CPEG208 TNCC FINAL EXAM TEST 2023/2024 OPEN BOOK GRADED A+, Exercises of Nursing

Download CPEG208 TNCC FINAL EXAM TEST 2023/2024 OPEN BOOK GRADED A+ and more Exercises Nursing in PDF only on Docsity! CPEG208 TNCC FINAL EXAM TEST 2023/2024 OPEN BOOK GRADED A+ Why is a measure of serum lactate obtained in the initial assessment of the trauma patient? Answer: c a)to measure oxygenation and ventilation b)to quantify the base deficit for the adequacy of cellular perfusion c)to gauge end-organ perfusion and tissue hypoxia * d)to determine the underlying cause of shock A trauma patient is restless and repeatedly asking "where am I?" vital signs upon arrival were BP 100/60 mm Hg, HR 96 beats/min, and RR 24 breaths/min. Her skin is cool and dry. Current vital signs are BP 104/84mm Hg, HR 108, RR 28 breaths/min. The patient is demonstrating signs and symptoms of CPEG208 TNCC FINAL EXAM TEST 2023/2024 OPEN BOOK GRADED A+ CPEG208 TNCC FINAL EXAM TEST 2023/2024 OPEN BOOK GRADED A+ which stage of shock? Answer: A A)compensated ** B)Progressive C) irreversible D)decompensated An elderly patient with a history of anticoagulant use presents after a fall at home that day. she denies any loss of consciousness. She has a hematoma to her forehead and complains of CPEG208 TNCC FINAL EXAM TEST 2023/2024 OPEN BOOK GRADED A+ CPEG208 TNCC FINAL EXAM TEST 2023/2024 OPEN BOOK GRADED A+ high-speed MVC. When significant abdominal and pelvic injuries are noted in the primary survey, which of the following is the priority interventions? Answer: A A) initiate transfer to a trauma center ** B)provide report to the operating room nurse C) Obtained imaging studies D)Place a gastric tube Which of the following injuries is LEAST likely to be promptly identified? Answer: C A)spleen B) lung C) bowel *** D)brain CPEG208 TNCC FINAL EXAM TEST 2023/2024 OPEN BOOK GRADED A+ CPEG208 TNCC FINAL EXAM TEST 2023/2024 OPEN BOOK GRADED A+ Patients with a crush injury should be monitored for which of the following conditions? Answer: C A)Hypernatremia B)Hypercalcemia C) Dysrhthmias ** D)polyuria A patient with lower extremity fracture complains of severe pain and tightness in his calf, minimally relieved by pain medications. Which of the following is the priority nursing intervention? Answer: C A)elevating the extremity above the level of the heart CPEG208 TNCC FINAL EXAM TEST 2023/2024 OPEN BOOK GRADED A+ CPEG208 TNCC FINAL EXAM TEST 2023/2024 OPEN BOOK GRADED A+ B)repositioning and apply ice C) Elevating the extremity to the level of the heart *** D)Preparing the patient for ultrasound Which of the following occurs during the third impact of a motor vehicle crash? CPEG208 TNCC FINAL EXAM TEST 2023/2024 OPEN BOOK GRADED A+ CPEG208 TNCC final exam test 2023/2024open book GRADED A+ accordingly. Which of the following terms best describes this trauma teams communication? Answer: D A)Brief B) loop C) debrief D)huddle *** The nurse is caring for a 120 kg male is brought in after a warehouse fire and is calculating the patient's fluid resuscitation needs. He has painful red blistering to the entire surface of both upper extremities and superficial burns to the anterior chest. Using the modified Lund and Browder chart to calculate the total BSA burned, how much IV fluids would be administered in the first 8 CPEG208 TNCC final exam test 2023/2024open book GRADED A+ hours? (upper arm 4+4 / lower arm 3+3 / hand 2.5+2.5) = 19% TBSA. 120 kg x (2 mL) x (19% TBSA) = 4560 mL 4560 / 2 (half of fluids given in first 8 hours) = 2280 mL Answer: A A) 2280 mL *** B)3840 mL C) 4560 mL D)7680 mL Which of the following assessment findings differentiates a tension PTX from a simple PTX? answer: D Assessment findings associated with tension pneumothorax include anxiety, severe restlessness, severe respiratory CPEG208 TNCC final exam test 2023/2024open book GRADED A+ distress, and absent breath sounds on the injured side. Hypotension due to compression of the heart and great vessels is consistent with obstructive shock. Hypotension worsens with inspiration due to increased intrathoracic pressure. Late signs include distended neck veins, tracheal deviation, and cyanosis. A) increased work of breathing B)unilaterally diminished breath sounds C) pleuritic chest pain D)hypotension that worsens with inspiration *** What bedside monitoring parameters are used to