ATCN Review Exam Questions with Correct Answers., Exams of Community Corrections

Download ATCN Review Exam Questions with Correct Answers. and more Exams Community Corrections in PDF only on Docsity! ATCN Review Exam Questions with Correct Answers. The approach to trauma care typically begins with what? - Correct Answer notification that a trauma patient is arriving When preparing to receive a trauma patient, what should you keep in mind? - Correct Answer safe practice, safe care What does "Safe practice" mean when receiving trauma patients? - Correct Answer take into consideration the protection of the team (universal precautions/PPE/preparing equipment prior to patient arrival) What does "Safe care" mean when receiving trauma patients? - Correct Answer that the patient is going to the right hospital, in the right time, for the right care Trauma primary survey for "A"? - Correct Answer airway and alertness with simultaneous cervical spinal stabilization Trauma primary survey for "B"? - Correct Answer breathing and ventilation Trauma primary survey for "C"? - Correct Answer circulation and hemorrhage control Trauma primary survey for "D"? - Correct Answer disability (neurological status: AVPU/GCS) Trauma primary survey for "E"? - Correct Answer exposure and environmental control Trauma primary survey for "F"? - Correct Answer full set of vital signs and family presence Trauma primary survey for "G"? - Correct Answer get resuscitation adjuncts (LMNOP) Which resuscitation adjunct under the "G" primary assessment is this? -"L" - Correct Answer laboratory studies (ABG's/Type and cross) Which resuscitation adjunct under the "G" primary assessment is this? -"M" - Correct Answer monitor for continuous cardiac rhythm and rate assessment Which resuscitation adjunct under the "G" primary assessment is this? -"N" - Correct Answer naso/orogastric tube consideration Which resuscitation adjunct under the "G" primary assessment is this? -"O" - Correct Answer oxygenation and ventilation analysis (pulse oximetry/ETCO2/capnography) Which resuscitation adjunct under the "G" primary assessment is this? -"P" - Correct Answer pain assessment and management Trauma primary survey for "H"? - Correct Answer history and head to toe assessment Trauma primary survey for "I"? - Correct Answer inspect posterior surfaces 1.chest pain 2.air hunger 3.respiratory distress 4.tachycardia 5.hypotension 6.tracheal deviation away from injury 7.unilateral absence of breath sounds 8.elevated hemithorax w/out respiratory movement 9.neck vein distention 10.cyanosis (late sign) - Correct Answer 10 Signs and sx of tension pneumothorax 1. Becks Triad= increased venous pressure(distended neck veins), decreased arterial pressure(hypotension), muffled heart tones 2. PEA 3. JVD &/or Kussmauls sign 4. Use FAST to dx - Correct Answer Signs and sx of cardiac tamponade Careful assessment of the pt's breath sounds is paramount to differentiate the two - Correct Answer tension pneumothorax can often be confused with cardiac tamponade, how do you differentiate? 1. Needle decompression- large bore needle 2nd intercostal space midclavicular line 2. chest tube 4 or 5th intercostal space mid axillary - Correct Answer Tx of tension pneumothorax -Acidosis - Hypothermia - Coagulopathy (blood can't clot resulting in continued bleeding) - Correct Answer triad of death Head = 9% Chest (front) = 9% Abdomen (front) = 9% Upper/mid/low back and buttocks = 18% Each arm = 9% (front = 4.5%, back = 4.5%) Groin = 1% Each leg = 18% total (front = 9%, back = 9%) - Correct Answer rule of 9's adult Anterior/Posterior Head - 9% Each Anterior/Posterior Torson - 18% Each headache restlessness, change in speech NOT: Dilated or non-reactive pupil - Correct Answer In the head injured patient all of the following are considered early signs and symptoms of increased ICP tachycardia and hypotension - Correct Answer Symptoms of compression of the vena cava in the pregnant trauma patient include: intubation of the patient assessment of the arterial blood gasses the need for chest tube placement - Correct Answer The intervention that the nurse must anticipate in a patient who has sustained a severe crush injury to the chest and is SOB include: forceful manual compression and pelvic rock of the pelvis to determine instability - Correct Answer For pelvic fractures NEVER place an occlusive dressing over the wound (taped on three sides) - Correct Answer For an open bubbling chest wound tearing of a bridging vein between the cerebral cortex and a draining venous sinus - Correct Answer Most common underlying cause of a subdural hematoma? 