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1. An adult patient who sustained a severe head trauma has been intubated and is being
manually ventilated via a bag-mask device at a rate of 18 breaths/minute. The patient
has receive one intravenous fluid bolus 500 mL of warmed isotonic crystalloid solution.
The PaCO2 is 30 mm Hg (4.0 kPa), and the pulse oximetry is 92%. BP is 142/70 mm
Hg. What is the most important intervention to manage the cerebral blood flow?
A. Decrease the rate of manual ventilation.***
B. Initiate another fluid bolus.
C. Recheck endotracheal tube placement.
D. Increase the amount of oxygen delivered.
2. A patient with complete spinal cord injury who is in neurogenic shock will demonstrate
hypotension and which other clinical signs?
A. Bradycardia and ipsilateral a sense of motor function.
B. Tachycardia and respiratory depression.
C. Tachycardia and piokilothermia.
D. Bradycardia and absent motor function below the level of injury.***
3. You are caring for a patient who was shot multiple times in the chest and abdomen. The
patient is unresponsive with snoring, shallow respirations. Assessment reveals absent
radial pulses, weak and rapid carotid pulse, and cool, diaphoretic skin. Which
management strategy should the nurse anticipate?
A. Autotransfusion
B. Massive transfusion
C. Controlled fluid boluses***
D. Inotropic medications
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5. Three adults present at different times during a one-hour with a high fever, fatigue, and
headache. All three patients have a rash which started on their mouth, face, and arms
with progression to the chest and abdomen. They all visited the same grocery store
within the last week. What is the most appropriate intervention from triage for these
patients?
A. Move them to a decontamination area
B. Mask the patients and send them to the waiting room
C. Immediately initiate isolation precautions***
D. Send them to the waiting room without a mask
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