A patient fell two weeks ago, striking their head. Today, the patient presented with a persistent
headache and nausea and was diagnosed with a small subdural hematoma. The patient has been in the
ED for 24 hours awaiting an inpatient bed. The night shift nurse reports the patient has been anxious...
TNCC 9th Edition
A patient fell two weeks ago, striking their head. Today, the patient presented with a persistent
headache and nausea and was diagnosed with a small subdural hematoma. The patient has been in the
ED for 24 hours awaiting an inpatient bed. The night shift nurse reports the patient has been anxious,
restless, shaky, and vomited twice during the night. The patient states they couldn't sleep because a
young child kept coming into the room. What is the most likely cause for these signs and symptoms?
a. increase intracranial pressure
b. alcohol withdrawal
c. rhabdomyolysis
d. pulmonary embolus - ✔✔✔b. alcohol withdrawal
Treatment for frostbite can include which of the following interventions?
a. warm the affected part over 30-60 minutes
b. use gentle friction to improve circulation
c. administer tissue plasminogen activator
d. leave all of the blisters intact - ✔✔✔c. administer tissue plasminogen activator
A patient with a spinal cord injury at C5 is being cared for in the emergency department while awaiting
transport to a trauma center. Which of the following represents the highest priority for ongoing
assessment and management for this patient?
a. maintain adequate respiratory status.
b. administer balanced resuscitation fluid
c. perform serial assessments of neurologic function
d. maintain core temperature - ✔✔✔a. maintain adequate respiratory status
Following a bomb explosion, fragmentation injuries from the bomb or objects in the environment are
examples of which phase of injury?
a. primary
, b. secondary
c. tertiary
d. quaternary - ✔✔✔b. secondary
A trauma nurse cared for a child with devastating burns two weeks ago. The nurse called in sick for a
couple of days and is now back working on the team. Which of the following behaviors would indicate
this nurse is coping well?
a. They are talking about taking the emergency nursing certification examination.
b. They keep requesting to be assigned to the walk-in/ambulatory area
c. They are impatient and snap at their coworkers.
d. They are thinking about transferring out of the emergency department. - ✔✔✔a. They are talking
about taking the emergency nursing certification examination.
Which of the following accurately describes ventilation principles associated with use of a bag-mask
device for an adult?
a. Compress the bag-mask device at a rate of one breath every 6 seconds.
b. Delivers 100% oxygen.
c. Squeeze the bag-mask device completely for each breath.
d. Maintain the oxygen saturation levels between 92% and 94%. - ✔✔✔a. Compress the bag-mask
device at a rate of one breath every 6 seconds.
The general impression step in the initial assessment provides the opportunity to do which of the
following?
a. Assess for uncontrolled internal hemorrhage
b. Accurately triage the patient
c. Reprioritize circulation before airway or breathing.
d. Activate the trauma team - ✔✔✔c. Reprioritize circulation before airway or breathing.
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