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ATLS test exam Study Guide with Complete Solutions When something crashes in secondary survey, you... - Answer-GO BACK TO PRIAMRY SURVEY If the question says you do not have capabilities, you will most likely - Answer-PREPARE FOR AND DO NOT DELAY TRANSPOR $12.49   Add to cart

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ATLS test exam Study Guide with Complete Solutions When something crashes in secondary survey, you... - Answer-GO BACK TO PRIAMRY SURVEY If the question says you do not have capabilities, you will most likely - Answer-PREPARE FOR AND DO NOT DELAY TRANSPOR

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ATLSPOST TEST 4 LATEST VERSIONS REAL EXAM 260 QUESTIONS AND CORRECT ANSWERS |AGRADE re-examine the chest - Answer-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 increase...

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


re-examine the chest - Answer✔✔-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 __________.


complete spine x-rays - Answer✔✔-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 _________.


secure the airway - Answer✔✔-In managing the head-injured patient, the most important initial

step is to ________.


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,GRACEAMELIA 2024/2025 ACADEMIC YEAR ©2024. ALL RIGHTS
RESERVED. FIRST PUBLISH OCTOBER, 2024

his systolic pressure will be decreased with a narrowed pulse pressure - Answer✔✔-A previously

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

pressure?


increasing the volume of blood loss to produce maternal hypotension - Answer✔✔-The

physiologic hypervolemia of pregnancy has clinical significance in the management of the

severely injured, gravid woman by ____________.


adequate urinary output - Answer✔✔-The best assessment of fluid resuscitation of the adult

burn patient is __________.


evidence of inadequate organ perfusion - Answer✔✔-The diagnosis of shock must include

_________.


direct pressure on the wound - Answer✔✔-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).


cerebral vasoconstriction with diminished perfusion - Answer✔✔-For the patient with severe

TBI, profound hypocarbia should be avoided to prevent __________.




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RESERVED. FIRST PUBLISH OCTOBER, 2024

exploratory laparotomy - Answer✔✔-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 _______.


leakage of amniotic fluid - Answer✔✔-Abdominal trauma in a pregnant patient --> _________ is

an indication for hospital admission.


administer supplemental oxygen - Answer✔✔-What is the first maneuver to improve

oxygenation after chest injury?


9 (eyes = 2, verbal = 2, motor = 5) - Answer✔✔-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 ________.


RR of 40 BPM - Answer✔✔-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.


placement of an occlusive dressing over the wound - Answer✔✔-The most important,

immediate step in the management of an open pneumothorax is _________.




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RESERVED. FIRST PUBLISH OCTOBER, 2024

history of neurological reaction or severe hypersensitivity to the product - Answer✔✔-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.


breath sounds - Answer✔✔-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?


the trachea is relatively short - Answer✔✔-Bronchial intubation of the right or left mainstem

bronchus can easily occur during infant ET intubation because _______.


urgently transfer the patient to the operating room - Answer✔✔-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

______.



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