Question 1

An emergency nurse is about to insert an indwelling catheter (IDC) . Which of the following is the major contraindication in inserting an IDC?

Accepted Answer

A)   Vomiting
B)   Upper abdominal pain
C)   Blood at the urethral meatus
D)   Pregnancy

Question 2

Which among the following are included in the secondary survey assessing trauma patients?

Accepted Answer

A)   Full set of vital signs, comfort measures, taking a detailed history, head-to-toe assessment and inspection of posterior surfaces
B)   Full set of vital signs, allergies, mechanism of injury, physical assessment, administration of fluids and analgesia
C)   Spinal immobilisation, full set of vital signs, administration of oxygen and analgesia, blood tests
D)   C-spine and spinal immobilisation, full set of vital signs, head-to-toe assessment, inspection of posterior surface

Question 3

Tension pneumothorax is a life-threatening injury. Which clinical findings are specific to this condition?

Accepted Answer

A)   Hypertension and bradycardia
B)   Severe respiratory distress, tracheal deviation, hypotension, tachycardia
C)   Chest pain, decreased respiratory effort and hypotension
D)   Tachycardia, decreased saturations, bruising on chest, chest pain

Question 4

To prevent secondary brain injury, what is the ideal blood pressure for patients who have uncontrolled haemorrhage with suspected traumatic brain injuries?

Accepted Answer

A)   At a range of 80-90 mmHg SBP
B)   At least 90 mmHg SBP
C)   At a range of 90-100 mmHg SBP
D)   At least 120 mmHg SBP A

Question 5

A 40-year-old male patient presents to the ED after a motor vehicle collision (MVC)  yelling in pain. He is noted to have severe dyspnoea, decreased left-sided chest movement and tracheal deviation to the right side. You are the emergency nurse caring for this patient. What will you do first?

Accepted Answer

A)   Prepare a needle for thoracentesis
B)   Initiate two large-bore IV cannulas
C)   Initiate high-flow oxygen via a non-rebreather mask
D)   Prepare chest tube
E)   Ensure airway is patent

Question 6

Which of the following is contraindicated in patients with maxillary/facial injuries and basilar skull fracture?

Accepted Answer

A)   Insertion of indwelling catheter
B)   Insertion of orogastric tubes
C)   Insertion of nasogastric tube
D)   Administration of oxygen via nasal cannula C

Question 7

Paediatric patients in shock are given fluid resuscitation. The initial fluid bolus is:

Accepted Answer

A)   15 mL/kg of NaCl or Hartmann's
B)   20 mL/kg of NaCl or Hartmann's
C)   20 mL/kg of packed RBC
D)   15 mL/kg of packed RBC

Question 8

A 19-year-old woman walks into the ED post MVC with complaints of neck pain and a tingling sensation on both arms and legs. You are the triage nurse assessing the patient. What is your first intervention?

Accepted Answer

A)   Ensure adequate airway and breathing
B)   Initiate immobilisation and stabilisation of cervical spine
C)   Initiate oxygen therapy
D)   Administer analgesia B

Question 9

The correct sequence of primary survey in trauma patient is:

Accepted Answer

A)   Airway, cervical spine stabilisation, breathing and ventilation, circulation, neurological status
B)   Airway, breathing, cervical spine stabilisation, breathing and ventilation, circulation, neurological status
C)   Cervical spine stabilisation, breathing, airway, circulation, neurological status
D)   Airway, breathing, circulation and neurological status

Question 10

Cardiogenic shock in trauma patient may be caused by cardiac tamponade. Which among the following make up the defining symptoms for tamponade?

Accepted Answer

A)   Distended neck veins, cyanosis, tachycardia
B)   Distended neck veins, hypotension, muffled heart sounds
C)   Cyanosis, tachycardia, hypotension, tracheal deviation
D)   Dyspnoea, cyanosis, hypotension, tachycardia

Exam 42: Major Trauma Initial Assessment and Management

An emergency nurse is about to insert an indwelling catheter (IDC) . Which of the following is the major contraindication in inserting an IDC?

Correct Answer
verified

Which among the following are included in the secondary survey assessing trauma patients?

Correct Answer
verified

Tension pneumothorax is a life-threatening injury. Which clinical findings are specific to this condition?

Correct Answer
verified

To prevent secondary brain injury, what is the ideal blood pressure for patients who have uncontrolled haemorrhage with suspected traumatic brain injuries?

Correct Answer
verified
A

A 40-year-old male patient presents to the ED after a motor vehicle collision (MVC) yelling in pain. He is noted to have severe dyspnoea, decreased left-sided chest movement and tracheal deviation to the right side. You are the emergency nurse caring for this patient. What will you do first?

Correct Answer
verified

Which of the following is contraindicated in patients with maxillary/facial injuries and basilar skull fracture?

Correct Answer
verified
C

Paediatric patients in shock are given fluid resuscitation. The initial fluid bolus is:

Correct Answer
verified

A 19-year-old woman walks into the ED post MVC with complaints of neck pain and a tingling sensation on both arms and legs. You are the triage nurse assessing the patient. What is your first intervention?

Correct Answer
verified
B

The correct sequence of primary survey in trauma patient is:

Correct Answer
verified

Cardiogenic shock in trauma patient may be caused by cardiac tamponade. Which among the following make up the defining symptoms for tamponade?

Correct Answer
verified

Exam 42: Major Trauma Initial Assessment and Management

An emergency nurse is about to insert an indwelling catheter (IDC) . Which of the following is the major contraindication in inserting an IDC?

Correct AnswerverifiedShow Answer

Which among the following are included in the secondary survey assessing trauma patients?

Correct AnswerverifiedShow Answer

Tension pneumothorax is a life-threatening injury. Which clinical findings are specific to this condition?

Correct AnswerverifiedShow Answer

To prevent secondary brain injury, what is the ideal blood pressure for patients who have uncontrolled haemorrhage with suspected traumatic brain injuries?

Correct AnswerverifiedA

A 40-year-old male patient presents to the ED after a motor vehicle collision (MVC) yelling in pain. He is noted to have severe dyspnoea, decreased left-sided chest movement and tracheal deviation to the right side. You are the emergency nurse caring for this patient. What will you do first?

Correct AnswerverifiedShow Answer

Which of the following is contraindicated in patients with maxillary/facial injuries and basilar skull fracture?

Correct AnswerverifiedC

Paediatric patients in shock are given fluid resuscitation. The initial fluid bolus is:

Correct AnswerverifiedShow Answer

A 19-year-old woman walks into the ED post MVC with complaints of neck pain and a tingling sensation on both arms and legs. You are the triage nurse assessing the patient. What is your first intervention?

Correct AnswerverifiedB

The correct sequence of primary survey in trauma patient is:

Correct AnswerverifiedShow Answer

Cardiogenic shock in trauma patient may be caused by cardiac tamponade. Which among the following make up the defining symptoms for tamponade?

Correct AnswerverifiedShow Answer

Correct Answer
verified

Correct Answer
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Correct Answer
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Correct Answer
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A

Correct Answer
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Correct Answer
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C

Correct Answer
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Correct Answer
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B

Correct Answer
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Correct Answer
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