Complete Real Exam Questions And Correct Answers
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A 4-year-old boy fell down a 15-foot embankment and landed
on packed dirt. He is unresponsive and has pale, cool skin
and a capillary refill time of 4 seconds. Additional
assessment reveals a 2 cm laceration on the left side of the
forehead with minimal bleeding and a distended abdomen.
His vital signs are BP 78/56, HR 146, and RR 48. What are the
initial management steps for this patient?
A. Administer oxygen by nasal cannula, followed by a detailed
physical exam
before
transport.
B. Manage blood loss from the forehead, establish IV access
and give a slow infusion of fluids, and prepare for transport.
C. Administer oxygen by nonrebreather mask, establish
intraosseous access and give a
10 mL/kg bolus, and place him in a high Fowler's position.
D. Maintain cervical spine stabilization, establish IV access and
give a 20 mL/kg bolus, complete the spinal immobilization, and
initiate transport. - ANSWER-D. Maintain cervical spine
,stabilization, establish IV access and give a 20 mL/kg bolus,
complete the spinal immobilization, and initiate transport.
What is the dysrhythmia for a 3-year-old with a heart rate of
180 beats/min, a
narrow QRS complex, and a variable R-R
interval called?
A. Supraventricular
tachycardia.
B. Sinus
tachycardia.
C. Ventricular
tachycardia.
D. Pulseless electrical activity (PEA). - ANSWER-B. Sinus
tachycardia.
What is the initial airway management of a child who is seizing
and has gurgling
respirations?
A. Suction the
oropharynx.
B. Insert an
endotracheal tube.
C. Insert an oropharyngeal
airway.
, D. Administer bag-mask ventilation. - ANSWER-A. Suction
the oropharynx.
A 3-year-old boy reportedly fell down a flight of stairs and
has a swollen,
deformed
right
forearm. You also note several small, healing, circular burns
on his arms and
back. He appears quiet and withdrawn. What is the treatment
of this patient?
A. Splint the forearm.
B. Establish IV access.
C. Cover the burns.
D. Contact law enforcement. - ANSWER-A. Splint the forearm.
What is the best way to repair a break in a central line catheter?
A. Place a piece of silk tape horizontally over the break.
B. Remove the catheter.
C. Irrigate the catheter.
D. Clamp the catheter with a hemostat and gauze. - ANSWER-D.
Clamp the catheter with a hemostat and gauze.
What is a contraindication to straightening the head and
neck of a trauma