TNCCq9THqEDITIONqREALqEXAMqACTUALqVERIFIEDqEXAMqTESTqBANKq150+qQUES
TIONSqANDqANSWERSqVERIFIEDqANSWERq|RATEDqA+
Aq5-
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agesqofqhealingqandqmultipleqsmall,qclean,qroundqburnsqtoqtheqback.qThereqareqnoqabnorma
litiesqfoundqbasedqonqtheqpediatricqassessmentqtriangleqorqprimaryqsurvey.qWhichqofqtheqfol
lowingqisqtheqpriorityqnursingqintervention?
Answer:qAq-
qANSA)qreportqyourqsuspicionqofqtheqmaltreatmentqinqaccordanceqwithqlocalqregulationsq***
B)qApplyqiceqtoqtheqbruisesqandqconsultqwoundqcare
C)qEngageqinqtherapeuticqcommunicationqtoqdetermineqtheqMOI
D)qProvideqtheqfamilyqwithqinjuryqpreventionqrecourse
Aq20-
yearqoldqmaleqpresentsqtoqtheqEDqc/oqsevereqlowerqabdqpainqafterqlandingqhardqonqtheqbicy
cleqcrossqbarsqwhichqperformingqanqaerialqBMXqmaneuver.qSecondaryqassessmentqreveal
sqlowerqabdqtendernessqandqscrotalqecchymosis.qWhichqofqtheqfollowingqordersqwouldqtheq
nurseqquestions?
Answer:qCq-qANSA)qFastqexam
B)qCTqscan
C)qStraightqCathqforqurineqsampleq***
D)qIceqandqelevationqofqtheqscrotum
Aq35-
yearqoldqmaleqpresentsqwithqfacialqtraumaqafterqbeingqstruckqinqtheqfaceqwithqaqbaseball.qAqt
ear-dropqshapedqleftqpupilqisqnotedqonqexam.qWhatqtypeqofqinjuryqisqsuspected?
Answer:qBq-qANSA)qoculomotorqnerveqpalsy
B)qGlobeqruptureq***
C)qUncialqherniation
D)qRetinalqdetachment
Aq36-
yearqoldqfemaleqhasqaqdeformityqofqtheqleftqwristqafterqaqfall.qSheqisqreluctantqtoqmoveqherqha
ndqdueqtoqpain.qWhichqofqtheqfollowingqisqtheqmostqappropriateqintervention?
Answer:qBq-qANSA)qapplyqaqslingqandqelevateqtheqextremityqtoqtheqlevelqofqtheqheart.
B)qApplyqaqsplintqandqELEVATEqABOVEqTHEqLEVELqOFqTHEqHEARTq***
C)qApplyqaqslingqandqelevateqtheqextremityqaboveqtheqlevelqofqtheqheart
D)qApplyqaqsplintqandqelevateqtheqextremityqtoqtheqlevelqofqtheqheart.
,TNCCq9THqEDITIONqREALqEXAMqACTUALqVERIFIEDqEXAMqTESTqBANKq150+qQUES
TIONSqANDqANSWERSqVERIFIEDqANSWERq|RATEDqA+
Aq49-
yearqoldqrestrainedqdriverqinvolvedqinqaqMVCqpresentsqtoqtheqtraumaqcenterqc/oqabd,qpelvic,
qandqbilqlowerqextremityqpainqVitalqsignsqareqstable.qTheqnurseqcanqanticipateqallqofqtheseqn
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Answer:qA
TheqFASTqexamqisqdoneqatqtheqbedsideqtoqidentifyqpathologicalqfluidqinqtheqabdominalqandq
pelvicqcavities.qFASTqexamsqreduceqthequseqofqmoreqinvasiveqdiagnosticqperitonealqlavag
eqandqcanqbeqrepeatedqifqclinicalqchangesqorqhemodynamicqchangesqoccur.qAqnegativeqFA
STqstudyqdoesqnotqruleqoutqinjuryqandqmayqwarrantqaqfollow-
upqcomputedqtomographyqscan.qSerialqFASTqexamsqcanqidentifyqincreasingqabdominalqflu
idqcollectionsqfromqhemorrhage.qDiagnosticqperitonealqlavage/diagnosticqperitonealqaspira
tionqisqperformedqbyqtheqsurgicalqteamqtoqrapidlyqidentifyqtheqpresenceqofqhemorrhageqinqp
atientsqwhoqareqhemodynamicallyqunstableqafterqtrauma.q-
qANSA)qdiagnosticqperitonealqlavageq***
B)qSerialqfastqexams
C)qAbdominalqandqpelvicqCTqscans
D)qSerialqabdominalqassessments
Aq56-year-
qmaleqpatientqinvolvedqinqaqMVCqisqbroughtqtoqtheqEDqofqaqruralqcriticalqaccessqfacility.qHeqc/
oqneckqpain,qSOB,qandqdiffuseqabdqpain.qHisqGCSqisq15.qHisqvitalsqareqasqfollows:
BPq98/71
HRq125qbeats/min
RRq26qbreaths/min
SpO2q94%qonqhighqflowqO2qviaqNRBqmask
Whichqofqtheqfollowingqisqtheqpriorityqinterventionqforqthisqpatient?
