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NU |! 665 |! final |! exam |! questions |! with |!
precise |! detailed |! answers
A |! school-age |! child |! has |! a |! fractured |! wrist |! with |! a |! Salter |! Harris |! Type |! II |! fracture, |! according |! to |! the |! radiologist. |! What |! is |! true |! about |! this |! type |! of |! fracture? |! - |! Correct |! answer |! ✔There |! is |! a |! metaphyseal |! fragment |! on |! the |! compression |! side |! of |! fracture. What |! will |! the |! primary |! care |! pediatric |! nurse |! practitioner |! elicit |! when |! obtaining |! a |! positive |! Barlow |! maneuver |! when |! screening |! for |! developmental |! dysplasia |! of |! the |! hip? |! - |! Correct |! answer |! ✔Dislocation |! of |! an |! unstable |! hip A |! 3-year-old |! child |! is |! brought |! to |! the |! clinic |! by |! a |! parent |! who |! reports |! that |! the |! child |! refuses |! to |! use |! the |! right |! arm |! after |! being |! swung |! by |! both |! arms |! while |! playing. |! The |! child |! is |! sitting |! with |! the |! right |! arm |! held |! slightly |! flexed |! and |! close |! to |! the |! body. |! There |! is |! no |! swelling |! or |! ecchymosis |! present. |! What |! will |! the |! primary |! care |! pediatric |! nurse |! practitioner |! do? |! - |! Correct |! answer |! ✔Gently |! attempt |! a |! supination |! and |! flexion |! technique. A |! school-age |! child |! falls |! off |! a |! swing |! and |! suffers |! a |! closed |! fracture |! of |! the |! right |! clavicle. |! How |! will |! this |! be |! managed? |! - |! Correct |! answer |! ✔Immobilization |! with |! a |! sling |! to |! support |! the |! affected |! extremity A |! young |! adolescent |! reports |! chest |! pain |! associated |! with |! coughing |! and |! lifting. |! Physical |! examination |! reveals |! tenderness |! over |! several |! ribs, |! radiating |! to |! the |! back. |! Auscultation |! of |! the |! heart, |! lungs, |! and |! abdomen |! are |! normal. |! There |! is |!
no |! history |! of |! injury. |! What |! will |! the |! primary |! care |! pediatric |! nurse |! practitioner |! do? |! - |! Correct |! answer |! ✔Recommend |! NSAIDs, |! stretching |! exercises, |! and |! ice |! packs |! to |! the |! area. A |! young |! adolescent |! female |! is |! observed |! to |! have |! mild |! unequal |! scapula |! prominences |! on |! gross |! examination |! while |! standing. |! In |! the |! Adams |! forward |! bending |! position, |! this |! inequality |! disappears. |! What |! will |! the |! primary |! care |! pediatric |! nurse |! practitioner |! do? |! - |! Correct |! answer |! ✔Discuss |! posture |! and |! exercise |! and |! ask |! about |! backpacks |! and |! books. The |! primary |! care |! pediatric |! nurse |! practitioner |! elicits |! positive |! Ortolani |! and |! Barlow |! signs |! in |! a |! 6-month-old |! infant |! not |! previously |! noted |! in |! the |! medical |! record. |! What |! is |! the |! correct |! treatment? |! - |! Correct |! answer |! ✔Surgical |! intervention A |! 14-year-old |! boy |! who |! is |! overweight |! develops |! a |! unilateral |! limp |! with |! pain |! in |! the |! hip |! and |! knee |! on |! the |! affected |! side. |! An |! exam |! reveals |! external |! rotation |! of |! the |! hip |! when |! flexed |! and |! pain |! associated |! with |! attempts |! to |! internally |! rotate |! the |! hip. |! What |! is |! most |! important |! initially |! when |! managing |! this |! child's |! condition? |! - |! Correct |! answer |! ✔Place |! the |! child |! on |! crutches |! or |! in |! a |! wheelchair |! to |! prevent |! weight-bearing. A |! parent |! is |! concerned |! that |! a |! 12-month-old |! child |! is |! "bowlegged." |! A |! physical |! examination |! reveals |! internal |! tibial |! torsion |! bilaterally. |! A |! radiograph |! reveals |! asymmetric |! bowing |! of |! the |! legs |! with |! an |! angle |! greater |! than |! 15 |! degrees. |! What |! is |! the |! correct |! action |! for |! the |! primary |! care |! pediatric |! nurse |! practitioner? |! - |! Correct |! answer |! ✔Refer |! to |! a |! pediatric |! orthopedic |! specialist |! for |! treatment.
