NUR-MED TRAUMA QUESTIONS WITH PICTURE ILLUSTRATIONS AND 100% CORRECT ANSWERS
3 views 0 purchase
Course
TRAUMA (TRAUMA)
Institution
Chamberlain College Of Nursing
124. A 58-year-old woman is brought to the emergency department (ED) by emergency medical service (EMS) after slipping on a patch of ice while walking to work and hitting her head on the cement pavement. Bystanders acknowledged that the patient was unconscious for approximately 1 minute. On arrival...
nur med trauma questions with picture illustration
124a 58 year old woman is brought to the emergen
Written for
Chamberlain College Of Nursing
TRAUMA (TRAUMA)
All documents for this subject (4)
Seller
Follow
Oliver799
Reviews received
Content preview
NUR-MED TRAUMA QUESTIONS WITH PICTURE
ILLUSTRATIONS AND 100% CORRECT ANSWERS
Trauma
Questions
124. A 58-year-old woman is brought to the emergency department (ED)
by emergency medical service (EMS) after slipping on a patch of ice
while walking to work and hitting her head on the cement pavement.
Bystanders acknowledged that the patient was unconscious for
approximately 1 minute. On arrival, her vital signs are: blood pressure
(BP) 155/75 mm Hg, heart rate (HR) 89 beats per minute, respiratory rate
(RR) 18 breaths per minute, and pulse oxygenation 98% on room air. She
has a 5-cm laceration to the back of her head that is actively bleeding.
You ask the patient what happened but she cannot remember. You inform
her that she is in the hospital as a result of a fall. Over the next 10 minutes
she asks you repeatedly what happened and where she is. You do not find
any focal neurologic deficits. As you bring the patient to the CT scanner
she vomits once. CT results show a normal brain scan. Which of the
following is the most likely diagnosis?
a. Cerebral concussion
b. Diffuse axonal injury
c. Cerebral contusion
d. Posttraumatic epilepsy
e. Trauma-induced Alzheimer disease
125. A 41-year-old man, the restrained driver in a high-speed motor
vehicle collision, is brought to the ED by EMS. The patient is breathing
without dif- ficulty with bilateral and equal breaths sounds. He has strong
pulses periph- erally indicating a BP of at least 90 mm Hg. The HR is 121
beats per minute. His Glasgow Coma Scale (GCS) is 14. A secondary survey
reveals chest wall bruising. You suspect a cardiac injury. Which of the
following locations most commonly involve cardiac contusions?
a. Right atrium
b. Right ventricle
c. Left atrium
d. Left ventricle
e. Septum
,NUR-MED TRAUMA QUESTIONS WITH PICTURE
ILLUSTRATIONS AND 100% CORRECT ANSWERS
129
, 130 Emergency
NUR-MED TRAUMA QUESTIONS WITH PICTURE
Medicine
ILLUSTRATIONS AND 100% CORRECT ANSWERS
126. A 25-year-old man is brought into the trauma resuscitation room
after his motorcycle is struck by another vehicle. EMS reports that the
patient was found 20 ft away from his motorcycle, which was badly
damaged. His vital signs include a BP of 90/60 mm Hg, HR of 115 beats
per minute, RR of 22 breaths per minute, and pulse oxygenation of 100%
on facemask. Which of the following is the smallest amount of blood loss
that produces a decrease in the systolic BP in adults?
a. Loss of 5% of blood volume
b. Loss of 10% of blood volume
c. Loss of 15% to 30% of blood volume
d. Loss of 30% to 40% of blood volume
e. Loss of greater than 40% of blood volume
127. You are notified by the EMS dispatcher that there is a multiple-car
collision on the local highway with many injuries. He states that there are
two people dead at the scene, one person is critically injured and
hypotensive, and three people have significant injuries, but with stable vital
signs. Which of the following is the leading cause of death and disability in
trauma victims?
a. Abdominal injury
b. Thoracic injury
c. Back injury
d. Cervical injury
e. Head injury
, NUR-MED TRAUMA QUESTIONS WITH PICTURE Trauma 131
ILLUSTRATIONS AND 100% CORRECT ANSWERS
128. Paramedics bring a 45-year-old man to the ED after being involved in
a high-speed motor vehicle collision. His BP is 85/50 mm Hg and HR is
131 beats per minute after administering 2 L of normal saline. He is
awake but slow in responding to questions. A right upper quadrant (RUQ)
ultra- sound image is seen below. Which of the following is the most
appropriate next step in management?
(Reproduced, with permission, from Ma OJ, Mateer JR, Kirkpatrick AW. Trauma: common and
emergent abnormalities. In: Emergency Ultrasound. 2nd ed. New York, NY: McGraw-Hill;
2007: Figure 5-20b.)
a. Emergent abdominal computed tomographic (CT) scan
b. Transfer to the operating room (OR) for laparotomy
c. Perform a diagnostic peritoneal lavage (DPL)
d. Observe until one more liter of crystalloid fluid is administered
e. Serial abdominal examinations
129. Paramedics bring a 17-year-old high school football player to the ED
on a backboard and with a cervical collar. During a football game, the
patient “speared” another player with his helmet and subsequently
experienced severe neck pain. He denies paresthesias and is able to move all
of his extrem- ities. A cervical spine CT scan reveals multiple fractures of
the first cervical vertebra. Which of the following best describes this
fracture?
a. Odontoid fracture
b. Hangman’s fracture
c. Jefferson fracture
d. Clay-shoveler’s fracture
e. Teardrop fracture
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Oliver799. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $9.99. You're not tied to anything after your purchase.
