Expedite transfer to the closest trauma center - ✔✔A 56 y/o M involved in a MVC is brought to the ED.
He complains of neck pain, SOB, and diffuse abdominal pain. His GCS is 15, VS: BP 98/71, HR 125, RR 26,
SpO2 94% on
...
Expedite transfer to the closest trauma center - ✔✔A 56 y/o M involved in a MVC is brought to the ED.
He complains of neck pain, SOB, and diffuse abdominal pain. His GCS is 15, VS: BP 98/71, HR 125, RR 26,
SpO2 94% on high-flow O2 via NRB mask. Which is the priority intervention for this patient?
a pertinent medical hx is crucial - ✔✔Which of the following considerations is the most important when
caring for a geriatric trauma pt?
Mitigation - ✔✔Following a review of recent drills and a real disaster event, a hospital has identified
deficiencies and is taking steps to minimize the impact of a future disaster . Which phase of the disaster
life cycle does this describe?
smell of alcohol on breath - ✔✔EMS brings a pt who fell while riding his bicycle. Using the American
College of Surgeobs screening guidelines, which assessment finding would prompt the RN to prepare the
pt for a radiologic spine clearance?
hemoglobin does not readily release O2 for use by the tissues - ✔✔What is the effect of hypothermia on
the oxyhemoglobin dissociation curve?
acidosis - ✔✔Which of the following is a component of the trauma triad of death?
Complete - ✔✔EMS brings a pt from MVC. VS: BP 90/49, HR 48, RR 12, temp 97.2F (36.2 C). The pt
exhibits urinary incontinence and priapism. These assessment findings are most consistent with which of
the following types of spinal cord injury?
flucuation in the water seal chamber - ✔✔Which of the following is an expected finding in a pt with a
tube thoracstomy connected to a chest drainage system?insert an oropharyngeal airway if there is no gag reflex - ✔✔During the primary survey of an
unconscious pt with multi-system trauma, the nurse notes snoring respirations. What priority nursing
interventions should be preformed next?
globe rupture - ✔✔A 35 y/o M presents with facial trauma after being struck in the face with a baseball.
A teardrop-shaped left pupil is noted on exam. What type of injury is suspected?
compensated - ✔✔A trauma pt is restless and repeatedly asking "where am i?" VS upon arrival: BP
110/60, HR96, RR 24. Her skin is cool and dry. Current VS are BP 104/84, HR 108, RR 28. The pt is
demonstrating s/sx of which stage of shock?
ventilate with a bag mask device - ✔✔An unresponsive trauma pt has an oropharygeal airway in place,
shallow and labored respirations, and dusky skin. The trauma team has administered medications for
drug-assisted intubation and attempted intubation but was unsuccessful. What is the most appropriate
immediate next step?
within 24 hrs of trauma - ✔✔When is the tertiary survey completed fora trauma pt?
pressure - ✔✔An intubated and sedated pt in the ED has multiple extremity injuries with the potential
for causing compartment syndrome. What is the most reliable indication of compartment syndrome in a
patient who is unconscious?
worsening pneumothorax - ✔✔Which of the following is possible complication of positive-pressure
ventilation?
pelvic stability - ✔✔the most reassuring finding for a male pt with hip pain after a fall is which of the
following?
narrowed - ✔✔Which of the following pulse pressures indicate early hypovolemic shock?
dysrhythmias - ✔✔Patients with a crush injury should be monitored for which of the following
conditions?subdural hematoma - ✔✔Tearing of the bridging veins is most frequently associated with which brain
injury?
straight cath for urine sample - ✔✔A 20 y/o M presents to the ED complaining of severe lower abd pain
after landing hard on the bicycle cross bars while preforming an aerial BMX maneuver. Secondary
assessment reveals lower abd tenderness and scrotal ecchymosis. Which of the following orders would
the RN question?
placental abruption - ✔✔You are caring for a pt who was involved in a MVC and is 32 weeks pregnant.
Findings of your secondary survey include abd pain on palpation, fundal ht at the costal margin, and
some dark bloody show. Varying accelerations and decelerations are noted on cariocgraphy. These
findings are most consistent with which of the following?
it can worsen cord damage from an unstable spinal injury - ✔✔Which of the following is true about the
log-roll?
defusings - ✔✔All of these are considered a critical communication point in trauma care EXCEPT which
of the following?
pulse oximetry and capnography - ✔✔What bedside monitoring parameters are used to assess for
adequacy of O2 and effectiveness of ventilation?
padding the upper back while stabilizing the cervical spine - ✔✔Caregivers carry in a 2 y/o into the ED
who fell out of a second-story window. The pt is awake and crying with increased work of breathing and
pale skin. Which of the following interventions has the highest priority?
bowel (Hollow organ injury signs and symptoms may be subtle and delayed but are associated with a
high mortality rate if not identified.) - ✔✔Which of the following injuries is LEAST likely to be promptly
identified?
Initiate transfer to a trauma center - ✔✔A pt is brought to the ED of a rural hospital following a highspeed MVC. When significant abd and pelvic injuries are noted in the primary survey, which of the
following is the priority interventions?
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