voiced |! similar |! concerns. |! - |! Correct |! answer |! ✔Take |! time |! to |! actively |! listen |! to |! the |! parent's |! and |! child's |! perceptions |! of |! the |! problem. The |! primary |! care |! pediatric |! nurse |! practitioner |! attempts |! to |! learn |! more |! about |! the |! emotional |! health |! of |! an |! 18-month-old |! child |! through |! which |! assessment |! strategy? |! - |! Correct |! answer |! ✔Observation |! of |! the |! child |! with |! caretakers |! in |! structured |! and |! unstructured |! situations A |! middle |! school |! age |! child |! is |! skipping |! school |! frequently |! and |! getting |! poor |! grades |! since |! the |! child's |! father |! was |! killed |! while |! deployed |! in |! the |! military. |! How |! will |! the |! primary |! care |! pediatric |! nurse |! practitioner |! manage |! this |! situation? |! - |! Correct |! answer |! ✔Refer |! the |! child |! to |! a |! mental |! health |! specialist |! for |! evaluation |! and |! treatment. The |! parent |! of |! a |! 4-year-old |! child |! reports |! that |! the |! child |! seems |! to |! be |! having |! trouble |! adjusting |! to |! a |! new |! daycare |! and |! reportedly |! is |! always |! engaging |! in |! solitary |! play |! when |! the |! parent |! arrives |! to |! pick |! up |! the |! child. |! What |! will |! the |! primary |! care |! pediatric |! nurse |! practitioner |! do? |! - |! Correct |! answer |! ✔Ask |! the |! parent |! if |! the |! child |! is |! slow |! to |! warm |! up |! to |! other |! new |! situations. The |! parent |! of |! a |! school-age |! child |! is |! concerned |! because |! the |! child |! has |! started |! to |! express |! anger |! about |! a |! grandparent's |! death |! even |! though |! this |! occurred |! when |! the |! child |! was |! a |! toddler. |! What |! will |! the |! primary |! care |! pediatric |! nurse |! practitioner |! tell |! the |! parent? |! - |! Correct |! answer |! ✔The |! significance |! of |! this |! loss |! must |! be |! reworked |! at |! each |! developmental |! level. The |! parent |! of |! a |! school-age |! child |! reports |! that |! the |! child |! doesn't |! like |! being |! alone |! in |! rooms |! because |! of |! a |! fear |! of |! aliens |! hiding |! in |! closets. |! What |! will |! the |!
