NSER 7410 FULL FINAL EMERGENCY NURSING THEORY 3 2025 CURRENTLY TESTING
QUESTION BANK WITH ACCURATE SOLUTIONS
You have been caring for a patient for the past 6 hours with multiple chest and abdominal
injuries. She has been hypotensive and received almost 7 liters of fluids, but she is now
starting to bleed from her IV sites and nose. What intervention is expected for this
coagulopathy?
Give fresh frozen plasma
The trimodal distribution of trauma death informs us that 50% of deaths occur at the
scene. What mechanisms lead to these deaths?
lacerations of major arteries and organs
T/F: Trauma systems standardize trauma management, coordinate medical management
and to standardize education for the trauma personnel involved
True
A patient is the driver of a small car involved in a head-on crash with a bus. The driver has
severe facial injuries, is unconscious, and has significant chest and abdominal injuries.
What level of trauma center is most appropriate for the care of the patient?
Level 1
Interventions under "J" include all of the following except:
A)
,Imaging.
B)
Foley.
C)
Blood work.
D)
IVs.
D) IVs
A 20-year-old patient is brought to your ER after a skateboarding injury. Bystanders say he
fell backwards off his board, landing on his neck and upper back area. He is conscious now
but having difficulty talking and breathing. His vitals are T 36.3, P 42, R 10, BP 85/40. He is
able to move his fingers but cannot lift his arms or legs. This patient has bitten his tongue
and needs suctioning. What is important to remember about suctioning a patient with a
potential spinal cord injury?
Bradycardia can result and atropine may be needed
T/F: When a patient is immobilized on a backboard, the best method to auscultate lungs is
as laterally and posteriorly as possible.
True
If a patient's presentation had been a brief loss of consciousness, followed by a lucid
period of minutes to hours, followed by a rapid deterioration in consciousness, this type of
bleed should be suspected.
Epidural hematoma
,One indication that may differentiate compartment syndrome in the arm from regular post-
injury swelling and inflammation is
Severely increased pain with stretching of the involved compartment
Which part of the spine is most often injured by flexion or extension injuries?
cervical
Signs and symptoms of an inhalation injury include all of the following except:
A)
change in voice.
B)
singed nasal hair.
C)
carbonaceous sputum.
D)
supraventricular tachycardia.
D) SVT
Blisters that are intact and less than 2 cm should be kept intact because:
allows for faster healing, causes less pain, better cosmetic appearance
, Inadequate pain management for painful partial thickness burns can lead to all of the
following except:
A)
increased inflammatory response.
B)
increased opioid requirements.
C)
post traumatic stress disorder.
D)
eschar formation.
D) eschar formation
A patient who is ventilated has a low blood pressure. When he arrived to the ED the BP was
much higher at 152/85 and HR was 122. Possible reasons for his low BP include all of the
following except:
A)
hypovolemia.
B)
positive pressure ventilation.
C)
elevated PEEP
D)
inadequate sedation
D) inadequate sedation
QUESTION BANK WITH ACCURATE SOLUTIONS
You have been caring for a patient for the past 6 hours with multiple chest and abdominal
injuries. She has been hypotensive and received almost 7 liters of fluids, but she is now
starting to bleed from her IV sites and nose. What intervention is expected for this
coagulopathy?
Give fresh frozen plasma
The trimodal distribution of trauma death informs us that 50% of deaths occur at the
scene. What mechanisms lead to these deaths?
lacerations of major arteries and organs
T/F: Trauma systems standardize trauma management, coordinate medical management
and to standardize education for the trauma personnel involved
True
A patient is the driver of a small car involved in a head-on crash with a bus. The driver has
severe facial injuries, is unconscious, and has significant chest and abdominal injuries.
What level of trauma center is most appropriate for the care of the patient?
Level 1
Interventions under "J" include all of the following except:
A)
,Imaging.
B)
Foley.
C)
Blood work.
D)
IVs.
D) IVs
A 20-year-old patient is brought to your ER after a skateboarding injury. Bystanders say he
fell backwards off his board, landing on his neck and upper back area. He is conscious now
but having difficulty talking and breathing. His vitals are T 36.3, P 42, R 10, BP 85/40. He is
able to move his fingers but cannot lift his arms or legs. This patient has bitten his tongue
and needs suctioning. What is important to remember about suctioning a patient with a
potential spinal cord injury?
Bradycardia can result and atropine may be needed
T/F: When a patient is immobilized on a backboard, the best method to auscultate lungs is
as laterally and posteriorly as possible.
True
If a patient's presentation had been a brief loss of consciousness, followed by a lucid
period of minutes to hours, followed by a rapid deterioration in consciousness, this type of
bleed should be suspected.
Epidural hematoma
,One indication that may differentiate compartment syndrome in the arm from regular post-
injury swelling and inflammation is
Severely increased pain with stretching of the involved compartment
Which part of the spine is most often injured by flexion or extension injuries?
cervical
Signs and symptoms of an inhalation injury include all of the following except:
A)
change in voice.
B)
singed nasal hair.
C)
carbonaceous sputum.
D)
supraventricular tachycardia.
D) SVT
Blisters that are intact and less than 2 cm should be kept intact because:
allows for faster healing, causes less pain, better cosmetic appearance
, Inadequate pain management for painful partial thickness burns can lead to all of the
following except:
A)
increased inflammatory response.
B)
increased opioid requirements.
C)
post traumatic stress disorder.
D)
eschar formation.
D) eschar formation
A patient who is ventilated has a low blood pressure. When he arrived to the ED the BP was
much higher at 152/85 and HR was 122. Possible reasons for his low BP include all of the
following except:
A)
hypovolemia.
B)
positive pressure ventilation.
C)
elevated PEEP
D)
inadequate sedation
D) inadequate sedation
