthy, 70 kg man suffers an estimated acute blood loss of 2 liters. How will this

affect his blood pressure?



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✓ his systolic pressure will be decreased with a narrowed pulse pressure


The physiologic 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 __________.

✓ adequate urinary output


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 ________ (application of a

tourniquet vs. direct pressure on the wound).

✓ direct pressure on the wound


For the patient with severe TBI, profound hypocarbia should be avoided to prevent

__________.

✓ cerebral vasoconstriction with diminished perfusion


A 25-year-old man is brought to a hospital after being involved in a MVA. CT shows an aortic

injury and splenic laceration with free abdominal fluid. His BP falls to 70 mm Hg after CT. The

next step is _______.

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✓ exploratory laparotomy


Abdominal trauma in a pregnant patient --> _________ is an indication for hospital

admission.

✓ leakage of amniotic fluid


What is the first maneuver to improve oxygenation after chest injury?

✓ administer supplemental oxygen


A 25-year old man, injured in a MVA, is admitted to the emergency department. His pupils

react sluggishly and his eyes open to painful stimuli. He does not follow commands, but he

does moan periodically. His right arm is deformed and does not respond to painful stimulus;

however, his left hand reaches purposefully toward the painful stimulus. Both legs are stiffly

extended. His GCS score is ________.

✓ 9 (eyes = 2, verbal = 2, motor = 5)


Which one of the following findings in an adult is most likely to require immediate

management during the primary survey: distended abdomen, GCS score of 11, deforming of

the right thigh, RR of 40 BPM.

✓ RR of 40 BPM


The most important, immediate step in the management of an open pneumothorax is

_________.

✓ placement of an occlusive dressing over the wound



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The following are contraindications for tetanus toxoid administration: history of neurological

reaction or severe hypersensitivity to the product, local side effects, muscular spasms,

pregnancy, or all of the above.

✓ 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 BP is 60/40 mm Hg and his RR is 40 breaths per minute. Which of the following

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 ET

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, and

2 liters of crystalloid solution are infused through 2 large-caliber IVs. His blood pressure is

now 60/0 mm Hg. Heart rate is 160 bpm, and RR is 14 breaths per minute (ventilated with

100% O2). 1500 cc 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



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