primary |! care |! pediatric |! nurse |! practitioner |! tell |! the |! parent? |! - |! Correct |! answer |! ✔"Fear |! of |! imaginary |! creatures |! does |! not |! usually |! occur |! at |! this |! age." The |! parent |! of |! a |! preschool |! age |! child |! reports |! that |! the |! child |! often |! appears |! anxious |! and |! nervous |! and |! that |! this |! is |! associated |! occasionally |! with |! a |! rapid |! heart |! rate |! and |! tremors. |! What |! is |! the |! best |! type |! of |! referral |! that |! the |! primary |! care |! pediatric |! nurse |! practitioner |! could |! recommend? |! - |! Correct |! answer |! ✔Play |! therapy A |! 9-year-old |! child |! exhibits |! school |! refusal |! and |! a |! reluctance |! to |! attend |! sleepovers |! with |! classmates. |! The |! parent |! is |! concerned |! because |! the |! child |! has |! recently |! begun |! sleeping |! in |! the |! parents' |! bed. |! Which |! initial |! action |! by |! the |! primary |! care |! pediatric |! nurse |! practitioner |! is |! appropriate? |! - |! Correct |! answer |! ✔Assess |! for |! environmental |! stress, |! parental |! dysfunction, |! and |! maternal |! depression. The |! parent |! of |! a |! school-age |! child |! reports |! that |! the |! child |! becomes |! frustrated |! when |! unable |! to |! perform |! tasks |! well |! and |! often |! has |! temper |! tantrums |! and |! difficulty |! sleeping. |! Which |! disorder |! may |! be |! considered |! in |! this |! child? |! - |! Correct |! answer |! ✔Generalized |! anxiety |! disorder |! (GAD) The |! parent |! of |! a |! school-age |! girl |! reports |! that |! the |! child |! has |! difficulty |! getting |! ready |! for |! school |! and |! is |! often |! late |! because |! of |! a |! need |! to |! check |! and |! recheck |! whether |! her |! teeth |! are |! clean |! and |! her |! room |! light |! has |! been |! turned |! off. |! What |! will |! the |! primary |! care |! pediatric |! nurse |! practitioner |! recommend |! to |! this |! parent? |! - |! Correct |! answer |! ✔Cognitive |! behavioral |! therapy
but |! concerned |! that |! the |! child |! now |! seems |! to |! have |! boundless |! energy |! and |! an |! inability |! to |! sit |! still. |! What |! will |! the |! primary |! care |! pediatric |! nurse |! practitioner |! do? |! - |! Correct |! answer |! ✔Refer |! the |! child |! to |! a |! child |! psychiatrist |! for |! evaluation |! of |! bipolar |! disorder. A |! toddler |! has |! begun |! hitting |! and |! biting |! other |! children |! at |! a |! day |! care |! center |! and |! is |! exhibiting |! temper |! tantrums |! and |! bad |! language |! at |! home. |! The |! parent |! reports |! that |! these |! behaviors |! began |! shortly |! after |! a |! sibling |! was |! born. |! What |! will |! the |! primary |! care |! pediatric |! nurse |! practitioner |! do? |! - |! Correct |! answer |! ✔Engage |! the |! parent |! in |! positive |! parenting |! strategies |! to |! facilitate |! appropriate |! child |! coping. A |! 14-year-old |! female |! comes |! to |! the |! clinic |! with |! amenorrhea |! for |! 3 |! months. |! A |! pregnancy |! test |! is |! negative. |! The |! adolescent's |! body |! weight |! is |! at |! 82% |! of |! expected |! for |! height |! and |! age. |! The |! mother |! reports |! that |! her |! daughter |! often |! throws |! up |! and |! refuses |! to |! eat |! most |! foods. |! Which |! condition |! does |! the |! primary |! care |! pediatric |! nurse |! practitioner |! suspect? |! - |! Correct |! answer |! ✔Anorexia |! nervosa Which |! type |! of |! heat-related |! illness |! involves |! a |! core |! body |! temperature |! of |! at |! least |! 104.9°F, |! acute |! mental |! status |! changes, |! absent |! sweat, |! and |! tachypnea? |! - |! Correct |! answer |! ✔Heat |! stroke What |! percentage |! of |! burns |! is |! involved |! using |! the |! rule |! of |! nines |! if |! both |! front |! legs |! are |! burned? |! - |! Correct |! answer |! ✔18% Which |! drug |! commonly |! prescribed |! for |! burns |! is |! active |! against |! a |! wide |! spectrum |! of |! microbial |! pathogens |! and |! is |! the |! most |! frequently |! used |! agent |! for |!
