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1. You are caring for a patient sto- ry roof is brought to
who was thrown from a bike and the emergency
was not wearing a helmet.
While perform- ing the head-to-
toe assessment, you note clear
drainage from the right ear.
Which of the following is the
most appropriate next step?
A. Clean the ear with a cotton-
tipped applicator.
B. Pack the ear with gauze.
C. Notify the physician
D.Document and continue the
exam.
2. A patient is brought to the
emer- gency department of a
rural hospital following a high-
speed motor vehicle collision.
When significant abdomi- nal
and pelvic injuries are noted
in the primary survey, what is
the prior- ity intervention?
A. Initiate transfer to a trauma
cen- ter
B. Attempt family notification
C. Obtain additional imaging
stud- ies
D. Place an indwelling
urinary catheter
3. An adult who fell from a second
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C. Notify the physician
A. Initiate transfer to a trauma center
A. Initiate cervical spine stabilization
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department by private cerebral blood flow?
vehicle. The patient is
confused with unlabored A. Decrease the rate of
respirations and has strong, manual ven- tilation.
palpa- ble radial pulses. There B. Initiate another fluid
is an open wound in proximity to bolus.
an obvious de- formity of the
left lower extremity.
What is the priority intervention?
A. Initiate cervical spine
stabilization
B. Apply a splint to the lower
extrem- ity
C. Put the patient on portable
oxy- gen.
D. Log roll the patient onto a
spine board
4. An adult patient who sustained a
se- vere head trauma has been
intubat- ed and is being
manually ventilated via a bag-
mask device at a rate of
18 breaths/minute. The
patient has received one
intravenous fluid bolus of 500
mL of warmed isotonic crys-
talloid solution. The PaCO2 is 30
mm Hg (4.0 kPa), and the pulse
oximetry is 92%. BP is 142/70
mm Hg. What
is the most important
intervention to manage the
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A. Decrease the rate of manual ventilation.