**A stands for ___ and ___. - ANSWER-alertness, airway
**B stands for ___ and ___. - ANSWER-breathing, ventilation
**C stands for ___. - ANSWER-circulation
**D stands for ___. - ANSWER-disability
**E stands for ___. - ANSWER-exposure
836 year old. Patient has a deformity of the left wrist after a fall. The patient is reluctant
to move. - ANSWER-
A 5-month pregnant patient arrives in the emergency department stating she tripped
and fell, landing on her abdomen. Assessment reveals bruising to the abdomen, both
arms, and her neck. She states she does not take any medications and has not had any
prenatal care. The nurse suspects the findings are most likely related to which of the
following?
A.Intentional violence
B.Pregnancy-related changes
C.Undiagnosed embolus
D.Iron deficiency - ANSWER-
A 5-year-old child presents to the emergency department with bruises to the upper arms
and buttocks in various stages of healing and multiple small, clean, round burns to the
back. There are no abnormalities found based on the pediatric assessment triangle or
primary survey. Which of the following is the priority nursing intervention?
A.Report your suspicion of maltreatment in accordance with local regulations
B.Apply ice to the bruises and provide wound care
C.Engage in therapeutic communicati - ANSWER-A.Report your suspicion of
maltreatment in accordance with local regulations
,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?
A.Oculomotor nerve palsy
B.Globe rupture
C.Retrobulbar hematoma
D.Retinal detachment - ANSWER-
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?
A.Oculomotor nerve palsy
B.Globe rupture
C.Retrobulbar hematoma
D.Retinal detachment - ANSWER-Globe rupture
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
A adult patient with a knife injury to the neck has an intact airway and is
hemodynamically stable. They complain of difficulty swallowing and speaking. In the
primary survey, further assessment is indicated next for which of the following
conditions?
a. Damage to the cervical spine
b. An expanding pneumothorax
c. Laceration of the carotid artery
d. Injury to the thyroid gland - ANSWER-a. Damage to the cervical spine
A driver involved in a high-speed motor vehicle collision arrives in the emergency
department. The vehicle's air-bag failed to deploy. The patient is drowsy but arousable
and complaining of chest pain with ecchymosis noted to the chest. The patient is
tachycardic and hypotensive with no evidence of uncontrolled bleeding. Cardiac monitor
shows premature ventricular contractions. Which of the following is the most appropriate
intervention for this patient?
A.Rapid fluid boluses
B.Tranexamic acid - ANSWER-C.Inotropic support
A driver involved in a high-speed motor vehicle collision arrives in the emergency
department. The vehicle's air-bag failed to deploy. The patient is drowsy but arousable
and complaining of chest pain with ecchymosis noted to the chest. The patient is
tachycardic and hypotensive with no evidence of uncontrolled bleeding. Cardiac monitor
shows premature ventricular contractions. Which of the following is the most appropriate
intervention for this patient?
A.Rapid fluid boluses
B.Tranexamic acid administration
C.Inotropic support
,D.Epinephrine administration - ANSWER-
A nurse verbalizes guilt and remorse after caring for multiple severely injured patients
during a staffing crisis. The nurse expresses anger stating that the patients did not
receive quality care and begins exhibiting aggression toward colleagues. This is most
consistent with which condition?
A.Compassion fatigue
B.Vicarious trauma
C.Secondary traumatic stress
D.Moral injury - ANSWER-D.Moral injury
A nurse, verbalizes, guilt and remorse after caring for multiple severely injured patience
during a - ANSWER-
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 - ANSWER-b. Initiate direct
pressure
A patient arrives at the emergency department following a motor vehicle collision.
Prehospital personnel. - ANSWER-
A patient arrives following prolonged exposure of their left hand to the cold. The patient
is awake and alert and complains of a tingling sensation to the fingers. Assessment
reveals swelling and bright red skin to the left hand and a 1-inch round clear blister to
the dorsum of that hand. Which of the following nursing interventions is most
appropriate for this patient?
A.Massage the injured areas to promote circulation
B.Drain and debride the blister on the hand
C.Immerse in water between 37.5 - ANSWER-D.Gently rewarm over 15 to 30 minutes
A patient arrives with a 3-inch laceration to their forearm from a tree branch. Which of
the following methods will the nurse use to remove small pieces of bark and debris from
the wound?
A.Low-pressure irrigation
B.High-pressure irrigation
C.Scrubbing with normal saline
D.Scrubbing with tap water - ANSWER-
A patient arrives with a large metal rod embedded in their left thigh and no active
bleeding. Which intervention is most appropriate for this patient?
A.Remove the rod immediately to facilitate cleansing.
B.Apply a tourniquet to the leg above the metal rod.
