RNA 805 Exam 1 Questions AND Correct Answers
A patient has been diagnosed with an ischemic stroke. Which agent should be avoided in the care of this
patient? - ✔✔Glucose
A patient with a blunt aortic injury from a motor vehicle accident exhibits increased pulmonary
vascularity and a normal heart size on chest x-ray. What injury-induced pathologies would most likely
produce this? - ✔✔Ventricular septal defect
A patient with a history of spinal cord injury is undergoing a cesarean section. Which anesthetic
modality would be the most effective at preventing autonomic hyperreflexia? - ✔✔Spinal anesthesia
A patient with a suspected cervical spine injury is transported to the emergency department by
ambulance. On arrival, an LMA is in place. The patient exhibits no spontaneous respirations and is
unconscious, but you are able to bag-ventilate the patient with ease. You should - ✔✔replace the LMA
with an endotracheal tube
A patient with autonomic hyperreflexia will exhibit (select two) - ✔✔Vasoconstriction below the level of
spinal cord injury
Vasodilation above the level of spinal cord injury
A patient with myasthenia gravis is undergoing surgery. This patient would most likely - ✔✔have a
decreased number of functioning acetylcholine receptors
A patient with severe traumatic injuries is suspected of also having ischemic brain damage. Which fluid
would be the least appropriate for fluid resuscitation? - ✔✔D5 1/2 NS
A trauma patient exhibits distended neck veins, hypotension despite vigorous fluid resuscitation, and
subcutaneous emphysema over the neck and chest. These symptoms are consistent with - ✔✔Tension
pneumothorax
According to the Advanced Trauma Life Support Classification of Hemorrhagic Shock, Class III
hemorrhagic shock criteria includes (select two) - ✔✔Blood loss between 1500 and 2000 mL
, Pulse rate >120/min
Acute chest syndrome is associated with what disease process? - ✔✔Sickle cell disease
All of the following are symptoms of acute spinal cord injury except: - ✔✔Rigid paralysis below the level
of the injury
At what compartment pressure is fasciotomy of an affected extremity indicated? - ✔✔30 cm H2O or
higher
Autonomic hyperreflexia - ✔✔represents the return of spinal reflexes
Autonomic hyperreflexia would most likely produce - ✔✔vasoconstriction below the spinal cord lesion
During the first phase of the injury of a major trauma patient, a core body temperature below 35
degrees Celsius is often associated with: (select two) - ✔✔hypotension
coagulopathy
Hemophilia B can be treated with - ✔✔factor IX concentrate
In addition to clinical evaluation, what diagnostic tool is recommended to rule out C-spine injury in
major trauma patients? - ✔✔CT Scan
Intracranial hypertension is defined as a sustained increased in intracranial pressure above: - ✔✔20-25
mmHg
Match the psychiatric disorder with the salient characteristic that distinguishes it from the others. -
✔✔Mania - flight of ideas
A patient has been diagnosed with an ischemic stroke. Which agent should be avoided in the care of this
patient? - ✔✔Glucose
A patient with a blunt aortic injury from a motor vehicle accident exhibits increased pulmonary
vascularity and a normal heart size on chest x-ray. What injury-induced pathologies would most likely
produce this? - ✔✔Ventricular septal defect
A patient with a history of spinal cord injury is undergoing a cesarean section. Which anesthetic
modality would be the most effective at preventing autonomic hyperreflexia? - ✔✔Spinal anesthesia
A patient with a suspected cervical spine injury is transported to the emergency department by
ambulance. On arrival, an LMA is in place. The patient exhibits no spontaneous respirations and is
unconscious, but you are able to bag-ventilate the patient with ease. You should - ✔✔replace the LMA
with an endotracheal tube
A patient with autonomic hyperreflexia will exhibit (select two) - ✔✔Vasoconstriction below the level of
spinal cord injury
Vasodilation above the level of spinal cord injury
A patient with myasthenia gravis is undergoing surgery. This patient would most likely - ✔✔have a
decreased number of functioning acetylcholine receptors
A patient with severe traumatic injuries is suspected of also having ischemic brain damage. Which fluid
would be the least appropriate for fluid resuscitation? - ✔✔D5 1/2 NS
A trauma patient exhibits distended neck veins, hypotension despite vigorous fluid resuscitation, and
subcutaneous emphysema over the neck and chest. These symptoms are consistent with - ✔✔Tension
pneumothorax
According to the Advanced Trauma Life Support Classification of Hemorrhagic Shock, Class III
hemorrhagic shock criteria includes (select two) - ✔✔Blood loss between 1500 and 2000 mL
, Pulse rate >120/min
Acute chest syndrome is associated with what disease process? - ✔✔Sickle cell disease
All of the following are symptoms of acute spinal cord injury except: - ✔✔Rigid paralysis below the level
of the injury
At what compartment pressure is fasciotomy of an affected extremity indicated? - ✔✔30 cm H2O or
higher
Autonomic hyperreflexia - ✔✔represents the return of spinal reflexes
Autonomic hyperreflexia would most likely produce - ✔✔vasoconstriction below the spinal cord lesion
During the first phase of the injury of a major trauma patient, a core body temperature below 35
degrees Celsius is often associated with: (select two) - ✔✔hypotension
coagulopathy
Hemophilia B can be treated with - ✔✔factor IX concentrate
In addition to clinical evaluation, what diagnostic tool is recommended to rule out C-spine injury in
major trauma patients? - ✔✔CT Scan
Intracranial hypertension is defined as a sustained increased in intracranial pressure above: - ✔✔20-25
mmHg
Match the psychiatric disorder with the salient characteristic that distinguishes it from the others. -
✔✔Mania - flight of ideas
