The most important reason for diminishing breath sounds in a motor vehicle crash
victim with closed chest trauma is:
1. chest pain when breathing normally
2. a pulmonary bleed
3. development of a pneumothorax
4. cervical spinal-cord injury - ANSWERS-Development of a pneumothorax
QUESTION 2
A moderately burned trauma patient is admitted to your unit. The most important
treatment related to the burns during the first 24 hours after injury is:
1. fluid replacement
2. accurate administration of antibiotics
3. pain relief measures
4. early wound cultures - ANSWERS-fluid replacement
END OF
PAGE 1
, BKAT 9R EXAM 2024
QUESTION 3
Your trauma patient, who is 4 days post fracture of the right femur, suddenly
develops shortness of breath. The most likely cause is:
1. Fat embolus
2. Pneumonia
3. Pleural effusion
4. Pulmonary edema - ANSWERS-Fat embolism
QUESTION 4
To help prevent ventilator acquired pneumonia (VAP), the most important
nursing action would be to:
1. keeping FIO2 at 60%
2. changing the ventilator tubing qshift
3. careful hand-washing and use of gloves when suctioning
4. treat low peak-inspiratory pressures - ANSWERS-Careful hand-washing and use
of gloves when suctioning
END OF
PAGE 2
, BKAT 9R EXAM 2024
QUESTION 5
The most important nursing activity for a patient admitted with the diagnosis of
cervical spinal cord injury is:
1. keeping the patient flat
2. immobilizing the head
3. noting change in feeling extremities
4. doing hourly neuro checks - ANSWERS-Immobilizing the head
QUESTION 6
In a patient with cervical spine injury, the most important observations the nurse
makes concerns which of the following physiological parameters?
1. heart rate
2. respirations
3. urinary output
4. pupillary response to light - ANSWERS-respirations
END OF
PAGE 3
, BKAT 9R EXAM 2024
QUESTION 7
The earliest sign of increased intracranial pressure generally involves changes in:
1. response to pain
2. level of consciousness
3. equality of pupillary reactions
4. respiratory rate - ANSWERS-level of consciousness
QUESTION 8
53. Deepening intracranial pressure is characterized by:
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