COMPLETE QUESTIONS AND ANSWERS
GRADED A+
◉ Stage of shock. Answer: Restlessness, confusion, increased heart
rate and respiratory rate
◉ Subdural hematoma. Answer: Likely cause of headache, dizziness,
and nausea after a fall
◉ Radiologic spine clearance. Answer: Assessment finding that
prompts preparation for radiologic clearance
◉ Third impact of a motor vehicle crash. Answer: Deployment of
airbag and impact on front seat passenger
◉ Transfer to a trauma center. Answer: Priority intervention for a
patient with significant abdominal and pelvic injuries
◉ Promptly identified injuries. Answer: Spleen, lung, and brain
injuries
◉ Crush injury. Answer: Condition to monitor for dysrhythmias
, ◉ Complete spinal cord injury. Answer: Finding of priapism raises
suspicion
◉ Neurogenic shock. Answer: Hypotension and absent motor
function below the level of injury
◉ Suspected child maltreatment. Answer: Priority nursing
intervention to report suspicion
◉ Lower extremity fracture. Answer: Priority nursing intervention is
elevating the extremity to the level of the heart
◉ Wrist deformity. Answer: Appropriate intervention is applying a
splint and elevating above the level of the heart
◉ Late sign of increased intracranial pressure. Answer: Decreased
respiratory effort
◉ Mnemonic for trauma patient care. Answer: MARCH (Massive
uncontrolled hemorrhage, Airway, Respiration, Circulation,
Hypothermia prevention)