JBL Navigate Test Prep – Medical
Questions And Answers With Verified
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You receive a call for a 55-year-old female who is ill. The patient's husband tells
you that she is an alcoholic, and has been "on the wagon" for about a week. The
patient is conscious, but confused and restless. Her skin is hot to the touch, she is
profusely diaphoretic, and her hands are shaking. Her blood pressure is 180/90 mm
Hg, pulse is 120 beats/min, respirations are 24 breaths/min, and oxygen saturation
is 98% on room air. You should:
A: provide emotional support, administer oxygen via nasal cannula, establish
vascular access, monitor her cardiac rhythm, assess her blood glucose level, and
transport.
B: provide reassurance, establish vascular access and give a saline bolus, give
oxygen via nonrebreathing mask, administer 5 mg of diazepam to prevent seizures,
and transport.
C: administer high-flow oxygen via nonrebreathing mask, establish vascular
access, give 2 to 5 mg of midazolam for sedation, monitor her -
ANSWER✔✔provide emotional support, administer oxygen via nasal cannula,
establish vascular access, monitor her cardiac rhythm, assess her blood glucose
level, and transport.
A man was trapped in his burning house for approximately 15 minutes before
firefighters rescued him. He reports burning in his throat and a severe headache.
He has a blood pressure of 180/90 mm Hg, a pulse rate of 120 beats/min, and
labored respirations of 28 breaths/min. In addition to providing supplemental
oxygen, treatment should include:
A: amyl nitrite inhaled in 20-second increments.
B: rapid transport to a local hyperbaric facility.
,C: IV administration of 1 mL/kg of ethyl alcohol.
D: a slow infusion of sodium nitroprusside. - ANSWER✔✔amyl nitrite inhaled in
20-second increments.
Which of the following patients is at greatest risk for suicide?
A: A woman whose mother committed suicide
B: A man who owns multiple guns and knives
C: A woman whose depression acutely improves
D: A man who has not slept for over 72 hours - ANSWER✔✔A woman whose
depression acutely improves
Diarrhea, marked bradycardia, miosis, and hypersalivation are MOST consistent
with a/an _____________ toxidrome.
A: amphetamine
B: sympatholytic
C: cholinergic
D: opiate - ANSWER✔✔cholinergic
Which of the following drug overdoses could be reversed with the administration
of naloxone?
A: Midazolam
B: Phenobarbitol
C: Adderall
,D: Meperidine - ANSWER✔✔Meperidine
A known heroin abuser is found unresponsive by a law enforcement officer. Your
primary assessment of the patient, a 24-year-old female, reveals that she is
unresponsive, is breathing at a rate of 6 breaths/min and shallow, and has a pulse
rate of 40 beats/min and weak. You should:
A: ensure that her airway is clear and begin assisting her ventilations.
B: administer high-flow oxygen, start an IV, and give her atropine.
C: begin immediate cardiac pacing to increase her heart rate.
D: intubate her trachea, start an IV line, and give her naloxone. -
ANSWER✔✔intubate her trachea, start an IV line, and give her naloxone.
Which of the following ECG abnormalities is associated with hypothermia?
A: Flat T waves
B: Osborn wave
C: Sine wave
D: Peaked T waves - ANSWER✔✔Osborn wave
After being stung by a hornet, a 34-year-old man is unresponsive, has stridorous
respirations, a generalized rash, and swelling to the face and neck. His BP is 70/44
mm Hg, his pulse is 140 beats/min and thready, and his respirations are 36
breaths/min and labored. Which of the following represents the MOST appropriate
treatment for him?
A: Bag-mask ventilation and 0.3 to 0.5 mg of epinephrine 1:1,000 SC
B: Blind nasal intubation and 3 to 5 mg of epinephrine 1:10,000 IV or IO
, C: Orotracheal intubation and 0.1 mg of epinephrine 1:10,000 IV or IO
D: Needle cricothyrotomy and 0.3 to 0.5 mg of epinephrine 1:1,000 SC -
ANSWER✔✔Orotracheal intubation and 0.1 mg of epinephrine 1:10,000 IV or IO
Obsessive-compulsive disorder falls under which of the following categories?
A: Generalized anxiety disorder
B: Posttraumatic stress disorder
C: Organic brain syndrome
D: Schizophrenia - ANSWER✔✔Generalized anxiety disorder
You are assessing a patient who presents with a melena and abdominal pain.
Which of the following medical history findings is the MOST clinically
significant?
A: Hypertension
B: Hashimoto disease
C: von Willebrand disease
D: Type II diabetes mellitus - ANSWER✔✔von Willebrand disease
When assessing a patient with a preexisting mental illness, which of the following
observations would be the MOST suggestive of the potential for violence?
A: Sitting, clenched fists, erratic speech
B: Large body size, sitting, flat affect
C: Sitting, crying, unable to recall birthday