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ABCs of Trauma
Take a Breath
Move to the Beat
Wild Card
Keep on dripping
100

Purpose of placing a chest tube

What is to restore negative pressure to the pleural cavity

100
Blood gas results are: pH 7.33, paCO 56, HCO3 28, paO2 82. Analyze this blood gas result.
What is Respiratory Acidosis?
100
This is the first medication & dose administered during a pulseless code (cardiac arrest) response.
What is Epinephrine 1mg IVP?
100
A condition characterized by polydipsia and large amounts of water-like urine with specific gravity 1.001 to 1.005.
What is Diabetes Insipidus
100
These fluids do not affect the size of the cell. The extracellular fluid concentration is equal to the intracellular fluid concentration. Name 1 type of this fluid.
What is isotonic fluids. possible answers: 0.9 NS, LR
200

What is the TBSA for someone with burns to the right anterior side of chest and abdomen and right anterior arm and right anterior leg.  

22.5%

200
HOB at 30 degrees Oral hygiene Peptic ulcer prophylaxis Sedation Holiday
What are elements of the VAP bundle?
200
This medication is used to treat SVT and must be given in a specific manner to reach the heart within seconds.
What is Adenosine? How is it given? What does it do?
200
Patients with SIADH need to be closely monitored for what electrolyte imbalance?
What is Hyponatremia
200

A patient on nitroglycerin infusion has BP 78/48. What is the priority?

Stop or lower the infusion rate


300

A patient has LOC at the scene of a car accident. Arrives to the ED awake and alert, complaining of a headache, chest pain, and nausea. The patient LOC again, what does the nurses suspect?

What is an epidural hemorrhage

300
Your patient is on a ventilator and his tubing that returns to the ventilator becomes disconnected. This alarm is most likely to sound.
What is the Low Volume Alarm?
300

What clinical symptoms might the nurse expect to find in a client with a central venous pressure (CVP) of 24 mm Hg? Name 4

Crackles, JVD, Increased urine output, edema, change in LOC, headache

300

What is the priority action for suspected sepsis?

Draw a lactate, blood culture, start IV fluids, get antibiotics started

300

The nurse is caring for a client with chronic kidney disease on continuous replacement renal therapy (CRRT) without the use of a hemodialysis machine. The nurse determines that which parameter is most important in ensuring success of this treatment?

MAP

400

You are first on scene in a disaster, what color is the following client? abdominal tenderness, minor penetrating trauma, wandering around looking for child, A & O x 3, RR 24, strong radial pulse.

What is a green tag

400

Expected assessment finding for an air leak in a chest tube

Bubbling in the air leak chamber

400
This medication is a first line treatment for symptomatic sinus bradycardia.
What is atropine?
400

Most likely cause of a patient presenting with nausea, polyuria, polydipsia, general malaise, with a blood glucose of 787

HHS

400
1st line drug to treat Torsades de pointes. How do you give this drug? IVP or infusion?
What is Magnesium?
500

Client presents with headache, dizziness, and diaphoretic, flush skin. Hx includes MI, C6 spinal cord injury, and DM2. What should the nurse assess for first. 

What is Elevate HOB and assess blood pressure and bladder distention

500

You do this when a chest tube falls out of the patients chest. 

Assess, cover with gauze tape on 3 sides, monitor, notify provider, prepare new set up

500
The following are classic signs for what condition? 1. Increased JVD 2. Hypotension 3. Muffled heart sounds (this is also known as Beck's Triad)
What is Cardiac Tamponade
500
The pressure required to perfuse the brain cells? How it is calculated?
What is Cerebral Perfusion Pressure MAP-ICP=CPP
500
These drugs essentially turn off the sympathetic nervous system decreasing HR, BP and afterload. They increase diastolic perfusion and blood to the coronary arteries. Name a drug in this classification.
What are Beta Blockers Metoprolol, Atenolol, Esmolol