Emergency and Trauma Nursing Exam Questions AND Correct
Answers
A - ✔✔Airway/cervical spine
-The highest priority intervention is always establish a patent
airway
-Protect the cervical spine and any trauma patient with the
potential for spinal injury by manually aligning the neck in
neutral
-Provide supplemental oxygen for all patients regardless of
comorbidities (per Michelle)
Advanced cardiac life support - ✔✔Invasive airway
management skills, pharmacology, and electrical therapies,
special resuscitation
Advanced life support provider who can perform advanced
techniques, cardiac monitoring, airway management,
intubation, or IV drugs in route to the hospital - ✔✔Paramedic
B - ✔✔Breathing
-After the airway is secured breathing becomes the next
priority
,-Listen to breath sounds and evaluate chest expansion,
respiratory effort, and any evidence of chest wall trauma or
physical abnormalities
-Chest decompression may be necessary in this phase if
tension pneumothorax is indicated via chest tube or needle
Basic life support - ✔✔Non-invasive assessment and
management skills for airway maintenance and
cardiopulmonary resuscitation
C - ✔✔Circulation
-Is there active bleeding? if so, STOP IT with pressure
-2 large bore IVs
-Pull "rainbow" blood, No cultures right now
-May insert central line depending on location and severity of
injuries
Certified emergency nurse - ✔✔Validates core emergency
nursing knowledge
D - ✔✔Disability
-"DA BRAIN" = Neurological
, -AVPU =
Alert and oriented
Voice; are they responsive
Pain; are they responsive
Unresponsive
-Substance intoxication can impair proper measurement
Deaths in the emergency department - ✔✔-One or two family
members may be present during resuscitation efforts
-If patient dies before family arrives prepare body and room
for viewing
-If death requires forensic investigation, cleaning of body and
viewing may not be possible due to potentially contaminating
evidence
Disposition - ✔✔-Will the patient be admitted, discharged or
transferred to a tertiary care facility?
-Want pt out of ER asap for comfort and safety
E - ✔✔Exposure
-Remove all clothing for proper assessment
Answers
A - ✔✔Airway/cervical spine
-The highest priority intervention is always establish a patent
airway
-Protect the cervical spine and any trauma patient with the
potential for spinal injury by manually aligning the neck in
neutral
-Provide supplemental oxygen for all patients regardless of
comorbidities (per Michelle)
Advanced cardiac life support - ✔✔Invasive airway
management skills, pharmacology, and electrical therapies,
special resuscitation
Advanced life support provider who can perform advanced
techniques, cardiac monitoring, airway management,
intubation, or IV drugs in route to the hospital - ✔✔Paramedic
B - ✔✔Breathing
-After the airway is secured breathing becomes the next
priority
,-Listen to breath sounds and evaluate chest expansion,
respiratory effort, and any evidence of chest wall trauma or
physical abnormalities
-Chest decompression may be necessary in this phase if
tension pneumothorax is indicated via chest tube or needle
Basic life support - ✔✔Non-invasive assessment and
management skills for airway maintenance and
cardiopulmonary resuscitation
C - ✔✔Circulation
-Is there active bleeding? if so, STOP IT with pressure
-2 large bore IVs
-Pull "rainbow" blood, No cultures right now
-May insert central line depending on location and severity of
injuries
Certified emergency nurse - ✔✔Validates core emergency
nursing knowledge
D - ✔✔Disability
-"DA BRAIN" = Neurological
, -AVPU =
Alert and oriented
Voice; are they responsive
Pain; are they responsive
Unresponsive
-Substance intoxication can impair proper measurement
Deaths in the emergency department - ✔✔-One or two family
members may be present during resuscitation efforts
-If patient dies before family arrives prepare body and room
for viewing
-If death requires forensic investigation, cleaning of body and
viewing may not be possible due to potentially contaminating
evidence
Disposition - ✔✔-Will the patient be admitted, discharged or
transferred to a tertiary care facility?
-Want pt out of ER asap for comfort and safety
E - ✔✔Exposure
-Remove all clothing for proper assessment
