Week 11 Practice Questions Flashcards
5 burn, 5 trauma
The emergency department nurse is preparing for the arrival of an adult patient with
burns. The nurse anticipates the provider will place an order for which of the following
for initial fluid resuscitation?
a. 125 mL/hour Lactated Ringers
b. 250 mL/hour Lactated Ringers
c. 500 mL/hour Lactated Ringers
d. 1000 mL/hour Lactated Ringers
C
Which of the following will the nurse monitor when titrating the intravenous fluids of a
patient with burns?
a. Blood pressure
b. Heart rate
c. Temperature
d. Urine output
D
A patient is arriving to the emergency department with a possible chemical burn. Which
of the following is the nurse’s priority?
a. Removing the chemical using a fluid flush
b. Monitoring urine output
c. Assessing lactate levels
d. Applying a cooling blanket
A
When prioritizing care for a burn patient in the emergent phase, which of the following
interventions is most important?
a. Administering antibiotics to prevent infection
b. Maintaining fluid balance through IV therapy
c. Preparing the patient for surgical debridement
d. Starting early physical therapy to maintain range of motion
B
A patient with burns to both legs (front and back) and the front of the chest is being
assessed. According to the Rule of Nines, what percentage of total body surface area
(TBSA) is burned?
a. 27%
b. 36%
c. 45%
d. 54%
C
Which of the following is completed during the primary survey in trauma care?
a. Identifying if any fractures are present
b. Managing airway, breathing, and circulation
c. Conducting a full head-to-toe assessment
d. Assessing for potential infection
B
The nurse receives four trauma patients simultaneously. According to the principles of
triage, which patient should the nurse assess first?
a. A patient with a penetrating chest wound and difficulty breathing
b. A patient with an open fracture and controlled bleeding
c. A patient with multiple abrasions and an increased heart rate
d. A patient who has decreased level of consciousness and increase confusion
A
A patient presents to the emergency department with a penetrating object impaled in their
abdomen. Which actions should the nurse take? Select all that apply.
a. Remove the object carefully to assess the wound
b. Stabilize the object to prevent movement
c. Monitor for signs of hypovolemic shock
d. Apply direct pressure to the object
e. Establish large-bore IV access for potential fluid resuscitation
B,C, and E
A trauma patient arrives at the emergency department with suspected spinal cord injury
after a fall. What will the nurse do first?
a. Assess for injuries to the extremities
b. Remove any clothing around the neck area
c. Apply a cervical collar to stabilize the spine
d. Prepare the patient for endotracheal tube insertion
C
During the primary assessment of a trauma patient, the nurse notes that the patient is
unresponsive and not breathing. What action will the nurse take first?
a. Open the airway using the head-tilt-chin-lift technique
b. Check for a pulse on the carotid artery
c. Begin chest compressions immediately
d. Open the airway using the jaw-thrust maneuver
D