C.Hold antibiotics until after the rod is removed.
D.Prepare the patient for surgery to remove the rod. - ANSWER-
, A patient arrives with a large metal rod embedded in their left thigh and no active
bleeding. Which intervention is most appropriate for this patient?
A.Remove the rod immediately to facilitate cleansing.
B.Apply a tourniquet to the leg above the metal rod.
C.Hold antibiotics until after the rod is removed.
D.Prepare the patient for surgery to remove the rod. - ANSWER-D.Prepare the patient
for surgery to remove the rod.
A patient arrives with a large open chest wound after being assaulted with a machete.
Prehospital professionals - ANSWER-
A patient arrives with a large open chest wound after being assaulted with a machete.
Prehospital providers placed a nonporous dressing over the chest wound and taped it
on three sides. The patient is now showing signs of anxiety, restlessness, severe
respiratory distress, cyanosis, and decreasing blood pressure. Which of the following is
the MOST appropriate immediate intervention?
A.Needle decompression
B.Tube thoracostomy
C.Dressing removal
D.Surgical repair - ANSWER-C.Dressing removal
A patient fell two weeks ago, striking their head. Today, the patient presented with a
persistent headache and nausea and was diagnosed with a small subdural hematoma.
The patient has been in the ED for 24 hours awaiting an inpatient bed. The night shift
nurse reports the patient has been anxious, restless, shaky, and vomited twice during
the night. The patient states they couldn't sleep because a young child kept coming into
the room. What is the most likely cause for these signs and symptoms?
a. increase intracranial pressure
b. alcohol withdrawal
c. rhabdomyolysis
d. pulmonary embolus - ANSWER-b. alcohol withdrawal
A patient has been diagnosed with an incomplete spinal cord injury at L1. Which finding
would indicate sacral sparing?
A.Involuntary flexion of the great toe
B.Priapism
C.Voluntary anal sphincter tone
D.Numbness to the perianal area - ANSWER-
A patient has been diagnosed with an incomplete spinal cord injury at L1. Which finding
would indicate sacral sparing?
A.Involuntary flexion of the great toe
B.Priapism
C.Voluntary anal sphincter tone
D.Numbness to the perianal area - ANSWER-Voluntary anal sphincter tone
A patient has been diagnosed with an incomplete spinal cord injury at L1. Which finding
would indicate. - ANSWER-
**B stands for ___ and ___. - ANSWER-breathing, ventilation
**C stands for ___. - ANSWER-circulation
**D stands for ___. - ANSWER-disability
**E stands for ___. - ANSWER-exposure
836 year old. Patient has a deformity of the left wrist after a fall. The patient is reluctant
to move. - ANSWER-
A 5-month pregnant patient arrives in the emergency department stating she tripped
and fell, landing on her abdomen. Assessment reveals bruising to the abdomen, both
arms, and her neck. She states she does not take any medications and has not had any
prenatal care. The nurse suspects the findings are most likely related to which of the
following?
A.Intentional violence
B.Pregnancy-related changes
C.Undiagnosed embolus
D.Iron deficiency - ANSWER-
A 5-year-old child presents to the emergency department with bruises to the upper arms
and buttocks in various stages of healing and multiple small, clean, round burns to the
back. There are no abnormalities found based on the pediatric assessment triangle or
primary survey. Which of the following is the priority nursing intervention?
A.Report your suspicion of maltreatment in accordance with local regulations
B.Apply ice to the bruises and provide wound care
C.Engage in therapeutic communicati - ANSWER-A.Report your suspicion of
maltreatment in accordance with local regulations
,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?
A.Oculomotor nerve palsy
B.Globe rupture
C.Retrobulbar hematoma
D.Retinal detachment - ANSWER-
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?
A.Oculomotor nerve palsy
B.Globe rupture
C.Retrobulbar hematoma
D.Retinal detachment - ANSWER-Globe rupture
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
A adult patient with a knife injury to the neck has an intact airway and is
hemodynamically stable. They complain of difficulty swallowing and speaking. In the
primary survey, further assessment is indicated next for which of the following
conditions?
a. Damage to the cervical spine
b. An expanding pneumothorax
c. Laceration of the carotid artery
d. Injury to the thyroid gland - ANSWER-a. Damage to the cervical spine
A driver involved in a high-speed motor vehicle collision arrives in the emergency
department. The vehicle's air-bag failed to deploy. The patient is drowsy but arousable
and complaining of chest pain with ecchymosis noted to the chest. The patient is
tachycardic and hypotensive with no evidence of uncontrolled bleeding. Cardiac monitor
shows premature ventricular contractions. Which of the following is the most appropriate
intervention for this patient?
