Random from CPEN Practice test 1 with

Random from CPEN Practice test 1 with Complete Solutions 2024 plague (yersinia pestis) - Correct Answer - fever

• *bloody sputum*
• clinical pneumonia <-- *early sign*
• sepsis + DIC <-- *late sign*

anthrax (bacillius anthracis) - Correct Answer - fever

• headache
• dyspnea
• cough
• N/V
• chest/abd pain

botulism (clostridium botulinum) - Correct Answer -*descending* flaccid paralysis

• cranial nerve palsy
• normal mentation

smallpox (variola) - Correct Answer - fever

• vesiculopustular leisons in face + trunk

Dextrose 5% - Correct Answer *not* used to tx *hypoglycemia* in kids Dextrose 10% - Correct Answer tx hypoglycemia in *neonates* Dextrose 25% - Correct Answer tx hypoglycemia in *1month to 2years old* Dextrose 50% - Correct Answer tx hypoglycemia in *2 years old & older* 1 / 4

in *compartment syndrome*, do you elevate extremity above the heart or at the level of the heart - Correct Answer keep limb *at leave of heart* b/c if you elevate, you're reducing blood flow and w/ compartment syndrome, you are already worried about reduced blood flow *femur factures* are (name *4* things) - Correct Answer 1. can cause significant blood loss

• cause *hemorrhagic shock*
• painful
• presents w/ *external rotation*

*Oxygen supplement* helps a sickle cell anemia pt by - Correct Answer ease WOB oxygen baseline for sickle cell anemia pts are generally - Correct Answer *lower* d/t *sickling of RBC* so important to measure their O2 *Jaw thrust maneuver* is used in - Correct Answer traumatic injury / spinal injury is suspected protects the spine *head tilt maneuver* is used in - Correct Answer non-trauma patients (when spine injury is NOT suspected) *normal liver* palpable up to how many cms below costal margin - Correct Answer up to *2cm* below costal margin *Sickle cell disease* is most susceptible to what 2 things? - Correct Answer 1. *acute chest syndrome* (ACS) 2.sequestration crisis (firm/enlarged spleen) - *LUQ pain* 2 / 4

sequestration crisis tx - Correct Answer 1. *PRBC*

• oxygen (tx inadequate tissue oxygenation)

What heart sounds are heard w/ *cardiogenic shock*? - Correct Answer *muffled* heart sounds what can cause a *blunt carotid artery* injury? - Correct Answer *cervical* seat belt abrasion s/s of *blunt carotid artery* injury - Correct Answer - *unilateral* weakness

• *unremarkable* CT of head
• carotid *bruit*
• *normal* mental status

s/s of *intrabdominal hemorrhage* - Correct Answer - hypovolemic shock (hypotensive)

• *altered* mental status
• tachycardia
• *pallor*

Henoch-Schonlein Purpura - Correct Answer - generalized *vasculitis*

• presents usually in *lower extremities* (including butt)
• bloody stools
• abd pain, D/V

when can *henoch-schonlein purpura* occur - Correct Answer after a recent *URI* FLACC highest score is ____ w/ _____ categories - Correct Answer highest score 10

• categories

face - Correct Answer 0 = no particular expression

• = occasional grimace, frown, withdrawn, disinterested 3 / 4

2= frequent to constant frown, clenched jaw, quivering chin legs - Correct Answer 0= normal/relaxed 1= uneasy, restless, tense 2= kicking or legs drawn up activity - Correct Answer 0= lying quietly, normal position, moves easily 1= squirming, shifting back & forth, tense 2= arched, rigid, jerking cry - Correct Answer 0= no crying 1= moans or occasional whimper 2=crying steadily, screams or sobs, frequent complaining consolibility - Correct Answer 0=content, relaxed 1= reassured by occasional touch, hug, or being talked to, distractable 2=difficult to console/comfort *do not give* what type of drugs to sickle cell disease patients - Correct Answer *NSAIDS* - they can impair kidney function and accelerate kidney damage anticonvulsant meds have shown to increase the risk of what - Correct Answer violence or aggressive behaviors s/s of *epiglottitis* - Correct Answer - drooling

• inability to swallow
• retractions
• stridor
• / 4