partial- |! and |! full-thickness |! thermal |! injuries? |! - |! Correct |! answer |! ✔Silver |! sulfadiazine |! (Silvadene) A |! sunscreen |! with |! a |! sun-protection |! factor |! of |! at |! least |! what |! number |! will |! block |! most |! harmful |! ultraviolet |! radiation? |! - |! Correct |! answer |! ✔ 15 Which |! clinical |! feature |! is |! the |! first |! to |! be |! affected |! in |! increased |! intracranial |! pressure? |! - |! Correct |! answer |! ✔Decrease |! in |! level |! of |! consciousness What |! is |! the |! normal |! number |! for |! the |! Glasgow |! Coma |! Scale? |! - |! Correct |! answer |! ✔ 15 Which |! diagnostic |! test |! is |! the |! best |! to |! diagnose |! a |! subdural |! hematoma? |! - |! Correct |! answer |! ✔Magnetic |! resonance |! imaging |! (MRI) Patients |! with |! a |! spontaneous |! pneumothorax |! should |! be |! counseled |! that |! up |! to |! what |! percentage |! may |! experience |! a |! reoccurrence |! at |! some |! point? |! - |! Correct |! answer |! ✔30% Most |! adult |! poisonings |! are: |! - |! Correct |! answer |! ✔Intentional |! and |! self-inflicted Which |! method |! is |! used |! to |! remove |! heavy |! metals, |! such |! as |! lead, |! that |! are |! ingested |! as |! poisons? |! - |! Correct |! answer |! ✔Chelation
Delayed |! serum |! sickness-type |! reactions |! in |! response |! to |! multiple |! bee, |! wasp, |! or |! fire |! ant |! stings |! can |! be |! managed |! with |! which |! of |! the |! following? |! - |! Correct |! answer |! ✔A |! corticosteroid |! such |! as |! prednisone |! (Deltasone), |! 60 |! to |! 100 |! mg, |! tapered |! over |! 2 |! weeks After |! a |! head |! injury, |! what |! is |! it |! called |! when |! air |! enters |! into |! the |! cerebrospinal |! fluid |! (CSF)-filled |! spaces |! within |! the |! head? |! - |! Correct |! answer |! ✔Pneumocephalus Cerebrospinal |! fluid |! (CSF) |! may |! leak |! through |! the |! cribriform |! plate |! region |! of |! the |! skull |! following |! a |! head |! injury |! and |! cause |! which |! of |! the |! following? |! - |! Correct |! answer |! ✔Nasal |! CSF |! rhinorrhea Which |! classic |! feature |! of |! an |! epidural |! hematoma |! may |! distinguish |! it |! from |! other |! skull |! hematomas? |! - |! Correct |! answer |! ✔A |! brief |! loss |! of |! consciousness, |! then |! a |! brief |! "lucid" |! moment, |! followed |! by |! momentary |! unconsciousness |! minutes |! after |! the |! injury A |! patient |! with |! a |! basilar |! skull |! fracture |! may |! experience |! an |! impaired |! downward |! gaze |! or |! diplopia |! from |! which |! affected |! cranial |! nerve? |! - |! Correct |! answer |! ✔CN |! IV A |! history |! of |! overuse |! or |! excessive |! force, |! as |! opposed |! to |! a |! fall, |! hyperextension, |! or |! the |! twisting |! of |! a |! joint, |! is |! more |! likely |! related |! to |! which |! musculoskeletal |! injury? |! - |! Correct |! answer |! ✔A |! strain
In |! a |! healthy |! adult, |! the |! process |! of |! remodeling |! after |! a |! fracture |! of |! the |! humerus |! takes |! how |! long? |! - |! Correct |! answer |! ✔ 2 |! months A |! patient |! who |! sustains |! blunt |! chest |! trauma |! and/or |! penetrating |! chest |! trauma |! must |! have |! which |! of |! the |! following |! imaging |! examinations? |! - |! Correct |! answer |! ✔Upright |! chest |! x-ray |! film Josie, |! age |! 30, |! has |! a |! pneumothorax. |! It |! may |! be |! treated |! conservatively |! without |! a |! chest |! tube |! if |! it |! is |! deflated |! by |! what |! percentage? |! - |! Correct |! answer |! ✔30% Hepatic |! necrosis |! with |! jaundice |! may |! occur |! after |! ingesting |! massive |! doses |! of |! which |! medication? |! - |! Correct |! answer |! ✔Acetaminophen Pink, |! cherry |! red |! tissues |! and |! skin |! may |! result |! from |! which |! type |! of |! poisoning? |!
