Question 1

Treatment and/or prevention of rhabdomyolysis in at-risk patients includes aggressive fluid resuscitation to achieve urine output of:

Accepted Answer

A)  30 mL/hr. 
B)  50 mL/hr. 
C)  100 mL/hr. 
D)  300 mL/hr. 
A)  30 mL/hr. 
B)  50 mL/hr. 
C)  100 mL/hr. 
D)  300 mL/hr. C

Question 2

A community-based external disaster is initiated after a tornado moved through the city.A nurse from the medical records review department arrives at the emergency department asking how to assist.The best response by a nurse working for the trauma center would be to

Accepted Answer

A)  assign the nurse administrative duties, such as obtaining patient demographic information. 
B)  assign the nurse to a triage room with another nurse from the emergency department. 
C)  thank the nurse but inform her to return to her department as her skill set is not a good match for patients' needs. 
D)  have the nurse assist with transport of patients to procedural areas. 
A)  assign the nurse administrative duties, such as obtaining patient demographic information. 
B)  assign the nurse to a triage room with another nurse from the emergency department. 
C)  thank the nurse but inform her to return to her department as her skill set is not a good match for patients' needs. 
D)  have the nurse assist with transport of patients to procedural areas. A

Question 3

Which of the following interventions would not be appropriate for a patient who is admitted with a suspected basilar skull fracture?

Accepted Answer

A)  Insertion of a nasotracheal tube 
B)  Insertion of an indwelling urinary catheter 
C)  Endotracheal intubation 
D)  Placement of an oral airway 
A)  Insertion of a nasotracheal tube 
B)  Insertion of an indwelling urinary catheter 
C)  Endotracheal intubation 
D)  Placement of an oral airway A

Question 4

The nurse is caring for a patient who sustained rib fractures after hitting the steering wheel of the car during a motor vehicle crash.The patient is spontaneously breathing and receiving oxygen via a face mask; the oxygen saturation is 95%.During the nurse's assessment,the oxygen saturation drops to 80%.The patient's blood pressure has dropped from 128/76 mm Hg to 84/60 mm Hg.The nurse assesses that breath sounds are absent throughout the left lung fields.The nurse notifies the provider and anticipates

Accepted Answer

A)  administration of lactated Ringer's solution (1 L) wide open. 
B)  chest x-ray study to determine the etiology of the symptoms. 
C)  endotracheal intubation and mechanical ventilation. 
D)  needle thoracostomy and chest tube insertion. 
A)  administration of lactated Ringer's solution (1 L) wide open. 
B)  chest x-ray study to determine the etiology of the symptoms. 
C)  endotracheal intubation and mechanical ventilation. 
D)  needle thoracostomy and chest tube insertion.

Question 5

The nurse is having difficulty inserting a large caliber intravenous catheter to facilitate fluid resuscitation to a hypotensive trauma patient.The nurse recommends which of the following emergency procedures to facilitate rapid fluid administration?

Accepted Answer

A)  Placement of an intraosseous catheter 
B)  Placement of a central line 
C)  Insertion of a femoral catheter by a trauma surgeon 
D)  Rapid transfer to the operating room 
A)  Placement of an intraosseous catheter 
B)  Placement of a central line 
C)  Insertion of a femoral catheter by a trauma surgeon 
D)  Rapid transfer to the operating room

Question 6

Which of the following best defines the term traumatic injury?

Accepted Answer

A)  All trauma patients can be successfully rehabilitated. 
B)  Traumatic injuries cause more deaths than heart disease and cancer. 
C)  Alcohol consumption, drug abuse, or other substance abuse contribute to traumatic events. 
D)  Trauma mainly affects the older adult population. 
A)  All trauma patients can be successfully rehabilitated. 
B)  Traumatic injuries cause more deaths than heart disease and cancer. 
C)  Alcohol consumption, drug abuse, or other substance abuse contribute to traumatic events. 
D)  Trauma mainly affects the older adult population.

Question 7

Which of the following statements about mass casualty triage during a disaster is true?

Accepted Answer

A)  Priority treatments and interventions focus primarily on young victims. 
B)  Disaster victims with the greatest chances for survival receive priority for treatment. 
C)  Once interventions have been initiated, health care providers cannot stop the treatment of disaster victims. 
D)  Color-coded systems in which green indicates the patient of greatest need are used during disasters. 
A)  Priority treatments and interventions focus primarily on young victims. 
B)  Disaster victims with the greatest chances for survival receive priority for treatment. 
C)  Once interventions have been initiated, health care providers cannot stop the treatment of disaster victims. 
D)  Color-coded systems in which green indicates the patient of greatest need are used during disasters.

