1.
An infection typically decreases the heart rate.
Correct Answer
B. False
Explanation
Infections typically increase the heart rate rather than decrease it. This is because infections trigger an immune response in the body, causing inflammation and the release of certain chemicals that can stimulate the heart and increase its rate. Additionally, infections can lead to fever, which also increases the heart rate. Therefore, the statement that an infection typically decreases the heart rate is incorrect.
2.
An oral airway helps relax the muscles of a responsive patient.
Correct Answer
B. False
Explanation
An oral airway should only be used on a non-responsive patient.
3.
Your patient is showing signs of accessory muscles and nasal flaring. You suspect:
Correct Answer
C. Respiratory Distress
Explanation
The patient showing signs of accessory muscles and nasal flaring indicates respiratory distress. Accessory muscles are used to help with breathing when the primary muscles are not sufficient, and nasal flaring is a reflex response to increased respiratory effort. These symptoms suggest that the patient is having difficulty breathing, which could be caused by various respiratory conditions such as asthma, pneumonia, or chronic obstructive pulmonary disease. It is important to further assess the patient's respiratory status and provide appropriate interventions to support their breathing.
4.
The R in OPQRST stands for
Correct Answer
B. Radiate
Explanation
The correct answer is Radiate. In the context of OPQRST, the R stands for Radiate. This acronym is commonly used in medical settings to assess a patient's symptoms. Each letter represents a different aspect of the patient's condition. In this case, Radiate refers to the spreading or extending of pain or discomfort from its original location to other areas of the body. This symptom can provide important information to healthcare professionals in diagnosing and treating the patient.
5.
The L in SAMPLE history stands for:
Correct Answer
A. Last Oral Intake
Explanation
The L in SAMPLE history stands for "Last Oral Intake". This refers to the last time the patient had anything to eat or drink before their current condition. It is important to know this information as it can help determine if the patient is at risk of aspiration or if certain medications or treatments need to be adjusted based on their recent intake.
6.
The AVPU scale is used to measure:
Correct Answer
B. Level of Consciousness
Explanation
The AVPU scale is used to measure the level of consciousness. AVPU stands for Alert, Verbal, Pain, and Unresponsive, which are different levels of consciousness. This scale is commonly used in medical settings to assess a patient's mental status and determine their level of responsiveness. By using this scale, healthcare providers can quickly evaluate a patient's level of consciousness and make appropriate decisions regarding their care and treatment.
7.
Is wheezing a sign or a symptom?
Correct Answer
A. Sign
Explanation
Wheezing is considered a sign rather than a symptom. A sign is an objective indication of a medical condition that can be observed or measured by a healthcare professional. In the case of wheezing, it is a high-pitched whistling sound that occurs when air flows through narrowed airways in the lungs. It can be heard by both the person experiencing it and others around them. Wheezing is commonly associated with conditions such as asthma, bronchitis, or allergies, and serves as a visible or audible sign of an underlying respiratory issue.
8.
What is epistaxis associated with?
Correct Answer
C. Nose
Explanation
Epistaxis is the medical term for a nosebleed. It is a condition characterized by bleeding from the nose, usually caused by trauma or irritation to the nasal passages. Therefore, the correct answer is "Nose" as epistaxis is associated with the nose.
9.
In which of the following diabetic emergencies would you expect to find warm, red, dry skin:
Correct Answer
A. Hyperglycemia
Explanation
In hyperglycemia, the blood sugar levels are abnormally high. This can lead to dehydration and the body's attempt to cool down by increasing blood flow to the skin. As a result, the skin may feel warm to the touch. Additionally, the high blood sugar levels can cause blood vessels to dilate, resulting in a flushed or red appearance of the skin. The dryness of the skin can be attributed to the increased urination and fluid loss associated with hyperglycemia.
10.
In which of the following diabetic emergencies would you expect to find breath that smells like nail polish remover?
Correct Answer
A. Hyperglycemia
Explanation
In hyperglycemia, the body has high blood sugar levels due to insufficient insulin or insulin resistance. This causes the body to break down fat for energy, resulting in the production of ketones. Ketones have a strong, fruity odor similar to nail polish remover. Therefore, breath that smells like nail polish remover is commonly associated with hyperglycemia.
11.
