BCEN CEN Quiz #2 A patient with a history of asthma presents with severe respiratory distress and diminished breath sounds. What is the next best step? A) Administer albuterol via nebulizer
B) Perform needle decompression
C) Intubate immediately
D) Administer epinephrine IM
Show Answer Correct Answer: Administer albuterol via nebulizer
Which of the following is a classic sign of cardiac tamponade? A) Widened pulse pressure
B) Beck's triad
C) Kussmaul's sign
D) Pulsus paradoxus
Show Answer Correct Answer: Beck's triad
A patient presents with a severe open fracture of the tibia. What is the immediate priority? A) Administer pain management
B) Cover the wound with a sterile dressing
C) Initiate IV antibiotics
D) Perform a thorough neurovascular assessment
Show Answer Correct Answer: Cover the wound with a sterile dressing
Which of the following is the most reliable indicator of adequate fluid resuscitation in a burn patient? A) Improved mental status
B) Urine output of 0.5-1 mL/kg/hr
C) Decreasing heart rate
D) Normal blood pressure
Show Answer Correct Answer: Urine output of 0.5-1 mL/kg/hr
What is the most appropriate initial treatment for a patient with a suspected acute ischemic stroke presenting within 2 hours of symptom onset? A) Administer IV alteplase
B) Perform a CT scan without contrast
C) Administer aspirin 325 mg
D) Begin therapeutic hypothermia
Show Answer Correct Answer: Perform a CT scan without contrast
A patient presents with abdominal pain, hypotension, and a pulsatile abdominal mass. What is the likely diagnosis? A) Acute pancreatitis
B) Abdominal aortic aneurysm
C) Appendicitis
D) Intestinal obstruction
Show Answer Correct Answer: Abdominal aortic aneurysm
Which of the following is the best method to confirm endotracheal tube placement? A) Auscultation of bilateral breath sounds
B) Waveform capnography
C) Chest X-ray
D) Observation of chest rise and fall
Show Answer Correct Answer: Waveform capnography
What is the preferred treatment for a patient with supraventricular tachycardia (SVT) who is hemodynamically stable? A) Adenosine
B) Amiodarone
C) Synchronized cardioversion
D) Calcium channel blockers
Show Answer Correct Answer: Adenosine
A patient presents with a head injury and clear fluid leaking from their nose. What does this indicate? A) Basilar skull fracture
B) Orbital fracture
C) Maxillary sinusitis
D) Intracranial hemorrhage
Show Answer Correct Answer: Basilar skull fracture
What is the first intervention for a patient experiencing hypoglycemia with a decreased level of consciousness? A) Administer IV dextrose
B) Give oral glucose
C) Start an insulin drip
D) Recheck blood glucose in 15 minutes
Show Answer Correct Answer: Administer IV dextrose
