You are treating a 27-
r r r r
year old male in respiratory distress who was involved in a house fire. Calculating TBSA burn
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ed is deferred d/t the need for emergent intubation. At what rate should you begin fluid resusci
r r r r r r r r r r r r r r r r
tation?
A) 1000 mL/hr
r r
B) 500 mL/hr
r r r
C) 250 mL/hr
r r
D) 125 mL/hr - correct answer--B) 500 mL/hr
r r r rr r r r
A patient has been in the ED for several hours waiting to be admitted. He sustained multiple ri
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b fractures and a femur fracture after a fall. He has been awake, alert, and c/o leg pain. His wif
r r r r r r r r r r r r r r r r r r r
e reported suddenly becoming anxious and confused. Upon reassessment, the patient is res
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tless, with respiratory distress and petechiae to his neck. the patient is exhibiting signs of sym
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ptoms commonly associated with which of the following conditions?
r r r r r r r r
A) acute lung injury
r r r
B) fat embolism
r r
C) PTX r
D) pulmonary contusion - correct answer--B) fat embolism
r r r rr r r r
Which pulse pressure description is an indication of early hypovolemic shock?
r r r r r r r r r r
A) widened
r
B) narrowed
r r
C) bounding
r
D) weak - correct answer--B) narrowed
r r rr r r
Which of the following considerations is most important when caring for a geriatric trauma pat
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ient?
A) head to to exam
r r r r
B) medical history
r r
C) incontinence
r
D) falls - correct answer--B) medical history
r r rr r r r
Which of the following assessment findings differentiates a tension pneumothorax from a si
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mple pneumothorax? r
A) increased work of breathing
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B) unilaterally diminished breath sounds
r r r r
C) pleuritic chest pain
r r r
D) hypotension that worsens with inspiration - correct answer--
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D) hypotension that worsens with inspiration.
r r r r r
Assessment findings associated with tension pneumothorax include anxiety, severe restles
r r r r r r r r r
sness, severe respiratory distress, and absent breath sounds on the injured side. Hypotensi
r r r r r r r r r r r r
, on due to compression of the heart and great vessels is consistent with obstructive shock. Hy
r r r r r r r r r r r r r r r
potension worsens with inspiration due to increased intrathoracic pressure. Late signs includ
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e distended neck veins, tracheal deviation, and cyanosis.
r r r r r r r
The nurse is caring for a 120 kg male is brought in after a warehouse fire and is calculating the
r r r r r r r r r r r r r r r r r r r r
patient's fluid resuscitation needs. He has painful red blistering to the entire surface of both up
r r r r r r r r r r r r r r r
per extremities and superficial burns to the anterior chest. Using the modified Lund and Brow
r r r r r r r r r r r r r r
der chart to calculate the total BSA burned, how much IV fluids would be administered in the fi
r r r r r r r r r r r r r r r r r
rst 8 hours? r r
A) 2280 mL r r r
B) 3840 mL r r
C) 4560 mL r r
D) 7680 mL - correct answer--A) 2280 mL
r r r rr r r r
(upper arm 4+4 / lower arm 3+3 / hand 2.5+2.5) = 19% TBSA.
r r r r r r r r r r r r
120 kg x (2 mL) x (19% TBSA) = 4560 mL
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(half of fluids given in first 8 hours) = 2280 mL
r r r r r r r r r r r r r
Which of the following is a component of the trauma triad of death?
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A) Acidosis r
B) hyperthermia
r
C) hemorrhager
D) sepsis - correct answer--A) Acidosis
r r rr r r
r hypothermia, metabolic acidosis, coagulopathy r r r
A 56-year-
r
male patient involved in a MVC is brought to the ED of a rural critical access facility. He c/o nec
r r r r r r r r r r r r r r r r r r r r
k pain, SOB, and diffuse abd pain. His GCS is 15. His vitals are as follows:
r r r r r r r r r r r r r r r
BP 98/71 r
HR 125 beats/min r r
RR 26 breaths/min r r
SpO2 94% on high flow O2 via NRB maskr r r r r r r r
which of the following is the priority intervention for this patient?
r r r r r r r r r r
A) Expedite transport to the CT scanner
r r r r r r
B) prepare the patient for spinal radiographs
r r r r r r
C) expedite transfer to the closest trauma center
r r r r r r r
D) notify the patients family - correct answer--
r r r r r rr r
C) expedite transfer to the closest trauma center
r r r r r r r
r r r r
year old male in respiratory distress who was involved in a house fire. Calculating TBSA burn
r r r r r r r r r r r r r r r
ed is deferred d/t the need for emergent intubation. At what rate should you begin fluid resusci
r r r r r r r r r r r r r r r r
tation?
