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Correct| Latest 2025| Graded A.
An intubated trauma patient has just been transported back from
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CT scan. Upon arrival to their room in the emergency department,
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resistance is noted with bag-mask ventilations and auscultation
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reveals unequal breath sounds. What is the most appropriate
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initial intervention for this patient?
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A. Place the patient back on the ventilator
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B. Extubate the patient
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C. Reposition the endotracheal tube
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D. Suction the endotracheal tube
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endotracheal tube i,-
*An adult arrives at the emergency department with superficial
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burns to the extremities following a house fire. The patient is
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reporting a headache with nausea and is drowsy and confused.
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What is the most likely cause of these symptoms?
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A. Capillary leak syndrome
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,B. Rhabdomyolysis
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C. Carbon monoxide poisoning
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D. Hypothermia
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*An adult patient involved in an assault presents with shortness of
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breath, BP 88/50 mmHg, heart rate of 130 beats/minute, and RR
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32 breaths/minute. The patient has muffled heart sounds and is
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cyanotic. What is the priority intervention?
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A. Needle thoracotomy
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B. Chest tube insertion
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C. Pericardiocentesis
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D. Tracheal intubation
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An unresponsive patient has an oropharyngeal airway in place,
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sallow and labored respiration, and dusky skin. Medication for
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drug-assisted intubation, including a paralytic agent, have been i,- i,- i,- i,- i,- i,- i,- i,-
administered but intubation was unsuccessful. What is the most i,- i,- i,- i,- i,- i,- i,- i,- i,-
appropriate next step? i,- i,-
A. Ventilate with a bag-mask device
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B. Prepare for a cricothyroidectomy
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C. Administer reversal medications
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,D. Contact anesthesia for assistance
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mask device i,-
A seriously injured patient is noted to have a weak, thready pulse
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and cool, clammy skin. There is instability of the pelvis on
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palpation and blood at the urinary meatus. A pelvic binder is
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appropriately applied and balanced fluid resuscitation is being i,- i,- i,- i,- i,- i,- i,- i,-
managed by the team. What is the priority diagnostic
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intervention?
A. Retrograde urethrogram
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B. Plain pelvic radiographs
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C. Abdominal computerized tomography scan
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D. Focused assessment sonography for trauma
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assessment sonography for trauma i,- i,- i,-
A patient with a chest tube is being transported to the intensive
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care unit and fluctuation is noted in the water seal chamber
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during inspiration and expiration. What is the best action for the
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nurse to take? i,- i,-
A. Clamp the chest tube
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B. Return to the emergency department
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, C. Assist ventilation with bag-mask device
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D. Continue to the intensive care unit
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intensive care unit i,- i,-
A teenaged patient presents to the emergency department with
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left arm pain after a grand level fall. The patient identifies as
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transgender and shares that they are homeless. The ED staff are i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
concerned the patient is experiencing human trafficking. What is
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most consistent with human trafficking?
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A. The individual appears well nourished
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B. Those who are being trafficked rarely seek medical care.
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C. It is infrequently associated with substance abuse
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D. Those experiencing human trafficking rarely self-disclose
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D. Those experiencing human trafficking rarely self-disclose
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Caregivers carry a 2-year old into the ED who fell out of 2nd story
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window. The patient is awake and crying with increased work of
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breathing and pale skin. which of the following interventions has
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the highest priority?
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A. Stabilize the cervical spine
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B. Applying a nonrebreather mask
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