old male presents to the ED complaining of severe lower abdominal pain a
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fter landing hard on the bicycle cross bars while performing an aerial BMX
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Tmaneuver. Secondary assessment reveals lower abdominal tenderness a
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nd scrotal ecchymosis. Which of the following orders would the nurse quest
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ion? - CORRECT ANSWER-Straight catheter for urine sample
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A 35-year-
T
old male presents with facial trauma after being struck in the face with a b
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aseball. A teardrop- T T
shaped left pupil is noted on exam. What type of injury is suspected? -
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CORRECT ANSWER-Globe rupture
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A 36-year-
T
old female has a deformity of the left wrist after a fall. She is reluctant to m
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ove her hand due to pain. Which of the following is the most appropriate i
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ntervention? - CORRECT ANSWER- T T T
Apply a splint and elevate the extremity above the level of the heart
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A 49-year-
T
old restrained driver involved in a motor vehicle collision presents to the tr
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auma center complaining of abdominal, pelvic, and bilateral lower extre
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mity pain. Vital signs are stable. The nurse can anticipate all of these after
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a negative FAST exam EXCEPT which of the following? -
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CORRECT ANSWER-Diagnostic peritoneal lavage
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A 5-year-
T
old child presents to the ED with bruises to the upper arms and buttocks in v
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arious stages of healing and multiple small, clean, round burns to the back.
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There are no abnormalities found based on the pediatric assessment trian
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gle
, or primary survey. Which of the following is the priority nursing interventi
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on? - CORRECT ANSWER- T T T
Report your suspicion of maltreatment in accordance with local regulatio
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ns
A 56-year- T
old male patient involved in a motor vehicle crash is brought to the emerg
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ency department of a rural critical access facility. He complains of neck p
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ain, shortness of breath, and diffuse abdominal pain. His Glasgow Coma
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Score is 15. His vital signs are as follows: BP 98/71 mm Hg, HR 125 beats
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/minute, RR 26 breaths/minute, SpO2 94% on high-flow oxygen via non-
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rebreather mask. Which of the following is the priority intervention for thiT T T T T T T T T T T
s patient? - CORRECT ANSWER-
T T T T
Expedite transfer to the closest trauma center
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A patient arrives with a large open chest wound after being assaulted wit
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h a machete. Prehospital providers placed a nonporous dressing over the
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chest wound and taped it on three sides. He is now showing signs of anxiety
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, restlessness, severe respiratory distress, cyanosis and decreasing blood
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pressure.
Which of the following is the MOST appropriate immediate intervention?
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- CORRECT ANSWER-Dressing removal
T T T
A patient has been in the emergency department for several hours waiting
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to be admitted. He sustained multiple rib fractures and a femur fracture af
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ter a fall. He has been awake, alert, and complaining of leg pain. His wife
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reported that he suddenly became anxious and confused. Upon reassess
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ment, the patient is restless, with respiratory distress and petechiae to his n
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eck. The patient is exhibiting signs and symptoms most commonly associate
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d with which of the following conditions? - CORRECT ANSWER-
T T T T T T T T T
Fat embolism T
A patient is brought to the emergency department of a rural hospital follo
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wing a high- T T
speed motor vehicle collision. When significant abdominal and pelvic inju
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ries are noted in the primary survey, which of the following is the priority
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