1. A 45-year-old patient is found supine on the floor. Healthcare providers note
pinpoint pupils, shallow respirations, and vomitus in and around the mouth. What
course of action should be taken next?
a. Initiate an IV and administer naloxone
b. Supplemental oxygen and suction
c. Obtain a blood glucose level
d. Begin BVM ventilations
b. Supplemental oxygen and suction
2. Patients with a history of COPD that present with an acute onset of shortness of
breath are likely to have what condition?
a. Pulmonary embolism
b. Angina pectoris
c. Angioedema
d. Hypertensive crisis
a. Pulmonary embolism
3. During compensatory shock, the renin-angiotensin-aldosterone system is
activated to cause a/an:
a. Increase in preload, afterload, and re-absorption of sodium
b. Decrease in preload, afterload, and re-absorption of sodium
c. Hypotension and bradycardia
d. Vasodilation and sodium retention
a. Increase in preload, afterload, and re-absorption of sodium
4. What clinical findings are most commonly associated with a pulmonary embolus?
a. Clear breath sounds with tachypnea
b. Rhonchi auscultated bilaterally with hypercarbia
c. Crackles heard in the bases with bradycardia
d. Fever, tachycardia, and tachypnea with increased work of breathing
a. Clear breath sounds with tachypnea
5. What condition is most likely to cause respiratory acidosis?
a. Anxiety/panic attack
b. Narcotic overdose
c. Methanol ingestion
d. Diabetic ketoacidosis
b. Narcotic overdose
6. A 55-year-old complains of an 'aching' chest discomfort that persists over several
days. The patient has a temperature of 101F (38.3C). Which finding will help narrow
the diagnosis to pericarditis?
a. Pain is relieved when supine
b. Pulsus alternans is present
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