HEAD AND SPINE INJURIES CHAPTER 28 ACTUAL
EXAM WITH Q&A NEWLY MODIFIED!!
The effectiveness of positive-pressure ventilations when treating a head-injured
patient can ONLY be determined by:
A. immediate reassessment following the intervention.
B. a neurosurgeon or emergency department physician.
C. reassessing the patient's blood pressure after at least 10 minutes.
D. noting a decrease in the heart rate during ventilations. --CORRECT
ANSWER--A
The _________ is the best-protected part of the CNS and controls the functions
of the cardiac and respiratory systems.
A. brain stem
B. cerebellum
C. spinal cord
D. cerebral cortex --CORRECT ANSWER--A
During your primary assessment of a 19-year-old unconscious male who
experienced severe head trauma, you note that his respirations are rapid,
irregular, and shallow. He has bloody secretions draining from his mouth and
nose. You should: A. assist his ventilations with a bag-mask device.
B. suction his oropharynx for up to 15 seconds.
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,C. immobilize his spine and transport immediately.
D. pack his nostrils to stop the drainage of blood. --CORRECT ANSWER--
B
When activated, the sympathetic nervous system produces all of the following
effects,
EXCEPT:
A. pupillary constriction.
B. increase in heart rate.
C. shunting of blood to vital organs.
D. dilation of the bronchiole smooth muscle. --CORRECT ANSWER--A
Which of the following statements regarding secondary brain injury is correct?
A. It results from direct brain trauma following an impact to the head.
B. Because cerebral edema develops quickly, it is considered to be a primary
brain injury.
C. Hypoxia and hypotension are the two most common causes of secondary
brain injury.
D. Signs are often present immediately after an impact to the head. --
CORRECT ANSWER-C
During your primary assessment of a semiconscious 30-year-old female with
closed head trauma, you note that she has slow, shallow breathing and a slow,
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,bounding pulse. As your partner maintains manual in-line stabilization of her
head, you should:
A. perform a focused secondary assessment of the patient's head and neck.
B. instruct him to assist her ventilations while you perform a rapid
assessment.
C. apply 100% oxygen via a nonrebreathing mask and obtain baseline vital
signs.
D. immediately place her on a long backboard and prepare for rapid
transport. --CORRECT
ANSWER--B
A patient who cannot remember the events that preceded his or her head injury
is
experiencing:
A. retrograde amnesia.
B. anterograde amnesia.
C. perigrade amnesia.
D. posttraumatic amnesia. --CORRECT ANSWER--A
A short backboard or vest-style immobilization device is indicated for patients
who: A. are found supine and have stable vital signs.
B. are in a sitting position and are clinically stable.
C. require prompt extrication from an automobile.
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, D. are sitting in their car and are clinically unstable. --CORRECT
ANSWER--B
Which of the following sets of vital signs depicts Cushing's triad?
A. Blood pressure, 190/110 mm Hg pulse, 55 beats/min respirations, 30
breaths/min B. Blood pressure, 90/50 mm Hg pulse, 120 beats/min respirations,
10 breaths/min
C. Blood pressure, 200/100 mm Hg pulse, 140 beats/min pulse, 140
beats/min respirations, 28 breaths/min
D. Blood pressure, 80/40 mm Hg pulse, pulse 30 beats/min respirations, 32
breaths/min --
CORRECT ANSWER--A
Common signs of a skull fracture include all of the following, EXCEPT: A.
mastoid process bruising.
B. ecchymosis around the eyes.
C. noted deformity to the skull.
D. superficial scalp lacerations. --CORRECT ANSWER--D
Once a cervical collar has been applied to a patient with a possible spinal injury,
it should not be removed unless:
A. the patient adamantly denies neck pain.
B. lateral immobilization has been applied.
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EXAM WITH Q&A NEWLY MODIFIED!!
The effectiveness of positive-pressure ventilations when treating a head-injured
patient can ONLY be determined by:
A. immediate reassessment following the intervention.
B. a neurosurgeon or emergency department physician.
C. reassessing the patient's blood pressure after at least 10 minutes.
D. noting a decrease in the heart rate during ventilations. --CORRECT
ANSWER--A
The _________ is the best-protected part of the CNS and controls the functions
of the cardiac and respiratory systems.
A. brain stem
B. cerebellum
C. spinal cord
D. cerebral cortex --CORRECT ANSWER--A
During your primary assessment of a 19-year-old unconscious male who
experienced severe head trauma, you note that his respirations are rapid,
irregular, and shallow. He has bloody secretions draining from his mouth and
nose. You should: A. assist his ventilations with a bag-mask device.
B. suction his oropharynx for up to 15 seconds.
Page 1 of 38
,C. immobilize his spine and transport immediately.
D. pack his nostrils to stop the drainage of blood. --CORRECT ANSWER--
B
When activated, the sympathetic nervous system produces all of the following
effects,
EXCEPT:
A. pupillary constriction.
B. increase in heart rate.
C. shunting of blood to vital organs.
D. dilation of the bronchiole smooth muscle. --CORRECT ANSWER--A
Which of the following statements regarding secondary brain injury is correct?
A. It results from direct brain trauma following an impact to the head.
B. Because cerebral edema develops quickly, it is considered to be a primary
brain injury.
C. Hypoxia and hypotension are the two most common causes of secondary
brain injury.
D. Signs are often present immediately after an impact to the head. --
CORRECT ANSWER-C
During your primary assessment of a semiconscious 30-year-old female with
closed head trauma, you note that she has slow, shallow breathing and a slow,
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,bounding pulse. As your partner maintains manual in-line stabilization of her
head, you should:
A. perform a focused secondary assessment of the patient's head and neck.
B. instruct him to assist her ventilations while you perform a rapid
assessment.
C. apply 100% oxygen via a nonrebreathing mask and obtain baseline vital
signs.
D. immediately place her on a long backboard and prepare for rapid
transport. --CORRECT
ANSWER--B
A patient who cannot remember the events that preceded his or her head injury
is
experiencing:
A. retrograde amnesia.
B. anterograde amnesia.
C. perigrade amnesia.
D. posttraumatic amnesia. --CORRECT ANSWER--A
A short backboard or vest-style immobilization device is indicated for patients
who: A. are found supine and have stable vital signs.
B. are in a sitting position and are clinically stable.
C. require prompt extrication from an automobile.
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, D. are sitting in their car and are clinically unstable. --CORRECT
ANSWER--B
Which of the following sets of vital signs depicts Cushing's triad?
A. Blood pressure, 190/110 mm Hg pulse, 55 beats/min respirations, 30
breaths/min B. Blood pressure, 90/50 mm Hg pulse, 120 beats/min respirations,
10 breaths/min
C. Blood pressure, 200/100 mm Hg pulse, 140 beats/min pulse, 140
beats/min respirations, 28 breaths/min
D. Blood pressure, 80/40 mm Hg pulse, pulse 30 beats/min respirations, 32
breaths/min --
CORRECT ANSWER--A
Common signs of a skull fracture include all of the following, EXCEPT: A.
mastoid process bruising.
B. ecchymosis around the eyes.
C. noted deformity to the skull.
D. superficial scalp lacerations. --CORRECT ANSWER--D
Once a cervical collar has been applied to a patient with a possible spinal injury,
it should not be removed unless:
A. the patient adamantly denies neck pain.
B. lateral immobilization has been applied.
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