NURS 8026 Exam Questions and Correct Answers 100% Verified Graded A+
Tension pneumothorax - - pt w/ hx of chest trauma
- PE will show diminished or absent breath sounds, tracheal deviation AWAY from side of injury,
hypotension, JVD
- diagnosis: clinical
- treatment: needle decompression in second ICS midclavicular line + chest tube
subdural hematoma - - pt will be elderly or alcoholic
- hx of fall or traumatic head injury
- c/o HA, mental status change, seizures, focal deficits
- dx via non-contrast CT showing crescent-shaped hematoma
- mc d/t rupture of bridging veins
- tx is neurosurgical consult
Foreign body aspiration - - right main bronchus
- CXR: unilateral obstructive emphysema, edge of coin seen if in trachea
- bronchoscopy
lead poisoning - - patient will be a child
- c/o HA, joint pain, constipation
- XR will show hyperdense lines at metaphysis (lead lines)
- labs will show microcytic, hypochromic anemia, and basophilic stippling on peripheral smear
, - treatment is oral succimer or IV EDTA (calcium disodium edetate)
Beta-Blocker Toxicity - - PE will show hypotension, bradycardia, heart block
- labs will show hypoglycemia
- treatment is glucagon
Hyphema - - patient w/ hx of blunt or penetrating trauma
- complaining of blurry vision
- PE will show unequal pupils, injected conjunctiva/sclera and blood in anterior chamber
- tx is eye protection and rest w/ HOB at 30 degrees at all times
rabies - - pt w/ hx of exposure to raccoons, bats, or skunks
- c/o hydrophobia, agitation, spasms
- tx: wound care (scrubbing), Ig at wound site, vaccination x 4 doses in 7 days
brown-sequard syndrome - - pt w/ hx of penetrating trauma
- PE will show ipsilateral loss of motor, position, vibration; contralateral loss of pain and temp
- MCC spinal cord hemisection
orbital blow out fracture - - pt w/ hx of direct trauma to orbit
- complaining of: limitation of upward gaze, infraorbital anesthesia
- PE will show inferior rectus entrapment, enopthalmos
Tension pneumothorax - - pt w/ hx of chest trauma
- PE will show diminished or absent breath sounds, tracheal deviation AWAY from side of injury,
hypotension, JVD
- diagnosis: clinical
- treatment: needle decompression in second ICS midclavicular line + chest tube
subdural hematoma - - pt will be elderly or alcoholic
- hx of fall or traumatic head injury
- c/o HA, mental status change, seizures, focal deficits
- dx via non-contrast CT showing crescent-shaped hematoma
- mc d/t rupture of bridging veins
- tx is neurosurgical consult
Foreign body aspiration - - right main bronchus
- CXR: unilateral obstructive emphysema, edge of coin seen if in trachea
- bronchoscopy
lead poisoning - - patient will be a child
- c/o HA, joint pain, constipation
- XR will show hyperdense lines at metaphysis (lead lines)
- labs will show microcytic, hypochromic anemia, and basophilic stippling on peripheral smear
, - treatment is oral succimer or IV EDTA (calcium disodium edetate)
Beta-Blocker Toxicity - - PE will show hypotension, bradycardia, heart block
- labs will show hypoglycemia
- treatment is glucagon
Hyphema - - patient w/ hx of blunt or penetrating trauma
- complaining of blurry vision
- PE will show unequal pupils, injected conjunctiva/sclera and blood in anterior chamber
- tx is eye protection and rest w/ HOB at 30 degrees at all times
rabies - - pt w/ hx of exposure to raccoons, bats, or skunks
- c/o hydrophobia, agitation, spasms
- tx: wound care (scrubbing), Ig at wound site, vaccination x 4 doses in 7 days
brown-sequard syndrome - - pt w/ hx of penetrating trauma
- PE will show ipsilateral loss of motor, position, vibration; contralateral loss of pain and temp
- MCC spinal cord hemisection
orbital blow out fracture - - pt w/ hx of direct trauma to orbit
- complaining of: limitation of upward gaze, infraorbital anesthesia
- PE will show inferior rectus entrapment, enopthalmos