1. Respiratory distress 2. Asymmetry of breath sounds 3. Deviation of trachea to the opposite side of the defect 4. Marked decreased in cardiac output 5. Hypotension 6. Muffled heart sounds - Correct Answer signs of tension pneumothorax the neck muscles are strong - Correct Answer What is NOT an anatomical difference of children? burns that destroy the entire thickness of the skin -dark leathery appearance -mottled, or wax like appearance -painless -dry surface - Correct Answer third degree burns muffled heart sounds distended neck veins hypotension - Correct Answer S/S of cardiac tamponade (Beck's triad) retrograde urethrogram - Correct Answer Radiographic procedure to r/o urethral injury Patient with RR of 10 blood or vomit in the oral cavity cervical spine injury - Correct Answer Potential indications for nasal intubation infusion of IV crystalloid fluids judicious use of vasopressors close monitoring of the patient's BP and pulse anticipate invasive hemodynamic monitoring - Correct Answer Treatment of neurological shock -remove damp clothing -warm fluids orally if pt can drink -placing the injured extremity in warm circulating water at 40 C - Correct Answer Management of Frostbite - Administer IV fluids -Administer Sodium Bicarb -Close monitoring of renal perfusion/health (rhabdo) -Close monitoring of compartment syndrome - Correct Answer The management of a crush injury infusion of warm fluids peripheral IV access short, large caliber IV catheters infusion rates of 20 ml/kg - Correct Answer Initial fluid resuscitation may include: pain with passive stretch of the muscle swelling of the affected extremity paresthesias and loss of function pain out of proportion to the injury - Correct Answer S/S of compartment syndrome -assess pulses, color, temperature, and sensation o the extremity distal to the injury before and after splinting -stabilize the joint proximal and distal to the fracture site - Correct Answer The basic principles of applying splints to extremity fractures include A- Allergies M-Medications currently used P-Past illnesses or Pregnancy? L-Last meal E- Eevents/Environment r/t injury - Correct Answer Secondary Survey Late sign of compartment syndrome - Correct Answer Loss of pulses in injured limbs L-Look externally E-Evaluate (3-3-2) for oral cavity spacing M-Mallampti score O-Obstruction of airway N-Neck mobility - Correct Answer LEMON for intubation 1- No difficulty 2- No difficulty but less of an opening 3- Moderate difficulty, only base of uvula visible 4- Severe difficulty, only hard palate visible - Correct Answer Mallampti Scores patients with cardiac arrest - Correct Answer C02 detector reading may be inaccurate in coagulation abnormalities - Correct Answer Patients with TBI's are particularly prone to type A - Correct Answer New universal plasma type? devices capable of warming and rapid infusion - Correct Answer Fluid and blood should be administered through Increase heat in room Minimize draft, keep doors closed' Administer humidified and warm O2 (41C) in ET Remove all wet clothing Minimize body exposure Apply warm blankets Wrap child's head in warm towels Promote use of convective air heating devices Monitor temperature (core if possible) Administer fluids and blood through warmer (42C) - Correct Answer Trauma Resuscitation Room alcohol seizures drugs chronic resp. conditions - Correct Answer Patient condiitons which will alter the base deficit value CPP= MAP-ICP - Correct Answer Central Perfusion Pressure (CPP) 70-100 mmHg - Correct Answer Normal CPP for adults 0-10 mmHg - Correct Answer Normal ICP at rest late sign of ICP, systolic will go up diastolic will go down, pulse drops, resp drop, temp goes up - Correct Answer Cushings triad mild: 13-15