7 Quick Questions

1. Thirty people are injured in a train derailment. Which client should be transported to the hospital first?

1. A 20 year old who is unresponsive and has a high injury to his spinal cord.2. An 80 year old client who has a compound fracture of the arm.3. A 10 year old with a laceration on his leg.4. A 25 year old with a sucking chest wound.

2. An apartment fire spreads to seven apartment units. Victims suffer burns, minor injuries and broken bones from jumping from windows. Which client should be transported first?

1. A woman who is 5 months pregnant with no apparent injuries.2. A middle-aged man with no injuries who has rapid respirations and coughs.3. A 10-year old with a simple fracture of the humerus who is in severe pain.4. A 20 year old with first degree burns on her hands and forearms.

3. A car accident involves four vehicles on a remote interstate. The nearest emergency department is 15 minutes away. Which victim should be transported by helicopter to the nearest hospital?

1. 10 year old with a simple fracture of the femur who is crying and cannot find his parents.

2. Middle-aged women with cold, clammy skin and a heart rate of 120 bpm who is unconscious.

3. Middle-aged man with severe asthma and a heart rate of 120 bpm who is having difficulty breathing.

4. A 70-year old man with a severe headache who is conscious.

5. A nurse assesses swallowing ability by asking the patient to sip some water. Which cranial nerves control swallowing?

1. Cranial nerves III and V.2. Cranial nerves I and II3. Cranial nerves VI and VIII4. Cranial nerves IX and X

6. Which tasks can be performed by nursing assistants for patients with diabetes?

1. Treat hypoglycemia2. Obtaining, reporting and documenting fingerstick glucose levels.3. Teach the patient dietary changes necessary with diabetes mellitus.4. Assessing the patient having a hypoglycemic reaction.

7. A patient has a cerebellar brain tumor. The nurse formulates a diagnosis of Risk for injury. Which “related to” phrase should the nurse add to the diagnosis comment?

1. Related to difficulty swallowing2. Related to visual field deficits3. Related to impaired balance4. Related to psychomotor seizures