AMLS PreTest II Exam - (80) Questions and
Answers 100% Correct
A 19-year-old female is flushed, itchy, and wheezing after eating crab legs.
Her vital signs are BP 90/64 mm Hg, P 128 bpm, R 24 breaths/min. Which
intervention is indicated first? Correct ans - Epinephrine intramuscular
A 2-year-old male is found chewing on berries from a lily of the valley plant.
Predict his vital signs. Correct ans - BP 70/50 P 70 bpm
A 22-year-old female is found at a party unresponsive and breathing
approximately 8 breaths/min. Her skin is gray. Which of the following signs or
symptoms will confirm your suspicion that the opioid toxidrome is causing
her emergency? Correct ans - Pupils 2 mm and equal
A 22-year-old male complains of a 2-day history of abdominal pain. His skin
is flushed, and he has a fruity odor on his breath. Assessment reveals BP
106/54 mm Hg, P 128, R 28, glucose 568 mg/dL. Your highest priority
intervention would be to: Correct ans - Infuse normal saline rapid IV
A 22-year-old patient at a restaurant is complaining of abdominal pain and
diarrhea. Her skin is flushed, and she feels faint. Her vital signs are: BP
98/50, P 124, R 24. Which finding in her SAMPLER history is most likely to
guide your differential diagnosis for this patient? Correct ans - Illness
began about 10 minutes after eating
A 23-year-old female has an acute onset of left flank pain. You should
investigate which of the following regarding her pain? Correct ans -
Dysuria
A 24-year-old female took 24 diphenhydramine tablets. Her vital signs are BP
86/54 mm Hg, P 110 bpm, R 20/min. What other sign or symptom should you
anticipate. Correct ans - Seizures
A 24-year-old male complains of sudden explosive headache . He asks you to
lower the lights. He has vomited once. Which of these findings would
increase your index of suspicion for subarachnoid hemorrhage? Correct
ans - Stiff neck
A 24-year-old male injuries in a shallow diving incident. Which assessment
finding would you anticipate if he is developing neurogenic shock?
Correct ans - Heart rate 58 bpm
A 25-year-old helmeted female was thrown from a horse. She is complaining
of weakness in her upper extremities. You ask her to close her eyes and
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, identify whether you are moving her thumb up or down. She is unable to do
so. This indicates she does not have normal: Correct ans -
Proprioception
A 25-year-old woman was involved in a motor vehicle collision. Her initial
vital signs were BP 122/80 mm Hg, P 128 bpm, R 20 breath/min. Which of the
following findings on repeat assessment would indicate that she is
developing shock? Correct ans - Pulse pressure 32 mm Hg
A 32-year-old complains of headache and dizziness. He vomited once and is
walking with a staggering gait. His blood pressure is 148/72, pulse 92,
respirations 20. He has a steady stare up toward his right ear. Which sign or
symptom makes you consider intracerebral hemorrhage more strongly than
migraine headache as a cause of his emergency? Correct ans -
Abnormal gaze
A 33-year-old male has right lower quadrant abdominal pain and vomiting.
Five minutes after you administer a dose of ondansetron, he vomits
forcefully. His vitals are now BP 102/72, P 52, R 20. The alteration in his vital
signs is likely related to: Correct ans - Vagal stimulation
A 40-year-old male has chest pain reported as an "elephant sitting on my
chest." He confides that he snorted cocaine 5 minutes before his pain began.
You should first administer: Correct ans - Lorazepam, 2 mg IV
A 42-year-old male complains of a gnawing, sever pain in the epigastric area
that radiates to his back. His vital signs are T 102*F, BP 94/68, P 128, R 24.
Your highest priority intervention would be to administer: Correct ans -
Normal saline, 250 mL bolus
A 43-year-old male with diffuse abdominal pain and vomiting has a yellowish
discoloration of his sclera. This indicates he has excess serum: Correct
ans - Bilirubin
A 44-year-old male is postictal after a witnessed grand mal seizure. He is
arousable to light pain and is presently snoring. His vital signs are BP 142/86,
P 120, R 20, Sa02 98%. You should: Correct ans - Insert a
nasopharyngeal airway
A 45-year-old female complains of right upper quadrant abdominal pain. To
help confirm your differential if you suspect cholecystitis you should:
Correct ans - Ask her to take a deep breath as you press upward into her
right upper quadrant
A 45-year-old male complains of severe epigastric pain radiating to his back.
He has vomited several times. His history is significant for alcohol abuse and
This study source was downloaded by 100000857300661 from CourseHero.com on 11-27-2022 04:10:42 GMT -06:00
https://www.coursehero.com/file/179279994/AMLS-PreTest-II-Examdocx/
Answers 100% Correct
A 19-year-old female is flushed, itchy, and wheezing after eating crab legs.
