Advanced Trauma Care for Nurses (ATCN) Pre-test Questions and Answers

The body regions which are the sites of major internal and external bleeding include: Chest, abdomen, pelvis and external bleeding A one year old infant with an intracerebral hemorrhage requires endotracheal intubation. What aspect of this child's anatomy needs to be appreciated in order to provide an effective airway? Short tracheal length may result in bronchus intubation and tube dislodgement Preparation for a trauma patient includes: Assembling anticipated resources and equipment and checking proper function A nurse is asked to apply a splint on a patient with a closed wrist fracture. In carrying out the task, which of the following describes how this injury should be immobilized? Flat on a padded splint to include the hand to the elbow In providing care to a patient with severe brain injury, the nurse plans interventions to maintain adequate CPP including: Maintaining normal intravascular volume and MAP A patient with suspected TBI is to be intubated using drug-assisted intubation with etomidate and succinylcholine. The nurse knows that the most important consideration prior to the procedure is to: Have an alternative airway plan ready A fluid bolus of warmed crystalloid solution may be ordered in the initial treatment of shock. Which statement is true concerning the volume of the bolus? It is limited to one liter When sedating a head-injured patient prior to intubation, the most important step is to: Obtain a baseline GCS and pupillary exam prior to administering medications A ten year old child arrives following a MVC. Which of these physiological changes would be consistent with hypovolemic shock due to a mild blood volume loss and indicate the need to initiate fluid boluses? Tachycardia and capillary refill of 4 seconds A sixty-six year old patient arrives at the trauma center after being struck by a car while walking across the street. External rotation of the BLE is noted and manual manipulation of the pelvis causes excruciation pain. The next intervention for this patient should be to: Apply a pelvic stabilization device to the pelvis during resuscitation