Question 8

A 24-year-old unrestrained driver who sustained multiple traumatic injuries from a motor vehicle crash has a blood pressure of 80/60 mm Hg at the scene.The primary survey of this patient upon arrival to the ED

Accepted Answer

A)  includes a cervical spine x-ray study to determine the presence of a fracture. 
B)  involves turning the patient from side to side to get a look at his back. 
C)  is done quickly in the first few minutes to get a baseline assessment and establish priorities. 
D)  is a methodical head-to-toe assessment identifying injuries and treatment priorities. 
A)  includes a cervical spine x-ray study to determine the presence of a fracture. 
B)  involves turning the patient from side to side to get a look at his back. 
C)  is done quickly in the first few minutes to get a baseline assessment and establish priorities. 
D)  is a methodical head-to-toe assessment identifying injuries and treatment priorities.

Question 9

During the assessment of a patient after a high-speed motor vehicle crash,which of the following findings would increase the nurse's suspicion of a pulmonary contusion?

Accepted Answer

A)  Chest wall ecchymosis 
B)  Diminished or absent breath sounds 
C)  Pink-tinged or blood secretions 
D)  Signs of hypoxia on room air 
E)  Paradoxical chest wall movement 
A)  Chest wall ecchymosis 
B)  Diminished or absent breath sounds 
C)  Pink-tinged or blood secretions 
D)  Signs of hypoxia on room air 
E)  Paradoxical chest wall movement

Question 10

Range-of-motion exercises,early ambulation,and adequate hydration are interventions to prevent

Accepted Answer

A)  catheter-associated infection. 
B)  venous thromboembolism. 
C)  fat embolism. 
D)  nosocomial pneumonia. 
A)  catheter-associated infection. 
B)  venous thromboembolism. 
C)  fat embolism. 
D)  nosocomial pneumonia.

Question 11

During the treatment and management of the trauma patient,maintaining tissue perfusion,oxygenation,and nutritional support are strategies to prevent

Accepted Answer

A)  disseminated intravascular coagulation. 
B)  multisystem organ dysfunction. 
C)  septic shock. 
D)  wound infection. 
A)  disseminated intravascular coagulation. 
B)  multisystem organ dysfunction. 
C)  septic shock. 
D)  wound infection.

Question 12

The nurse has admitted a patient to the ED following a fall from a first-floor hotel balcony.The patient smells of alcohol and begins to vomit in the ED.Which of the following interventions is most appropriate?

Accepted Answer

A)  Insert an oral airway to prevent aspiration and to protect the airway. 
B)  Offer the patient an emesis basin so that you can measure the amount of emesis. 
C)  Prepare to suction the oropharynx while maintaining cervical spine immobilization. 
D)  Send a specimen of the emesis to the laboratory for analysis of blood alcohol content. 
A)  Insert an oral airway to prevent aspiration and to protect the airway. 
B)  Offer the patient an emesis basin so that you can measure the amount of emesis. 
C)  Prepare to suction the oropharynx while maintaining cervical spine immobilization. 
D)  Send a specimen of the emesis to the laboratory for analysis of blood alcohol content.

Question 13

Which of the following injuries would result in a greater likelihood of internal organ damage and risk for infection?

Accepted Answer

A)  A fall from a 6-foot ladder onto the grass 
B)  A shotgun wound to the abdomen 
C)  A knife wound to the right chest 
D)  A motor vehicle crash in which the driver hits the steering wheel 
A)  A fall from a 6-foot ladder onto the grass 
B)  A shotgun wound to the abdomen 
C)  A knife wound to the right chest 
D)  A motor vehicle crash in which the driver hits the steering wheel

Question 14

An 18-year-old unrestrained passenger who sustained multiple traumatic injuries from a motor vehicle crash has a blood pressure of 80/60 mm Hg at the scene.This patient should be treated at which level trauma center?

Accepted Answer

A)  Level I 
B)  Level II 
C)  Level III 
D)  Level IV 
A)  Level I 
B)  Level II 
C)  Level III 
D)  Level IV

Question 15

Which of the following statements apply to trauma patients and their potential complications?

Accepted Answer

A)  Indwelling urinary catheters are a source of infection. 
B)  Patients often develop infection and sepsis secondary to central line catheters. 
C)  Pneumonia is often an adverse outcome of mechanical ventilation. 
D)  Wounds require sterile dressings to prevent infection. 
A)  Indwelling urinary catheters are a source of infection. 
B)  Patients often develop infection and sepsis secondary to central line catheters. 
C)  Pneumonia is often an adverse outcome of mechanical ventilation. 
D)  Wounds require sterile dressings to prevent infection.

