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Which blood pressure finding is associated with early or
compensated hypovolemic shock?
A.Rising systolic
B.Rising diastolic
C.Decreasing diastolic
D.Decreasing systolic - ANSWER B. Rising diastolic
Which of the following is true about the log-roll maneuver?
A.It causes less spinal motion than the lift-and-slide maneuver
B.It is recommended for patients with unstable pelvic fractures
C.It should be avoided with a suspected spine injury prior to
imaging
D.It decreases the risk of hemorrhage from unstable pelvic
injuries - ANSWER It should be avoided with a suspected spine
injury prior to imaging
A patient has uncontrolled bleeding from a wound to his right
upper extremity. What is the priority intervention?
A.Initiate two intravenous access sites
B.Place the patient on supplemental oxygen
C.Apply direct pressure to the wound
D.Use a tourniquet to control the bleeding - ANSWER C.Apply
direct pressure to the wound
Which of the following situations could cause functional grief?
A.Inability to live at home
,B.Amputation of a limb
C.Loss of one's self-image
D.Destruction of the patient's car - ANSWER B.Amputation of a
limb
Using the American College of Surgeons screening guidelines,
what assessment finding would prompt the nurse to prepare a
patient for cervical spine imaging?
A.Alert with no neurologic deficits
B.Multiple abrasions to the extremities
C.Ecchymosis to the flank
D.Responds to verbal stimulation - ANSWER A.Alert with no
neurologic deficits
An adult was thrown against a concrete wall during a factory
explosion and sustained a femur fracture, liver laceration, and a
small subdural hematoma. These injuries most likely occurred
during what level of blast trauma?
A.Primary
B.Secondar
y
C.Tertiary
D.Quaternary - ANSWER C.Tertiary
An adult patient was brought to the emergency department
following a motorcycle crash. On arrival, the patient is only
responsive to pain, has bleeding from the nose, and multiple
abrasions and contusions to the face. What is the priority
intervention?
, A.Use a bulb syringe to suction out secretions from the mouth.
B.Insert a nasopharyngeal airway to maintain an open airway.
C.Use a jaw thrust to open the airway and look for signs of
obstruction.
D.Ask the patient to open their mouth to inspect the airway. -
ANSWER C.Use a jaw thrust to open the airway and look for
signs of obstruction.
An adult pedestrian was struck on the right side by a sport utility
vehicle traveling at 40 mph. The patient is awake and alert and
the right leg is shortened. Following initial resuscitation with fluids,
the patient remains hypotensive. What would be the priority
intervention?
A.Send blood for type and crossmatch
B.Apply a pelvic binder
C.Prepare the patient for surgery
D.Insert a urinary catheter - ANSWER Apply a pelvic binder
A severely injured patient has been intubated and is being
mechanically ventilated. The patient has received a balanced
resuscitation including multiple blood products. Under which
circumstance will it be harder for the hemoglobin to release
oxygen to the tissues?
A.Decreased pH
B.Elevated carbon dioxide level
C.Decreased body temperature
D.Increased metabolic demand - ANSWER C.Decreased body
temperature