TNCC ENA 9th Edition Final Exam Test with Correct and Verified Answers, Exams of Nursing

Download TNCC ENA 9th Edition Final Exam Test with Correct and Verified Answers and more Exams Nursing in PDF only on Docsity! TNCC ENA 9th Edition Final Exam Test with Correct and Verified Answers 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? - Correct answer 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 - Correct answer c. administer tissue plasminogen activator" 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 - Correct answer B. Initiate direct pressure Why is alertness included in the airway assessment? - Correct answer Including this helps evaluate the patient's ability to protect their own airway" "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 - Correct answer a. maintain adequate respiratory status" "How to assess for proper placement of a definitive airway (3 steps) - Correct answer 1. Attach CO2 detector (assess for presence of CO2 after 5-6 breaths) 2. Adequate rise/fall of chest with assisted ventilation 3. Auscultate for gurgling over epigastrium and presence of bilateral breath sounds." "What pneumonic is used to assess a patient level of alertness? - Correct answer A: Alert V: Responds to verbal stimuli P: Responds to pain U: Unresponsive" 1 "In a patient who is unable to open their mouth or unresponsive, how do we assess the airway? - Correct answer Jaw- thrust maneuver is performed to open airway and mouth to assess for obstruction" "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 - Correct answer 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 departm - Correct answer 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%. - Correct answer 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 - Correct answer c. Reprioritize circulation before airway or breathing." "The vital signs of a pregnant trauma patient at 30 weeks include a blood pressure of 94/62 mm Hg 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 - Correct answer b. Normal vital signs in pregnancy" "While performing an assessment on a 13-month-old involved in a motor vehicle collision, the nurse identifies which of the following findings from the patient as a sign of possible altered mental status? a. Sunken fontanel b. Crying, but consolable c. Spontaneous movement of arms and legs d. Cooperation with the assessment - Correct answer d. Cooperation with the assessment" "A patient involved in a MVC has sustained a fracture to the second rib of the anterior left chest. Which concurrent injury is most commonly associated with this fracture? a. Blunt cardiac injury b. Brachial plexus injury c. Pneumothorax 2