Question 1

An 84-year-old patient is in the intensive care unit (ICU) on a ventilator following a multisystem trauma. The physician has discussed a do not resuscitate (DNR) order with the family. The wife states the patient would not want to live like this but the son is adamant that everything should be done and would not discuss a DNR. Which of the following would be the most appropriate intervention by the nurse?

Options :

A : Refer the situation to the ethical committee if it cannot be resolved.

B : Continue treatment until the family can make a decision.

C : Tell the wife that the son is right and she should support his decision.

D : Ask the physician to make the decision for a DNR.

Answer: A

Question 2

Ms. Carrington slipped and fell while at home. She attempted to brace herself for the fall and fractured the shaft of her radius. Which of the following injuries is least associated with radial fractures?

Options :

A : Elbow fracture

B : Shoulder fracture

C : Wrist fracture

D : Clavicle fracture

Answer: D

Question 3

A patient has an odontoid type II fracture without cord involvement; the health care provider would anticipate treatment involving:

Options :

A : Halo immobilization

B : C4–C5 surgical fusion

C : Traction with weights

D : Soft collar application

Answer: A

Question 4

Documentation of events with trauma patients is crucial. All of the following are examples of improper forensic documentation techniques except:

Options :

A : None of the above

B : The exit-wound bullet has been recovered and secured in a plastic bag.

C : Sheila Cohen, the patient’s spouse, is at bedside and tells the patient that she is so “sorry that things got out of control.”

D : The spouse is at bedside and seems to be feeling very guilty and remorseful by the way she is grieving over the patient.

Answer: C

Question 5

Following a motor vehicle collision, the patient and spouse come to the emergency room after suffering a brief loss of consciousness post airbag deployment. The CT of the head was unremarkable. The nurse provided discharge instructions to the patient and the patient’s spouse. What symptom would not be considered a reason to return to the emergency room?

Options :

A : Clear fluid leaking from the nose

B : Nausea and vomiting

C : Persistent headache

D : The patient is harder to wake than normal

Answer: C

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