Answer:qCq-qANSA)qExpediteqtransportqtoqtheqCTqscanner
B)qprepareqtheqpatientqforqspinalqradiographs
C)qexpediteqtransferqtoqtheqclosestqtraumaqcenterq***
D)qnotifyqtheqpatientsqfamily
Aqpassengerqisqbroughtqtoqtheqemergencyqdepartmentqofqaqruralqhospitalqfollowingqaqhigh-
speedqMVC.qWhenqsignificantqabdominalqandqpelvicqinjuriesqareqnotedqinqtheqprimaryqsurv
ey,qwhichqofqtheqfollowingqisqtheqpriorityqinterventions?
Answer:qAq-qANSA)qinitiateqtransferqtoqaqtraumaqcenterq**
B)qprovideqreportqtoqtheqoperatingqroomqnurse
,TNCCq9THqEDITIONqREALqEXAMqACTUALqVERIFIEDqEXAMqTESTqBANKq150+qQUES
TIONSqANDqANSWERSqVERIFIEDqANSWERq|RATEDqA+
C)qObtainedqimagingqstudies
D)qPlaceqaqgastricqtube
Aqpatientqarrivesqwithqaqlargeqopenqchestqwoundqafterqbeingqassaultqedqwithqaqmachete,qPr
ehospitalqprovidersqplacedqaqnonporousqdressingqoverqtheqchestqwoundqandqtapesqitqonq3q
sides.qHeqisqnowqshowingqsignsqofqanxiety,qrestlessness,qsevereqrespiratoryqdistress,qcyan
osis,qandqdecreasingqbloodqpressure.qWhichqofqtheqfollowingqisqtheqMOSTqappropriateqinte
rventions?
Answer:qCq-qANSA)qneedleqdecompression
B)qtubeqthoracostomyq
C)qdressingqremovalq**
D)qsurgicalqrepair
AqpatientqhasqbeenqinqtheqEDqforqseveralqhoursqwaitingqtoqbeqadmitted.qHeqsustainedqmulti
pleqribqfracturesqandqaqfemurqfractureqafterqaqfall.qHeqhasqbeenqawake,qalert,qandqc/oqlegqpai
n.qHisqwifeqreportedqsuddenlyqbecomingqanxiousqandqconfused.qUponqreassessment,qtheq
patientqisqrestless,qwithqrespiratoryqdistressqandqpetechiaeqtoqhisqneck.qtheqpatientqisqexhibi
tingqsignsqofqsymptomsqcommonlyqassociatedqwithqwhichqofqtheqfollowingqconditions?
Answer:qBq-qANSA)qacuteqlungqinjury
B)qfatqembolismq***
C)qPTX
D)qpulmonaryqcontusion
Aqpatientqisqfoundqlyingqonqtheqfloorqafterqfallingq13qhoursqago.qWhichqofqtheqfollowingqlabqv
aluesqisqexpectedqwithqaqmusculoskeletalqcomplicationqassociatedqwithqthisqpresentation?
