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Review and Pretest FCCS EXAM/70 QUESTIONS AND ANSWERS/A+ GRADED
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Review and Pretest FCCS EXAM/70QUESTIONS AND ANSWERS/A+ GRADED
Which of the following parameters may be a late sign of cardiovascular
disturbance signaling failure of the compensatory mechanisms?
A. Tachycardia
B. Bradycardia
C. Hypotension
D. Hypertension - -C
-Investigative tests should be based on the patient's history and physical
examination as well as on previous tests. Which of the following is one of the
most important indicators of critical illness?
A. Respiratory acidosis
B. Metabolic acidosis
C. Elevated creatinine
D. Hyponatremia - -B
-A 22-year-old man is brought to the emergency room after falling from a
horse. He is awaiting transfer to another facility. He has a chest contusion
and a non-displaced femur fracture. He is in spinal motion restriction with a
cervical collar and long backboard. He has worsening respiratory distress
and hypoxemia requiring endotracheal intubation. Which of the following
modifications of the manual assisted ventilation technique is appropriate?
A. Place an oral airway one size larger than usual.
B. Add additional downward pressure on the face mask once it is sealed.
C. Use a jaw thrust technique in place of neck extension.
D. Increase the tidal volume with each manual assisted breath. - -C
-Which of the following anatomic features is most likely to contribute to
difficulty in maintaining a patent airway in a supine patient?
A. Edentulous mandible
B. Posteriorly displaced tongue
C. Deviated nasal septum
D. Anteriorly displaced thyroid cartilage - -B
-An elderly patient is on the medical ward for respiratory distress. Which of
the following is correct regarding airway assessment?
A. Laryngeal displacement toward the chest during inspiration occurs only
with upper airway obstruction
, B. Chest rise with inspiration indicates an adequate tidal volume
C. Unilateral absent breath sounds on auscultation is a tension
pneumothorax
D. Complete airway obstruction is likely when chest retraction and
movement is present, but there are no breath sounds - -D
-An 82-year-old man who awoke with chest pain in the morning is being
evaluated in the emergency department. He is alert and oriented. Shortly
after being placed on a cardiac monitor in normal sinus rhythm with ST
segment elevations, he becomes unresponsive and develops ventricular
fibrillation. Which of the following initial interventions is most appropriate for
this patient?
A. Do not initiate treatment because, due to his age, he probably has a do-
not-resuscitate order on file.
B. Attempt to contact the family before treating to discuss the level of
intervention.
C. Start cardiopulmonary resuscitation while preparing to defibrillate.
D. Start bag-mask-valve ventilation while preparing to intubate. - -C
-Which of the following is the purpose of cardiopulmonary resuscitation?
A. To reverse symptomatic bradycardia in an ICU patient who is on multiple
vasoactive infusions
B. To reverse sudden cardiac death in a patient who is in the palliative care
unit
C. To prolong the life of a patient who has a do-not-resuscitate order on file
to allow time for family to arrive
D. To reverse sudden, unexpected death from a reversible disease process
or iatrogenic complications - -D
-A 75-year-old man with a long history of smoking, chronic lung disease, and
treatment noncompliance is brought to the emergency department by his
daughter. He has had progressive dyspnea. He is awake, alert, and in
moderate distress, with the use of accessory muscles during inspiration and
expiration and a respiratory rate of 30 beats/min. There are audible
expiratory wheezes. Which of the following pharmacologic treatments should
be initiated?
A. Inhaled beta2-agonist
B. Aerosolized racemic epinephrine
C. Transtracheal lidocaine
D. N-acetylcysteine - -A
-A 65-year-old woman is admitted with pulmonary edema due to acute
diastolic left ventricular failure. She is alert and oriented but has a
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