Deck 70: Emergency, Trauma, and Environmental Injuries

Question 1

Which treatment does the nurse prepare to administer when providing care to a patient who presents after an accidental overdose of aspirin?
1)Gastric lavage
2)Activated charcoal
3)Peritoneal dialysis
4)Vitamin D injection

Answer 1

2

Question 2

The nurse correlates which factors related to month of the year and location to the increased risk of snakebites?
1)May in Virginia
2)June in California
3)July in North Carolina
4)August in Maine

Answer 2

3

Question 3

The nurse correlates the pathophysiological response to the toxins in snake venom to the blocking of which neurotransmitter?
1)Acetylcholine
2)Dopamine
3)Norepinephrine
4)Serotonin

Answer 3

1

Question 4

After the nurse secures the airway of a trauma patient in the emergency department (ED), what is the next conduct in the primary survey?
1)Assess the patient's respiratory rate.
2)Monitor the patient's blood pressure.
3)Assess the patient's pupillary reaction.
4)Cover the patient with a warm blanket.

Question 5

The first step in the management of a patient being treated for hyperthermia includes which nursing action?
1)Inserting an indwelling catheter
2)Initiating intravenous access
3)Implementing low flow oxygen
4)Relocating to a cool environment

Question 6

In reviewing arterial blood gas (ABG) results in the patient with a salicylate overdose and a respiratory rate of 36, the nurse correlates which ABG value to this patient's clinical presentation?
1)pH 7.48
2)HCO₃^- 19 mEq/L
3)PaCO₂ 32 mm Hg
4)PaO₂ 80 mm Hg

Question 7

In caring for a patient being rewarmed for treatment of hypothermia, the nurse correlates which laboratory value to "afterdrop"?
1)Calcium 14.5 mg/dL
2)Glucose 55 mg/dL
3)Sodium 150 mEq/L
4)Potassium 2.8 mEq/L

Question 8

Which nursing action is appropriate when conducting a secondary survey during the emergency assessment?
1)Maintaining privacy
2)Having suction available
3)Giving supplemental oxygen
4)Completing a pain assessment

Question 9

Which action does the nurse take in the management of a patient with a snake bite?
1)Placing a tourniquet above the bite
2)Applying ice to the bite
3)Cleaning the site with soap and water
4)Scrubbing the bite with alcohol

Question 10

The nurse monitors for which clinical manifestations in the patient who overdoses on beta blockers?
1)Tachycardia
2)Respiratory depression
3)Hypotension
4)Elevated body temperature

Question 11

The nurse recognizes that the highest suicide rate in the United States is in which population?
1)African American
2)Caucasian
3)Hispanic
4)Native American

Question 12

The nurse prepares to administer which medication to treat a patient with acetaminophen overdose?
1)N-acetylcysteine
2)Flumazenil
3)Sodium bicarbonate
4)Glucagon

Question 13

The nurse monitors for which acid-base disorder in the patient with early hypothermia?
1)Metabolic acidosis
2)Metabolic alkalosis
3)Respiratory acidosis
4)Respiratory alkalosis

Question 14

In providing care to a patient who sustained lower rib fractures, the nurse assesses the patient for which complication of this injury?
1)Hemothorax
2)Pneumothorax
3)Liver laceration
4)Pulmonary contusion

Question 15

In completing a primary survey, the nurse assesses which factor to determine the "E" in the ABCDE sequence?
1)Emotion
2)Estimated blood loss
3)Exposure
4)Extremities

Question 16

The nurse monitors for which clinical manifestations in the patient diagnosed with heat stroke?
1)Vertigo
2)Red, dry skin
3)Profuse sweating
4)Nausea

Question 17

The nurse correlates damage to which cardiac chamber in the patient with trauma to the sternum?
1)Right atrium
2)Right ventricle
3)Left atrium
4)Left ventricle

Question 18

Which nurse monitors for which late clinical manifestations of chronic aspirin overdose?
1)Emesis
2)Nausea
3)Tinnitus
4)Hyperthermia

Question 19

The nurse conducts a Glasgow Coma Scale (GCS) assessment for a patient who presents in the emergency department after a motor vehicle crash (MVC). The patient opens the eyes spontaneously, is confused, and withdrawals from pain. Which score does the nurse document for this patient?
1)10
2)11
3)12
4)13

Question 20

In attempting resuscitation in a patient who is hypothermic, to what temperature does the patient need to be rewarmed for treatment to be effective?
1)80°F/26.7°C
2)86°F/30°C
3)90°F/32°C
4)98°F/36.6°C

Question 21

The nurse monitors for which initial clinical manifestations in the patient being treated for drowning?
1)Alkalosis
2)Tachycardia
3)Elevated temperature
4)Hypocarbia

Question 22

In administering calcium gluconate 10% intravenously to a patient who suffered a black widow spider bite, the nurse correlates the rationale for this medication to which mechanism of action?
1)Decreases spread of venin
2)Decreases airway resistance
3)Decreases muscle rigidity
4)Decreases pain

Question 23

The nurse is providing care to a trauma patient. What is the correct order of steps the nurse will implement when providing care to this patient? Enter the number of each step in the proper sequence; do not use punctuation or spaces. (Example: 1234)
1) Clear the airway.
2) Provide supplemental oxygen.
3) Perform chest compressions.
4) Protect the cervical spine.

Question 24

What would the nurse working in the emergency department identify as clinical priorities for the treatment of a patient with a gunshot wound? Select all that apply.
1)Airway maintenance
2)Obtaining medical history
3)Ventilation assistance
4)Hemorrhage control
5)Hypothermia prevention

Question 25

Which nursing actions are appropriate during the primary survey of the emergency assessment process? Select all that apply.
1)Inserting a nasogastric tube
2)Immobilizing the cervical spine
3)Arranging for diagnostic studies
4)Preparing for chest tube insertion
5)Applying direct pressure to a wound

Question 26

In preparing an educational program regarding drug overdoses, what information does the nurse include? Select all that apply.
1)People rarely overdoes on heroin.
2)Overdoses occur most often from opioids, benzodiazepines, and stimulants.
3)The number of overdose deaths from prescription medications is greater than the deaths from heroin and cocaine combined.
4)Nonsteroidal inflammatory medications are one of the classes with the greatest number of overdoses.
5)Pain management issues are a source of the increased incidence of overdoses from prescription medications.

Question 27

Which interventions does the nurse implement when providing care to a patient who is at risk for hypothermia? Select all that apply.
1)Keeping wet clothing on the patient
2)Placing a warming blanket on the patient
3)Infusing warm intravenous fluids to the patient
4)Increasing the temperature in the patient's room
5)Providing the patient with room temperature oral fluids

Question 28

The nurse correlates which three factors as related to the triad of death? Select all that apply.
1)Coagulopathy
2)Hemorrhage
3)Hypothermia
4)Hypoxemia
5)Metabolic acidosis

Question 29

Which diagnostic results are most relevant to the patient being evaluated for rhabdomyolysis secondary to a snakebite?
1)BUN 4 mg/dL
2)Calcium 14.5 mg/dL
3)Creatinine 1.8 mg/dL
4)Osmolality 285 mOsm/L

Question 30

Which are the top priorities when conducting a primary patient survey during the emergency assessment? Select all that apply.
1)Airway
2)Disability
3)Breathing
4)Circulation
5)Cervical spine