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The body regions which are the sites of major internal and external bleeding include: - ANSWER
Chest, abdomen, pelvis and external bleeding
A one year old infant with an intracerebral hemorrhage requires endotracheal intubation. What
aspect of this child's anatomy needs to be appreciated in order to provide an effective airway? -
ANSWER Short tracheal length may result in bronchus intubation and tube dislodgement
Preparation for a trauma patient includes: - ANSWER Assembling anticipated resources and
equipment and checking proper function
A nurse is asked to apply a splint on a patient with a closed wrist fracture. In carrying out the
task, which of the following describes how this injury should be immobilized? - ANSWER Flat on
a padded splint to include the hand to the elbow
In providing care to a patient with severe brain injury, the nurse plans interventions to maintain
adequate CPP including: - ANSWER Maintaining normal intravascular volume and MAP
A patient with suspected TBI is to be intubated using drug-assisted intubation with etomidate
and succinylcholine. The nurse knows that the most important consideration prior to the
procedure is to: - ANSWER Have an alternative airway plan ready
A fluid bolus of warmed crystalloid solution may be ordered in the initial treatment of shock.
Which statement is true concerning the volume of the bolus? - ANSWER It is limited to one liter
When sedating a head-injured patient prior to intubation, the most important step is to: -
ANSWER Obtain a baseline GCS and pupillary exam prior to administering medications
,A ten year old child arrives following a MVC. Which of these physiological changes would be
consistent with hypovolemic shock due to a mild blood volume loss and indicate the need to
initiate fluid boluses? - ANSWER Tachycardia and capillary refill of 4 seconds
A sixty-six year old patient arrives at the trauma center after being struck by a car while walking
across the street. External rotation of the BLE is noted and manual manipulation of the pelvis
causes excruciation pain. The next intervention for this patient should be to: - ANSWER Apply a
pelvic stabilization device to the pelvis during resuscitation
A healthy pregnant female can lose what volume of blood before exhibiting signs and symptoms
of hypovolemic shock? - ANSWER 1,200-1,500 mL
The first step in managing shock in trauma patients is: - ANSWER Recognizing its presence
Carbon monoxide exposure should be suspected when: - ANSWER The patient was burned in an
enclosed space
Which of the following patients requires priority intervention by the nurse? - ANSWER A twenty-
two year old male who is full spinal immobilization and begins to vomit
During the assessment and resuscitation, it is determined that a critically injured patient's needs
exceed the capabilities of the treating doctor and institution. A trauma center is located 80
miles away. The decision to transfer should be guided by which of the following guidelines? -
ANSWER The referring doctor is responsible for selecting the appropriate mode of
transportation and level of care required for the patient's optimal treatment enroute
A patient with a splinted open left midshaft tip fib fracture is transported to your hospital via
EMS. What should be included in the assessment of the extremity once the primary survey is
completed? - ANSWER Assess for changes in limb function, perfusion and neurologic status
, A young adult male is brought to the ER by friends after sustaining a large wound to his leg
while hunting. There are no clinical signs of shock. Assuming no prior intervention, what first
technique is recommended to control bleeding? - ANSWER Apply direct manual pressure to the
bleeding site
Diffuse brain injuries: - ANSWER Affect the brain widely rather than in a defined location
A seventy year old pedestrian arrives by ambulance after being hit by a car. The patient
responds only to pain and has a respiratory rate of 8. While providing bag-mask ventilations, the
nurse experiences difficulty maintaining an adequate seal. An appropriate intervention would
be to: - ANSWER Recruit a second person to assist in achieving a good seal
A sixty-nine year old driver is transported to the trauma center after a MVC. The patient is
confused, has cold and clammy skin, and a deformed thigh. He also has a history of CAD. BP
110/90, HR 78, RR 28. What type of shock should be suspected based on the clinical findings? -
ANSWER Hypovolemic
During the initial assessment, a patient is noted to have massive facial swelling and bloody
secretions in the mouth. The team should prepare to: - ANSWER Provide a definitive airway
without delay
A patient with suspected rib fractures has an SpO2 of 90% on room air. The nurse knows that
the approximate PaO2 level is: - ANSWER 60 mmHg
Effective teamwork during a trauma resuscitation includes: - ANSWER Closed loop
communication with orders directed to an individual team member who confirms completion
The trauma nurse removes the patient's clothing to provide exposure during the initial
assessment recognizing it will: - ANSWER Improve visualization of injuries