A) 1000 mL/hr
r r
B) 500 mL/hr
r r r
C) 250 mL/hr
r r
D) 125 mL/hr - correct answer--B) 500 mL/hr
r r r rr r r r
A patient has been in the ED for several hours waiting to be admitted. He sustained multiple ri
r r r r r r r r r r r r r r r r r
b fractures and a femur fracture after a fall. He has been awake, alert, and c/o leg pain. His wif
r r r r r r r r r r r r r r r r r r r
e reported suddenly becoming anxious and confused. Upon reassessment, the patient is res
r r r r r r r r r r r r
tless, with respiratory distress and petechiae to his neck. the patient is exhibiting signs of sym
r r r r r r r r r r r r r r r
ptoms commonly associated with which of the following conditions?
r r r r r r r r
A) acute lung injury
r r r
B) fat embolism
r r
C) PTX r
D) pulmonary contusion - correct answer--B) fat embolism
r r r rr r r r
Which pulse pressure description is an indication of early hypovolemic shock?
r r r r r r r r r r
A) widened
r
B) narrowed
r r
C) bounding
r
D) weak - correct answer--B) narrowed
r r rr r r
Which of the following considerations is most important when caring for a geriatric trauma pat
r r r r r r r r r r r r r r
ient?
A) head to to exam
r r r r
B) medical history
r r
C) incontinence
r
D) falls - correct answer--B) medical history
r r rr r r r
Which of the following assessment findings differentiates a tension pneumothorax from a si
r r r r r r r r r r r r
mple pneumothorax? r
A) increased work of breathing
r r r r
B) unilaterally diminished breath sounds
r r r r
C) pleuritic chest pain
r r r
D) hypotension that worsens with inspiration - correct answer--
r r r r r r rr r
D) hypotension that worsens with inspiration.
r r r r r
Assessment findings associated with tension pneumothorax include anxiety, severe restles
r r r r r r r r r
sness, severe respiratory distress, and absent breath sounds on the injured side. Hypotensi
r r r r r r r r r r r r
, on due to compression of the heart and great vessels is consistent with obstructive shock. Hy
r r r r r r r r r r r r r r r
potension worsens with inspiration due to increased intrathoracic pressure. Late signs includ
r r r r r r r r r r r
e distended neck veins, tracheal deviation, and cyanosis.
r r r r r r r
The nurse is caring for a 120 kg male is brought in after a warehouse fire and is calculating the
r r r r r r r r r r r r r r r r r r r r
patient's fluid resuscitation needs. He has painful red blistering to the entire surface of both up
r r r r r r r r r r r r r r r
per extremities and superficial burns to the anterior chest. Using the modified Lund and Brow
r r r r r r r r r r r r r r
der chart to calculate the total BSA burned, how much IV fluids would be administered in the fi
r r r r r r r r r r r r r r r r r
rst 8 hours? r r
A) 2280 mL r r r
B) 3840 mL r r
C) 4560 mL r r
D) 7680 mL - correct answer--A) 2280 mL
r r r rr r r r
(upper arm 4+4 / lower arm 3+3 / hand 2.5+2.5) = 19% TBSA.
r r r r r r r r r r r r
120 kg x (2 mL) x (19% TBSA) = 4560 mL
r r r r r r r r r r
(half of fluids given in first 8 hours) = 2280 mL
r r r r r r r r r r r r r
Which of the following is a component of the trauma triad of death?
r r r r r r r r r r r r
A) Acidosis r
B) hyperthermia
r
C) hemorrhager
D) sepsis - correct answer--A) Acidosis
r r rr r r
r hypothermia, metabolic acidosis, coagulopathy r r r
A 56-year-
r
male patient involved in a MVC is brought to the ED of a rural critical access facility. He c/o nec
r r r r r r r r r r r r r r r r r r r r
k pain, SOB, and diffuse abd pain. His GCS is 15. His vitals are as follows:
r r r r r r r r r r r r r r r
BP 98/71 r
HR 125 beats/min r r
RR 26 breaths/min r r
SpO2 94% on high flow O2 via NRB maskr r r r r r r r
which of the following is the priority intervention for this patient?
r r r r r r r r r r
A) Expedite transport to the CT scanner
r r r r r r
B) prepare the patient for spinal radiographs
r r r r r r
C) expedite transfer to the closest trauma center
r r r r r r r
D) notify the patients family - correct answer--
r r r r r rr r
C) expedite transfer to the closest trauma center
r r r r r r r