Question 16

In the trauma patient,symptoms of decreased cardiac output are most commonly caused by

Accepted Answer

A)  cardiac contusion. 
B)  cardiogenic shock. 
C)  hypovolemia. 
D)  pericardial tamponade. 
A)  cardiac contusion. 
B)  cardiogenic shock. 
C)  hypovolemia. 
D)  pericardial tamponade.

Question 17

Which of the following patients have the greatest risk of developing acute respiratory distress syndrome (ARDS)after traumatic injury?

Accepted Answer

A)  A patient who has a closed head injury with a decreased level of consciousness 
B)  A patient who has a fractured femur and is currently in traction 
C)  A patient who has received large volumes of fluid and/or blood replacement 
D)  A patient who has underlying chronic obstructive pulmonary disease 
A)  A patient who has a closed head injury with a decreased level of consciousness 
B)  A patient who has a fractured femur and is currently in traction 
C)  A patient who has received large volumes of fluid and/or blood replacement 
D)  A patient who has underlying chronic obstructive pulmonary disease

Question 18

Which of the following statements are true regarding fluid resuscitation during the care of a trauma patient?

Accepted Answer

A)  5% Dextrose is recommended for rapid crystalloid infusion. 
B)  IV fluids may need to be warmed to prevent hypothermia. 
C)  Massive transfusions should be avoided to improve patient outcomes. 
D)  Only fully crossmatched blood products are administered. 
E)  Hypertonic saline solutions are often used during initial resuscitation. 
A)  5% Dextrose is recommended for rapid crystalloid infusion. 
B)  IV fluids may need to be warmed to prevent hypothermia. 
C)  Massive transfusions should be avoided to improve patient outcomes. 
D)  Only fully crossmatched blood products are administered. 
E)  Hypertonic saline solutions are often used during initial resuscitation.

Question 19

The trauma nurse understands which information related to the older trauma patient?

Accepted Answer

A)  Falls are the leading cause of death in the older population. 
B)  Physiologic capacity is an important predictor of outcome. 
C)  Hypotension in the elderly can appear as normotension. 
D)  Chronic diseases do not have much effect on the older trauma patient. 
E)  Fractures to bones other than hips are uncommon from trauma. 
A)  Falls are the leading cause of death in the older population. 
B)  Physiologic capacity is an important predictor of outcome. 
C)  Hypotension in the elderly can appear as normotension. 
D)  Chronic diseases do not have much effect on the older trauma patient. 
E)  Fractures to bones other than hips are uncommon from trauma.

Question 20

Nursing priorities to prevent ineffective coagulation include which of the following?

Accepted Answer

A)  Prevention of hypothermia 
B)  Administration of fresh frozen plasma as ordered 
C)  Administration of potassium as ordered 
D)  Administration of calcium as ordered 
E)  Monitoring CBC and coagulation studies 
A)  Prevention of hypothermia 
B)  Administration of fresh frozen plasma as ordered 
C)  Administration of potassium as ordered 
D)  Administration of calcium as ordered 
E)  Monitoring CBC and coagulation studies

Treatment and/or prevention of rhabdomyolysis in at-risk patients includes aggressive fluid resuscitation to achieve urine output of:

A community-based external disaster is initiated after a tornado moved through the city.A nurse from the medical records review department arrives at the emergency department asking how to assist.The best response by a nurse working for the trauma center would be to

Which of the following interventions would not be appropriate for a patient who is admitted with a suspected basilar skull fracture?

The nurse is having difficulty inserting a large caliber intravenous catheter to facilitate fluid resuscitation to a hypotensive trauma patient.The nurse recommends which of the following emergency procedures to facilitate rapid fluid administration?

Which of the following best defines the term traumatic injury?

Which of the following statements about mass casualty triage during a disaster is true?

A 24-year-old unrestrained driver who sustained multiple traumatic injuries from a motor vehicle crash has a blood pressure of 80/60 mm Hg at the scene.The primary survey of this patient upon arrival to the ED

During the assessment of a patient after a high-speed motor vehicle crash,which of the following findings would increase the nurse's suspicion of a pulmonary contusion?

Range-of-motion exercises,early ambulation,and adequate hydration are interventions to prevent

During the treatment and management of the trauma patient,maintaining tissue perfusion,oxygenation,and nutritional support are strategies to prevent

The nurse has admitted a patient to the ED following a fall from a first-floor hotel balcony.The patient smells of alcohol and begins to vomit in the ED.Which of the following interventions is most appropriate?

