You are caring for a patient who was thrown from a
bike and was not wearing a helmet. While
performing the head-to-toe assessment, you note
clear drainage from the right ear. Which of the
following is the most appropriate next step?
A. Clean the ear with a cotton-tipped applicator.
B. Pack the ear with gauze.
C. Notify the physician
D. Document and continue the exam. - ANSWER C.
Notify the physician
A patient is brought to the emergency department
of a rural hospital following a high-speed motor
vehicle collision. When significant abdominal and
pelvic injuries are noted in the primary survey, what
is the priority intervention?
,A. Initiate transfer to a trauma center
B. Attempt family notification
C. Obtain additional imaging studies
D. Place an indwelling urinary catheter - ANSWER A.
Initiate transfer to a trauma center
An adult who fell from a second story roof is
brought to the emergency department by private
vehicle. The patient is confused with unlabored
respirations and has strong, palpable radial pulses.
There is an open wound in proximity to an obvious
deformity of the left lower extremity. What is the
priority intervention?
A. Initiate cervical spine stabilization
B. Apply a splint to the lower extremity
C. Put the patient on portable oxygen.
D. Log roll the patient onto a spine board - ANSWER
A. Initiate cervical spine stabilization
An adult patient who sustained a severe head
trauma has been intubated and is being manually
ventilated via a bag-mask device at a rate of 18
breaths/minute. The patient has received one
, intravenous fluid bolus of 500 mL of warmed
isotonic crystalloid solution. The PaCO2 is 30 mm Hg
(4.0 kPa), and the pulse oximetry is 92%. BP is
142/70 mm Hg. What is the most important
intervention to manage the cerebral blood flow?
A. Decrease the rate of manual ventilation.
B. Initiate another fluid bolus.
C. Recheck endotracheal tube placement.
D. Increase the amount of oxygen delivered. -
ANSWER A. Decrease the rate of manual ventilation.
An adult patient is brought to the emergency
department following a vehicle "roll-over" with
prolonged extrication. Assessment reveals swelling
and bruising to the right proximal thigh and a weak
pedal pulse. Skin is pale, cool, and moist. What is
the most appropriate initial intervention?
A. Application of a tourniquet to the affected
extremity
B. Application of a pelvic binder
C. Fluid resuscitation to maintain a urine output of
0.5 mL/kg/hour
bike and was not wearing a helmet. While
performing the head-to-toe assessment, you note
clear drainage from the right ear. Which of the
following is the most appropriate next step?
A. Clean the ear with a cotton-tipped applicator.
B. Pack the ear with gauze.
C. Notify the physician
D. Document and continue the exam. - ANSWER C.
Notify the physician
A patient is brought to the emergency department
of a rural hospital following a high-speed motor
vehicle collision. When significant abdominal and
pelvic injuries are noted in the primary survey, what
is the priority intervention?
,A. Initiate transfer to a trauma center
B. Attempt family notification
C. Obtain additional imaging studies
D. Place an indwelling urinary catheter - ANSWER A.
Initiate transfer to a trauma center
An adult who fell from a second story roof is
brought to the emergency department by private
vehicle. The patient is confused with unlabored
respirations and has strong, palpable radial pulses.
There is an open wound in proximity to an obvious
deformity of the left lower extremity. What is the
priority intervention?
A. Initiate cervical spine stabilization
B. Apply a splint to the lower extremity
C. Put the patient on portable oxygen.
D. Log roll the patient onto a spine board - ANSWER
A. Initiate cervical spine stabilization
An adult patient who sustained a severe head
trauma has been intubated and is being manually
ventilated via a bag-mask device at a rate of 18
breaths/minute. The patient has received one
, intravenous fluid bolus of 500 mL of warmed
isotonic crystalloid solution. The PaCO2 is 30 mm Hg
(4.0 kPa), and the pulse oximetry is 92%. BP is
142/70 mm Hg. What is the most important
intervention to manage the cerebral blood flow?
A. Decrease the rate of manual ventilation.
B. Initiate another fluid bolus.
C. Recheck endotracheal tube placement.
D. Increase the amount of oxygen delivered. -
ANSWER A. Decrease the rate of manual ventilation.
An adult patient is brought to the emergency
department following a vehicle "roll-over" with
prolonged extrication. Assessment reveals swelling
and bruising to the right proximal thigh and a weak
pedal pulse. Skin is pale, cool, and moist. What is
the most appropriate initial intervention?
A. Application of a tourniquet to the affected
extremity
B. Application of a pelvic binder
C. Fluid resuscitation to maintain a urine output of
0.5 mL/kg/hour
