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Why is a measure of serum lactate obtained in
the initial assessment of the trauma patient?
Answer: c
a) to measure oxygenation and ventilation
b) to quantify the base deficit for the adequacy of
cellular perfusion
c) to gauge end-organ perfusion and tissue
hypoxia *
d) to determine the underlying cause of shock
A trauma patient is restless and repeatedly
asking "where am I?" vital signs upon arrival
were BP 100/60 mm Hg, HR 96 beats/min, and
RR 24 breaths/min. Her skin is cool and dry.
Current vital signs are BP 104/84mm Hg, HR
108, RR 28 breaths/min. The patient is
demonstrating signs and symptoms of which
stage of shock?
CPEG208 TNCC final exam test
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, CPEG208 TNCC final exam test
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Answer: A
A) compensated **
B) Progressive
C) irreversible
D) decompensated
An elderly patient with a history of
anticoagulant use presents after a fall at home
that day. she denies any loss of
consciousness. She has a hematoma to her
forehead and complains of headache,
dizziness, and nausea. Which is a most likely
cause of her symptoms?
Answer: D
A) epidural hematoma
B) diffuse axonal injury
C) post-concussive syndrome
D) subdural hematoma ***
EMS brings a patient who fell riding his bicycle.
Using the American College of Surgeons
screening guidelines, which assessment finding
CPEG208 TNCC final exam test
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, CPEG208 TNCC final exam test
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would prompt the nurse to prepare the patient
for radiologic spine clearance?
Answer: D
A) Alert with no neurologic deficits
B) Multiple abrasions to the extremities
C) Multiple requests of water
D) Smell of alcohol on breath ***
A patient with lower extremity fracture
complains of severe pain and tightness in his
calf, minimally relieved by pain medications.
Which of the following is the priority nursing
intervention?
Answer: C
A) elevating the extremity above the level of the heart
B) repositioning and apply ice
C) Elevating the extremity to the level of the heart ***
D) Preparing the patient for ultrasound
A 36-year old female has a deformity of the left
CPEG208 TNCC final exam test
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, CPEG208 TNCC final exam test
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wrist after a fall. She is reluctant to move her
hand due to pain. Which of the following is the
most appropriate intervention?
Answer: B
A) apply a sling and elevate the extremity to the level
of the heart.
B) apply a splint and ELEVATE ABOVE THE LEVEL OF
THE HEART ***
C) Apply a sling and elevate the extremity above the
level of the heart
D) apply a splint and elevate the extremity to
the level of the heart. Which of the following
is a late sign of increased intracranial
pressure?
Answer: C
Cushing
Response
Widening pulse
pressure Reflex
bradycardia
CPEG208 TNCC final exam test
LATEST UPDATE 2022/2023 n
book GRADED A+