EMS brings a patient who fell while riding his bicycle. Using the American
College of Surgeons screening guidelines, which assessment finding would
prompt the nurse to prepare the patient for radiologic spine clearance? -
ANSWER-Alert with no neurological deficits
The trauma nurse knows that placing a bariatric patient in a "ramped position"
provides better visualization during the insertion of which device? -
ANSWER-Endotracheal tube
A 35-year-old male presents with facial trauma after being struck in the face with
a baseball. A teardrop-shaped left pupil is noted on exam. What type of injury is
suspected? - ANSWER-Globe rupture
Caregivers carry a 2-year-old into the emergency department who fell out of a
second-story window. The patient is awake and crying with increased work of
breathing and pale skin. Which of the following interventions has the highest
priority? - ANSWER-Padding the upper back while stabilizing the cervical spine
Which of the following injuries is LEAST likely to be promptly identified? -
ANSWER-Bowel
A 49-year-old restrained driver involved in a motor vehicle collision presents to
the trauma center complaining of abdominal, pelvic, and bilateral lower extremity
pain. Vital signs are stable. The nurse can anticipate all of these after a negative
FAST exam EXCEPT which of the following? - ANSWER-Diagnostic peritoneal
lavage
Why is a measure of serum lactate obtained in the initial assessment of a trauma
patient? - ANSWER-To gauge end-organ perfusion and tissue hypoxia
, During the primary survey of an unconscious patient with multi-system trauma,
the nurse notes snoring respirations. Which priority nursing intervention should
be performed next? - ANSWER-Insert an oropharyngeal airway if there is no gag
reflex
Which of the following assessment findings differentiates a tension
pneumothorax from a simple pneumothorax? - ANSWER-Hypotension that
worsens with inspiration (pulsus paradoxus)
What is the effect of hypothermia on the oxyhemoglobin dissociation curve? -
ANSWER-Hemoglobin does not readily release oxygen for use by the tissues
(Left shift)
A trauma patient is en route to a rural emergency department. Radiology notifies
the charge nurse that the computed tomography (CT) scanner will be out of
service for several hours. The team gathers to plan accordingly. Which of the
following terms best describes this trauma team's communication? -
ANSWER-Huddle
What finding raises suspicion of a complete spinal cord injury? -
ANSWER-Priapism
A patient is thrown against a car during a tornado and presents with obvious
bilateral femoral fractures. The patient is pale, alert, disoriented, and has delayed
capillary refill. Which of the following interventions would be most appropriate for
this patient based on the disaster triage principles? - ANSWER-Initiate two
large-caliber intravenous lines for Ringer's lactate solution administration.
A 36-year-old female has a deformity of the left wrist after a fall. She is reluctant
to move her hand due to pain. Which of the following is the most appropriate
intervention? - ANSWER-Apply a splint and elevate the extremity above the level
of the heart
Which of the following is a late sign of increased intracranial pressure? -
ANSWER-Decreased respiratory effort
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