Answer:qAq-qANSA)qelevatedqcreatineqkinaseq***
B)qdecreasedqpotassiumqlevel
C)qdecreasedqWBC
D)qelevatedqGFR
Aqpatientqisqthrownqagainstqaqcarqduringqaqtornadoqandqpresentsqwithqobviousqbilateralqfem
oralqfractures.qTheqpatientqisqpale,qalert,qdisoriented,qandqhasqdelayedqcapqrefill.qWhichqofqt
heqfollowingqinterventionsqwouldqbeqmostqappropriateqforqthisqpatientqbasedqonqtheqdisaste
rqtriageqprinciple?
Answer:qAq-
qANSA)qinitiateqtwoqlargeqcaliberqintravenousqlinesqforqRingersqlactateqsolutionqadministrati
onq***
B)qAdministerqDilaudidqforqpainqcontrolqandqprovideqcomfortqcare
C)qPlaceqtheqpatientqinqanqobservationqareaqforqcareqwithinqtheqnextqfewqhours
, TNCCq9THqEDITIONqREALqEXAMqACTUALqVERIFIEDqEXAMqTESTqBANKq150+qQUES
TIONSqANDqANSWERSqVERIFIEDqANSWERq|RATEDqA+
D)qContactqtheqcommandqcenterqforqtheqpersonnelqtoqnotifyqnextqofqkin.
Aqpatientqwithqaqcompleteqspinalqcordqinjuryqinqneurogenicqshockqwillqdemonstrateqhypoten
sionqandqwhichqotherqclinicalqsigns?
Answer:qDq-qANSA)qBradycardiaqandqipsilateralqabsencesqofqmotorqfunction
B)qTachycardiaqandqrespiratoryqdepression
C)qTachycardiaqandqabsentqmotorqfunctionqbelowqtheqlevelqofqinjury
D)qBradycardiaqandqabsentqmotorqfunctionqbelowqtheqlevelqofqtheqinjuryq***
Aqpatientqwithqlowerqextremityqfractureqcomplainsqofqsevereqpainqandqtightnessqinqhisqcalf,q
minimallyqrelievedqbyqpainqmedications.qWhichqofqtheqfollowingqisqtheqpriorityqnursingqinterv
ention?
Answer:qCq-qANSA)qelevatingqtheqextremityqaboveqtheqlevelqofqtheqheart
B)qrepositioningqandqapplyqice
C)qElevatingqtheqextremityqtoqtheqlevelqofqtheqheartq***
D)qPreparingqtheqpatientqforqultrasound
AqtraumaqpatientqisqenqrouteqtoqaqruralqED.qRadiologyqnotifiesqtheqchargeqnurseqthatqtheqCT
qscannerqwillqbeqoutqofqserviceqforqseveralqofqhours.qTheqteamqgathersqtoqplanqaccordingly.q
Whichqofqtheqfollowingqtermsqbestqdescribesqthisqtraumaqteamsqcommunication?
Answer:qDq-qANSA)qBrief
B)qloop
C)qdebrief
D)qhuddleq***
Aqtraumaqpatientqisqrestlessqandqrepeatedlyqaskingq"whereqamqI?"qvitalqsignsquponqarrivalq
wereqBPq100/60qmmqHg,qHRq96qbeats/min,qandqRRq24qbreaths/min.qHerqskinqisqcoolqandqd
ry.qCurrentqvitalqsignsqareqBPq104/84mmqHg,qHRq108,qRRq28qbreaths/min.qTheqpatientqisqd
emonstratingqsignsqandqsymptomsqofqwhichqstageqofqshock?q
Answer:qAq-qANSA)qcompensatedq**
B)qProgressive
C)qirreversible
D)qdecompensated
Anqelderlyqpatientqwithqaqhistoryqofqanticoagulantquseqpresentsqafterqaqfallqatqhomeqthatqday
.qsheqdeniesqanyqlossqofqconsciousness.qSheqhasqaqhematomaqtoqherqforeheadqandqcompl
ainsqofqheadache,qdizziness,qandqnausea.qWhichqisqaqmostqlikelyqcauseqofqherqsymptoms?
