Test Prep Test Prep Certifications ACLS Questions & Answers

• Question 41:

  SIMULATION

  What is implied consent?

  A. Implied consent is consent assumed from the unconscious patient requiring emergency intervention.

  Correct Answer: A

• Question 42:

  SIMULATION

  Upon what assumption is implied consent based?

  A. On the assumption that the unconscious patient would consent to lifesaving interventions were he or she conscious.

  Correct Answer: A

• Question 43:

  SIMULATION

  In order to obtain expressed consent from a patient, that patient must . . .

  A. Be of legal age, be able to make rational decisions, and must be informed of the steps of the procedures and all related risks.

  Correct Answer: A

• Question 44:

  SIMULATION

  Give an example of an advanced directive.

  A. Do Not Resuscitate (DNR) orders.

  Correct Answer: A

• Question 45:

  SIMULATION

  You arrive at the home of a 68-year-old man who presents with a weak, thready pulse, and respirations of

  8.

  The wife states she has DNR orders, but she can't find them. What do you do?

  A. Begin resuscitative efforts.

  Correct Answer: A

• Question 46:

  SIMULATION

  List the proper procedure for active rapid rewarming.

  A. Immerse the affected part in warm water bath. Monitor the water to ensure that it does not cool from the frozen part. Continuously stir the water to keep it moving. Continue until the part is soft and color and sensation return. Dress the area with a dry sterile dressing. If it is a hand or a foot, place a dry sterile dressing between fingers and toes. Protect against refreezing of the warmed part and expect the patient to complain of severe pain.

  Correct Answer: A

• Question 47:

  SIMULATION

  You must be able to provide proper emergency medical care for a patient suffering from localized cold injuries. Identify the proper emergency medical care.

  A. Remove the patient from the environment immediately. Protect the cold injured extremity from further injury. Administer oxygen, if not already done as part of the initial assessment. Remove all wet or restrictive clothing. If it is an early or superficial injury, splint the extremity, cover the extremity, and Do not rub it. Do not reexpose to the cold. If it is a late or deep cold injury, remove all jewelry and cover with dry clothing or dressings. Do not break any blisters, rub, or massage the area, apply heat directly to the tissue, or attempt to rewarm. Do not allow the patient to walk on any of the affected extremities. When an extremely long or delayed transport is inevitable, then active rapid rewarming should be done.

  Correct Answer: A

• Question 48:

  SIMULATION

  Identify the appropriate medical care for patients suffering from generalized hypothermia.

  A. Remove the patient from the environment. Protect the patient from further heat loss. Place in a warm environment as soon as possible. Remove all wet clothing and cover with a blanket. Handle the patient extremely gently. Avoid rough handling of any kind. Do not allow the patient to walk or exert himself or herself in any fashion. Administer oxygen if not already done as part of the initial assessment. Oxygen administered should be warmed and humidified if possible. Assess pulses for 30?5 seconds before starting CPR, as the patient may be bradycardic. The 30 or 40 seconds ensures a good time frame for assessing pulses. If the patient is alert and responding appropriately, actively rewarm the patient with warm blankets, heat packs or hot water bottles to the groin, axillary, Cervicalregions. If possible, turn up the heat in the patient compartment of the ambulance.

  Correct Answer: A

• Question 49:

  SIMULATION

  Describe the skin of a patient suffering from hypothermia.

  A. A patient suffering from hypothermia may exhibit skin that is both red in the early stages of hypothermia and, as hypothermia progresses; the skin will become pale, even cyanotic. Its texture may also become stiff and hard.

  Correct Answer: A

• Question 50:

  SIMULATION

  A patient experiencing hypothermia will show variances in their pulse rate depending on the severity of the hypothermia. Describe these changes.

  A. A patient experiencing early hypothermia will have a rapid pulse rate. A patient suffering from late hypothermia may experience a slow, barely palpable, and/or irregular or completely absent pulse rate. Additionally, they may also have a low to absent blood pressure.

  Correct Answer: A