- |! Correct |! answer |! ✔Carbon |! monoxide In |! which |! type |! of |! burn |! is |! the |! injury |! more |! extensive |! than |! it |! appears, |! and |! the |! cardiac |! conduction |! system |! may |! be |! affected, |! leading |! to |! sudden |! death |! or |! arrhythmias? |! - |! Correct |! answer |! ✔Electrical |! burns Eddie, |! age |! 4, |! presents |! to |! the |! ED |! with |! a |! live |! insect |! trapped |! in |! his |! ear |! canal |! causing |! a |! lot |! of |! distress. |! What |! should |! be |! your |! first |! step? |! - |! Correct |! answer |! ✔Immobilize |! the |! insect |! with |! 2% |! lidocaine.
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? |! - |! Correct |! answer |! ✔Turn |! the |! patient |! with |! the |! injured |! side |! down 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? |! - |! Correct |! answer |! ✔Impaired |! gas |! exchange A |! patient |! has |! suffered |! a |! mild |! pulmonary |! contusion |! from |! a |! jet |! ski |! accident. |! What |! nursing |! interventions |! are |! appropriate |! for |! this |! patient? |! - |! Correct |! answer |! ✔Frequent |! pulse |! oximetry |! monitoring, |! assessment |! of |! lung |! sounds |! every |! 2 |! hours, |! continuous |! epidural |! analgesia 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? |! - |! Correct |! answer |! ✔Notify |! the |! physician 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? |! - |! Correct |! answer |! ✔Pulmonary |! embolus
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? |! - |! Correct |! answer |! ✔Pulse |! oximetry 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? |! - |! Correct |! answer |! ✔You |! may |! come |! in |! with |! your |! parent |! and |! I |! will |! have |! someone |! stay |! with |! you |! to |! explain |! what |! is |! happening. The |! nurse |! is |! caring |! for |! the |! patient |! with |! chest |! tubes. |! Which |! observation |! by |! the |! nurse |! is |! a |! priority |! concern? |! - |! Correct |! answer |! ✔ 250 |! mL/hr |! of |! blood |! in |! drainage |! collection |! system 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? |! Select |! all |! that |! apply. |! - |! Correct |! answer |! ✔Fracture |! of |! the |! left |! femur |! and |! damage |! to |! the |! left |! knee, |! fractured |! ribs |! and |! cardiac |! and |! lung |! contusion, |! closed |! head |! injury |! and |! cervical |! spine |! fracture
A |! patient |! is |! admitted |! to |! the |! CCU |! after |! experiencing |! blunt |! trauma |! to |! the |! chest. |! Among |! other |! injuries, |! the |! patient |! has |! a |! flail |! chest |! on |! the |! left |! and |! several |! extremity |! fractures. |! About |! 12 |! hours |! after |! admission, |! the |! patient |! is |! tachypneic |! and |! complaining |! of |! shortness |! of |! breath. |! Breath |! sounds |! are |! present |! bilaterally |! with |! scattered |! fine |! crackles. |! Chest |! radiograph |! shows |! an |! ill-defined, |! patchy, |! ground-glass |! area |! of |! density |! on |! the |! left. |! If |! the |! patient |! has |! a |! pulmonary |! contusion, |! what |! is |! the |! nursing |! priority? |! - |! Correct |! answer |! ✔Monitor |! pulse |! oximetry |! and |! arterial |! blood |! gases |! closely A |! patient |! has |! suffered |! severe |! blunt |! trauma |! to |! the |! abdomen |! with |! bruising, |! diffuse |! pain, |! guarding, |! and |! rigidity |! evident. |! Damage |! to |! which |! structure |! is |! most |! likely? |! - |! Correct |! answer |! ✔Liver As |! part |! of |! a |! multiple |! trauma |! injury, |! the |! patient |! has |! suffered |! a |! closed |! fracture |! of |! the |! radius. |! What |! nursing |! assessment |! finding |! indicates |! a |! significant |! complication |! warranting |! immediate |! treatment? |! - |! Correct |! answer |! ✔Loss |! of |! pulses |! distal |! to |! the |! fracture A |! patient |! has |! experienced |! multiple |! fractures, |! including |! pelvic |! and |! long |! bone |! fractures. |! After |! 