Answer:qDq-qANSA)qepiduralqhematoma
TIONSqANDqANSWERSqVERIFIEDqANSWERq|RATEDqA+
Aq5-
yearqoldqchildqpresentsqtoqtheqEDqwithqbruisesqtoqthequpperqarmsqandqbuttocksqinqvariousqst
agesqofqhealingqandqmultipleqsmall,qclean,qroundqburnsqtoqtheqback.qThereqareqnoqabnorma
litiesqfoundqbasedqonqtheqpediatricqassessmentqtriangleqorqprimaryqsurvey.qWhichqofqtheqfol
lowingqisqtheqpriorityqnursingqintervention?
Answer:qAq-
qANSA)qreportqyourqsuspicionqofqtheqmaltreatmentqinqaccordanceqwithqlocalqregulationsq***
B)qApplyqiceqtoqtheqbruisesqandqconsultqwoundqcare
C)qEngageqinqtherapeuticqcommunicationqtoqdetermineqtheqMOI
D)qProvideqtheqfamilyqwithqinjuryqpreventionqrecourse
Aq20-
yearqoldqmaleqpresentsqtoqtheqEDqc/oqsevereqlowerqabdqpainqafterqlandingqhardqonqtheqbicy
cleqcrossqbarsqwhichqperformingqanqaerialqBMXqmaneuver.qSecondaryqassessmentqreveal
sqlowerqabdqtendernessqandqscrotalqecchymosis.qWhichqofqtheqfollowingqordersqwouldqtheq
nurseqquestions?
Answer:qCq-qANSA)qFastqexam
B)qCTqscan
C)qStraightqCathqforqurineqsampleq***
D)qIceqandqelevationqofqtheqscrotum
Aq35-
yearqoldqmaleqpresentsqwithqfacialqtraumaqafterqbeingqstruckqinqtheqfaceqwithqaqbaseball.qAqt
ear-dropqshapedqleftqpupilqisqnotedqonqexam.qWhatqtypeqofqinjuryqisqsuspected?
Answer:qBq-qANSA)qoculomotorqnerveqpalsy
B)qGlobeqruptureq***
C)qUncialqherniation
D)qRetinalqdetachment
Aq36-
yearqoldqfemaleqhasqaqdeformityqofqtheqleftqwristqafterqaqfall.qSheqisqreluctantqtoqmoveqherqha
ndqdueqtoqpain.qWhichqofqtheqfollowingqisqtheqmostqappropriateqintervention?
Answer:qBq-qANSA)qapplyqaqslingqandqelevateqtheqextremityqtoqtheqlevelqofqtheqheart.
B)qApplyqaqsplintqandqELEVATEqABOVEqTHEqLEVELqOFqTHEqHEARTq***
C)qApplyqaqslingqandqelevateqtheqextremityqaboveqtheqlevelqofqtheqheart
D)qApplyqaqsplintqandqelevateqtheqextremityqtoqtheqlevelqofqtheqheart.
,TNCCq9THqEDITIONqREALqEXAMqACTUALqVERIFIEDqEXAMqTESTqBANKq150+qQUES
TIONSqANDqANSWERSqVERIFIEDqANSWERq|RATEDqA+
Aq49-
yearqoldqrestrainedqdriverqinvolvedqinqaqMVCqpresentsqtoqtheqtraumaqcenterqc/oqabd,qpelvic,
qandqbilqlowerqextremityqpainqVitalqsignsqareqstable.qTheqnurseqcanqanticipateqallqofqtheseqn
egativeqfastqexamqacceptqwhichqofqtheqfollowing?