A weakened section of an arterial wall is a:
Correct Answer
A. Aneurysm
Explanation
An aneurysm is a weakened section of an arterial wall. It occurs when the wall of an artery becomes weakened and bulges outwards, forming a sac-like structure. This weakening can be caused by various factors such as high blood pressure, atherosclerosis, or genetic conditions. If an aneurysm ruptures, it can lead to severe bleeding and potentially life-threatening complications. Therefore, it is important to monitor and treat aneurysms to prevent rupture.
12.
Shocking news can lead to:
Correct Answer
E.
Psychogenic Shock
Explanation
Psychogenic shock refers to a sudden and temporary loss of consciousness caused by an emotional or psychological trauma, rather than a physical injury or medical condition. It is a type of shock that occurs due to a severe emotional distress, such as receiving shocking news. This can trigger a sudden drop in blood pressure and result in symptoms like fainting, dizziness, and rapid heartbeat.
13.
Using the rule-of-nines to determine the burn percentage, what percent is an infant's entire leg?
Correct Answer
C.
14 percent
Explanation
An infant's entire leg is approximately 14 percent of their total body surface area according to the rule-of-nines. This rule is commonly used to estimate the extent of burns on different body parts by dividing the body into regions that represent 9 percent or multiples of 9 percent. Therefore, an infant's entire leg would be considered to be 14 percent of their body surface area.
14.
Using the rule-of-nines to determine the burn percentage, what percent is the front of an adult's leg?
Correct Answer
B.
9 percent
Explanation
The rule-of-nines is a method used to estimate the extent of burns on the body. According to this rule, the front of an adult's leg is considered to be 9 percent of the total body surface area.
15.
The term 'stridor' typically refers to which type of airway obstruction?
Correct Answer
A. Upper
Explanation
Stridor refers to a high-pitched, harsh sound that occurs during breathing. It is typically caused by an obstruction in the upper airway, such as the throat or larynx. This can be due to conditions like croup, epiglottitis, or a foreign object blocking the airway. Lower airway obstructions, on the other hand, usually result in wheezing rather than stridor. Therefore, the correct answer is upper airway obstruction.
16.
Nitroglycerin has the following action on blood vessels:
Correct Answer
B. Dilation
Explanation
Nitroglycerin causes dilation of blood vessels. This is because it is a potent vasodilator, meaning it relaxes and widens the blood vessels, allowing for increased blood flow. This dilation of blood vessels can help to relieve conditions such as angina, as it reduces the workload on the heart and improves blood supply to the heart muscle.
17.
The term 'wheezing' typically refers to which type of airway obstruction?
Correct Answer
B. Lower
Explanation
Wheezing typically refers to a type of airway obstruction in the lower airways. This is because wheezing is often associated with conditions such as asthma or bronchitis, which affect the bronchioles and smaller airways in the lungs. Upper airway obstructions, on the other hand, usually involve blockages in the nasal passages, throat, or larynx, and are not typically associated with wheezing. Therefore, the correct answer is lower.
18.
In which of the following diabetic emergencies would you expect to find cold, pale, most, or clammy skin:
Correct Answer
B. Hypoglycemia
Explanation
In hypoglycemia, the body's blood sugar levels are dangerously low. This can cause various symptoms, including cold, pale, moist, or clammy skin. The decrease in blood sugar levels affects the body's ability to regulate temperature, leading to a decrease in skin temperature and a pale appearance. The skin may also feel moist or clammy due to increased perspiration as the body tries to compensate for the low blood sugar levels.
19.
Dehydration can lead to:
Correct Answer
C. Hypovolemic Shock
Explanation
Dehydration can lead to hypovolemic shock because it causes a significant decrease in blood volume. When the body loses too much fluid, such as through excessive sweating, vomiting, or diarrhea, there is not enough blood circulating to deliver oxygen and nutrients to the organs and tissues. This can result in a drop in blood pressure, rapid heart rate, dizziness, confusion, and ultimately, hypovolemic shock.
20.
The jugular neck veins are normally visible in a supine patient.
Correct Answer
A. True
Explanation
The jugular neck veins are normally visible in a supine patient because when a person is lying flat on their back, the blood flow from the head to the heart is not hindered by gravity. This allows the jugular veins in the neck to fill with blood and become more prominent, making them visible.