Transcript
Chapter 34: Multiple Trauma
NCLEX® Review
This activity contains 10 questions.
Which patient would the nurse describe as fitting the typical demographic of a trauma patient?
24-32 years, male, using alcohol
15-24 years, female, using alcohol
15-24 years, male, using alcohol
60-65 years, female, using prescription drugs
A nurse providing safety education information to a group of adolescents says that a person riding in a car experiences tremendous impact pressure when abruptly stopped. If the patient weighs 125 pounds and the car is moving at 75 miles, per how many pounds per square inch of pressure are exerted?
125 pounds/square inch
200 pounds/square inch
3,500 pounds/square inch
9,375 pounds/square inch
A patient presents to the Emergency Department with a branch impaled in his arm. What nursing actions are indicated? Select all that apply.
Remove the branch with slow, steady pressure.
Do not touch the object.
Remove the branch quickly.
Prevent the patient from removing the object.
Stabilize the object with padding.
A patient admitted from a motor vehicle crash is confused and smells of alcohol. A blood alcohol level is drawn. The nurse would consider alcohol to be a contributing factor to the patient's confusion if which level were reported?
mg/dL
0.04 mg/dL
mg/dL
0.05 mg/dL
Which assessment findings would alert the nurse that actual or potential airway obstruction is occurring? Select all that apply.
Production of green sputum
Drooling
Dyspnea
Hoarseness
Dry cough
A patient in the Trauma Emergency Department is in shock. The nurse should begin assessment for which most common cause of shock in patients experiencing trauma?
Hypovolemic
Neurogenic
Septic
Cardiogenic
A patient has an open pneumothorax. Which nursing actions are indicated? Select all that apply.
Place an occlusive dressing over the wound.
Pack the wound with saline-soaked gauze.
Leave the bottom of the dressing untaped.
Tape a dressing securely around all sides.
Cover the area with a light covering of sterile gauze.
A patient injured in a fall is complaining of difficulty breathing. Which assessment finding would the nurse evaluate as indicating an immediate emergency?
The patient's heart rate is 125 bpm.
The patient's trachea is no longer midline.
The patient's breath sounds are diminished on the left side.
The patient begins to cough.
A patient who weighs 90 kg has been injured in an explosion. The nurse would be concerned about this patient's kidney status as soon as the hourly urine dropped to which level?
60 mL/hr.
90 mL/hr.
30 mL/hr.
45 mL/hr.
The hospital infection control nurse is providing education to trauma intensive care nurses about the development of infection in their patients. Which risk factors should the nurse include in this discussion? Select all that apply.
The patient's being in a shock state on admission
Presence of enteral feedings
Presence of an ICP monitor
Age under 30 years old
Greater number of days on mechanical ventilation
