Med Surg Proctored Exam (Cni College) Practice Questions - Set 27

Your patient developed acute respiratory distress and was just emergently intubated.
Because of normal human anatomy, you understand that the most common misplacement of tube position is likely to be:

A blow to the head which results in a temporary alteration in consciousness or brief unconsciousness, but is not usually expected to result in permanent damage will MOST likely be classified as what?

A 58-year-old male is brought to the Emergency Room after receiving a blow to the head with a bat in a local barroom brawl.

Witnesses report that the patient was unconscious at the bar after being hit, but recovered consciousness about 5 minutes later.

Now as you assess the patient, he appears to be falling asleep and is unable to verbally reply to your sentences.

What is your PRIORITY action?

A nurse is caring for a client who was recently admitted to the emergency department following a head-on motor vehicle crash. The client is unresponsive, has spontaneous respirations of 22/min, and has a laceration on the forehead that is bleeding.
Which of the following is the PRIORITY nursing action at this time?

Your patient in the Emergency Room states he is a 62-year-old male and is here with a chief complaint of left-sided arm weakness and left facial droop. The patient smells strongly of alcohol, and labs show a Blood-alcohol level of 0.2%. The patient has several scrapes and bruises in various stages of healing on his arms, face, and head.
What is the MOST likely cause of his symptoms?

Your patient is currently unconscious after a bad car accident.
After a CT scan and MRI are performed on the patient's head and neck, there are signs of brain bruising on both the anterior and posterior portions of the brain. This should be documented as signs of what?

Your patient is a 30-year-old female who fell indoors and landed on her head while using a ladder to reach for something that was high up on a shelf.
The patient has developed massive bleeding in the brain. Which of the following signs would be the MOST consistent with a brain herniation?

You are an RN who is precepting a newly graduated nurse. The new grad asks you what the signs and symptoms are for a patient with Cushing's Triad.
Which of the following WOULD NOT be part of your answer?

You are an ICU nurse caring for a patient who has been having intermittent increases in their intracranial pressure (ICP). What are the measures that you as the RN can implement to try and decrease the patient's ICP? < Select all that apply>

You receive a new patient who received severe trauma to the front of her face from a suspected spousal abuse assault. You notice both blood and a clear fluid draining from the patient's nose.
What is your best treatment to prevent further injury to your patient?