Her vital signs are BP 90/64 mm Hg, P 128 bpm, R 24 breaths/min. Which
intervention is indicated first? Correct ans - Epinephrine intramuscular
A 2-year-old male is found chewing on berries from a lily of the valley plant.
Predict his vital signs. Correct ans - BP 70/50 P 70 bpm
A 22-year-old female is found at a party unresponsive and breathing
approximately 8 breaths/min. Her skin is gray. Which of the following signs or
symptoms will confirm your suspicion that the opioid toxidrome is causing
her emergency? Correct ans - Pupils 2 mm and equal
A 22-year-old male complains of a 2-day history of abdominal pain. His skin
is flushed, and he has a fruity odor on his breath. Assessment reveals BP
106/54 mm Hg, P 128, R 28, glucose 568 mg/dL. Your highest priority
intervention would be to: Correct ans - Infuse normal saline rapid IV
A 22-year-old patient at a restaurant is complaining of abdominal pain and
diarrhea. Her skin is flushed, and she feels faint. Her vital signs are: BP
98/50, P 124, R 24. Which finding in her SAMPLER history is most likely to
guide your differential diagnosis for this patient? Correct ans - Illness
began about 10 minutes after eating
A 23-year-old female has an acute onset of left flank pain. You should
investigate which of the following regarding her pain? Correct ans -
Dysuria
A 24-year-old female took 24 diphenhydramine tablets. Her vital signs are BP
86/54 mm Hg, P 110 bpm, R 20/min. What other sign or symptom should you
anticipate. Correct ans - Seizures
A 24-year-old male complains of sudden explosive headache . He asks you to
lower the lights. He has vomited once. Which of these findings would
increase your index of suspicion for subarachnoid hemorrhage? Correct
ans - Stiff neck
A 24-year-old male injuries in a shallow diving incident. Which assessment
finding would you anticipate if he is developing neurogenic shock?
Correct ans - Heart rate 58 bpm
A 25-year-old helmeted female was thrown from a horse. She is complaining
of weakness in her upper extremities. You ask her to close her eyes and
This study source was downloaded by 100000857300661 from CourseHero.com on 11-27-2022 04:10:42 GMT -06:00
https://www.coursehero.com/file/179279994/AMLS-PreTest-II-Examdocx/
, identify whether you are moving her thumb up or down. She is unable to do
so. This indicates she does not have normal: Correct ans -
Proprioception
A 25-year-old woman was involved in a motor vehicle collision. Her initial
vital signs were BP 122/80 mm Hg, P 128 bpm, R 20 breath/min. Which of the
following findings on repeat assessment would indicate that she is
developing shock? Correct ans - Pulse pressure 32 mm Hg
A 32-year-old complains of headache and dizziness. He vomited once and is
walking with a staggering gait. His blood pressure is 148/72, pulse 92,
respirations 20. He has a steady stare up toward his right ear. Which sign or
symptom makes you consider intracerebral hemorrhage more strongly than
migraine headache as a cause of his emergency? Correct ans -
Abnormal gaze
A 33-year-old male has right lower quadrant abdominal pain and vomiting.
Five minutes after you administer a dose of ondansetron, he vomits
forcefully. His vitals are now BP 102/72, P 52, R 20. The alteration in his vital
signs is likely related to: Correct ans - Vagal stimulation
A 40-year-old male has chest pain reported as an "elephant sitting on my
chest." He confides that he snorted cocaine 5 minutes before his pain began.
You should first administer: Correct ans - Lorazepam, 2 mg IV
A 42-year-old male complains of a gnawing, sever pain in the epigastric area
that radiates to his back. His vital signs are T 102*F, BP 94/68, P 128, R 24.
Your highest priority intervention would be to administer: Correct ans -
Normal saline, 250 mL bolus
A 43-year-old male with diffuse abdominal pain and vomiting has a yellowish
discoloration of his sclera. This indicates he has excess serum: Correct
ans - Bilirubin
A 44-year-old male is postictal after a witnessed grand mal seizure. He is
arousable to light pain and is presently snoring. His vital signs are BP 142/86,
P 120, R 20, Sa02 98%. You should: Correct ans - Insert a
nasopharyngeal airway
A 45-year-old female complains of right upper quadrant abdominal pain. To
help confirm your differential if you suspect cholecystitis you should:
Correct ans - Ask her to take a deep breath as you press upward into her
right upper quadrant
A 45-year-old male complains of severe epigastric pain radiating to his back.
He has vomited several times. His history is significant for alcohol abuse and
This study source was downloaded by 100000857300661 from CourseHero.com on 11-27-2022 04:10:42 GMT -06:00
https://www.coursehero.com/file/179279994/AMLS-PreTest-II-Examdocx/
