Nokea
If a spinal injury is suspected before the rescuer starts CPR the trachea should be opened with a __ maneuver.
Correct Answer: thrust
Rationale: The jaw-thrust maneuver does not hyperextend the neck.
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CPR has been initiated at an accident site. When can CPR be terminated?
- A. Victim is clinically dead.
- B. Victim is brain dead.
- C. Paramedics arrive.
- D. Rescuer perceives CPR is futile.
Correct Answer: C
Rationale: There is a moral obligation to continue CPR once it has been initiated unless the rescuer is exhausted and cannot continue, trained medical personnel take over CPR, or a licensed health care provider pronounces the victim dead.
A burn patient is brought into the emergency department with the following burns: half of the front torso entire left arm and front of left leg. The nurse should record that the patient has a __% burn.
- A. 27
- B. 25
- C. 50
- D. 43
Correct Answer: A
Rationale: Half of the front torso = 9, entire left arm = 9, front of the left leg = 9.
The patient with heatstroke has been undressed and treated with cold packs and a fan. The patient's temperature is now down to 101.2°F (38.4°C). The patient starts to shiver. What action should the emergency department nurse take?
- A. Raise the head of the bed.
- B. Offer warm liquids.
- C. Remove cold packs and fan.
- D. Continue with cooling interventions.
Correct Answer: C
Rationale: The cooling techniques have caused the patient to shiver, which will increase the patient's temperature.
A farm worker who has been kicked in the stomach by a mule passes a foul black tarry stool. What is this called?
- A. Loose stool
- B. Melena
- C. Hematuria
- D. Hemoptysis
Correct Answer: B
Rationale: When internal bleeding occurs, the patient may demonstrate hemoptysis (bloody sputum), hematemesis (bloody vomit), melena (foul black tarry stool), or hematuria (bloody urine).
When other methods have failed to stop the bleeding and the victim's life is in danger the rescuer at the scene applies a tourniquet to a young woman's leg above the knee. What is another step that is essential for the rescuer to follow?
- A. Never release the tourniquet.
- B. Wrap the tourniquet around the limb twice.
- C. Mark the patient with a "T."
- D. Leave the limb elevated.
Correct Answer: A
Rationale: A tourniquet must never be released once it is in place. All other options are enhancements to the procedure of the tourniquet application, but not essential.