P1 Chapter Quizzes 15-21
upon entering the home of a patient, you notice cluttered and disorganized living conditions. You recognize that this can be an indicator of which of the following?
Degenerative nervous system codition
Albuterol would be contraindicated for patients with which of the following conditions
Dysrhythmias
a patient with orthopnea
seeks a sitting position when short of breath
A QRS complex with a duration of how many seconds or more signifies abnormal ventricular conduction?
0.12
a difference greater than how many millimeters is worth noting when assessing the equality of pupil size?
1.0
you should check a glucometer reading before administering oral glucose and then repeat the reading at least how many minutes ater administration
10 minutes
what is the target BP for an adult patient with increased intracranial pressure?
110 mm Hg
A patient is found in the decerebrate posturing position. what score would you assign for motor activity using the GCS?
2
when administering dextrose to children younger than 8 years, the dextrose concentration should be less than:
25%
a high level of oxygen to the brain of a patient with a hemorrhagic stroke and increased intracranial pressure:
causes vasoconstriction and can impair brain perfusion
Depolarization occurs when:
cell wall permeability changes and sodium rushes into the cell.
which antibiotic kills bacteria by preventing the formation of the bacterial cell wall
cephalexin
you respond to the residence of a known heroin abuser. the patient, a 30 year old man, is unconscious and unresponsive. he is hypoventilating, bradycardic, and hypotensive. administration of 10 mm of naloxone has had no effect, you and your transport time to the hospital is approximately 30 minutes. you should:
check his BGL as your partner prepares to intubate
which of the following is often the presenting symptom in a patient with an acute coronary syndrome
chest pain or discomfort
the head tilt chin lift maneuver is contraindicated for pts who:
have a possible spinal injury
a loud S3 heart sound, when heard in older adults, often signifies
heart failure
blood tinged sputum can be caused by:
heart failure
which of the following is the leading preventable cause of strokes and TIAs?
hypertension
Milrinone is administered to a patient experiencing shock with high systemic vascular resistance. you should reduce the dose in patients with:
renal dysfunction
a person's level of consciousness is regulated by the:
reticular activating system
which condition is characterized by a P wave with an amplitude higher than 2.5 mm in lead II or higher than 1.5 mm in lead V1?
right atrial abnormality
the right atrium, right ventricle, and part of the left ventricle are supplied by the:
right coronary artery
Cor pulmonale is defined as:
right sided heart failure secondary to chronic lung disease
Fibrinolysis may be contraindicated if a patient has which of the following?
right versus left arm systolic BP difference of greater than 15 mm Hg
a patient with suspected upper GI bleeding is given famotidine. you should monitor for which of the following adverse reactions or side effects
seizures
the peripheral nervous system is responsible for:
sending messages to and receiving messages from the brain.
common reality is defined as:
sensory stimulation that can be confirmed by others
quiet tachypnea suggests possible
shock
the fraction of inspired oxygen increases with:
supplemental oxygen
which of the following statements regarding the SA node is correct?
the SA node is the dominant cardiac pacemaker in healthy patients
which of the following conditions is a general indication for using CPAP
the pt is experiencing respiratory distress after submersion incident
atrial kick is defined as:
the volume of blood that the atria contract to the ventricles
a patient reports severe and stabbing pain on one side of their face. the patient's husband tells you that the episode started when they were brushing their teeth. based on this information, you suspect that the patient may have:
trigeminal neuralgia
what type of medication is montelukast (Singulair)?
Leukotriene blocker
in an unresponsive patient, trismus can indicate:
absent gag reflex
a patient reports that their chest discomfort begins in the center of their chest and radiates to their back. Based on this information, you suspect that the patient may have:
acute aortic dissection
upon assessing a patient's breathing pattern, you notice a prolonged inspiratory phase with a shortened expiratory phase and bradypnea. you recognize that this breathing pattern may be caused by:
acute ischemic stroke
a patient shares that they are having difficulty breathing. When asked how long they have been experiencing this symptom, the patient tells you that they have noticed it over the last month. They also share that it occurs most often upon exertion. You suspect that the patient may be exhibiting signs of:
acute pulmonacy embolism
Paroxysmal Nocturnal Dyspnea is defined as:
acute shortness of breath that suddenly awakens a person from sleep.
when ventilating a pt with a bag mask device, you note increases compliance. this means that
air can be forced into the lungs with relaive ease
negative pressure ventilation occurs when
air is drawn into the lungs when intrathoracic pressure decreases.
