1. A patient arrives at the emergency department by private vehicle after
sustaining an injury to the right lower extremity while using a saw. There is a
large gaping wound to the right thigh area with significant bleeding. What is
the priority intervention?
A. Elevate the extremity to the level of the heart
B. Initiate direct pressure
C. Apply a tourniquet
D. Cover the open wound with sterile saline dressings: B. Initiate direct
pressure
Rationale: The first step inn controlling any bleeding is application of direct pressure.
2. What technique is most appropriate when obtaining a history from a patient
who has experienced a sexual assault?
A. Sitting next to the patient
B. Ensuring the patient answers all the questions
C. Asking for information only related to the assault
D. Applying active listening: D. Applying active listening
Rationale: Therapeutic communication techniques such as active listening
decrease unintentional distress during the interaction.
3. What is the appropriate technique for palpating the pelvis for stability?
A. Apply gentle pressure over the iliac crests, downward and laterally
B. Apply gentle pressure over the iliac crests, downward and medially
C. Apply firm pressure over the iliac crests, downward and laterally
D. Apply firm pressure over the iliac crests, downward and medially: B. Apply
gentle pressure over the iliac crests, downward and medially
Rationale: To assess for pelvic instability, gentle pressure is applied over the iliac
crests, downward and medially.
4. 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 would indicate this nurse is coping well?
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, TNCC ENA 9th Edition Pre Test
A. They are talking about taking the emergency nursing certification exam
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 exam
Rationale: This is an indication the nurse is taking positive steps to advance their
own practice, a sign of resilience. B indicates the nurse is still not ready to return
to their previous level of engagement in their job. C shows signs of burnout,
irritability and frustration. D shows decreased satisfaction with the job, a sign of
burnout.
5. The vital signs of a pregnant trauma patient at 30 weeks include a blood
pressure of 94/62 mmHg and a heart rate of 108 beats/minute. Fetal heart
tones are 124 beats/minute. The emergency nurse interprets the patient's
hemodynamic findings as an indication of which of the following?
A. Decompensated shock
B. Normal vital signs in pregnancy
C. Compensated shock
D. Supine hypotension syndrome: B. Normal vital signs in pregnancy
Rationale: In pregnancy, the resting heart rate increases by 10 to 20 beats/minute.
This is also a small decrease in systolic blood pressure and a larger decrease in
diastolic blood pressure due to a decrease in peripheral resistance. Normal fetal
heart rate is between 120 and 160 beats/minute.
6. Which of the following is considered a cornerstone of a high-performance
trauma team?
A. Individual goals
B. Use of TeamSTEPPS
C. Identification of a single decision maker
D. Effective communication: D. Effective communication
Rationale: Skilled communication, cooperation, and coordination are the
cornerstones of high-performance and high-quality trauma care.
7. In a patient with severe traumatic brain injury, hypocapnia causes which
condition?
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