"Study Break Questions" from Ch 12, 20, 21 in Critical Care Book (Citation in Description)
A superficial partial-thickness (second-degree) burn is characterized by: A. Charred gray skin or black skin B. Blistered skin with pink or moist base C. White waxy and dry skin D. Reddened skin without blisters
blistered skin with pink or moist base
Alteration in which of the following components does not contribute to development of shock? A. Myocardial contractility B. Capillary refill C. Vascular resistance D. Blood volume
capillary refill
In neurogenic shock, decreased sympathetic activity results in: A. Hypertension and tachycardia B. Cool diaphoretic skin and fine tremors C. Hypotension and bradycardia D. Hyperthermia and low respirations
hypotension and bradycardia
Which three elements are commonly referred to as the "trauma triad of death?" (Select all that apply.) A. Hypothermia B. Acidosis C. Hypotension D. Tachycardia E. Coagulopathy
hypothermia, acidosis, coagulopathy
Which of the following describes the endocrine response during the compensatory stage of shock? A. Increased reabsorption of sodium and water B. Suppression of renin release C. Inhibition of angiotensin II D. Inhibition of antidiuretic hormone
increased reabsorption of sodium and water
Which patient symptom requires further urgent evaluation to address possible compartment syndrome? A. Swelling of the broken extremity B. Increasing pain C. Red discoloration of urine D. Dyspnea
increasing pain
The key purpose of the primary survey is to: A. Identify and treat all potential injuries B. Obtain a thorough head-to-toe examination of the patient C. Quickly identify and treat the greatest life-threatening emergencies D. Identify the need for additional consultation teams and resources
quickly identify and treat the greatest life-threatening emergencies
The palmar surface, including the fingers, of the patient's hand represents what percent of his or her total body surface area? A. 12% B. 1% C. 3% D. 5%
1%
Which laboratory value indicates that the patient is under-resuscitated? A. Potassium (K+) of 6.1 mEq/L B. Calcium (Ca++) of 8.0 mg/dL C. Hematocrit (Hct) of 28.2% D. Lactate of 5 mmol/L
Lactate of 5 mmol/L
Appropriate initial management of a patient with a documented inhalation injury includes: A. Fluid restriction to minimize lung injury B. Colloid infusion to decrease extravascular lung water C. Prophylactic antibiotics to decrease the incidence of pneumonia D. 100% humidified oxygen to decrease carboxyhemoglobin levels
100% humidified oxygen to decrease carboxyhemoglobin levels
Initial fluid resuscitation requirements are calculated based on the following parameters: A. Age, total body surface area burned, patient weight, and cause of burn injury B. Injury mechanism (flame or nonflame), total body surface area burned, and patient weight C. Total body surface area burned, patient weight, and the presence of inhalation injury D. Age category (adult or child), patient temperature, and total body surface area burned
Age category (adult or child), patient temperature, and total body surface area burned
A construction worker is admitted after falling approximately 15 feet from scaffolding. What diagnostic intervention does the nurse anticipate in the care of this trauma patient to evaluate sources of potential bleeding? A. FAST or E-FAST B. Complete metabolic laboratory test panel C. Chest radiograph D. Urinalysis
FAST or E-FAST