Chapter 37: Resuscitation
Fundamental Nursing Skills and Concepts 12th Edition, Timby
MULTIPLE CHOICE
1. A patient sustained injuries in a motor vehicle accident and is in the Emergency
Department. A CT scan of the head and neck have been ordered. What part of the survey
is this?
A. Primary
B. Secondary
C. Tertiary
D. Initial
2. A patient who is in the Emergency Department was attacked in a parking lot and suffered
several stab wounds to various areas on the chest and abdomen; BP 100/60, heart rate
108, respiratory rate 20, pulse oximetry 98%. In order to counteract the blood loss and
restore circulating volume for this patient, what priority intervention will the nurse
perform?
A. Start lactated Ringers at 150 mL/hr.
B. Start dopamine at 5 mcg/kg/min.
C. Start an albumin infusion wide open.
D. Start a unit of uncrossmatched blood.
3. The nurse is assigned to a patient in the Emergency Department who exhibits paradoxical
chest movement. What intervention by the nurse can help improve oxygenation in this
patient?
A. Elevate the head of the bed 30 degrees.
B. Splint the chest with 3-inch surgical tape.
C. Turn the patient with the injured side down.
D. Place the patient in the prone position.
4. A patient has been involved in a motor vehicle accident. The patient, who was driving,
was unrestrained by a seat belt when hitting the car in front of him. The patient is
complaining of midsternal pain, restlessness, and difficulty breathing. What is the
priority nursing diagnosis for this patient?
A. Anxiety
B. Impaired gas exchange
C. Impaired circulation
D. Pain
5. A patient has suffered a mild pulmonary contusion from a jet ski accident. What nursing
interventions are appropriate for this patient? Select all that apply.
A. Maintenance of chest tubes
B. Frequent pulse oximetry monitoring
C. Assessment of lung sounds every 2 hours
D. Continuous epidural analgesia
E. Maintainance of ventilatory support
6. A patient sustained an injury to the right arm after falling off a motorcycle. The patient is
, complaining of severe pain and is unable to feel the fingers of the right hand. Radial
pulse is absent. What is the priority intervention by the nurse?
A. Elevate the right arm above the level of the heart.
B. Notify the physician.
C. Apply ice packs to the affected area.
D. Place the patient in Trendelenburg position.
7. The nurse is caring for a patient with deep vein thrombosis of the left lower extremity.
The patient exhibits a decrease in pulse oximetry readings from 98% to 86%, shortness
of breath with a respiratory rate of 34, and is now disoriented to place. The nurse
recognizes that these findings are caused by what complication?
A. Pulmonary edema
B. Cardiac tamponade
C. Pulmonary embolus
D. Tension pneumothorax
8. The nurse is assigned to care for a patient who was admitted 2 days previous after a four-
wheeler accident. The patient sustained a closed fracture to the left femur and had an
open reduction with internal fixation the same day. What is a priority for the nurse to
assess for this patient?
A. White blood count
B. Urinary output
C. Cardiac output
D. Pulse oximetry
9. A patient has been brought into the Emergency Department via ambulance with
resuscitation efforts being performed. It is unlikely that the patient will survive the severe
injuries sustained. Two adult children of the patient are present and are requesting to be
with the patient at this time. What is the best response by the nurse?
A. I don’t think you should see your loved one like this. Wouldn’t you rather
remember him the way he was?
B. Our hospital doesn’t allow more than one family member in with a patient. One
of you can come in and one of you will have to wait in the waiting area.
C. You may come in with your parent and I will have someone stay with you to
explain what is happening.
D. I have been through this many times and I promise you, it is a sight that you dont
want to remember.
10. The nurse is caring for the patient with chest tubes. Which observation by the nurse is a
priority concern?
A. 250 mL/hr of blood in drainage collection system
B. Pulse oximetry of 94%
C. Blood pressure of 104/62
D. 30 mL/hr of urine output
11. A patient is admitted to the emergency department after he was hit by a car. The car was
going about 30 mph and was braking at the time of impact. The patient was struck just
above the right knee, fell forward over the hood of the car, striking his anterior chest, and
then slipped off the hood of the car and hit the pavement head first. Based on the
mechanism of injury and transfer of force, what injuries does the nurse most expect?
