Questions and Correct
Answers | New Update
1. The nurse is caring for a patient who was thrown from a horse and
has a decreased level of consciousness, decorticate posturing and
hyperthermia. These findings are consistent with
A. diffuse axonal injury
B. subdural hematoma.
C. Epidural hematoma.
D. Intracerebral hematoma. - ANSWER ✔✔A. diffuse axonal injury
, 2. A patient who has a chest tube continues to have decreased breath
sounds on the affected side and asymmetrical chest wall movement with
each breath. The nurse notes a large amount of bubbling in the water
seal chamber and subcutaneous air from the neck to the abdomen. The
nurse should suspect A. pneumothorax progressing to a tension
pneumothorax.
B. multiple rib fractures and a flail chest.
C. hollow organ injury.
D. tracheobronchial tree injury. - ANSWER ✔✔
3. A patient who is 36 weeks pregnant was a restrained driver in a high-
speed motor vehicle crash on the driver's side. Assessment reveals
abdominal pain, uterine tenderness on palpation, and rising fundal
height. Vital signs are: BP 84/40 mmHg HR 136 beats/min The nurse
should be concerned about
A. vena cava syndrome.
B. placenta previa.
C. uterine rupture.
D. abruptio placentae. - ANSWER ✔✔D. abruptio placentae.
4. INITIAL intervention for a patient who has rhabdomyolysis consists of