1. A patient arrives at the emergency department by private vehicle after sustaining an injury to the right lower extremity while using a saw. There is
a large gaping wound to the right thigh area with significant bleeding. What is the priority intervention?
A. Elevate the extremity to the level ...
1 /18TNCC ENA 9TH EDITION PRE TEST
1.A patient arrives at the emergency department by private vehicle after sustaining an injury to the right lower extremity while using a saw. There is
a large gaping wound to the right thigh area with significant bleeding. What is the priority intervention?
A.Elevate the extremity to the level of the heart
B.Initiate direct pressure
C.Apply a tourniquet
D.Cover the open wound with sterile saline dressings
ANS : B. Initiate direct pressure
Rationale: The first step inn controlling any bleeding is application of direct pressure.
2.What technique is most appropriate when obtaining a history from a patient who has experienced a sexual assault?
A.Sitting next to the patient 2 /18B.Ensuring the patient answers all the questions
C.Asking for information only related to the assault
D.Applying active listening
ANS : D. Applying active listening
Rationale: Therapeutic communication techniques such as active listening decrease unintentional distress during the interaction.
3.What is the appropriate technique for palpating the pelvis for stability?
A.Apply gentle pressure over the iliac crests, downward and laterally
B.Apply gentle pressure over the iliac crests, downward and medially
C.Apply firm pressure over the iliac crests, downward and laterally
D.Apply firm pressure over the iliac crests, downward and medially
ANS : B. Apply gentle pressure over the iliac crests, downward and medially
Rationale: To assess for pelvic instability, gentle pressure is applied over
the iliac crests, downward and medially.
4.A trauma nurse cared for a child with devastating burns two weeks ago.
The nurse called in sick for a couple of days and is now back working on the
team. Which of the following would indicate this nurse is coping well? 3 /18A.They are talking about taking the emergency nursing certification exam
B.They keep requesting to be assigned to the walk-in/ambulatory area
C.They are impatient and snap at their coworkers
D.They are thinking about transferring out of the emergency department
ANS : A. They are talking about taking the emergency nursing certification exam
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