assess for adequacy of oxygenation and effectiveness of ventilation? Answer: A A)pulse oximetry and capnogaphy ** B)respiratory rate and capnography CPEG208 TNCC final exam test 2023/2024open book GRADED A+ You are caring for a patient who was involved in a MVA and is 32 weeks pregnant. Findings of your secondary survey include abd pain on palpation, fundal high at the costal margin, and some dark bloody show. Varying, accelerations and decelerations are noted on the cardiotocography. These findings are most consistent with which of the following? Answer: A A) placental abruption *** B) preterm labor C) uterine rupture D) fetal demise which of the following is the priority intervention for this patient? Answer: C A)Expedite transport to the CT scanner B)prepare the patient for spinal radiographs C) expedite transfer to the closest trauma CPEG208 TNCC final exam test 2023/2024open book GRADED A+ center *** D)notify the patients family Caregivers carry a 2-year old into the ED who fell out of 2nd story window. The patient is awake and crying with increased work of breathing and pale skin. which of the following interventions has the highest priority? Answer: A A)padding the upper back while stabilizing the cervical spine *** B)applying a tight-fitting NRB mask with an attached resevior C) establishing intravenous access and administering a 20mL/kg bolus D)preparing for drug assisted intubation Which of the following is a component of the trauma triad of death? Answer: A CPEG208 TNCC final exam test 2023/2024open book GRADED A+ hypothermia, metabolic acidosis, coagulopathy A)Acidosis ** B)hyperthermia C) hemorrhage D)sepsis A 35-year old male presents with facial trauma after bring struck inthe face with a baseball. a tear-drop shaped left pupil is noted on exam. What type of injury is suspected? Answer: B A)oculomotor nerve palsy B)globe rupture *** C) uncal herniation D)retinal detachment Which of the following is true about the log roll maneuver? Answer: C A) it causes less spinal motion than the lift and CPEG208 TNCC final exam test 2023/2024open book GRADED A+ wound after being assault ed with a machete, Prehospital providers placed a nonporous dressing over the chest wound and tapes it on 3 sides. He is now showing signs of anxiety, restlessness, severe respiratory distress, cyanosis, and decreasing blood pressure. Which of the following is the MOST appropriate interventions? Answer: C A)needle decompression B)tube thoracostomy C) dressing removal ** D)surgical repair A 5-year old child presents to the ED with bruises to the upper arms and buttocks in various stages of healing and multiple small, clean, round burns to the back. There are no abnormalities found based on CPEG208 TNCC final exam test 2023/2024open book GRADED A+ the pediatric assessment triangle or primary survey. Which of the following is the priority nursing intervention? Answer: A A)report your suspicion of the maltreatment in accordance with local regulations *** B)apply ice to the bruises and consult wound care C) engage in therapeutic communication to determine the MOI D)provide the family with injury prevention resourse A 56-year- male patient involved in a MVC is brought to the ED of a rural critical access facility. He c/o neck pain, SOB, and diffuse abd pain. His GCS is 15. His vitals are as follows: BP 98/71 HR 125 beats/min CPEG208 TNCC final exam test LATEST UPDATE 2022/2023 n book GRADED A+ RR 26 breaths/min SpO2 94% on high flow O2 via NRB mask A 36-year old female has a deformity of the left wrist after a fall. She is reluctant to move her hand due to pain. Which of the following is the most appropriate intervention? Answer: B A)apply a sling and elevate the extremity to the level of the heart. B)apply a splint and ELEVATE ABOVE THE LEVEL OF THE HEART *** C) Apply a sling and elevate the extremity above the level of the heart D)apply a splint and elevate the extremity to the level of the heart. Which of the following is a late sign CPEG208 TNCC final exam test LATEST UPDATE 2022/2023 n book GRADED A+ CPEG208 TNCC final exam test 2022 open book GRADED A+ C) voluntary anal sphincter tone D) intact reflexes distal to the injury A patient with a complete spinal cord injury in neurogenic shock will demonstrate hypotension and which other clinical signs? Answer: D A)Bradycardia and ipsilateral absences of