72 |! hours, |! the |! patient |! complains |! of |! tachypnea |! and |! dyspnea |! and |! is |! found |! to |! have |! cyanosis, |! tachycardia, |! confusion, |! and |! fever. |! Laboratory |! analysis |! reveals |! a |! normal |! complete |! blood |! count |! except |! for |! thrombocytopenia |! and |! progressive |! respiratory |! insufficiency. |! What |! is |! the |! nursing |! care |! priority? |! - |! Correct |! answer |! ✔Administer |! oxygen |! and |! monitor |! pulse |! oximetry During |! a |! motor |! vehicle |! accident, |! a |! patient |! sustained |! blunt |! trauma |! to |! the |! head |! and |! face, |! resulting |! in |! hairline |! skull |! fracture |! and |! a |! LeFort |! III |! maxillofacial |! fracture. |! The |! patient |! also |! has |! bruising |! across |! the |! chest |! and |!
upper |! abdomen |! and |! multiple |! small |! superficial |! bleeding |! abrasions |! and |! lacerations. |! On |! admission |! to |! the |! emergency |! department, |! what |! is |! the |! nursing |! care |! priority? |! - |! Correct |! answer |! ✔Perform |! endotracheal |! intubation As |! part |! of |! a |! multiple |! trauma |! injury, |! a |! patient |! developed |! hemorrhagic |! hypovolemic |! shock, |! necessitating |! fluid |! resuscitation |! with |! massive |! amounts |! of |! intravenous |! crystalloid |! fluids |! and |! blood |! products |! as |! well |! as |! extensive |! surgical |! repair |! under |! general |! anesthesia. |! Twenty- |! four |! hours |! later, |! the |! patient |! develops |! hypoxia |! unresponsive |! to |! oxygen |! therapy |! and |! diffuse |! white, |! ground-glass |! infiltrates |! of |! the |! lung |! fields |! on |! a |! chest |! radiograph. |! Development |! of |! this |! complication |! has |! what |! effect |! on |! the |! patients |! recovery? |! - |! Correct |! answer |! ✔Significantly |! greater |! chance |! of |! death Which |! of |! the |! following |! is |! likely |! to |! result |! from |! lead |! poisoning? |! - |! Correct |! answer |! ✔Damage |! to |! the |! brain |! and |! peripheral |! nerves During |! the |! development |! of |! hyperthermia, |! the |! state |! of |! heat |! exhaustion |! is |! indicated |! when: |! - |! Correct |! answer |! ✔hypovolemia |! and |! fainting |! occur What |! is/are |! signs |! of |! hypothermia? |! - |! Correct |! answer |! ✔Lethargy |! and |! confusion Which |! of |! the |! following |! types |! of |! cells |! are |! most |! likely |! to |! be |! damaged |! by |! exposure |! to |! radiation? |! - |! Correct |! answer |! ✔Epithelial |! tissue |! and |! bone |! marrow
During |! the |! development |! of |! hyperthermia, |! the |! stage |! of |! heat |! stroke |! is |! marked |! by: |! - |! Correct |! answer |! ✔shock |! and |! coma. Which |! of |! the |! following |! is |! a |! potential |! effect |! of |! a |! bite |! or |! sting? |! - |! Correct |! answer |! ✔Anaphylaxis Bites |! from |! both |! wild |! and |! domesticated |! animals |! may |! cause: |! - |! Correct |! answer |! ✔rabies. Which |! of |! the |! following |! is |! considered |! carcinogenic? |! - |! Correct |! answer |! ✔Inhaled |! particulates Illness |! in |! institutions |! may |! be |! traced |! back |! to |! food |! handlers |! who: |! - |! Correct |! answer |! ✔are |! carriers |! of |! pathogens. |! do |! not |! practice |! adequate |! hand-washing |! or |! sanitization. |! bring |! in |! pathogens |! from |! home |! or |! the |! community. A |! common |! illness |! for |! tourists |! in |! developing |! countries |! is |! travelers |! diarrhea, |! often |! caused |! by: |! - |! Correct |! answer |! ✔E. |! coli Radiation |! damage |! may |! occur |! from |! repeated |! exposure |! to: |! - |! Correct |! answer |! ✔ultraviolet |! rays. |! X-rays. |! radioactive |! substances. Two |! types |! of |! eye |! damage |! that |! can |! be |! caused |! by |! a |! laser |! beam |! are: |! - |! Correct |! answer |! ✔thermal |! burn |! and |! photochemical |! damage.
