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 Question 11 The nurse is assessing a patient injured in a fall from a tree. During the assessment the patient suddenly loses consciousness. Which interventions should the nurse use to protect this patient’s airway? 1. Hyperextend the neck. 2. Suction the patient. 3. Stabilize the neck. 4. Remove the tape the paramedics used to tape the patient’s head to the backboard. 5. Pull up on the patient’s lower jaw. Question 12 The nurse has adequately managed a patient’s airway, breathing, and circulation. What is the next nursing action? 1. Assess level of consciousness. 2. Administer prophylactic tetanus toxoid as prescribed. 3. Auscultate heart sounds. 4. Assess the chest for paradoxical movements. Question 13 While conducting the secondary survey of a patient admitted with multiple traumas, the nurse assesses paralysis of the patient’s left lower leg. Which nursing intervention is indicated? 1. Move the patient to a semi-sitting position. 2. Support limb by placing it on a pillows. 3. Turn the patient to assess the back. 4. Immediately immobilize the patient. Question 14 A patient who sustained a chest injury has developed tracheal deviation to the left side. The nurse would provide which equipment for immediate treatment of this complication? 1. A venous cut down tray 2. A chest tube 3. Intubation equipment 4. 14 gauge needle Question 15 The nurse is providing care to a farmworker who was pinned against a steel gate by a horse. Deformation of the patient’s pelvis and femurs is obvious, but little blood is present on the patient’s clothing. Initial blood pressure is 110/68 mm Hg. What nursing interventions are indicated? 1. Initiate intravenous access with a 16 gauge catheter. 2. Start fluid resuscitation with normal saline. 3. Prepare to administer vasopressor medication. 4. Turn the patient to assess for injuries to the back. 5. Prepare to insert a chest tube. Question 16 A 24-year-old woman was critically injured when hit by a car while she was walking to work. Emergency department staff has been working for one hour to stabilize her. Which parameters would the nurse evaluate as indicating the patient is adequately fluid resuscitated? 1. Her core temperature is 98.2°F. 2. Her mean arterial pressure has been in the 70s for the last 30 minutes. 3. She is no longer tachycardic. 4. Her last lactate level was 2.0 mMol/L. 5. Her last sublingual capnography reading was 74. Question 17 A patient being treated for hypovolemia because of traumatic injuries has a blood pressure of 110/60 mmHg. What should the nurse do to validate this clinical finding? 1. Assess neck veins and urine output. 2. Measure oxygen saturation with oximetry. 3. Check serum potassium and sodium levels. 4. Check for pupillary constriction. Question 18 It is suspected that a patient who sustained multiple traumas is developing cardiac tamponade. Which nursing assessment finding would help to support this tentative diagnosis? 1. Flat neck veins despite fluid resuscitation 2. Persistent hypotension 3. Atrial fibrillation per cardiac monitor 4. Bilateral basilar crackles Question 19 The nurse is caring for a patient who sustained a lacerated spleen from a motorcycle accident. Which complication is this patient most prone to experience because of the trauma? 1. Acute renal failure 2. Sepsis 3. Deep vein thrombosis 4. ARDS Question 20 A patient is in the intensive care unit with a pulmonary contusion sustained from a motor vehicle accident. Which post-traumatic complication should the nurse focus on when providing care to this patient? 1. Abdominal compartment syndrome 2. Sepsis 3. ARDS 4. Acute renal failure