Quizizz #121

Which of the following findings is most consistent with an open pneumothorax?

• bubbling of blood at the wound throughout the respiratory cycle
• a “sucking” sound at the wound throughout the respiratory cycle
• bubbling of blood at the wound during inspiration with a “sucking” sound at the wound duringexhalation
• bubbling of blood at the wound during exhalation with a “sucking” sound at the wound duringinspiration
  

Which of the following assessment findings is most likely to point to an evolving pulmonary contusion?

• crackles on auscultation
• egophony in the lower chest
• hyperresonnance to percussion
• increased fremitus over the affected lung
  

Which of the following injuries is specific to a flail-chest segment?

• dyspnea
• hemoptysis
• crackles on auscultation
• paradoxical chest-wall movement

Nuchal rigidity is best assessed by:

• asking a patient to shrug his or her shoulders
• asking a patient to tip his or her head forward
• asking a patient to tip his or her head backwards
• asking a patient to move his or her head from side to side
  

A patient is involved in a motor vehicle collision in which he is rear-ended. On arrival to the ED, he states he can’t feel his legs, although he is moving them spontaneously. He is able to feel painful stimuli, such as needle points to his lower legs, but cannot sense the vibration of a tuning fork against his lower leg. He should be suspected of having which of the following spinal cord injuries?

• central cord syndrome
• anterior cord syndrome
• posterior cord syndrome
• Brown-Sèquard syndrome

After being diagnosed, which of the following conditions would most likely go to the operating room from the emergency department?

• ischemic stroke
• cerebral contusion
• subdural hematoma
• complete spinal cord injury

A simple partial seizure is characterized by:

• maintenance of cognition during the seizure
• a prolonged postictal state postseizur
• intermittent tonic-clonic movements of the extremities
• cessation of movement and consciousness
  

A nurse suspects that treatment for pericarditis has been effective if which of the following parameters are noted:

• The patient’s sedimentation rate goes up.
• ST segments return to the baseline on the ECG.
• The patient denies chest discomfort in the upright position.
• The patient’s mean arterial pressure decreases from 94 mm Hg to 84 mm Hg.

Which of the following clinical manifestations is NOT considered part of Beck’s triad (classic indications of pericardial tamponade?

• muffled heart tones
• marked hypotension
• distended jugular veins
• widening pulse pressure

Which of the following statements regarding administration of aspirin to a patient with a myocardial infarction is most accurate?

• Chewable aspirin is preferred over nonchewable aspirin if a myocardial infarction is suspected.
• Aspirin should be withheld if the patient has had an aspirin containing product within 24 hours ofarrival to the ED.
• A dose of aspirin should be repeated if a patient does not have resolution of symptoms within 5minutes of administration.
• The maximum dose of aspirin should not exceed 160 mg if the patient has had an aspirin containingproduct within 24 hours of arrival to the ED.