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'Ecchymosis' refers to:
A) An unreactive left pupil
B) Bruising or discoloration
C) Motion sickness
D) A bad taste in the mouth - CORRECT ANSWER: B.
A 17-year-old male patient is experiencing difficulty breathing and abdominal pain after being
struck with a bat to his left lower quadrant. He is alert, cool, and diaphoretic, with a tachycardic
heart rate. You should provide oxygen using a:
A) Nonrebreather mask at 15 L/min
B) Nasal cannula at 6 L/min
C) Nasal cannula at 2 L/min
D) Nonrebreather at 8 L/min - CORRECT ANSWER: A.
A 2-year-old female is in severe respiratory distress. Her skin is mottled, and she does not
respond to verbal or physical stimulus. You should:
A) Administer oxygen by the blow-by method
B) Assist her ventilations with a bag valve mask and supplemental oxygen
C) Administer blind finger sweeps to attempt removal of an obstruction
D) Provide oxygen by pediatric nonrebreather mask - CORRECT ANSWER: B.
,A 45-year-old female is breathing at a rate of 22 times per minute with adequate tidal volume.
She is alert, but her skin signs are cool, pale, and diaphoretic. You should:
A) Provide oxygen at 6 L/mi using a nasal cannula
B) Provide oxygen at 12 L/min using a nonrebreather mask
C) Provide artificial ventilation with a gas-mask valve and high-flow oxygen
D) Place the patient into the left lateral "recovery" position - CORRECT ANSWER: B.
A 45-year-old male is breathing at a rate of 32 times per minute with shallow respirations. He is
altered, and his skin signs are cool, cyanotic, and diaphoretic. You should:
A) Provide oxygen at 6 L/min using a nasal cannula.
B) Provide oxygen at 12 L/min using a nonrebreather mask.
C) Provide artificial ventilation with a gas-valve mask and high-flow oxygen.
D) Place the patient into the left lateral "recovery" position. - CORRECT ANSWER: C.
A 5-year-old male is experiencing severe respiratory distress. He is alert with poor skin signs.
You should:
A) Assist ventilations with a pediatric bag-valve mask and supplemental oxygen
B) Perform blind finger sweeps to attempt to remove an obstruction
C) Provide oxygen by pediatric nonrebreather mask
D) Provide oxygen by the blow-by method - CORRECT ANSWER: A.
A 70-year-old female is complaining of shortness of breath. She has a history of emphysema.
You should:
A) Withhold oxygen, since these patients do not respond to oxygen
B) Withhold oxygen, because you could eliminate the hypoxic drive
C) Administer oxygen, because in most cases, the hypoxic drive will not be a problem
D) Withhold oxygen, because these patients become apneic if they receive high-flow oxygen -
CORRECT ANSWER: C.
, A common side effect of high fever in infants and small children is:
A) Shock
B) Seizures
C) Hives
D) Cardiac arrest - CORRECT ANSWER: B.
A danger of using a rigid suction catheter with infants and young children is that stimulating the
back of the throat can:
A) Causes changes in the heart rhythm
B) Be ineffective in suctioning
C) Lead to immediate vomiting
D) Cause the tongue to fall into the airway - CORRECT ANSWER: A.
A patient is in greater danger of severe internal bleeding from which fractured bone?
A) Pelvis
B) Rib
C) Femur
D) Tibia - CORRECT ANSWER: A.
A seesaw (chest and abdomen move in opposite directions) pattern of breathing is a sign of
A) Breathing difficulties in infants
B) Normal respirations in elderly patients
C) Adequate artificial respiration
D) A disease such as COPD - CORRECT ANSWER: A.
A sign of early respiration distress in the pediatric patient is:
A) An increased blood pressure