motor function B)Tachycardia and respiratory depression CPEG208 TNCC final exam test 2022 open book GRADED A+ CPEG208 TNCC final exam test 2022 open book GRADED A+ C) Tachycardia and absent motor function below the level of injury D)Bradycardia and absent motor function below the level of the injury *** A patient is found lying on the floor after falling 13 hours ago. Which of the following lab values is expected with a musculoskeletal complication associated with this presentation? Answer: A A)elevated creatine kinase *** B)decreased potassium level C) decreased WBC D)elevated GFR Which of the following patients warrants CPEG208 TNCC final exam test 2022 open book GRADED A+ CPEG208 TNCC final exam test 2022 open book GRADED A+ referral to a burn center? Answer: C A)a 21- year old female with a partial thickness burn to the right forearm B)a 40-year old hypertensive male with a superficial burn to the back C) a 52-year old diabetic male with partial thickness burn to the left lower leg *** D)a 35-year old hyperlipidemic female with superficial burns to the anterior thorax. A patient has been in the ED for several hours waiting to be admitted. He sustained multiple rib fractures and a femur fracture after a fall. He has been awake, alert, and c/o leg pain. His wife reported suddenly becoming anxious and CPEG208 TNCC final exam test 2022 open book GRADED A+ CPEG208 TNCC final exam test 2022 open book GRADED A+ B)The amount of oxygen available to the tissues increases C) Tissue oxygenation (PaO2) increases D)Hemoglobin molecule saturation (SaO2) decreases A 20-year old male presents to the ED c/o severe lower abd pain after landing hard on the bicycle cross bars which performing an aerial BMX maneuver. Secondary assessment reveals lower abd tenderness and scrotal ecchymosis. Which of the following orders would the nurse questions? Answer: C A)Fast exam B)CT scan C) straight cath for urine sample *** CPEG208 TNCC final exam test 2022 open book GRADED A+ CPEG208 TNCC final exam test 2022 open book GRADED A+ D) ice and elevation of the scrotum You are treating a 27-year old male in respiratory distress who was involved in a house fire. Calculating TBSA burned is deferred d/t the need for emergent intubation. At what rate should you begin fluid resuscitation? Answer: B A) 1000 mL/hr B) 500 mL/hr *** C) 250 mL/hr D)125 mL/hr Which of the following is possible complication of positive-pressure ventilation? Answer: A CPEG208 TNCC final exam test 2022 open book GRADED A+ CPEG208 TNCC final exam test 2022 open book GRADED A+ A)worsening pneumothorax B)worsening flail chest C) reabsorption of pleural air D)negative intrapleural pressure Which of the following is NOT considered goal-directed therapy of cardiogenic shock? CPEG208 TNCC final exam test 2022 open book GRADED A+ CPEG208 TNCC final exam test 2022 open book GRADED A+ C) suction the ET tube D)confirm ET tube placement What factor contributes most the kinetic energy of a body in motion? answer: C A)acceleration B)mass C) velocity *** D) inertia During the primary survey of an unconscious patient with multi- system trauma, the nurse notes snoring respirations. Which priority nursing interventions should be performed next? Answer: D A)open the airway with the head-tilt/chin lift CPEG208 TNCC final exam test 2022 open book GRADED A+ CPEG208 TNCC final exam test 2022 open book GRADED A+ maneuver B)auscultate bilateral breath sounds to assess ventilatory status C) assist respirations using a BVM D) insert an oropharyngeal airway if there is no gag reflex *** Following a review of recent drills and a real disaster event, a hospital has identified deficiencies and is taking steps to minimize the impact of future disaster. Which phase of the disaster life cycle does this describe? Answer: A A)mitigation *** B)preparedness C) response D)recovery CPEG208 TNCC final exam test 2022 open book GRADED A+ CPEG208 TNCC final exam test 2022 open book GRADED A+ Which pulse pressure description is an indication of early hypovolemic shock? Answer: B A)widened B)narrowed *** C) bounding D)weak The most reassuring finding for a male patient with hop pain after a fall is which of the following? Answer: D A)a normal prostate exam B)absence of abdominal distension C) a normal fast exam D)pelvic stability *** CPEG208 TNCC final exam test 2022 open book GRADED A+