1.
Rhonchi are associated with
Correct Answer
A. Pneumonia
Explanation
Rhonchi are low-pitched wheezing sounds heard during auscultation of the lungs. They are typically caused by the obstruction or narrowing of the larger airways due to the presence of mucus, fluid, or inflammation. Pneumonia is an infection that causes inflammation and fluid accumulation in the lungs, leading to the production of mucus and increased risk of airway obstruction. Therefore, rhonchi are commonly associated with pneumonia.
2.
Asystole means
Correct Answer
A. Flat line
Explanation
Asystole refers to a state of cardiac arrest where there is a complete absence of any electrical activity in the heart. This results in a flat line on the electrocardiogram (ECG), indicating no heartbeat or cardiac activity. Therefore, the correct answer is "flat line."
3.
Which of the following would be the most concerning of a patient complaining of back and abdominal pain.
Correct Answer
B. Pulsating mass
Explanation
AAA
4.
Patient with a history of upper GI bleeding is saying they are experiencing weakness and abdominal pain, he says he vomited 5 minutes before you arrived which is the most important question to ask?
Correct Answer
D. Was the vomit red or look like coffee grounds
Explanation
The most important question to ask in this scenario is whether the vomit was red or looked like coffee grounds. This is because a history of upper GI bleeding, along with weakness and abdominal pain, suggests the possibility of active bleeding in the gastrointestinal tract. Vomiting red blood or coffee ground-like material can indicate bleeding in the upper digestive system, such as from an ulcer or esophageal varices. This information is crucial for assessing the severity of the bleeding and determining the appropriate course of action for the patient.
5.
The patient has been diagnosed with esophageal varies which appear to have ruptured what should you do?
Correct Answer
A. Suction
Explanation
In this scenario, the patient has been diagnosed with esophageal varices that have ruptured. Esophageal varices are enlarged veins in the esophagus that can burst and cause severe bleeding. Suctioning is the appropriate action in this situation because it helps remove any blood or fluids from the airway, preventing aspiration and maintaining a clear airway for the patient. This is crucial in managing the patient's condition and preventing further complications.
6.
Pain in the right shoulder from an inflamed gallbladder is called?
Correct Answer
A. Referred pain
Explanation
Referred pain occurs when pain is felt in a different area of the body than where the actual problem is located. In the case of an inflamed gallbladder, the pain is often felt in the right shoulder. This happens because the nerves that supply the gallbladder and the shoulder share a common pathway, so the brain interprets the pain as coming from the shoulder instead of the gallbladder. Therefore, the correct term for the pain in the right shoulder from an inflamed gallbladder is referred pain.
7.
Insulin does what?
Correct Answer
C. A hormone that enables glucose to move into the cell
Explanation
Insulin is a hormone that enables glucose to move into the cell. It is produced by the pancreas and plays a crucial role in regulating blood sugar levels. When we eat, insulin is released to help transport glucose from the bloodstream into the cells, where it can be used as a source of energy. Without insulin, glucose cannot enter the cells, leading to high blood sugar levels and potentially causing diabetes. Therefore, the correct answer is that insulin is a hormone that enables glucose to move into the cell.
8.
Children with diabetes and are insulin-dependent.
Correct Answer
A. True
Explanation
The statement is true because children with diabetes who are insulin-dependent require regular insulin injections to manage their blood sugar levels. Insulin is necessary for these children because their bodies either do not produce enough insulin or do not use it effectively. Without insulin, their blood sugar levels can become dangerously high, leading to various complications. Therefore, it is essential for these children to receive insulin therapy to maintain their health and manage their diabetes effectively.
9.
Diabetes can cause kidney failure and damage to blood vessels.
Correct Answer
A. True
Explanation
Diabetes can lead to kidney failure and damage to blood vessels due to the high levels of glucose in the blood. Over time, the excess glucose can damage the small blood vessels in the kidneys, impairing their ability to filter waste products from the blood. This can eventually result in kidney failure. Additionally, high blood sugar levels can also damage the blood vessels throughout the body, increasing the risk of cardiovascular problems such as heart disease and stroke. Therefore, it is true that diabetes can cause kidney failure and damage to blood vessels.
10.
ALC rapid respiration fruity order on breath.
Correct Answer
D. Diabetic ketoacidosis
Explanation
The given symptoms of rapid respiration, fruity odor on breath, and hyperglycemia are indicative of diabetic ketoacidosis. Diabetic ketoacidosis occurs when there is a lack of insulin in the body, leading to high blood sugar levels. As a result, the body starts breaking down fat for energy, producing ketones. Rapid respiration is a compensatory mechanism to eliminate excess ketones, and the fruity odor on breath is due to the presence of ketones. This condition is commonly seen in individuals with uncontrolled diabetes.
11.
The glucometer measures blood sugar reads 50mg per.
