Question 1

Which of the following patients would require greater amounts of fluid resuscitation to prevent acute kidney injury associated with rhabdomyolysis?

Accepted Answer

A)  Crush injury to right arm 
B)  Gunshot wound to the abdomen 
C)  Lightning strike of the left arm and chest 
D)  Pulmonary contusion and rib fracture 
E)  Penetrating wound to both legs 
A)  Crush injury to right arm 
B)  Gunshot wound to the abdomen 
C)  Lightning strike of the left arm and chest 
D)  Pulmonary contusion and rib fracture 
E)  Penetrating wound to both legs

Question 2

The nurse working in a trauma center administers blood products to a severely hemorrhaging trauma patient in a 1:1:1 ratio.Which blood products does the nurse include in this transfusion protocol?

Accepted Answer

A)  Whole blood 
B)  Universal donor blood only 
C)  Red blood cells 
D)  Platelets 
E)  Plasma 
A)  Whole blood 
B)  Universal donor blood only 
C)  Red blood cells 
D)  Platelets 
E)  Plasma

Question 3

A patient has been admitted to the emergency department with a massive hemothorax.What action by the nurse takes priority?

Accepted Answer

A)  Place the patient on a cardiac monitor 
B)  Prepare for rapid intubation 
C)  Seal the wound with occlusive dressings 
D)  Start 2 large bore IVs 
A)  Place the patient on a cardiac monitor 
B)  Prepare for rapid intubation 
C)  Seal the wound with occlusive dressings 
D)  Start 2 large bore IVs

Question 4

Patients with musculoskeletal injury are at increased risk for compartment syndrome.What is an initial symptom of a suspected compartment syndrome?

Accepted Answer

A)  Absence of pulse in affected extremity 
B)  Pallor in the affected area 
C)  Paresthesia in the affected area 
D)  Severe, throbbing pain in the affected area 
A)  Absence of pulse in affected extremity 
B)  Pallor in the affected area 
C)  Paresthesia in the affected area 
D)  Severe, throbbing pain in the affected area

Question 5

It is important to prevent hypothermia in the trauma patient because hypothermia is associated with which of the following?

Accepted Answer

A)  ARDS 
B)  Coagulopathies 
C)  Dysrhythmias 
D)  Myocardial dysfunction 
E)  Fat embolism 
A)  ARDS 
B)  Coagulopathies 
C)  Dysrhythmias 
D)  Myocardial dysfunction 
E)  Fat embolism

Question 6

A 36-year-old driver was pulled from a car after it collided with a tree and the gas tank exploded.What assessment data suggest the patient suffered tissue damage consistent with a blast injury?

Accepted Answer

A)  Blood pressure 82/60 mm Hg, heart rate 122 beats/min, respiratory rate 28 breaths/min 
B)  Crackles (rales) on auscultation of bilateral lung fields 
C)  Responsive only to painful stimuli 
D)  Irregular heart rate and rhythm 
A)  Blood pressure 82/60 mm Hg, heart rate 122 beats/min, respiratory rate 28 breaths/min 
B)  Crackles (rales) on auscultation of bilateral lung fields 
C)  Responsive only to painful stimuli 
D)  Irregular heart rate and rhythm

Question 7

The need for fluid resuscitation can be assessed best in the trauma patient by monitoring and trending which of the following tests?

Accepted Answer

A)  Arterial oxygen saturation 
B)  Hourly urine output 
C)  Mean arterial pressure 
D)  Serum lactate levels 
A)  Arterial oxygen saturation 
B)  Hourly urine output 
C)  Mean arterial pressure 
D)  Serum lactate levels

Question 8

Which interventions can the nurse implement to assist the patient's family in coping with the traumatic event?

Accepted Answer

A)  Establish a family spokesperson and communication system. 
B)  Ask the family about their normal coping mechanisms. 
C)  Limit visitation to set times throughout the day. 
D)  Coordinate a family conference. 
E)  Determine how the family perceives the event 
A)  Establish a family spokesperson and communication system. 
B)  Ask the family about their normal coping mechanisms. 
C)  Limit visitation to set times throughout the day. 
D)  Coordinate a family conference. 
E)  Determine how the family perceives the event

Question 9

When providing information on trauma prevention,it is important to realize that individuals age 35 to 54 years are most likely to experience which type of trauma incident?