Answer:qA
TheqFASTqexamqisqdoneqatqtheqbedsideqtoqidentifyqpathologicalqfluidqinqtheqabdominalqandq
pelvicqcavities.qFASTqexamsqreduceqthequseqofqmoreqinvasiveqdiagnosticqperitonealqlavag
eqandqcanqbeqrepeatedqifqclinicalqchangesqorqhemodynamicqchangesqoccur.qAqnegativeqFA
STqstudyqdoesqnotqruleqoutqinjuryqandqmayqwarrantqaqfollow-
upqcomputedqtomographyqscan.qSerialqFASTqexamsqcanqidentifyqincreasingqabdominalqflu
idqcollectionsqfromqhemorrhage.qDiagnosticqperitonealqlavage/diagnosticqperitonealqaspira
tionqisqperformedqbyqtheqsurgicalqteamqtoqrapidlyqidentifyqtheqpresenceqofqhemorrhageqinqp
atientsqwhoqareqhemodynamicallyqunstableqafterqtrauma.q-
qANSA)qdiagnosticqperitonealqlavageq***
B)qSerialqfastqexams
C)qAbdominalqandqpelvicqCTqscans
D)qSerialqabdominalqassessments
Aq56-year-
qmaleqpatientqinvolvedqinqaqMVCqisqbroughtqtoqtheqEDqofqaqruralqcriticalqaccessqfacility.qHeqc/
oqneckqpain,qSOB,qandqdiffuseqabdqpain.qHisqGCSqisq15.qHisqvitalsqareqasqfollows:
BPq98/71
HRq125qbeats/min
RRq26qbreaths/min
SpO2q94%qonqhighqflowqO2qviaqNRBqmask
Whichqofqtheqfollowingqisqtheqpriorityqinterventionqforqthisqpatient?
Answer:qCq-qANSA)qExpediteqtransportqtoqtheqCTqscanner
B)qprepareqtheqpatientqforqspinalqradiographs
C)qexpediteqtransferqtoqtheqclosestqtraumaqcenterq***
D)qnotifyqtheqpatientsqfamily
Aqpassengerqisqbroughtqtoqtheqemergencyqdepartmentqofqaqruralqhospitalqfollowingqaqhigh-
speedqMVC.qWhenqsignificantqabdominalqandqpelvicqinjuriesqareqnotedqinqtheqprimaryqsurv
ey,qwhichqofqtheqfollowingqisqtheqpriorityqinterventions?
Answer:qAq-qANSA)qinitiateqtransferqtoqaqtraumaqcenterq**
B)qprovideqreportqtoqtheqoperatingqroomqnurse
,TNCCq9THqEDITIONqREALqEXAMqACTUALqVERIFIEDqEXAMqTESTqBANKq150+qQUES
TIONSqANDqANSWERSqVERIFIEDqANSWERq|RATEDqA+
C)qObtainedqimagingqstudies
D)qPlaceqaqgastricqtube
Aqpatientqarrivesqwithqaqlargeqopenqchestqwoundqafterqbeingqassaultqedqwithqaqmachete,qPr
ehospitalqprovidersqplacedqaqnonporousqdressingqoverqtheqchestqwoundqandqtapesqitqonq3q
sides.qHeqisqnowqshowingqsignsqofqanxiety,qrestlessness,qsevereqrespiratoryqdistress,qcyan
osis,qandqdecreasingqbloodqpressure.qWhichqofqtheqfollowingqisqtheqMOSTqappropriateqinte
rventions?
Answer:qCq-qANSA)qneedleqdecompression
B)qtubeqthoracostomyq
C)qdressingqremovalq**
D)qsurgicalqrepair
AqpatientqhasqbeenqinqtheqEDqforqseveralqhoursqwaitingqtoqbeqadmitted.qHeqsustainedqmulti
pleqribqfracturesqandqaqfemurqfractureqafterqaqfall.qHeqhasqbeenqawake,qalert,qandqc/oqlegqpai
n.qHisqwifeqreportedqsuddenlyqbecomingqanxiousqandqconfused.qUponqreassessment,qtheq
patientqisqrestless,qwithqrespiratoryqdistressqandqpetechiaeqtoqhisqneck.qtheqpatientqisqexhibi
tingqsignsqofqsymptomsqcommonlyqassociatedqwithqwhichqofqtheqfollowingqconditions?
Answer:qBq-qANSA)qacuteqlungqinjury
B)qfatqembolismq***
C)qPTX
D)qpulmonaryqcontusion
Aqpatientqisqfoundqlyingqonqtheqfloorqafterqfallingq13qhoursqago.qWhichqofqtheqfollowingqlabqv
aluesqisqexpectedqwithqaqmusculoskeletalqcomplicationqassociatedqwithqthisqpresentation?
