Free Practice Quiz Question List

12 Integrated Clinical Cases and Exam Practice Online Quiz Questions

Use this free practice quiz with 20 questions to review 12 Integrated Clinical Cases and Exam Practice, test your knowledge, and prepare for your next test or exam.

20 questions

True or false

1 point

A patient with chronic lung disease has a fever and low blood pressure. True or false: Fever alone is enough to conclude that the patient has sepsis.

A
True
B
False

Written response

1 point

What determines specific medication doses, procedures, and destination rules for pediatric care? Enter the governing source in a short term or phrase.

Choose one

1 point

A patient with chest pressure is hypotensive, confused, and has wet lung sounds. What should take priority over routine chest-pain medication?

A
Give nitroglycerin promptly because chest pressure suggests acute coronary syndrome.
B
Support airway, breathing, and perfusion, and check contraindications before giving medication.
C
Give a routine fluid bolus despite the wet lung sounds.
D
Delay transport until a detailed history identifies the exact cause of shock.

Written response

1 point

For a patient with sudden focal neurologic deficits, what term describes the time the patient was last seen at their baseline? Enter the clinical term in three words.

Fill in the blank

1 point

When positioning a child with a rapidly progressing allergic reaction, avoid .

True or false

1 point

A child with a severe allergic reaction looks better after treatment. True or false: The improvement means continued monitoring and transport are no longer needed.

A
True
B
False

Fill in the blank

1 point

If a patient's focal neurologic deficits persist after hypoglycemia is treated, the patient still needs .

Choose one

1 point

A confused, hypotensive patient was ejected in a high-speed collision and has abdominal tenderness but no major external bleeding. What dangerous process should remain high on the differential?

A
A minor isolated injury, because there is no visible bleeding.
B
A primary respiratory infection.
C
Life-threatening internal hemorrhage.
D
An uncomplicated thigh injury that does not require urgent transport.

Choose one

1 point

A child develops hives, facial swelling, wheezing, and repeated vomiting soon after eating a likely allergen. Which intervention must not be delayed by adjunctive treatment?

A
Wait for every possible sign of airway compromise before treating.
B
Administer protocol-authorized epinephrine promptly.
C
Give adjunctive treatment first and reassess before considering epinephrine.
D
Transport only if symptoms continue after a prolonged period of observation.

Choose all

1 point

Which information belongs in a useful patient handoff? Select all correct choices.

A
The patient's age and chief concern.
B
A detailed account of every nonessential procedure considered at the scene.
C
Important findings and trends, along with treatment and response.
D
Relevant history or medications and estimated arrival.

Choose all

1 point

After treating a patient with severe respiratory distress, which findings should you compare to judge the patient's response? Select all correct choices.

A
Compare respiratory effort and ability to speak before and after treatment.
B
Recheck mental status and breath sounds.
C
Use the improved oxygen saturation alone to conclude that the patient's condition has improved.
D
Compare capnography when indicated and available, along with heart rate and blood pressure.

True or false

1 point

True or false: A detailed history should take priority over stabilizing immediate threats and arranging prompt transport.

A
True
B
False

Open ended

1 point

During transport, a patient's condition worsens after an intervention. Explain how to apply the clinical-judgment approach from recognizing the change through evaluating the response, including how the change should affect the care plan and communication.

Written response

1 point

In a handoff, what expected-arrival estimate should you communicate to the receiving team?

Choose one

1 point

For a patient with chest discomfort and signs of shock, what is the appropriate priority for obtaining a 12-lead ECG?

A
Obtain a 12-lead ECG as soon as feasible without delaying urgent transport.
B
Wait until the patient is at the hospital before obtaining an ECG.
C
Complete a detailed history before considering an ECG or transport.
D
Delay transport until repeated ECGs establish a definitive diagnosis.

Choose one

1 point

A patient in severe respiratory distress becomes drowsy and their respiratory effort decreases. What should you conclude and do next?

A
Treat this as possible ventilatory failure and support ventilation as indicated.
B
Treat the reduced effort as improvement because the patient appears calmer.
C
Stop monitoring because the respiratory rate is decreasing.
D
Delay intervention until the cause of the distress is confirmed.

Choose one

1 point

A patient has persistent focal deficits after hypoglycemia is treated. How should the destination be selected?

A
Follow regional routing rules and consider local capabilities and transfer performance.
B
Choose the most distant stroke center because it must provide faster definitive care.
C
Transport to the nearest facility regardless of regional routing guidance.
D
Delay transport until the prehospital team can establish the stroke diagnosis.

Choose one

1 point

After a high-risk blunt-trauma assessment, which approach best guides scene time and destination when regional trauma triage criteria apply?

A
Minimize scene time and transport promptly to an appropriate trauma center under regional triage criteria.
B
Remain on scene until a complete hospital-level diagnosis is established.
C
Choose the most distant trauma center regardless of regional criteria or geographic constraints.
D
Delay transport to complete nonessential procedures before addressing immediate threats.

Choose one

1 point

While caring for a child with a rapidly progressing allergic reaction, how should you position the child to support perfusion and breathing?

A
Position the child to support perfusion and breathing, avoiding sudden standing or walking.
B
Have the child stand and walk to assess whether the symptoms improve.
C
Keep the child flat in a position that worsens breathing, regardless of tolerance.
D
Delay positioning decisions until all adjunctive treatments have been given.

Written response

1 point

What waveform-based monitoring method can be used to assess ventilation in a patient with respiratory distress when indicated and available?