Fundamental Nursing Skills and Concepts 12th Edition, Timby
MULTIPLE CHOICE
1. A patient sustained injuries in a motor vehicle accident and is in the Emergency
Department. A CT scan of the head and neck have been ordered. What part of the survey
is this?
A. Primary
B. Secondary
C. Tertiary
D. Initial
2. A patient who is in the Emergency Department was attacked in a parking lot and suffered
several stab wounds to various areas on the chest and abdomen; BP 100/60, heart rate
108, respiratory rate 20, pulse oximetry 98%. In order to counteract the blood loss and
restore circulating volume for this patient, what priority intervention will the nurse
perform?
A. Start lactated Ringers at 150 mL/hr.
B. Start dopamine at 5 mcg/kg/min.
C. Start an albumin infusion wide open.
D. Start a unit of uncrossmatched blood.
3. The nurse is assigned to a patient in the Emergency Department who exhibits paradoxical
chest movement. What intervention by the nurse can help improve oxygenation in this
patient?
A. Elevate the head of the bed 30 degrees.
B. Splint the chest with 3-inch surgical tape.
C. Turn the patient with the injured side down.
D. Place the patient in the prone position.
4. A patient has been involved in a motor vehicle accident. The patient, who was driving,
was unrestrained by a seat belt when hitting the car in front of him. The patient is
complaining of midsternal pain, restlessness, and difficulty breathing. What is the
priority nursing diagnosis for this patient?
A. Anxiety
B. Impaired gas exchange
C. Impaired circulation
D. Pain
5. A patient has suffered a mild pulmonary contusion from a jet ski accident. What nursing
interventions are appropriate for this patient? Select all that apply.
A. Maintenance of chest tubes
B. Frequent pulse oximetry monitoring
C. Assessment of lung sounds every 2 hours
D. Continuous epidural analgesia
E. Maintainance of ventilatory support
6. A patient sustained an injury to the right arm after falling off a motorcycle. The patient is
, complaining of severe pain and is unable to feel the fingers of the right hand. Radial
pulse is absent. What is the priority intervention by the nurse?
A. Elevate the right arm above the level of the heart.
B. Notify the physician.
C. Apply ice packs to the affected area.
D. Place the patient in Trendelenburg position.
7. The nurse is caring for a patient with deep vein thrombosis of the left lower extremity.
The patient exhibits a decrease in pulse oximetry readings from 98% to 86%, shortness
of breath with a respiratory rate of 34, and is now disoriented to place. The nurse
recognizes that these findings are caused by what complication?
A. Pulmonary edema
B. Cardiac tamponade
C. Pulmonary embolus
D. Tension pneumothorax
8. The nurse is assigned to care for a patient who was admitted 2 days previous after a four-
wheeler accident. The patient sustained a closed fracture to the left femur and had an
open reduction with internal fixation the same day. What is a priority for the nurse to
assess for this patient?
A. White blood count
B. Urinary output
C. Cardiac output
D. Pulse oximetry
9. A patient has been brought into the Emergency Department via ambulance with
resuscitation efforts being performed. It is unlikely that the patient will survive the severe
injuries sustained. Two adult children of the patient are present and are requesting to be
with the patient at this time. What is the best response by the nurse?
A. I don’t think you should see your loved one like this. Wouldn’t you rather
remember him the way he was?
B. Our hospital doesn’t allow more than one family member in with a patient. One
of you can come in and one of you will have to wait in the waiting area.
C. You may come in with your parent and I will have someone stay with you to
explain what is happening.
D. I have been through this many times and I promise you, it is a sight that you dont
want to remember.
10. The nurse is caring for the patient with chest tubes. Which observation by the nurse is a
priority concern?
A. 250 mL/hr of blood in drainage collection system
B. Pulse oximetry of 94%
C. Blood pressure of 104/62
D. 30 mL/hr of urine output
11. A patient is admitted to the emergency department after he was hit by a car. The car was
going about 30 mph and was braking at the time of impact. The patient was struck just
above the right knee, fell forward over the hood of the car, striking his anterior chest, and
then slipped off the hood of the car and hit the pavement head first. Based on the
mechanism of injury and transfer of force, what injuries does the nurse most expect?
