TCRN 2024/25 QUESTIONS WITH WELL EXPLAINED ANSWERS A+ GRADE

TCRN 2024/25 QUESTIONS WITH WELL EXPLAINED ANSWERS A+ GRADE 1) The trauma nurse is caring for a 6-year-old child who sustained a tackle while participating in a youth football game. The patient's mother states, "He got the wind knocked out of him." Vital signs are: HR 120 beats/min BP 85/50 mmHg RR 26 breaths/min SpO2 92% (room air) Based on the injury pattern, the nurse suspects which injury is MOST likely? Possible answer(s): Cardiac contusion Tension pneumothorax Pulmonary contusion Splenic rupture - ANS-Pulmonary contusion The chest wall of a child allows for pulmonary contusions without rib fractures. The child is not actively hypotensive or showing signs of a tension pneumothorax. Cardiac contusion can lead to decreased cardiac output, tachycardia, and ventricular ectopy. Splenic rupture will cause hypotension, which this child is not experiencing. 2) An infant with a history of Trisomy 21 is being evaluated status post motor vehicle collision. The nurse anticipates which of the following may be related to traumatic injury rather than a history of Trisomy 21?