VN 084-Trauma fisdap exam with verified answers-2024-2025.docx, Exams of Nursing

Download VN 084-Trauma fisdap exam with verified answers-2024-2025.docx and more Exams Nursing in PDF only on Docsity! VN 084-Trauma fisdap exam with verified answers-2024-2025 WITH 73 Q&A 1. 53 yo F hit by car. Unresponsive w/ deformity to the left femur and pelvic instability. Diminished lung sounds on L side. You should? o *Perform detailed physical assessment/stabilize left femur with traction splint/immobilize long backboard/transport to nearest emergency room 2. 28 yo M, blunt trauma to R anterior chest. Pale, cool, diaphoretic and responsive to verbal. R 38 and shallow with paradoxical movement. What should you do? o ALS back up/02 non rebreather/stabilize chest with bulky dressing/02 with positive pressure ventilations 3. What is the most likely cause of periorbital ecchymosis? o Basicular skull fracture/ blow out fracture/ subdermal hematoma/ epidural hematoma 4. 30 yo M shot in mid thigh. Bleeding continues after partner applies direct pressure. You should? o Tourniquet/ continue pressure and transport rapidly/ elevate leg and place pressure dressing/ check for PMS 5. 28 yo Pt driver motorcycle traveling 45 mph hit parked car. Not wearing a helmet. Supine with copious amount of blood around face. Gurgling and R 4 per min. Most appropriate? o Jaw thrust without head tilt/ head tilt and jaw thrust/ chin lift without head tilt/ head lift with chin lift 6. M fell while water skiing. Unconscious. Suspect? o Head and spine injury/ hypothermia/anaphylaxis/heat related injury 7. Appropriate care for amputated extremity? o Wrap in dry gauze, seal in plastic bag, and place in cool water/ice cooler and immediate trans/moist gauze keep cool with cold packs/immerse in cool water for improved tissue preservation 8. 28 yo Pt driver motorcycle traveling 45 mph hit parked car. Not wearing a helmet. Supine with copious amount of blood around face. Gurgling and R 4 per min. Most appropriate? o Suction airway/ BVM/ C-collar/ control bleeding 9. 18 yo M holding right shin after sports related injury. Deformity and swelling; pedal pulse present. You should? o Apply board splint in position found/ stabilize limb at hip and ankle/ traction, realign limb/ ice pack and elevate limb 10. Pedestrian hit by car. Pale, cool, and diaphoretic. Oriented to name only and has difficulty breathing. BP 80/40, P 120, R 28 and shallow. 90% SPO2. You should? o BVM/ nonrebreather/ NPA/ long backboard 11. 81 yo F healthcare facility fell out of bed. Nurse suspects hip fracture. Which medication should concern you the most? o Coumadin/ albuterol/ nitro/ insulin 12. You are treating a patient with agonal respirations and gunshot wound to the chest. You notice an open skull fracture leaking brain matter. There is no radial pulse, you should? o Discontinue treatment and protect crime scene/ collect the brain matter and transport rapidly/ assess a carotid pulse and assist ventilations / begin CPR and place airway adjunct 40. Chest wound, crackling sensation produced by air blowing into surrounding tissues is called subcutaneous ? o Emphysema 41. 40 yo M crashed snowmobile, skin cold and pale, BP 198/96, P 48, respiration is slow and irregular. What should you suspect? o Neurogenic shock/ hypothermia/ Traumatic Brain Injury/ tension pneumothorax 42. Arrive at motor vehicle collision, pt extricated herself from vehicle and is walking around complaining of neck pain. You should? o C collar and walk to ambulance (you should not allow patient to walk, c collar and immobilize them) 43. 42 yo M has metal impaled in lower right leg. Obvious open fracture and no pulse in R foot, what should you do? o Stabilize with bulky dressing prior to trans 44. 16 yo M complains of extreme pain to chest. You notice his shirt is splashed with battery acid. BP 150/100, P weak, R 24. You should? o Remove shirt and flush with saline water (or just water?) 45. 38 yo M large bruise LUQ, following motorcycle collision. What should you suspect? o Injury to spleen 46. Unresponsive 18 yo F supine, bleeding in mouth from the nose, R20. What should you do? o Suction oropharynx 47. Snowmobile rider is thrown 15 ft from vehicle. His finger is deformed and sternum is tender to palpation. Pt states “I think I’ll be okay” and refuses trans. What should you do? o Ask if you can perform detailed assessment/ splint the finger and apply an ice pack to the sternum/ document his refusal of transport/ transport pt to nearest trauma center 48. Treating abdominal evisceration o Cover with moist sterile dressing 49. 30 yo F was in minor motor vehicle accident. She is standing outside of the vehicle and complains of lower back pain. You should immobilize her using a? o Long spine board/ position of comfort, vest type extrication device, c collar and short spine board(KED) (patient is standing, KED is for sitting patient) 50. 23 yo M received burns to feet while stomping fire. He is still wearing the shoes. The rubber soles and laces melted together. What do you do? o Cut shoelace and remove shoes 51. 40 yo M fell off ladder has a broken leg, and the left knee now bends the wrong way. You should? o Check for PMS in the L leg 52. 24 yo F is uncon after being struck by a car. She has ineffective breathing and bloody secretions in mouth. You should? o Immediate suction oropharynx 53. 24 yo M has burns to the eyes, nose and mouth when the radiator cap on his car blew off. Treat for? o Respiratory swelling 54. Patient was found dead at the scene. GCS scale? o 3