Which of the trauma patients below would be first to get O negative blood?
A. 35 yr old male
B. 26 yr old female
C. 60 yr old female
D. 18 yr old male
B. The 26 yr old female. O negative is the universal donor. However boys and women that are out of pregnancy age can receive O positive blood.
100
What is the joules used on a pediatric pt for cardioversion?
0.5-1J/kg
100
What is the correct SQ or IM epi used for an allergic reaction ?
A. 1/10000
B. 0.25mg
C. 1/1000
D. none of the above
C. 1/1000
100
We check apgar score at what times?
A. 2 minutes post birth
B. only at actual birth
C.1 and 5 minutes
D. 1,5,and 10 minutes
D. 1,5 and 10 minutes
100
Testicular torsion usually occurs at what age?
A. 12-18
B. 35 and over
C. 25 and over
D. infants
A. Usually age 12-18. Can occur during sleep and has rapid onset. Elevation or manipulation increases pain.
200
Is it common/normal for children to have rib fractures?
NO. Kids have cartilaginous ribs which are not easily fractured. Rib fractures usually indicate significant underling trauma or possible abuse.
200
What is the correct joules for a pediatric defibrillation?
2 J/kg for first shock, 4 J/kg for second shock, up to
10 J/kg.
Watch joules on larger child. Max at adult dose.
200
Name the 3 paralytic medications used in RSI?
Rocuronium, Vecuronium and Succs
200
Medication given to terminate fetal growth in a confirmed ectopic pregnancy?
Methotrexate
200
What is a potential complication of a cocaine OD?
A. Respiratory acidosis
B. Elevated troponin level
C. Red blood cells in the urine
D. Decreased blood glucose levels
B. Elevated troponin level
300
What is a primary regulator of blood flow to the brain.
Carbon dioxide OR Oxygen?
Carbon dioxide
Increased or Decreased carbon dioxide levels (CO2) result in either vasoconstriction or vasodilation of the cerebral vessels?
THINK ABOUT YOUR CO2 LEVELS!!! (TNCC p. 97)
300
What is the max kgs a child can be to use the pediatric defibrillation pads?
A. 20kg
B. 10kg
C. 25kg
D 30kg
B. 10kg (Says on GREEN package.)
300
Epi pen junior is used on what size of child? kg-kg?
BONUS QUESTION!!!
Is the epi pen junior in the peds code cart?
10-30kg
300
Medication given in an emergent situation with a pregnant patient suffering from eclampsia?
Magnesium sulfate
300
Hyperthermia may increase or decrease ICP?
Increase.
It may increase the cerebral metabolic rate and ICP.
400
THE EMERGENCY NURSE WOULD ANTICIPATE THAT WHICH OF THE FOLLOWIG TRAUMA PATIENTS IS MOST LIKELY TO BE TRANSFERRED TO THE SURGICAL SUITE FOR OPERATIVE REPAIR OF THEIR INJURY?
a. A PATIENT WITH A BLADDER CONTUSION WHO COMPLAINS OF PAIN ON VOIDING
b. A PATIENT WITH A CONTUSED KIDNEY WHOSE MEAN ARTERIAL PRESSURE IS 86 mm HG.
c. A PATIENT WHO HAS CONTRAST MEDIUM NOTED IN THE PELVIC SPACE ON CT
d. A PATIENT WITH A KNOWN RENAL LACERATION WHOSE URINALYSIS IS POSITIVE FOR MICROSCOPIC HEMATURIA.
C. A patient who has contrast medium noted in the pelvic space on CT
400
A child weighs 30kg. What is the max joules for defibrillation?
150 joules max. Don't exceed adult dose.
30kg X 2J=60 joules
30kg X 4J= 120 joules
30kg X 10J= 300 joules WRONG!!!!
400
A conscious patient needs an IO. What med is infused into the IO for pain after placement before being used?
2% lidocaine without epi. (same lidocaine as in ACLS)
400
With a diagnosis of "threatened abortion" the patient has continued bleeding and cramping.
Does the cervical os remain closed or open?
closed
400
What is tidal volume?
The amount of air moved in and out of the lungs with each breath.
500
A trauma pt arrives to the ED with an open fracture of the femur and c/o abd pain. What is the first thing a nurse evaluates on the trauma nursing primary assessment?
A. Circulation
B. Breathing
C. Bleeding/wounds
D. Airway
D. Airway
What will kill them first?
500
When is it recommended to have the joules ready to shock during CPR?
Before rhythm check not check pulse and then charge defibrilator
500
What are the 2 medication we typically give intranasal?
Versed and Fentanyl
500
Which of the following is not part of measurement of the Apgar score?
A. color
B. muscle tone
C. Respiratory rate
D. Reflex irritability
C. Respiratory rate. RESPIRATORY EFFORT is measured not rate.
500
An NPA (nasopharyngeal) can be used in which type of patient?
A. Unresponsive
B. responsive
C. Unresponsive and responsive
Both, just not in facial trauma
Oral airways you can't use on a responsive pt r/t gag reflex.