1. A 45-year-old patient is found supine on the floor. Healthcare providers
note pinpoint pupils, shallow respirations, and vomitus in and around the
mouth. What course of action should be taken next?
a. Initiate an IV and administer naloxone
b. Supplemental oxygen and suction
c. Obtain a blood glucose level
d. Begin BVM ventilations Correct ans - b. Supplemental oxygen and
suction
2. Patients with a history of COPD that present with an acute onset of
shortness of breath are likely to have what condition?
a. Pulmonary embolism
b. Angina pectoris
c. Angioedema
d. Hypertensive crisis Correct ans - a. Pulmonary embolism
3. During compensatory shock, the renin-angiotensin-aldosterone system is
activated to cause a/an:
a. Increase in preload, afterload, and re-absorption of sodium
b. Decrease in preload, afterload, and re-absorption of sodium
c. Hypotension and bradycardia
d. Vasodilation and sodium retention Correct ans - a. Increase in
preload, afterload, and re-absorption of sodium
4. What clinical findings are most commonly associated with a pulmonary
embolus?
a. Clear breath sounds with tachypnea
b. Rhonchi auscultated bilaterally with hypercarbia
c. Crackles heard in the bases with bradycardia
d. Fever, tachycardia, and tachypnea with increased work of breathing
Correct ans - a. Clear breath sounds with tachypnea
5. What condition is most likely to cause respiratory acidosis?
a. Anxiety/panic attack
b. Narcotic overdose
c. Methanol ingestion
d. Diabetic ketoacidosis Correct ans - b. Narcotic overdose
, 6. A 55-year-old complains of an 'aching' chest discomfort that persists over
several days. The patient has a temperature of 101F (38.3C). Which finding
will help narrow the diagnosis to pericarditis?
a. Pain is relieved when supine
b. Pulsus alternans is present
c. S3 gallop is auscultated
d. ST-segment elevation in all leads Correct ans - d. ST-segment
elevation in all leads
7. Anaphylaxis is most associated with which physiological event?
a. Hemorrhage
b. Vasodilation
c. Bradycardia
d. Hypertension Correct ans - b. Vasodilation
8. Acute Respiratory Distress Syndrome (ARDS) is characterized by what
pathological change?
a. Excessive mucous production
b. Inflammation of the visceral pleura
c. Breakdown of the alveolar-capillary membrane
d. Accumulation of fluid between the pleural layers Correct ans - c.
Breakdown of the alveolar-capillary membrane
9. Continuous positive airway pressure would be most beneficial in treating
which patient?
a. A 43yo with a decreased LOC with respiratory difficulty
b. A 22yo with severe asthma who is not responding to nebulizer treatments
c. A 38yo with carpal pedal spasms, clear lung sounds, and respirations of
40/min
d. A 55yo with jugular vein distension and a BP of 90/60 Correct ans -
b. A 22yo with severe asthma who is not responding to nebulizer treatments
10. What is the initial treatment for a patient experiencing hyperosmolar
hyperglycemic nonketotic coma (HHNC)?
a. Crystalloid IV fluid administration
b. Administration of dextrose
c. Administration of insulin
d. Fluid bolus of 5% dextrose in water (D5W) Correct ans - a.
Crystalloid IV fluid administration