old male presents to the ED complaining of severe lower abdo
S S S S S S S S S S
minal pain after landing hard on the bicycle cross bars while p
S S S S S S S S S S S
erforming an aerial BMX maneuver. Secondary assessment re S S S S S S S
veals lower abdominal tenderness and scrotal ecchymosis. W
S S S S S S S
hich of the following orders would the nurse question? -
S S S S S S S S S
CORRECT ANSWER-Straight catheter for urine sample
S S S S S S
A 35-year-
S
old male presents with facial trauma after being struck in the f
S S S S S S S S S S S
ace with a baseball. A teardrop-
S S S S S
shaped left pupil is noted on exam. What type of injury is susp
S S S S S S S S S S S S
ected? - CORRECT ANSWER-Globe rupture
S S S S
A 36-year-
S
old female has a deformity of the left wrist after a fall. She is relu
S S S S S S S S S S S S S S
ctant to move her hand due to pain. Which of the following is th
S S S S S S S S S S S S S
e most appropriate intervention? - CORRECT ANSWER-
S S S S S S
Apply a splint and elevate the extremity above the level of the
S S S S S S S S S S S S
heart
A 49-year-
S
old restrained driver involved in a motor vehicle collision pres
S S S S S S S S S
ents to the trauma center complaining of abdominal, pelvic, an
S S S S S S S S S
d bilateral lower extremity pain. Vital signs are stable. The nur
S S S S S S S S S S
se can anticipate all of these after a negative FAST exam EXCEP
S S S S S S S S S S S
T which of the following? - CORRECT ANSWER-
S S S S S S S
Diagnostic peritoneal lavage S S
A 5-year-
S
old child presents to the ED with bruises to the upper arms and
S S S S S S S S S S S S S
buttocks in various stages of healing and multiple small, clean,
S S S S S S S S S
round burns to the back. There are no abnormalities found bas
S S S S S S S S S S S
ed on the pediatric assessment triangle
S S S S S
, or primary survey. Which of the following is the priority nursi
S S S S S S S S S S
ng intervention? - CORRECT ANSWER-
S S S S
Report your suspicion of maltreatment in accordance with loc
S S S S S S S S
al regulations
S
A 56-year-
S
old male patient involved in a motor vehicle crash is brought t
S S S S S S S S S S S
o the emergency department of a rural critical access facility.
S S S S S S S S S S
He complains of neck pain, shortness of breath, and diffuse ab
S S S S S S S S S S
dominal pain. His Glasgow Coma Score is 15. His vital signs ar
S S S S S S S S S S S
e as follows: BP 98/71 mm Hg, HR 125 beats/minute, RR 26 bre
S S S S S S S S S S S S
aths/minute, SpO2 94% on high-flow oxygen via non- S S S S S S S
rebreather mask. Which of the following is the priority interve
S S S S S S S S S
ntion for this patient? - CORRECT ANSWER-
S S S S S S
Expedite transfer to the closest trauma center
S S S S S S S
A patient arrives with a large open chest wound after being ass
S S S S S S S S S S S
aulted with a machete. Prehospital providers placed a nonpor
S S S S S S S S
ous dressing over the chest wound and taped it on three sides.
S S S S S S S S S S S S
He is now showing signs of anxiety, restlessness, severe respir
S S S S S S S S S
atory distress, cyanosis and decreasing blood pressure.
S S S S S S
Which of the following is the MOST appropriate immediate int
S S S S S S S S S
ervention? - CORRECT ANSWER-Dressing removal S S S S
A patient has been in the emergency department for several h
S S S S S S S S S S
ours waiting to be admitted. He sustained multiple rib fracture
S S S S S S S S S
s and a femur fracture after a fall. He has been awake, alert, an
S S S S S S S S S S S S S
d complaining of leg pain. His wife reported that he suddenly
S S S S S S S S S S S
became anxious and confused. Upon reassessment, the patien
S S S S S S S
t is restless, with respiratory distress and petechiae to his neck
S S S S S S S S S S
. The patient is exhibiting signs and symptoms most commonly
S S S S S S S S S
Sassociated with which of the following conditions? - S S S S S S S
SCORRECT ANSWER-Fat embolism S S
A patient is brought to the emergency department of a rural h
S S S S S S S S S S S
ospital following a high- S S S
speed motor vehicle collision. When significant abdominal an
S S S S S S S
d pelvic injuries are noted in the primary survey, which of the
S S S S S S S S S S S S
following is the priority S S S
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