Graded A+, Exams of Nursing
1. Which intervention is recommended regarding the use of drug-
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assisted intubation and rapid sequence intubation? ANS Pre-
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oxygenate to prolong the time to hypoxia p p p p p p
2. Which normal anatomic or physiologic change in an older adult places them at a higher risk for
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aspiration? ANS Relaxed muscles of the oropharynx
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3. A patient has been diagnosed with an incomplete spinal cord injury at L1. Which finding wo
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uld indicate sacral sparing? ANS Voluntary anal sphincter tone
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4. An adult patient weighing 75 kg sustained partial and full thickness burns to 32% of their body
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2 hours prior to arrival. Intravenous fluid resuscitation was calculated to be 400 mL/hour. The uri
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ne output over the last hour was 15mL. What intervention should the nurse anticipate? ANS Incr
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ease isotonic crystalloid infusion rate
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5. A patient is diagnosed with a T12 spinal cord injury following a 20-
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foot fall. Which finding is consistent with spinal shock? ANS Loss of reflexes
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6. A patient is brought to the emergency department following a motor vehicle rollover and is co
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mplaining of left upper abdominal pain and left shoulder pain. This presentation is most consistent
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p with an injury to which organ? ANS Spleen
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7. An adult patient is brought to the emergency department following a motor vehicle collision w
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ith complaints of neck pain.They have identified as a person in the process of transitioning from m
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ale to female. What effect of hormone therapy should be considered when planning care for th
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is patient? ANS Testos- terone therapy may decrease blood pressure
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, Correct rationale ANS A person who is in the process of transitioning from male to female will u
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sually be taking female hormones such as estrogen/estradiol to assist with the transition. This ca
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n cause a decrease in muscle mass, increased risk of thromboembolism, and possibly increased
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bone density. These patients would not be taking testosterone.
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8. An adult patient presents to the emergency department after sustaining severe facial injuri
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es during an altercation. The patient is awake, confused, and smells heavily of alcohol. Pulse o
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ximetry is 94% on room air. Immediate intubation should be anticipated based on which clinic
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al indicator? ANS Severe facial injuries
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9. A patient involved in a high-
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speed rollover is complaining of increased difficulty breathing.There is a small penetrating wou
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nd to the sixth intercostal space in the left lateral chest. Which finding is most consistent with an inj
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ury to the diaphragm? ANS Bowel sounds heard in the left lower chest
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10. A severely injured patient has been intubated and is being mechanical-
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p ly ventilated. The patient has received a balanced resuscitation including
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