Test Bank - Biochemistry, 8th Edition
(Berg, 2016) Chapter 1-36 | All Chapters
Expedite transfer to the closest trauma center - ANSWERS--A 56 y/o M involved in a
MVC is brought to the ED. He complains of neck pain, SOB, and diffuse abdominal
pain. His GCS is 15, VS: BP 98/71, HR 125, RR 26, SpO2 94% on high-flow O2 via
NRB mask. Which is the priority intervention for this patient?
Mitigation - ANSWERS--Following a review of recent drills and a real disaster event, a
hospital has identified deficiencies and is taking steps to minimize the impact of a future
disaster . Which phase of the disaster life cycle does this describe?
smell of alcohol on breath - ANSWERS--EMS brings a pt who fell while riding his
bicycle. Using the American College of Surgeobs screening guidelines, which
assessment finding would prompt the RN to prepare the pt for a radiologic spine
clearance?
hemoglobin does not readily release O2 for use by the tissues - ANSWERS--What is
the effect of hypothermia on the oxyhemoglobin dissociation curve?
acidosis - ANSWERS--Which of the following is a component of the trauma triad of
death?
Complete - ANSWERS--EMS brings a pt from MVC. VS: BP 90/49, HR 48, RR 12, temp
97.2F (36.2 C). The pt exhibits urinary incontinence and priapism. These assessment
findings are most consistent with which of the following types of spinal cord injury?
pressure - ANSWERS--An intubated and sedated pt in the ED has multiple extremity
injuries with the potential for causing compartment syndrome. What is the most reliable
indication of compartment syndrome in a patient who is unconscious?
flucuation in the water seal chamber - ANSWERS--Which of the following is an
expected finding in a pt with a tube thoracstomy connected to a chest drainage system?
, insert an oropharyngeal airway if there is no gag reflex - ANSWERS--During the primary
survey of an unconscious pt with multi-system trauma, the nurse notes snoring
respirations. What priority nursing interventions should be preformed next?
a pertinent medical hx is crucial - ANSWERS--Which of the following considerations is
the most important when caring for a geriatric trauma pt?
globe rupture - ANSWERS--A 35 y/o M presents with facial trauma after being struck in
the face with a baseball. A teardrop-shaped left pupil is noted on exam. What type of
injury is suspected?
compensated - ANSWERS--A trauma pt is restless and repeatedly asking "where am
i?" VS upon arrival: BP 110/60, HR96, RR 24. Her skin is cool and dry. Current VS are
BP 104/84, HR 108, RR 28. The pt is demonstrating s/sx of which stage of shock?
ventilate with a bag mask device - ANSWERS--An unresponsive trauma pt has an
oropharygeal airway in place, shallow and labored respirations, and dusky skin. The
trauma team has administered medications for drug-assisted intubation and attempted
intubation but was unsuccessful. What is the most appropriate immediate next step?
within 24 hrs of trauma - ANSWERS--When is the tertiary survey completed fora trauma
pt?
pelvic stability - ANSWERS--the most reassuring finding for a male pt with hip pain after
a fall is which of the following?
narrowed - ANSWERS--Which of the following pulse pressures indicate early
hypovolemic shock?
pulse oximetry and capnography - ANSWERS--What bedside monitoring parameters
are used to assess for adequacy of O2 and effectiveness of ventilation?
dysrhythmias - ANSWERS--Patients with a crush injury should be monitored for which
of the following conditions?
subdural hematoma - ANSWERS--Tearing of the bridging veins is most frequently
associated with which brain injury?
straight cath for urine sample - ANSWERS--A 20 y/o M presents to the ED complaining
of severe lower abd pain after landing hard on the bicycle cross bars while preforming
an aerial BMX maneuver. Secondary assessment reveals lower abd tenderness and
scrotal ecchymosis. Which of the following orders would the RN question?
(Berg, 2016) Chapter 1-36 | All Chapters
Expedite transfer to the closest trauma center - ANSWERS--A 56 y/o M involved in a
MVC is brought to the ED. He complains of neck pain, SOB, and diffuse abdominal
pain. His GCS is 15, VS: BP 98/71, HR 125, RR 26, SpO2 94% on high-flow O2 via
NRB mask. Which is the priority intervention for this patient?
Mitigation - ANSWERS--Following a review of recent drills and a real disaster event, a
hospital has identified deficiencies and is taking steps to minimize the impact of a future
disaster . Which phase of the disaster life cycle does this describe?
smell of alcohol on breath - ANSWERS--EMS brings a pt who fell while riding his
bicycle. Using the American College of Surgeobs screening guidelines, which
assessment finding would prompt the RN to prepare the pt for a radiologic spine
clearance?
hemoglobin does not readily release O2 for use by the tissues - ANSWERS--What is
the effect of hypothermia on the oxyhemoglobin dissociation curve?
acidosis - ANSWERS--Which of the following is a component of the trauma triad of
death?
Complete - ANSWERS--EMS brings a pt from MVC. VS: BP 90/49, HR 48, RR 12, temp
97.2F (36.2 C). The pt exhibits urinary incontinence and priapism. These assessment
findings are most consistent with which of the following types of spinal cord injury?
pressure - ANSWERS--An intubated and sedated pt in the ED has multiple extremity
injuries with the potential for causing compartment syndrome. What is the most reliable
indication of compartment syndrome in a patient who is unconscious?
flucuation in the water seal chamber - ANSWERS--Which of the following is an
expected finding in a pt with a tube thoracstomy connected to a chest drainage system?
, insert an oropharyngeal airway if there is no gag reflex - ANSWERS--During the primary
survey of an unconscious pt with multi-system trauma, the nurse notes snoring
respirations. What priority nursing interventions should be preformed next?
a pertinent medical hx is crucial - ANSWERS--Which of the following considerations is
the most important when caring for a geriatric trauma pt?
globe rupture - ANSWERS--A 35 y/o M presents with facial trauma after being struck in
the face with a baseball. A teardrop-shaped left pupil is noted on exam. What type of
injury is suspected?
compensated - ANSWERS--A trauma pt is restless and repeatedly asking "where am
i?" VS upon arrival: BP 110/60, HR96, RR 24. Her skin is cool and dry. Current VS are
BP 104/84, HR 108, RR 28. The pt is demonstrating s/sx of which stage of shock?
ventilate with a bag mask device - ANSWERS--An unresponsive trauma pt has an
oropharygeal airway in place, shallow and labored respirations, and dusky skin. The
trauma team has administered medications for drug-assisted intubation and attempted
intubation but was unsuccessful. What is the most appropriate immediate next step?
within 24 hrs of trauma - ANSWERS--When is the tertiary survey completed fora trauma
pt?
pelvic stability - ANSWERS--the most reassuring finding for a male pt with hip pain after
a fall is which of the following?
narrowed - ANSWERS--Which of the following pulse pressures indicate early
hypovolemic shock?
pulse oximetry and capnography - ANSWERS--What bedside monitoring parameters
are used to assess for adequacy of O2 and effectiveness of ventilation?
dysrhythmias - ANSWERS--Patients with a crush injury should be monitored for which
of the following conditions?
subdural hematoma - ANSWERS--Tearing of the bridging veins is most frequently
associated with which brain injury?
straight cath for urine sample - ANSWERS--A 20 y/o M presents to the ED complaining
of severe lower abd pain after landing hard on the bicycle cross bars while preforming
an aerial BMX maneuver. Secondary assessment reveals lower abd tenderness and
scrotal ecchymosis. Which of the following orders would the RN question?
