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ATCN PRETEST – QUESTIONS &
ANSWERS
Question : The body regions which are the sites of major
internal and external bleeding include:
CORRECT ANSWER : Chest, abdomen, pelvis and
external bleeding
Question : A one year old infant with an intracerebral
hemorrhage requires endotracheal intubation. What aspect of this child's anatomy needs to be appreciated in order to provide an effective airway?
CORRECT ANSWER : Short tracheal length may result
in bronchus intubation and tube dislodgement
Question : Preparation for a trauma patient includes:
CORRECT ANSWER : Assembling anticipated
resources and equipment and checking proper function
Question : A nurse is asked to apply a splint on a patient
with a closed wrist fracture. In carrying out the task,
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which of the following describes how this injury should be immobilized?
CORRECT ANSWER : Flat on a padded splint to
include the hand to the elbow
Question : In providing care to a patient with severe brain
injury, the nurse plans interventions to maintain adequate
CPP including:
CORRECT ANSWER : Maintaining normal
intravascular volume and MAP
Question : A patient with suspected TBI is to be intubated
using drug-assisted intubation with etomidate and succinylcholine. The nurse knows that the most important
consideration prior to the procedure is to:
CORRECT ANSWER : Have an alternative airway plan
ready
Question : A fluid bolus of warmed crystalloid solution
may be ordered in the initial treatment of shock. Which statement is true concerning the volume of the bolus?
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CORRECT ANSWER : It is limited to one liter
Question : When sedating a head-injured patient prior to
intubation, the most important step is to:
CORRECT ANSWER : Obtain a baseline GCS and
pupillary exam prior to administering medications
Question : A ten year old child arrives following a MVC.
Which of these physiological changes would be consistent with hypovolemic shock due to a mild blood volume loss and indicate the need to initiate fluid boluses?
CORRECT ANSWER : Tachycardia and capillary refill
of 4 seconds
Question : A sixty-six year old patient arrives at the
trauma center after being struck by a car while walking across the street. External rotation of the BLE is noted and manual manipulation of the pelvis causes excruciation pain. The next intervention for this patient
should be to:
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CORRECT ANSWER : Apply a pelvic stabilization
device to the pelvis during resuscitation
Question : A healthy pregnant female can lose what
volume of blood before exhibiting signs and symptoms of hypovolemic shock?
CORRECT ANSWER : 1,200-1,500 mL
Question : The first step in managing shock in trauma
patients is:
CORRECT ANSWER : Recognizing its presence
Question : Carbon monoxide exposure should be
suspected when:
CORRECT ANSWER : The patient was burned in an
enclosed space
Question : Which of the following patients requires
priority intervention by the nurse?