NSC Clinical Knowledge 4

Question 1

A responsive adult is choking and cannot speak or cough effectively. What is the correct immediate action?

Accepted Answer

Perform the Heimlich maneuver (abdominal thrusts) immediately

Answer

For a conscious adult with a severe airway obstruction who cannot speak or cough, perform abdominal thrusts (Heimlich maneuver) immediately.

Question 2

What does a GCS (Glasgow Coma Scale) score of 8 or below indicate?

Accepted Answer

Severe brain injury requiring airway protection

Answer

A GCS of 8 or less indicates severe neurological impairment and the patient likely cannot protect their airway.

Question 3

Which of the following best describes distributive shock?

Accepted Answer

Abnormal vasodilation causing relative hypovolemia

Answer

Distributive shock (including septic, anaphylactic, and neurogenic shock) occurs when widespread vasodilation causes blood to pool away from vital organs.

Question 4

When assessing a patient's breathing, which finding would be MOST concerning?

Accepted Answer

Agonal respirations (gasping) in an unresponsive patient

Answer

Agonal respirations are irregular gasping breaths that indicate the brain is no longer controlling breathing normally and CPR should be initiated.

Question 5

A patient has a suspected spinal injury. Which action should be avoided unless absolutely necessary?

Accepted Answer

Moving the patient without proper spinal precautions

Answer

Moving a patient with a suspected spinal injury without proper immobilization can worsen the injury and cause permanent paralysis.

NSC Practice Test

NSC Practice Test

NSC Clinical Knowledge 4