NSG 506 final exam WITH ANSWERS,

NSG 506 final exam WITH ANSWERS |\ |\ |\ |\ |\




leading cause of morbidity and mortality in kids 1-14 - CORRECT
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ANSWERS ✔✔MVA trauma |\ |\




leading cause of death over 65 - CORRECT ANSWERS ✔✔falls
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amount of space that should be between each crib bar -
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CORRECT ANSWERS ✔✔1.5 inches |\ |\ |\




trauma care levels - CORRECT ANSWERS ✔✔I-IV
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I- most intense
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*NICU and PICU have leveling as well but NICU leveling is
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opposite


size of peds airway - CORRECT ANSWERS ✔✔4 mm
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___ of trauma deaths are within the ______ ______ - CORRECT
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ANSWERS ✔✔80%; first hour |\ |\ |\




called the golden hour (golden minute in peds
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,trimodal distribution of death in trauma - CORRECT ANSWERS
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✔✔first peak- minutes from time of injury to death; lacerations in
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brain or spinal cord or aorta
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second peak- minutes to several hours; brain bleeds,
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hemopneumothorax, ruptured spleen or liver, major blood loss |\ |\ |\ |\ |\ |\ |\ |\




third peak- several days to weeks after injury (sepsis or MODS);
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outcomes affected by previous care |\ |\ |\ |\




minor trauma - CORRECT ANSWERS ✔✔not life threatening or
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chance of losing limb; one system affected
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major trauma - CORRECT ANSWERS ✔✔multiple systems
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affected; life or limb threatening |\ |\ |\ |\




early signs of shock in kids - CORRECT ANSWERS ✔✔-delayed cap
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refill or flash cap refill
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-mild tachypnea or tachycardia
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-too quiet
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-inconsolable/irritable |\




-altered mental status |\ |\




blunt injury - CORRECT ANSWERS ✔✔-from vehicle crashes or
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falls|\




-internal organs affected: heart, liver, and spleen usually suffer
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(lungs are elastic and flexible and usually don't get injured)
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,-coup contra-coup
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-harder to detect than penetrating injuries
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penetrating injuries - CORRECT ANSWERS ✔✔-women usually |\ |\ |\ |\ |\ |\ |\


stab downward (clean on top and jagged on bottom of wound)
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-men usually stab upward (clean on bottom and jagged on top)
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-worried about infection |\ |\




Waddell's triad - CORRECT ANSWERS ✔✔-when kid gets hit by a
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car
-head, trunk, and extremities
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-when they get hit by the car= abdomen
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-when they hit the car= head
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-they fall back= head and back
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should you keep child and parent together if the child is injured
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or in trauma accident? - CORRECT ANSWERS ✔✔yes
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best predictors of blood loss - CORRECT ANSWERS ✔✔-VS
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(manual) |\




-cap refill in peds
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-glascow coma scale |\ |\ |\




-radial pulse character
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, always consider this when doing a scene assessment - CORRECT
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ANSWERS ✔✔mechanism of injury |\ |\ |\




scene assessment acronym - CORRECT ANSWERS ✔✔METHANE
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M- major incident
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E- exact location
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T- type of incident
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H- hazards
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A- access roads
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N- number
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E- emergency services already there and what else is needed
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first step in a scene assessment - CORRECT ANSWERS ✔✔safety
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would you take a baby out of car seat after MVA? - CORRECT
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ANSWERS ✔✔no (need to protect the c spine) |\ |\ |\ |\ |\ |\ |\




how many minor incident people can fit in an ambulance? how
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many major? - CORRECT ANSWERS ✔✔minor=3
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major=1


primary survey - CORRECT ANSWERS ✔✔A- airway/appearance
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and spinal cord
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B- breathing/ventilation
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