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A 36-year-old driver was pulled from a car after it collided with
a tree and the gas tank exploded. What assessment data
suggest the patient suffered tissue damage consistent with a
blast injury?
Select one:
a. Blood pressure 82/60 mm Hg, heart rate 122 beats/min,
respiratory rate 28 breaths/min
b. Responsive only to painful stimuli
c. Irregular heart rate and rhythm
d. Crackles (rales) on auscultation of bilateral lung fields -
ANSWER-d. Crackles (rales) on auscultation of bilateral lung
fields
Which of the following statements are true regarding fluid
resuscitation during
the care of a trauma
patient?
Select all that apply
Select one or more:
a. Only fully crossmatched blood products are administered
,b. Lactated Ringer's is recommended for rapid crystalloid
infusion.
c. IV fluids may need to be warmed to prevent hypothermia.
d. Massive transfusions should be avoided to improve patient
outcomes. - ANSWER-c. IV fluids may need to be warmed to
prevent hypothermia.
d. Massive transfusions should be avoided to improve patient
outcomes.
Which of the following statements about mass casualty triage
during a disaster is true? Select one:
a. Disaster victims with the greatest chances for survival
receive priority for treatment.
b. Once interventions have been initiated, health care
providers cannot stop the treatment of disaster victims.
c. Color-coded systems in which green indicates the patient
of greatest need are used during disasters.
d. Priority treatments and interventions focus primarily on
young victims. - ANSWER-a. Disaster victims with the greatest
chances for survival receive priority for treatment.
A community-based external disaster is initiated after a
tornado moved through the city. A nurse from the medical
records review department arrives at the emergency
department asking how to assist. The best response by a
nurse working for the trauma center would be to Select one:
a. Have the nurse assist with transport of patients to procedural
areas.
,b. Thank the nurse but inform her to return to her department as
her skill set is not a good match for patients' needs.
c. Assign the nurse administrative duties, such as obtaining
patient demographic information.
d. Assign the nurse to a triage room with another nurse from
the emergency department. - ANSWER-c. Assign the nurse
administrative duties, such as obtaining patient demographic
information.
An 18-year-old unrestrained passenger who sustained multiple
traumatic injuries from a motor vehicle crash has a blood
pressure of 80/60 mm Hg at the scene. This patient should be
treated at which level trauma center?
Select one:
a. Level IV
b. Level II
c. Level III
d. Level 1 - ANSWER-d. Level 1
Which of the following interventions would not be appropriate
for a patient who
is admitted with a suspected basilar
skull fracture?
Select
one:
a. Placement of an oral
airway
, b. Insertion of a
nasotracheal tube
c. Insertion of an indwelling urinary
catheter
d. Endotracheal intubation - ANSWER-b. Insertion of a
nasotracheal tube
The nurse is caring for a patient admitted with new onset of
slurred speech, facial droop, and left-sided weakness 8 hours
ago. Diagnostic computed tomography scan rules out the
presence of an intracranial bleed. Which actions are most
important to include in the patient's plan of care?
Select all that apply
Select one or more:
a. Make frequent neurological assessments.
b. Maintain CO2 level at 35-45 mm Hg.
c. Prepare for thrombolytic administration.
d. Maintain MAP greater than 130 mm Hg. - ANSWER-d. Maintain
MAP greater than 130 mm Hg.
A patient with disseminated intravascular coagulation is
receiving I.V. albumin, which Select one:
a. decreases intravascular volume
b. increases interstitial volume
c. is isotonic