EXAM COMPLETE 170 QUESTIONS AND DETAILED
CORRECT ANSWERS (VERIFIED ANSWERS) |
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A patient is transported to the ED via EMS for headache vomiting and progressive confusion
after a fall three days ago. Which of the following head injuries is the most likely cause of the
symptoms?
a. concussion
b. Epidural hematoma
c. Subdural hematoma
d. Basilar skull fracture
C -- subdural hematomas or slower bleeds since Venus. Seen commonly in alcoholics, elderly
and from shaken impact syndrome
A patient with a stab wound to the left flank area is unable to move his left side and unable to fill
the right side of his body. The symptoms are associated with which of the following in complete
spinal cord injuries?
a. anterior cord syndrome
b. posterior cord syndrome
c. central cord syndrome
d. brown-sequard syndrome
d. Brown-Sequard syndrome -- is the incomplete cord syndrome with ipsilateral motor loss and
contralateral loss of sensation
,Sutures placed in the eyebrows should be removed within...
Eyebrow suture should be removed in 4 tp 5 days, lips 3 to 5 days, scalp 7 to 10 days, extremities
10 to 14 days, over 14 days for joints.
A 40-year-old female who is 36 weeks pregnant presents to the ED with painless bright red
vaginal bleeding. The nurse knows a pelvic exam is contraindicated since the most likely cause
of the bleeding is
Placenta previa; characterized by painless bright red vaginal bleeding
A 14-year-old complains of lightheadedness and palpitations. Which cardiac disorder is
characterized by a short PR interval and a delta wave?
Wolf Parkinson white syndrome (WPW) is characterized by a short PR interval (<0.12 sec) and a
delta wave (slurred and broad upstroke of the QRS complex), representing early ventricular
activation via the abnormal accessory pathway
A 22-year-old female complains of thick white cottage cheese like vaginal discharge, pruritis,
vulvar burning, and dyspareunia. The nurse suspects a diagnosis of
Candidiasis is characterized by thick white cottage cheese-like vaginal discharge
Fever, bloating, and pain at the right costal margin upon palpation is associated with which
disorder?
Cholelititlitis or gallbladder disease is characterized by pain at the right costal margin, referred to
as "murphy's sign" (costal margin is near the lower rib)
Which of the following signs and symptoms is not characteristic of Wernicke's encephalopathy?
a. confabulation
,b. chronic memory loss
c. ataxia
d. nystagmus
b. chronic memory loss. -- Wernicke encephalopathy is characterized by confusion and
confabulation, gait ataxia, and nystagmus.
Chronic/permanent memory loss is a symptom of Korsakoff's syndrome
A patient complains of excruciating unilateral headache with nasal congestion and excessive
lacrimation on the affected side. The nurse suspects:
Cluster HA -- excessive tearing/lacrimation, along with unilateral nasal congestion are signs of a
cluster headache.
Temporal (giant cell) arteritis has a palpable cord-like termporal artery.
A patient complains of sudden onset of painless unilateral vision loss and denies any trauma.
Which ocular emergency does the nurse suspect?
Central retinal artery occlusion. Painless unilateral vision loss, curtain coming down, and
amaurosis fugax are seen in central retinal artery occlusion (CRAO).
Acute angle glaucoma has "tunnel vision", and halos around lights. Hyphema is blood in the
anterior chamber of the eye.
Which of the following signs/symptoms should raise an index of suspicion that a patient is
experiencing retinal detachment?
, a. Tunnel vision and seeing halos around lights
b. Reddish hue two vision after getting punched in the face
c. Crusty eyelids and yellow discharge from eye
d. photopsia and floaters in the visual field
D. Photopsia and Floaters -- flashes of light (Photopsia) and floaters (spots in vision) are
characteristic of retinal detachment
Hazardous vulnerability assessment is completed in which phase of disaster management?
Hazardous vulnerability assessment "HVA" is part of mitigation.
Preparedness is stockpiling supplies, training, and mutual aid agreements
Pertussis is a highly communicable infection characterized by gagging, vomiting, and what
Hallmark sign?
The Hallmark sign of pertussis is a proximal cough.
Inspiratory stridor is heard in upper airway obstruction like croup. Expiratory wheezes her early
and lower airway obstruction like asthma. Drooling with respiratory distress is a hallmark sign of
epiglottitis.
Your patient has a history of Addison's disease. Which vital sign change would indicate adrenal
crisis?
Hypotension is seen in adrenal crisis due to hypovolemic shock
To assess the radial nerve the nurse asks the patient to...