KNOW WITH 100% CORRECT
ANSWERS 2025
A client remains hospitalized with a pneumothorax after a chest
tube
insertion. Which assessment finding indicates that chest tube
therapy has been
effective? correct answers >> Client is able to inhale 500 ml
with an incentive spirometer
The trauma nurse recognizes that the "E" in the trauma survey
includes which intervention? correct answers >> Warming
the patient with blankets
A client arrives to the emergency department after a motor
vehicle
accident (MVA) with airbag deployment. Which assessment
finding must the trauma learn act open first? correct answers
>> The client does not speak and is excessively drooling from
the mouth (Emergent!)
A trauma client with a fractured forearm complains of extreme
throbbing pain at the fracture site and numbness and tingling in
the fingers. Which action should the nurse perform first?
correct answers >> Assess for presence of a radial pulse (May
be compartment syndrome)
, The nurse received change-of-shift report about these clients on
the
trauma step-down unit. Which client should the nurse see first?
correct answers >> A client with a blunt chest trauma who has
developed paradoxical breathing within the past hour (ABG'S
Breathing !)
The nurse is caring for a client that sustained a snake bite on a
lower
extremity. What is the appropriate action the nurse should take?
correct answers >> Request pharmacy to deliver anti-venom
A patient experiences a blunt chest injury as a result of an
automobile
accident. Which assessment finding would be of greatest concern
to the nurse? correct answers >> The client is coughing up
blood-tinged sputum (internal bleeding yes priority)
Which of these assessment findings by the nurse would be more
likely to indicate that a trauma patient was having problems with
breathing rather than difficulty maintaining an airway? correct
answers >> Asymmetrical chest expansion
A patient arrives to the emergency department with stridor and
edema around the neck. Which priority intervention would the
nurse anticipate at this time? correct answers >> Prepare for
chest needle decompression
or if difficult to insert
Prepare for endotracheal intubation