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JBL Test Prep. Questions 277-322 Questions and Answers 2024
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JBL Test Prep. Questions 277-322
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JBL Test Prep. Questions 277-322#277: - answer
#278: Common complaints in a patient with an infectious disease include:
A) nausea, rash, fever, and shortness of breath.
B) headache, low back pain, and arm numbness.
C) chest discomfort, weakness, and vomiting.
D) joint pain, muscle aches, and blurred vision. - answerA) nausea, rash, fever, and
shortness of breath.
Nausea is common with a number of infectious diseases, such as hepatitis. A rash
should alert you to the possibility of sepsis, such as what could be caused by
meningitis. Petechiae are tiny, circular, non-raised patches that appear on the skin or in
a mucous membrane; they occur as the result of bleeding under the skin. A petechial
rash may be present in a patient who is septic from a number of causes. Fever indicates
inflammation or infection; in the context of other symptoms (ie, rash, nausea), you
should be suspicious of an infectious disease. Shortness of breath can occur in patients
with diseases such as tuberculosis or severe acute respiratory syndrome coronavirus 2
(SARS-CoV-2), the virus that causes coronavirus disease 2019 (COVID-19). Arm
numbness, chest discomfort, and blurred vision are not common symptoms of an
infectious disease.
#279: - answer
#280: Law enforcement requests your assistance to evaluate a young woman whom
they believe has overdosed. The patient is conscious, is displaying bizarre behavior,
and is very restless. Her BP is 170/90 mm Hg and her heart rate is 130 beats/min. You
see needle tracks on both of her arms. Which of the following would MOST likely
explain her presentation?
A) An opioid
B) Methamphetamine
C) A sedative-hypnotic
D) A benzodiazepine - answerA?
#281: You are transporting a 35-year-old man who has a history of alcoholism. He
stopped drinking 4 days ago and is now disoriented, diaphoretic, and tachycardic. This
patient is at risk for:
A) seizures.
B) hypothermia.
C) hyperglycemia.
D) schizophrenia. - answerA) seizures.
, A patient in alcohol withdrawal may experience frightening hallucinations or delirium
tremens (DTs), a syndrome characterized by restlessness, fever, disorientation,
sweating, and agitation. In severe cases, generalized seizures can occur; these
seizures can be prolonged and can result in permanent brain injury or death. About 1 to
7 days after a person stops drinking or when alcohol consumption levels are suddenly
decreased, DTs may develop. Patients with DTs are often dehydrated due to sweating,
fluid loss, insufficient fluid intake, or vomiting, and their hallucinations can be extremely
frightening. The alcoholic patient would more likely be hypoglycemic. Schizophrenia is a
psychiatric illness; it is not caused by alcohol use or withdrawal.
#282: Which of the following is a later sign of hepatitis?
A) Fatigue
B) Jaundice
C) Loss of appetite
D) Fever and vomiting - answerB) Jaundice
Early signs and symptoms of viral hepatitis include loss of appetite (anorexia), vomiting,
fever, fatigue, and muscle and joint pain. Jaundice (yellow sclera and skin) and right
upper quadrant abdominal pain are not common early manifestations of hepatitis; they
usually develop within 1 to 2 weeks into the disease process.
#283: The two MOST important steps in treating a patient with a contact poisoning are:
A) determining when the exposure occurred and irrigating the patient's entire body with
copious amounts of water.
B) donning a pair of gloves and performing a physical examination to determine if a
significant exposure occurred.
C) immediately washing any dry chemicals off of the patient's skin and removing his or
her clothing as soon as possible.
D) avoiding self-contamination and removing the irritating or corrosive substance from
the patient as rapidly as possible. - answerD) avoiding self-contamination and removing
the irritating or corrosive substance from the patient as rapidly as possible.
When caring for a patient with a contact (skin surface) exposure to a poison, the two
most important steps in management are avoiding contaminating yourself and removing
the substance from the patient's skin as rapidly as possible. The level of personal
protective equipment (PPE) you use depends on the type of chemical the patient was
exposed to. After ensuring your own safety, remove all of the patient's clothing that has
been contaminated, thoroughly brush off any dry chemicals, and then flush the skin with
water. Always brush dry chemicals off the skin before irrigating with water; failing to do
so may increase the amount of damage caused by the chemical. A physical exam of the
patient should be performed only after he or she has been properly decontaminated.
#284: You receive a call for a 54-year-old woman who is having a seizure. When you
arrive at the scene, the patient is actively seizing. Her husband tells you that she has a
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