Myelin functions by:
allowing the neuron to send its signal consistently along the axon without losing its electricity
levalbuterol is contraindicated for patients with
angioedema
what type of medication can cause thick sputum
antihistamine
a nonrebreathing mask is used to administer high flow oxygen to significantly hypoxemic pts who
are otherwise breathing normally
the main stem bronchus ends at the level of the:
bronchioles
Bilateral pitting edema may be a sign of:
Right ventricular failure (RVF)
Person who experiences sharp chest pain followed by increasing dyspnea after coughing likely has:
a pneumothorax
an oropharyngeal airway is contraindicated for pts with:
gag reflec
the upper airway of an adult consists of all the structures above the
glottis
a neoplasm is defined as a
new growth
difficulty with exhalation is most characteristic of:
obstructive lung disease
if heparin is administered with fibrinolytic therapy, you should do which of the following before administering the medication
obtain a blood sample for control of partial thromboplastin time
unstable angina
often awakens the patient from his or her sleep.
you should reserve oxygen concentrations higher than which percentage for patients with hypoxia who do not respond to lower concentrations
50%
you should consider air medical transportation for a stroke patient if you are more than how many minutes away from a stroke center?
60
to generate the optimal practical size, most nebulizers need to have a gas flow of at least:
6L/min
current guidelines from the AHA state that supplemental oxygen is not indicated if the pt is not experiencing respiratory distress and thir oxygen saturation
94%
which of the following conditions would likely cause the blood pressure to vary between the left arm and right arm?
Aortic Aneurysm
promethazine hydrochloride should be administered via which route
IM
which abbreviation would be used to indicate that a medication was giving intramuscularly
IM
which medication causes smooth muscle relaxation and is used to treat severe asthma
IV magnesium sulfate
a patient who s taking an antidepressant in combination with other serotonergic drugs is exhibiting signs of serotonin syndrome. which of the following symptoms would you expect to assess?
Neuromuscular abnormalities
which condition may produce ST-segment elevation, mimicking acute myocardial infarction?
Pericarditis
why are children more prone to croup when they acquire a viral infection than adults infected with the same virus?
a child's airway is narrower than an adult's, and even minor swelling can result in obstruction
atelectasis occurs when
a deficiency of surfactant causes alveolar collapse
the most common sign of an infectious disease of the nervous system is the presence of:
a fever
which of the following is a disadvantage of the hand powered portable suction device
body fluid contact
a patient with an acute myocardial infarction and elevated heart rate is administered metoprolol to reduce myocardial ischemia and damage. you should monitor the patient for which of the following adverse reactions or side effects
bronchospasm
the recovery position is indicated if the pt:
can maintain the airway spontaneously
olanzapine is contraindicated for patients who have:
dehydration
calcium gluconate may cause severe bradycardia in patients taking:
digitalis
the most common complaint in patients with respiratory disease is:
dyspnea
a patient presents with a barrel chest, muscle wasting, and pursed lip breathing. these symptoms are a sign of which condition
emphysema
what is the most effective means of dislodging a mild airway obstruction
encourage the pt to forcefully cough
a patient presents with altered mental status, dehydration, and renal failure. what should be the focus of your treatment?
ensure adequate circulation volume and monitor the ECG
when you care for patients who are experiencing psychosis, you should first:
ensure your own safety
When caring for an unresponsive, clinically unstable patient symptomatic bradycardia, what is the most immediate priority?
ensuring adequate ventilation and oxygenation
Polycythemia is a condition in which:
excess red blood cells are produced in response to chronic hypoxia
patient is given doxycycline to treat a UTI. you should inform the patient they should avoid:
excessive exposure to sunlight
normally, an adult at rest should have respirations that
follow a regular pattern of inhalation and exhalation
the body's immediate response to mild hypoxemia is:
increased heart rate
the most immediate and significant complication associated with a hemorrhagic stroke is:
increased intracranial pressure
Hypokalemia impacts cardiac function in which of the following ways?
increased myocardial irritability
A prolonged QT interval indicates that the heart:
is experiencing an extended refractory period, making the ventricles more vulnerable to dysrhythmias.
what is one of the primary advantages of using blind nasotracheal intubation
it does not require a laryngoscope
what is the mechanism of action of sodium bicarbonate
it increases blood and urinary pH
what is the mechanism of action of acetylcysteine
it restores glutathione concentrations within the liver
the point of maximal impulse usually can be felt on the:
left anterior chest, in the midclavicular line, at the fifth intercostal space.
paroxysmal nocturnal dyspnea may be a sign of:
left sided heart failure
in contrast to negative pressure ventilation, positive pressure ventilation
may impair blood return to the heart
the dose of pralidoxime should be reduced in patients with
myasthernia gravis
pulse ox is used to measure the:
percentage of hemoglobin that is saturated with oxygen
Tenting of the skin under the jaw often occurs when airway devices are inadvertently inserted into the:
piriform fossae
how should you assess peak expiratory flow in a pt with asthma
place the pt in a seated position with legs dangling
if you suspect that an unconscious pt has experienced a spinal injury, you should open their airway by:
placing your fingers behind the angle of the jaw and lifting the jaw forward
patients with pneumonia often experience a coughing fit when they roll from one side to the other because:
pneumonia often occurs in the lung bases, typically on only one side
concomitant use of diazepam with other CNS depressants may cause
profound sedation
metoclopramide is part of which class of medication
prokinetic agent
a patient's peripheral pulses become extremely weak during inhalation. this is called:
pulses paradoxus
