Correct Answers | Latest Update 2026/2027 | Already
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A patient arrives at the emergency department by private vehicle after sustaining
an injury to the right lower extremity while using a saw. There is a large gaping
wound to the right thigh area with significant bleeding. What is the priority
intervention?
A. Elevate the extremity to the level of the heart
B. Initiate direct pressure
C. Apply a tourniquet
D. Cover the open wound with sterile saline dressings
Ans: B. Initiate direct pressure
Rationale: The first step inn controlling any bleeding is application of direct
pressure.
What technique is most appropriate when obtaining a history from a patient who
has experienced a sexual assault?
A. Sitting next to the patient
B. Ensuring the patient answers all the questions
C. Asking for information only related to the assault
D. Applying active listening
Ans: D. Applying active listening
, Rationale: Therapeutic communication techniques such as active listening decrease
unintentional distress during the interaction.
The vital signs of a pregnant trauma patient at 30 weeks include a blood pressure
of 94/62 mmHg and a heart rate of 108 beats/minute. Fetal heart tones are 124
beats/minute. The emergency nurse interprets the patient's hemodynamic findings
as an indication of which of the following?
A. Decompensated shock
B. Normal vital signs in pregnancy
C. Compensated shock
D. Supine hypotension syndrome
Ans: B. Normal vital signs in pregnancy
Rationale: In pregnancy, the resting heart rate increases by 10 to 20 beats/minute.
This is also a small decrease in systolic blood pressure and a larger decrease in
diastolic blood pressure due to a decrease in peripheral resistance. Normal fetal
heart rate is between 120 and 160 beats/minute.
What is the appropriate technique for palpating the pelvis for stability?
A. Apply gentle pressure over the iliac crests, downward and laterally
B. Apply gentle pressure over the iliac crests, downward and medially