CHALLENGER TNCC 8th Edition Provider Pre Course Online Modules-12. CHALLENGER Practice Exam

12. CHALLENGER Practice Exam
Pdf Summary
The provided document is a practice exam for the 8th Edition Provider Course of the Emergency Nurses Association (ENA). The exam contains 20 questions related to trauma care and management. Here is a summary of the exam:<br /><br />1. The key to a high-performance trauma team is effective communication.<br />2. Understanding the mechanism of injury and energy transfer can help in evaluating and anticipating the types of injury that may be present in an injured patient.<br />3. Uncontrolled hemorrhage is the major preventable cause of death in trauma patients.<br />4. The across-the-room observation step in the initial assessment allows for the assessment of uncontrolled internal hemorrhage.<br />5. Ventilation principles associated with a bag-mask device include delivering 100% oxygen and compressing the device completely.<br />6. End-tidal carbon dioxide is the best measure of the adequacy of cellular perfusion and helps predict the outcome of resuscitation.<br />7. Nonsteroidal anti-inflammatory drugs are a safe pharmacological alternative to opioids for rib fracture pain management in anticoagulated patients.<br />8. Hypocapnia causes cerebral vasoconstriction in patients with severe traumatic brain injury.<br />9. Further assessment is indicated for laceration of the carotid artery in a patient with a knife injury to the neck but with an intact airway and hemodynamic stability.<br />10. The appropriate technique for palpating the pelvis for stability is to apply firm pressure over the iliac crests downward and laterally.<br />11. The highest priority for ongoing assessment and management in a patient with a spinal cord injury at C5 is to maintain adequate respiratory status.<br />12. The first step to stop bleeding from a penetrating injury to the lower extremity is to initiate direct pressure.<br />13. Treatment for frostbite includes warming the affected part slowly over 30 to 60 minutes and using gentle friction to improve circulation.<br />14. Hemodynamic findings in a 30-week pregnant trauma patient with a blood pressure of 94/62 mm Hg and a heart rate of 108 beats/minute indicate normal vital signs in pregnancy.<br />15. In a 13-month-old involved in a motor vehicle collision, potential signs of mental status changes include sunken fontanel and crying but consolable.<br />16. The best position for maintaining an open airway in a bariatric patient is the supine position.<br />17. When obtaining a history for a patient following sexual assault, it is important to obtain information specific to the assault, not what happened afterward.<br />18. Coping behaviors for a trauma nurse who cared for a child with devastating burns include talking about taking the emergency nursing certification examination.<br />19. Fragmentation injuries from a bomb or objects in the environment are examples of secondary phase of injury in a bomb explosion.<br />20. Signs and symptoms of anxiety, restlessness, shaking, and hallucinations in a patient with a small subdural hematoma who fell and struck his head two weeks ago may be due to alcohol withdrawal.
Keywords
trauma team
communication
uncontrolled hemorrhage
bag-mask device
end-tidal carbon dioxide
hypocapnia
spinal cord injury
penetrating injury
frostbite
sexual assault