QUESTIONS AND ANSWERS

QUESTIONS AND ANSWERS

Exam pre and post test Barkley -

EXAM ALL QUESTIONS AND CORRECT DETAILED ANSWERS

TESTED AND CONFIRMED A+ ANSWERS

A 20 year old female is being evaluated for an acute onset of an alteration in mentation. She She complained of a stiff neck and persistent headache. Vital signs are P 112, R22 and regular BP 144/88, SpO2 95% and T 102.3F. The healthcare provider should observe for which complication?

• Sepsis
• Seizure
• Cardiac arrest
• Internal bleeding - CORRECT ANSWERS B. Seizure

A 45 year old patient is found supine on the floor of the Triage area. Healthcare providers note pinpoint pupils, shallow respirations and vomitus in and around the mouth. What course of action should be implemented next?

• Initiate an IV and administer naloxone
• Supplemental oxygen and suction
• Obtain a blood glucose level
• Being bag-mask ventilation - CORRECT ANSWERS B. Supplemental O2 and

suction

Patients with a history of chronic bronchitis that present with shortness of breath are likely to have which condition?

• Pulmonary embolism
• Angina pectoris
• Angioedema
• Hypertensive crisis - CORRECT ANSWERS A. Pulmonary Embolism

Acute respiratory distress syndrome (ARDS) is characterized by what pathological change?

• Excessive mucus production
• Inflammation of the visceral pleura
• Breakdown of the alveolar-capillary membrane
• Accumulation of fluid between the pleural layers - CORRECT ANSWERS C.

Breakdown of the alveolar-capillary membrane

An anxious male complains of a sore throat, fever, chills, dental pain and dyspnea.The patient has a firm, red pronounced swelling in the sublingual anterior throat area and tongue. What diagnosis is most likely?

• Croup
• Tonsilitis
• Angioedema
• Ludwig's Angina - CORRECT ANSWERS D. Ludwig's angina

Patients on mechanical ventilation may have hypoxemia due to alveolar collapse

from mucous plugging. The best treatment for this is:

• Increase oxygen concentration to 100%
• Increase tidal volume
• Increase respiratory rate
• Administer PEEP - CORRECT ANSWERS D. Administer PEEP

Anaphylaxis is most associated with which physiological event?

• Hemorrhage
• Vasodilation
• Bradycardia
• Hypotension - CORRECT ANSWERS B. Vasodilation

An elderly patient in an assisted living facility present with a diminished level of consciousness and elevated white blood count. Assessment reveals pale, clammy skin and a urinary catheter with dark colored urine. Vital signs are P132, R38 and shallow, BP 78/46, SpO2 91% and T 100.8F. What classification of shock is the patient most likely experiencing?

• Hypovolemic
• Cardiogenic
• Distributive
• Obstructive - CORRECT ANSWERS C. Distributive

Healthcare providers are assessing a patient with pronounced jugular vein distention and muffled heart tones. Vitals are P 128, R 26, BP 74/52. What classification of shock should be suspected?

• Hypovolemic
• Cardiogenic
• Distributive
• Obstructive - CORRECT ANSWERS D. Obstructive

During compensatory shock, the renin-angiotensin-aldosterone system is

activated to cause a/an:

• Increase in preload, afterload and re-absorption of sodium
• Decrease in preload, afterload and re-absorption of sodium
• Increase in myocardial contractility
• Vasodilation and sodium retention - CORRECT ANSWERS A. Increase in

preload, afterload and re-absorption of sodium