A |! nurse |! from |! the |! ICU |! is |! participating |! in |! the |! hospitals |! disaster |! response |! preparedness |! team. |! One |! issue |! that |! proves |! difficult |! for |! the |! team |! to |! agree |! on |! is |! a |! statement |! regarding |! the |! standard |! of |! medical |! care |! observed |! during |! a |! disaster. |! Which |! of |! the |! following |! do |! you |! think |! the |! nurse |! should |! recommend |! to |! the |! team? |! - |! Correct |! answer |! ✔The |! goal |! should |! be |! to |! provide |! the |! highest |! care |! possible, |! with |! limited |! resources |! and |! equipment. A |! nurse |! learns |! that |! local |! law |! enforcement |! officials |! have |! informed |! the |! hospital |! that |! an |! imminent |! terrorist |! attack |! has |! been |! threatened |! in |! a |! building |! just |! down |! the |! street |! from |! the |! hospital. |! Which |! of |! the |! following |! are |! appropriate |! responses? |! Select |! all |! that |! apply. |! - |! Correct |! answer |! ✔Review |! the |! hospitals |! disaster |! plan |! and |! make |! sure |! that |! it |! is |! distributed |! to |! the |! rest |! of |! the |! medical |! staff. |! Determine |! what |! her |! specific |! role |! in |! the |! disaster |! plan |! is. |! Check |! the |! number |! of |! ventilators |! available |! in |! the |! ICU |! to |! determine |! whether |! more |! would |! be |! needed |! in |! the |! event |! of |! an |! attack. The |! nurse |! is |! at |! the |! bedside |! of |! her |! 90-year-old |! patient, |! Ruth, |! who |! is |! comatose |! and |! on |! life |! support |! in |! the |! ICU, |! when |! she |! begins |! to |! feel |! the |! room |! shaking |! violently. |! The |! power |! suddenly |! fails |! and |! emergency |! generators |! have |! not |! started |! yet. |! The |! nurse |! provides |! bag-mask |! resuscitation |! for |! Ruth |! while |! she |! waits |! for |! the |! power |! to |! be |! restored. |! Moments |! later, |! the |! ICU |! is |! inundated |! with |! patients |! injured |! by |! the |! collapse |! of |! a |! nearby |! apartment |! building |! as |! a |! result |! of |! the |! earthquake. |! The |! nurse |! is |! called |! to |! help. |! Kevin |! has |! been |! impaled |! by |! a |! metal |! rod |! through |! the |! chest, |! is |! in |! a |! state |! of |! shock, |! and |! will |! die |! without |! immediate |! intervention. |! Gwyneth |! has |! compound |! fractures |! of |! the |! femur |! and |! a |! dislocated |! shoulder, |! is |! in |! pain, |! but |! is |! responsive. |! Mason |! is |! unconscious |! and |! unresponsive. |! Based |! on |! the |! START |! triage |! categories, |! whom |! should |! the |! nurse |! assist |! first |! in |! this |! situation? |! - |! Correct |! answer |! ✔Kevin