Which of the following injuries would result in a greater likelihood of internal organ damage and risk for infection?

An 18-year-old unrestrained passenger who sustained multiple traumatic injuries from a motor vehicle crash has a blood pressure of 80/60 mm Hg at the scene.This patient should be treated at which level trauma center?

Which of the following statements apply to trauma patients and their potential complications?

In the trauma patient,symptoms of decreased cardiac output are most commonly caused by

Which of the following patients have the greatest risk of developing acute respiratory distress syndrome (ARDS)after traumatic injury?

Which of the following statements are true regarding fluid resuscitation during the care of a trauma patient?

The trauma nurse understands which information related to the older trauma patient?

Nursing priorities to prevent ineffective coagulation include which of the following?

Overview of Critical Care Nursing

Patient and Family Response to the Critical Care Experience

Ethical and Legal Issues in Critical Care Nursing

End-Of-Life Care and Palliative Care in Critical Care Settings

Comfort and Sedation

Nutritional Support

Dysrhythmia Interpretation and Management

Hemodynamic Monitoring

Ventilatory Assistance

Rapid Response Teams and Code Management

Organ Donation

Shock,sepsis,and Multiple Organ Dysfunction Syndrome

Cardiovascular Alterations

Nervous System Alterations

Acute Respiratory Failure

Acute Kidney Injury

Hematological and Immune Disorders

Gastrointestinal Alterations

Endocrine Alterations

Burns

Filters

Exam 20: Trauma and Surgical Management

Treatment and/or prevention of rhabdomyolysis in at-risk patients includes aggressive fluid resuscitation to achieve urine output of:

A community-based external disaster is initiated after a tornado moved through the city.A nurse from the medical records review department arrives at the emergency department asking how to assist.The best response by a nurse working for the trauma center would be to

Which of the following interventions would not be appropriate for a patient who is admitted with a suspected basilar skull fracture?

The nurse is having difficulty inserting a large caliber intravenous catheter to facilitate fluid resuscitation to a hypotensive trauma patient.The nurse recommends which of the following emergency procedures to facilitate rapid fluid administration?

Which of the following best defines the term traumatic injury?

Which of the following statements about mass casualty triage during a disaster is true?

A 24-year-old unrestrained driver who sustained multiple traumatic injuries from a motor vehicle crash has a blood pressure of 80/60 mm Hg at the scene.The primary survey of this patient upon arrival to the ED

During the assessment of a patient after a high-speed motor vehicle crash,which of the following findings would increase the nurse's suspicion of a pulmonary contusion?

Range-of-motion exercises,early ambulation,and adequate hydration are interventions to prevent

During the treatment and management of the trauma patient,maintaining tissue perfusion,oxygenation,and nutritional support are strategies to prevent

The nurse has admitted a patient to the ED following a fall from a first-floor hotel balcony.The patient smells of alcohol and begins to vomit in the ED.Which of the following interventions is most appropriate?

Which of the following injuries would result in a greater likelihood of internal organ damage and risk for infection?

An 18-year-old unrestrained passenger who sustained multiple traumatic injuries from a motor vehicle crash has a blood pressure of 80/60 mm Hg at the scene.This patient should be treated at which level trauma center?

Which of the following statements apply to trauma patients and their potential complications?

In the trauma patient,symptoms of decreased cardiac output are most commonly caused by

Which of the following patients have the greatest risk of developing acute respiratory distress syndrome (ARDS)after traumatic injury?

Which of the following statements are true regarding fluid resuscitation during the care of a trauma patient?

The trauma nurse understands which information related to the older trauma patient?

Nursing priorities to prevent ineffective coagulation include which of the following?

Overview of Critical Care Nursing

Patient and Family Response to the Critical Care Experience

Ethical and Legal Issues in Critical Care Nursing

End-Of-Life Care and Palliative Care in Critical Care Settings

Comfort and Sedation

Nutritional Support

Dysrhythmia Interpretation and Management

Hemodynamic Monitoring

Ventilatory Assistance

Rapid Response Teams and Code Management

Organ Donation

Shock,sepsis,and Multiple Organ Dysfunction Syndrome

Cardiovascular Alterations

Nervous System Alterations

Acute Respiratory Failure

Acute Kidney Injury

Hematological and Immune Disorders

Gastrointestinal Alterations

Endocrine Alterations

Burns

Filters