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JBL Test Prep. Questions 369-414 Questions and Answers #369: A 30-year-old woman presents with vaginal bleeding and light-headedness. She states that she has soaked four sanitary pads. Her BP is 90/50 mm Hg, her pulse rate is 120 beats/min, and her respiratory rate is 24 breaths/min. What should y...

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  • September 13, 2024
  • 12
  • 2024/2025
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  • jbl test prep questions 369 414 questions and ans
  • 369 a 30 year old woman presents with vaginal bl
  • 370 a 3 year old child has a sudden onset of res
  • 372 which of the following parameters is the lea

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JBL Test Prep. Questions 369-414
Questions and Answers

#369: A 30-year-old woman presents with vaginal bleeding and light-headedness. She
states that she has soaked four sanitary pads. Her BP is 90/50 mm Hg, her pulse rate is
120 beats/min, and her respiratory rate is 24 breaths/min. What should you do?
A) Instruct her to insert a tampon to help control the bleeding.
B) Position her supine and prepare for immediate transport.
C) Position her on her side and reassess her blood pressure.
D) Place a trauma dressing over her vagina and apply pressure. – answer B or D

#370: A 3-year-old child has a sudden onset of respiratory distress. The mother denies
any recent illnesses or fever. What should you suspect?term-0
A) Croup
B) Epiglottitis
C) Lower respiratory infection
D) Foreign body airway obstruction – answer D) Foreign body airway obstruction

You should suspect a foreign body airway obstruction in any child who presents with an
acute onset of respiratory distress in the absence of fever or any other symptoms that
could be caused by an infection. Croup, epiglottitis, and lower airway infections (ie,
bronchiolitis, bronchitis) commonly present with a fever. If the child is experiencing a
mild airway obstruction, in which he or she is moving adequate air, has a normal level of
consciousness, and has pink skin, do not attempt to relieve the airway obstruction;
doing so may result in a severe airway obstruction. Offer oxygen and transport the child
to the hospital without delay. If signs of a severe airway obstruction are present (ie,
ineffective cough, decreased level of consciousness, cyanosis), you should perform
abdominal thrusts until the object is expelled or the child becomes unresponsive. If the
child becomes unresponsive, perform chest compressions.

#371: - answer

#372: Which of the following parameters is the LEAST reliable when assessing the
perfusion status of a 2-year-old child?
A) Capillary refill time
B) Systolic blood pressure
C) Skin color and temperature
D) Presence of peripheral pulses - answerB) Systolic blood pressure

You should not rely on the systolic blood pressure (SBP) when concluding the perfusion
status of anyone. More reliable parameters include peripheral pulses, capillary refill time
(most reliable in children younger than 6 years of age), and the condition and

, temperature of the skin. Remember that the body's compensatory mechanisms work to
maintain the SBP, so when it falls, this corresponds to decompensated shock. A
maintained SBP does NOT rule out shock!

#373: - answer

#374: Your assessment of a 5-year-old child reveals that he is unresponsive with a
respiratory rate of 8 breaths/min and a heart rate of 50 beats/min. Treatment for this
child should include:
A) high-flow oxygen via nonrebreathing mask and rapid transport.
B) oxygen via a nasal cannula at 6 L/min and rapid transport.
C) positive pressure ventilation, chest compressions, and rapid transport.
D) back slaps and chest thrusts while attempting artificial ventilations. - answerC)
positive pressure ventilation, chest compressions, and rapid transport.

A heart rate less than 60 beats/min in an infant or child, especially when accompanied
by signs of poor perfusion and inadequate breathing, should be treated with positive
pressure ventilation, chest compressions, and rapid transport. Respirations of 8
breaths/min and a heart rate of 50 beats/min will not maintain adequate oxygenation
and perfusion in a child. Passive oxygenation (ie, nasal cannula, nonrebreathing mask)
is not appropriate for a child with inadequate ventilation, especially when accompanied
by bradycardia. Back slaps and chest thrusts are indicated for a responsive infant with a
severe foreign body upper airway obstruction.

#375: Following delivery of a newborn, the 21-year-old mother is experiencing mild
vaginal bleeding. You note that her heart rate has increased from 90 to 120 beats/min
and she is diaphoretic. Treatment should include:
A) uterine massage for 5 minutes, and then transport.
B) placing her in a left-lateral recumbent position and transport.
C) treating for shock and performing uterine massage during transport.
D) placing sterile pads into her vagina and treating for shock during transport. -
answerC) treating for shock and performing uterine massage during transport.

Blood loss of up to 500 mL within the first 24 hours after delivery is considered normal
and usually is well tolerated by the mother. However, any bleeding, regardless of the
severity, with accompanying signs of shock, must be treated at once. In this case, you
should apply high-flow oxygen, treat for shock (keep her supine and cover her with
warm blankets), and provide rapid transport to the hospital while massaging the uterine
fundus en route. Placing the mother on her left side is appropriate before she delivers
(and if she is not in shock) and prevents supine hypotensive syndrome. Dressings
should never be packed into the vagina as this increases the risk for maternal infection.

#376: - answer

#377: A 34-year-old woman, who is 36 weeks' pregnant, is having a seizure. You should
transport her in which position?

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