A.Rapid fluid boluses
B.Tranexamic acid - ANSWER-C.Inotropic support
A driver involved in a high-speed motor vehicle collision arrives in the emergency
department. The vehicle's air-bag failed to deploy. The patient is drowsy but arousable
and complaining of chest pain with ecchymosis noted to the chest. The patient is
tachycardic and hypotensive with no evidence of uncontrolled bleeding. Cardiac monitor
shows premature ventricular contractions. Which of the following is the most appropriate
intervention for this patient?
A.Rapid fluid boluses
B.Tranexamic acid administration
C.Inotropic support
,D.Epinephrine administration - ANSWER-
A nurse verbalizes guilt and remorse after caring for multiple severely injured patients
during a staffing crisis. The nurse expresses anger stating that the patients did not
receive quality care and begins exhibiting aggression toward colleagues. This is most
consistent with which condition?
A.Compassion fatigue
B.Vicarious trauma
C.Secondary traumatic stress
D.Moral injury - ANSWER-D.Moral injury
A nurse, verbalizes, guilt and remorse after caring for multiple severely injured patience
during a - ANSWER-
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 - ANSWER-b. Initiate direct
pressure
A patient arrives at the emergency department following a motor vehicle collision.
Prehospital personnel. - ANSWER-
A patient arrives following prolonged exposure of their left hand to the cold. The patient
is awake and alert and complains of a tingling sensation to the fingers. Assessment
reveals swelling and bright red skin to the left hand and a 1-inch round clear blister to
the dorsum of that hand. Which of the following nursing interventions is most
appropriate for this patient?
A.Massage the injured areas to promote circulation
B.Drain and debride the blister on the hand
C.Immerse in water between 37.5 - ANSWER-D.Gently rewarm over 15 to 30 minutes
A patient arrives with a 3-inch laceration to their forearm from a tree branch. Which of
the following methods will the nurse use to remove small pieces of bark and debris from
the wound?
A.Low-pressure irrigation
B.High-pressure irrigation
C.Scrubbing with normal saline
D.Scrubbing with tap water - ANSWER-
A patient arrives with a large metal rod embedded in their left thigh and no active
bleeding. Which intervention is most appropriate for this patient?
A.Remove the rod immediately to facilitate cleansing.
B.Apply a tourniquet to the leg above the metal rod.
C.Hold antibiotics until after the rod is removed.
D.Prepare the patient for surgery to remove the rod. - ANSWER-
, A patient arrives with a large metal rod embedded in their left thigh and no active
bleeding. Which intervention is most appropriate for this patient?
A.Remove the rod immediately to facilitate cleansing.
B.Apply a tourniquet to the leg above the metal rod.
C.Hold antibiotics until after the rod is removed.
D.Prepare the patient for surgery to remove the rod. - ANSWER-D.Prepare the patient
for surgery to remove the rod.
A patient arrives with a large open chest wound after being assaulted with a machete.
Prehospital professionals - ANSWER-
A patient arrives with a large open chest wound after being assaulted with a machete.
Prehospital providers placed a nonporous dressing over the chest wound and taped it
on three sides. The patient is now showing signs of anxiety, restlessness, severe
respiratory distress, cyanosis, and decreasing blood pressure. Which of the following is
the MOST appropriate immediate intervention?
A.Needle decompression
B.Tube thoracostomy
C.Dressing removal
D.Surgical repair - ANSWER-C.Dressing removal
A patient fell two weeks ago, striking their head. Today, the patient presented with a
persistent headache and nausea and was diagnosed with a small subdural hematoma.
The patient has been in the ED for 24 hours awaiting an inpatient bed. The night shift
nurse reports the patient has been anxious, restless, shaky, and vomited twice during
the night. The patient states they couldn't sleep because a young child kept coming into
the room. What is the most likely cause for these signs and symptoms?
a. increase intracranial pressure
b. alcohol withdrawal
c. rhabdomyolysis
d. pulmonary embolus - ANSWER-b. alcohol withdrawal
A patient has been diagnosed with an incomplete spinal cord injury at L1. Which finding
would indicate sacral sparing?
A.Involuntary flexion of the great toe
B.Priapism
C.Voluntary anal sphincter tone
D.Numbness to the perianal area - ANSWER-
A patient has been diagnosed with an incomplete spinal cord injury at L1. Which finding
would indicate sacral sparing?
A.Involuntary flexion of the great toe
B.Priapism
C.Voluntary anal sphincter tone
D.Numbness to the perianal area - ANSWER-Voluntary anal sphincter tone
A patient has been diagnosed with an incomplete spinal cord injury at L1. Which finding
would indicate. - ANSWER-