Answer:qAq-qANSA)qelevatedqcreatineqkinaseq***
B)qdecreasedqpotassiumqlevel
C)qdecreasedqWBC
D)qelevatedqGFR
Aqpatientqisqthrownqagainstqaqcarqduringqaqtornadoqandqpresentsqwithqobviousqbilateralqfem
oralqfractures.qTheqpatientqisqpale,qalert,qdisoriented,qandqhasqdelayedqcapqrefill.qWhichqofqt
heqfollowingqinterventionsqwouldqbeqmostqappropriateqforqthisqpatientqbasedqonqtheqdisaste
rqtriageqprinciple?
Answer:qAq-
qANSA)qinitiateqtwoqlargeqcaliberqintravenousqlinesqforqRingersqlactateqsolutionqadministrati
onq***
B)qAdministerqDilaudidqforqpainqcontrolqandqprovideqcomfortqcare
C)qPlaceqtheqpatientqinqanqobservationqareaqforqcareqwithinqtheqnextqfewqhours
, TNCCq9THqEDITIONqREALqEXAMqACTUALqVERIFIEDqEXAMqTESTqBANKq150+qQUES
TIONSqANDqANSWERSqVERIFIEDqANSWERq|RATEDqA+
D)qContactqtheqcommandqcenterqforqtheqpersonnelqtoqnotifyqnextqofqkin.
Aqpatientqwithqaqcompleteqspinalqcordqinjuryqinqneurogenicqshockqwillqdemonstrateqhypoten
sionqandqwhichqotherqclinicalqsigns?
Answer:qDq-qANSA)qBradycardiaqandqipsilateralqabsencesqofqmotorqfunction
B)qTachycardiaqandqrespiratoryqdepression
C)qTachycardiaqandqabsentqmotorqfunctionqbelowqtheqlevelqofqinjury
D)qBradycardiaqandqabsentqmotorqfunctionqbelowqtheqlevelqofqtheqinjuryq***
Aqpatientqwithqlowerqextremityqfractureqcomplainsqofqsevereqpainqandqtightnessqinqhisqcalf,q
minimallyqrelievedqbyqpainqmedications.qWhichqofqtheqfollowingqisqtheqpriorityqnursingqinterv
ention?
Answer:qCq-qANSA)qelevatingqtheqextremityqaboveqtheqlevelqofqtheqheart
B)qrepositioningqandqapplyqice
C)qElevatingqtheqextremityqtoqtheqlevelqofqtheqheartq***
D)qPreparingqtheqpatientqforqultrasound
AqtraumaqpatientqisqenqrouteqtoqaqruralqED.qRadiologyqnotifiesqtheqchargeqnurseqthatqtheqCT
qscannerqwillqbeqoutqofqserviceqforqseveralqofqhours.qTheqteamqgathersqtoqplanqaccordingly.q
Whichqofqtheqfollowingqtermsqbestqdescribesqthisqtraumaqteamsqcommunication?
Answer:qDq-qANSA)qBrief
B)qloop
C)qdebrief
D)qhuddleq***
Aqtraumaqpatientqisqrestlessqandqrepeatedlyqaskingq"whereqamqI?"qvitalqsignsquponqarrivalq
wereqBPq100/60qmmqHg,qHRq96qbeats/min,qandqRRq24qbreaths/min.qHerqskinqisqcoolqandqd
ry.qCurrentqvitalqsignsqareqBPq104/84mmqHg,qHRq108,qRRq28qbreaths/min.qTheqpatientqisqd
emonstratingqsignsqandqsymptomsqofqwhichqstageqofqshock?q
Answer:qAq-qANSA)qcompensatedq**
B)qProgressive
C)qirreversible
D)qdecompensated
Anqelderlyqpatientqwithqaqhistoryqofqanticoagulantquseqpresentsqafterqaqfallqatqhomeqthatqday
.qsheqdeniesqanyqlossqofqconsciousness.qSheqhasqaqhematomaqtoqherqforeheadqandqcompl
ainsqofqheadache,qdizziness,qandqnausea.qWhichqisqaqmostqlikelyqcauseqofqherqsymptoms?
Answer:qDq-qANSA)qepiduralqhematoma
