Exam Questions and Answers |
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What does the J stand for at the end of the secondary survery? -
ANSWER ✔✔just keep evaluating - vipp
What does VIPP stand for? - ANSWER ✔✔vital signs,
injuries/interventions, primary survey, pain
During the head-to-toe, where would you find Grey-Turner's sign? -
ANSWER ✔✔flank
,During the head-to-toe, where would you find Cullen's sign? -
ANSWER ✔✔umbilicus
What is sometimes deferred at the end of the head-to-toe? -
ANSWER ✔✔inspecting posterior
Antibiotics, consults, head CT, imaging, law enforcement, mandatory
reporting, psychosocial support, social services, splinting, tetanus, and
wound care are all interventions that you do AFTER and before WHAT? -
ANSWER ✔✔AFTER head-to-toe, BEFORE J (VIPP)
What three items are obtained during the pertinent history assessment?
- ANSWER ✔✔Medical records, prehospital report, SAMPLE
What are examples of nonpharmacologic measures? (must identify at
least one during testing) - ANSWER ✔✔Distraction, family presence,
padding bony prominences, repositioning, splinting, verbal reassurance
For whom is capnography highly recommended? - ANSWER ✔✔all
patients
In step M of "Get Adjuncts", what else might be indicated besides
cardiac monitor? - ANSWER ✔✔EKG
,In Step 16 of "Exposure and Environment", you must name at least one
of these interventions: - ANSWER ✔✔blankets, room temp increase,
warmed fluids, warming lights
At what point PRIOR TO the head-to-toe is the patient inspected for
obvious injuries? - ANSWER ✔✔In Step 15 of "Exposure and
Environment"
In Step 13 of "Disability", what is assessed if pt is altered? -
ANSWER ✔✔glucose
To assess circulation, you must do these two main tasks: - ANSWER
✔✔1. inspect AND palpate skin color, temp, moisture and 2. palpate a
pulse
What do you do when alterations are identified in any of the steps in the
primary survery? - ANSWER ✔✔intervene as appropriate and
reassess
What three assessments must be done if the patient is intubated? -
ANSWER ✔✔1. attach CO2 detector and assess for evidence of
exhaled CO2; 2. observe for rise and fall of the chest w/ assisted
ventilations; 3. auscultate over epigastrium for gurgling AND lungs for
bilateral breath sounds
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, Four of these must be identified to assess breathing effectiveness: -
ANSWER ✔✔Breath sounds, depth/pattern/rate, spontaneous
breathing, subcutaneous emphysema, increased work of breathing,
symmetrical chest rise and fall, tracheal deviation/JVD, open
wounds/deformities, skin color
What can be applied in step 12 of "Circulation and Control of
Hemorrhage" for which credit is given in the LMNOP section? -
ANSWER ✔✔cardiac monitor
When should 2 IV sites be established? - ANSWER ✔✔During
"Circulation" assessment
If the patient is intubated and you've already assessed ETT placement,
what else needs to be done with the ETT? (step 10) - ANSWER
✔✔assess ETT position by noting the number at teeth/gums AND secure
ETT
What should you verbalize after completing all ETT assessments? -
ANSWER ✔✔moving patient from assisted ventilation to mechanical
During which part of the primary survey would you anticipate the need
for a chest tube, intubation, decompression of pneumothorax, oxygen, or
BVMs? - ANSWER ✔✔"Breathing and Ventilation"