Correct Answer
A. Low
Explanation
The given answer "low" is correct because a blood sugar reading of 50mg per deciliter is considered to be below the normal range. Typically, a normal blood sugar level is between 70-99mg/dL. Therefore, a reading of 50mg/dL indicates a lower than normal blood sugar level, which can be a sign of hypoglycemia or low blood sugar.
12.
Which nemonic is used to determine a patient with ALOC?
Correct Answer
A. AEIOUTIPS
Explanation
The mnemonic AEIOUTIPS is used to determine a patient with ALOC (Altered Level of Consciousness). Each letter in the mnemonic represents a potential cause for the altered mental status: Alcohol, Epilepsy, Insulin (hypoglycemia), Overdose, Uremia (kidney failure), Trauma, Infection, Psychiatric/Poisoning, and Stroke/Seizure. This mnemonic helps healthcare professionals quickly assess and consider these potential causes when evaluating a patient with ALOC.
13.
The patient is confused with combative and labored respirations with pale cool diaphoretic skin.
Correct Answer
A. Hypoglycemia
Explanation
The patient's symptoms of confusion, combative behavior, labored respirations, and pale, cool, diaphoretic skin are indicative of hypoglycemia. Hypoglycemia occurs when blood sugar levels drop too low, leading to a decrease in energy supply to the brain and other vital organs. This can result in altered mental status, difficulty breathing, and changes in skin appearance. Hyperglycemia and DKA (diabetic ketoacidosis) are characterized by high blood sugar levels, which would not explain the patient's symptoms. "Hens" is not a medical condition and is unrelated to the patient's presentation.
14.
Which of the following is a candidate for oral glucose?
Correct Answer
B. Alert confused diabetic cool skin
Explanation
An alert confused diabetic with cool skin is a candidate for oral glucose because they are conscious and can swallow the glucose. The cool skin indicates that their blood sugar levels may be low, and providing oral glucose can help increase their blood sugar levels quickly and effectively.
15.
Early stages of anaphylaxis.
Correct Answer
D. I suddenly feel i have a lump in my throat
Explanation
This answer suggests that the individual is experiencing a symptom commonly associated with anaphylaxis, which is the sudden feeling of having a lump in the throat. Anaphylaxis is a severe allergic reaction that can cause various symptoms, including difficulty breathing, swelling of the throat, and a drop in blood pressure. Therefore, this symptom aligns with the early stages of anaphylaxis.
16.
Why would a patient say its easier to breathe after administration of epinephrine?
Correct Answer
B. Dilation of bronchioles
Explanation
After the administration of epinephrine, the patient may find it easier to breathe due to the dilation of bronchioles. Epinephrine acts as a bronchodilator, relaxing the smooth muscles in the bronchioles, which allows for easier airflow in the lungs. This can be particularly beneficial for patients with conditions such as asthma or bronchitis, where the airways may be constricted, making it difficult to breathe. By dilating the bronchioles, epinephrine helps to open up the airways and improve respiratory function.
17.
Which of the following is not anaphylaxis in a minor reaction?
Correct Answer
D. Hypotension
Explanation
Hypotension is not an anaphylactic reaction in a minor reaction. Anaphylaxis is a severe allergic reaction that can cause a drop in blood pressure, difficulty breathing, and other life-threatening symptoms. However, hypotension refers specifically to low blood pressure and can be caused by various factors unrelated to allergies. While anxiousness, swelling at the scene, and hives can be symptoms of an allergic reaction, hypotension is not typically associated with a minor allergic reaction.
18.
Release of histamine will cause dilation of?
Correct Answer
A. Blood vessels
Explanation
Histamine is a chemical released by the immune system in response to an allergen or injury. When histamine is released, it causes blood vessels to dilate, leading to increased blood flow to the affected area. This can result in symptoms such as redness, swelling, and warmth. Therefore, the correct answer is blood vessels.
19.
Hives just around the chest.
Correct Answer
C. Allergic reaction
Explanation
The given correct answer is "allergic reaction". This suggests that the symptoms described, hives just around the chest, are indicative of an allergic reaction. Hives are a common symptom of an allergic reaction and can occur in response to an allergen. The location of the hives around the chest area suggests that the allergen may have come into contact with the skin in that area. Therefore, the most likely explanation for the given symptoms is an allergic reaction.
20.
Which of the following explains why patients with anaphylactoid reaction have trouble breathing?
Correct Answer
A. Histamine restricts bronchioles
Explanation
Patients with an anaphylactoid reaction have trouble breathing because histamine restricts the bronchioles. Histamine is released during an allergic reaction and causes the smooth muscles in the bronchioles to contract, leading to narrowing of the airways and difficulty in breathing. This narrowing of the bronchioles can result in wheezing, shortness of breath, and respiratory distress.