1. A patient/client has been brought to the emergency department with multiple trauma after a motor
vehicle accident. After the nurse stabilizes the patient, which of the following would the nurse
perform? (Select all that Apply)
a. Assist the physician with insertion of a chest tube.
b. Draw blood for a type and cross
c. Perform a rapid physical assessment
d. Splint fractures
e. Check IV for patency
2. A patient/client is admitted to the hospital with a head injury resulting from an automobile accident.
On admission the patient/client's vital signs are temp 98.6 F (37 c), Blood pressure 128/68, pulse 110,
and respirations 26. After admission, the nurse notes the presence of the Cushing's triad when the
patient's/client's vital signs are:
a. Blood pressure 140/60, pulse 60, respirations 12
b. Blood pressure 130/72, pulse 90, respirations 24
c. Blood pressure 148/78, pulse 112, respirations 28
d. Blood pressure 110/70, pulse 120, respirations 30
3. The nurse is caring for a female patient/client who sustained a closed head injury 8 days ago due to
a motor vehicle accident. Which signs/symptoms would alert the nurse to a complication of the head
injury?
a. The patient/client reports having trouble sleeping due to having nightmares about the wreck.
b. The patient/client complains of extreme thirst and has an increased urine output.
c. The patient/client tells the nurse she has a stuffy nose and green nasal discharge.
d. The patient/client informs the nurse that she has started her menstrual period.
4. How is neomycin sulfate (Mycifradin) used to treat patients with cirrhosis?
a. It treats the infection the patient has.
b. It prevents further infections of the liver.
c. It restores normal function to the liver cells.
d. It destroys the normal flora of the bowel.
5. A patient is admitted for a poisonous snake bite. The nurse observes that the patient has hematuria,
hemoptysis, petechia, and extensive bruising. These clinical observations indicate to the nurse that
the patient may be experiencing which hemorrhagic complication associated with snakebites?
a. Disseminated intravascular coagulation.
b. Agranulocytosis
c. Thrombocytopenia
d. Aplastic anemia
6. A patient/client who underwent a lobectomy and has a water seal chest drainage system is breathing
with a little more effort and at a faster rate than 1 hour ago. The client’s pulse rate is also increased.
The nurse should:
a. Increase the suction
b. Lower the drainage bottles 2 to 3 feet below the level of the client’s chest
c. Ensure that the chest tube has two clamps on it to prevent air leaks
d. Check the tubing to ensure that the client is not lying on it or kinking it
7. The male patient/client with a C-6 spinal cord injury (SCI) tells the home health nurse he has had
a severe pounding headache for the last 2 hours. Which intervention should the home health nurse
implement?
a. Ask the patient/client if he has taken any medication for the headache
vehicle accident. After the nurse stabilizes the patient, which of the following would the nurse
perform? (Select all that Apply)
a. Assist the physician with insertion of a chest tube.
b. Draw blood for a type and cross
c. Perform a rapid physical assessment
d. Splint fractures
e. Check IV for patency
2. A patient/client is admitted to the hospital with a head injury resulting from an automobile accident.
On admission the patient/client's vital signs are temp 98.6 F (37 c), Blood pressure 128/68, pulse 110,
and respirations 26. After admission, the nurse notes the presence of the Cushing's triad when the
patient's/client's vital signs are:
a. Blood pressure 140/60, pulse 60, respirations 12
b. Blood pressure 130/72, pulse 90, respirations 24
c. Blood pressure 148/78, pulse 112, respirations 28
d. Blood pressure 110/70, pulse 120, respirations 30
3. The nurse is caring for a female patient/client who sustained a closed head injury 8 days ago due to
a motor vehicle accident. Which signs/symptoms would alert the nurse to a complication of the head
injury?
a. The patient/client reports having trouble sleeping due to having nightmares about the wreck.
b. The patient/client complains of extreme thirst and has an increased urine output.
c. The patient/client tells the nurse she has a stuffy nose and green nasal discharge.
d. The patient/client informs the nurse that she has started her menstrual period.
4. How is neomycin sulfate (Mycifradin) used to treat patients with cirrhosis?
a. It treats the infection the patient has.
b. It prevents further infections of the liver.
c. It restores normal function to the liver cells.
d. It destroys the normal flora of the bowel.
5. A patient is admitted for a poisonous snake bite. The nurse observes that the patient has hematuria,
hemoptysis, petechia, and extensive bruising. These clinical observations indicate to the nurse that
the patient may be experiencing which hemorrhagic complication associated with snakebites?
a. Disseminated intravascular coagulation.
b. Agranulocytosis
c. Thrombocytopenia
d. Aplastic anemia
6. A patient/client who underwent a lobectomy and has a water seal chest drainage system is breathing
with a little more effort and at a faster rate than 1 hour ago. The client’s pulse rate is also increased.
The nurse should:
a. Increase the suction
b. Lower the drainage bottles 2 to 3 feet below the level of the client’s chest
c. Ensure that the chest tube has two clamps on it to prevent air leaks
d. Check the tubing to ensure that the client is not lying on it or kinking it
7. The male patient/client with a C-6 spinal cord injury (SCI) tells the home health nurse he has had
a severe pounding headache for the last 2 hours. Which intervention should the home health nurse
implement?
a. Ask the patient/client if he has taken any medication for the headache