Accepted Answer

A)  High-speed motor vehicle crashes 
B)  Poisonings from prescription or illegal drugs 
C)  Violent or domestic traumatic altercations 
D)  Work-related falls 
A)  High-speed motor vehicle crashes 
B)  Poisonings from prescription or illegal drugs 
C)  Violent or domestic traumatic altercations 
D)  Work-related falls

Question 10

Which of the following findings require immediate nursing interventions in a patient with a traumatic brain injury?

Accepted Answer

A)  Mean arterial pressure 48 mm Hg 
B)  Elevated serum blood alcohol level 
C)  Nonreactive pupils 
D)  Respiratory rate of 10 breaths/min 
E)  Open skull fracture 
A)  Mean arterial pressure 48 mm Hg 
B)  Elevated serum blood alcohol level 
C)  Nonreactive pupils 
D)  Respiratory rate of 10 breaths/min 
E)  Open skull fracture

Question 11

Which of the following interventions is a strategy to prevent fat embolism syndrome?

Accepted Answer

A)  Administer lipid-lowering statin medications. 
B)  Intubate the patient early after the injury to provide mechanical ventilation. 
C)  Provide prophylaxis with low-molecular weight heparin. 
D)  Stabilize extremity fractures early. 
A)  Administer lipid-lowering statin medications. 
B)  Intubate the patient early after the injury to provide mechanical ventilation. 
C)  Provide prophylaxis with low-molecular weight heparin. 
D)  Stabilize extremity fractures early.

Which of the following patients would require greater amounts of fluid resuscitation to prevent acute kidney injury associated with rhabdomyolysis?

The nurse working in a trauma center administers blood products to a severely hemorrhaging trauma patient in a 1:1:1 ratio.Which blood products does the nurse include in this transfusion protocol?

A patient has been admitted to the emergency department with a massive hemothorax.What action by the nurse takes priority?

Patients with musculoskeletal injury are at increased risk for compartment syndrome.What is an initial symptom of a suspected compartment syndrome?

It is important to prevent hypothermia in the trauma patient because hypothermia is associated with which of the following?

A 36-year-old driver was pulled from a car after it collided with a tree and the gas tank exploded.What assessment data suggest the patient suffered tissue damage consistent with a blast injury?

The need for fluid resuscitation can be assessed best in the trauma patient by monitoring and trending which of the following tests?

Which interventions can the nurse implement to assist the patient's family in coping with the traumatic event?

When providing information on trauma prevention,it is important to realize that individuals age 35 to 54 years are most likely to experience which type of trauma incident?

Which of the following findings require immediate nursing interventions in a patient with a traumatic brain injury?

Which of the following interventions is a strategy to prevent fat embolism syndrome?

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

Which of the following patients would require greater amounts of fluid resuscitation to prevent acute kidney injury associated with rhabdomyolysis?

The nurse working in a trauma center administers blood products to a severely hemorrhaging trauma patient in a 1:1:1 ratio.Which blood products does the nurse include in this transfusion protocol?

A patient has been admitted to the emergency department with a massive hemothorax.What action by the nurse takes priority?

Patients with musculoskeletal injury are at increased risk for compartment syndrome.What is an initial symptom of a suspected compartment syndrome?

It is important to prevent hypothermia in the trauma patient because hypothermia is associated with which of the following?

A 36-year-old driver was pulled from a car after it collided with a tree and the gas tank exploded.What assessment data suggest the patient suffered tissue damage consistent with a blast injury?

The need for fluid resuscitation can be assessed best in the trauma patient by monitoring and trending which of the following tests?

Which interventions can the nurse implement to assist the patient's family in coping with the traumatic event?

When providing information on trauma prevention,it is important to realize that individuals age 35 to 54 years are most likely to experience which type of trauma incident?

Which of the following findings require immediate nursing interventions in a patient with a traumatic brain injury?

Which of the following interventions is a strategy to prevent fat embolism syndrome?

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