Abdominal Trauma

1. contraindication nasogatric tube insertion for patient with abdominal trauma if :

Select one:

a. shock

b. facial trauma

c. decreased level consiusness

d. abdominal bleeding

e. Vomitting

2. What is a priority medication Management of penetrating abdominal trauma that indicated for
shock, evisceration, and peritonitis:

Select one:

a. Fluid management

b. Medication

c. Airway management

d. Breathing management

e. Immediate laparatomy

3. Specific organ will injuries when the abdominal trauma happend:

Select one:

a. thorax.

b. Appendix.

c. Epigastrium.
 d. Spinal Cord.

e. Liver.

4. Nurse will asses and physical examination to patient with abdominal trauma, will find are:

Select one:

a. Pain

b. Absent bowel sounds

c. Hypertympani

d. Hypertension

e. anoreksia

5. Primary survey for patient with abdominal trauma is:

Select one:

a. Gastric tube.

b. A,B,C

c. Foley Catheter X Rays: Chest, Pelvis (blunt trauma).

d. Stage of Resuscitation

e. Re evaluation of ABC , Monitors

6. Identify the order of medical or nursing management for patients with multiple injuries:

Select one:

a. Measure the vital sign, find out the doctor

b. Prevents hypovolemic shock, assesses head injury, improves airways, controls bleeding
 c. Improve airway, control bleeding, prevent hypovolemic shock, assess head injury

d. Control bleeding, prevent hypovolemic shock, improve airway, assess head injury

e. Assess head injury, control bleeding, improve the airway, prevent hypovolemic shock

7. Which of the following couples about Glasgow Coma Score is not correct?

Select one:

a. 6 - The eyes open spontaneously

b. 5 - localize the pain (motor activity)

c. 1 - no verbal response

d. 3 - eyes open against verbal stimulation

e. 6 - move according to command

8. Intermediate care for patient with spinal cord injuries to prevent of complication are, except:

Select one:

a. Head to toe care

b. Bed and beddings

c. temperature control

d. wound care

e. monitoring vital sign

9. A nurse works in the triage area of the Emergency Unit. She noticed that some pediatric clients
arrive simultaneously. Client that needs to be treated first is:

Select one:

a. A 4-year-old boy with a barking cough and a flushed appearance.

 b. A 5-year-old cries with a laceration on his scalp.

c. A 2-year-old baby with a stridor breath sounds, sitting by his mother and eating.

d. A 5-year-old cries with a laceration on his arm

e. A 3-year-old boy with a pale Down syndrome and falling asleep in his mother's arms.

10. An oropharyngeal airway in a child should be included:

Select one:

a. Reversed and then rotated 180 degrees.

b. At a 90 degree angle.

c. With the concave portion touch the posterior pharynx.

d. With a convex portion facing up.

e. Using tongue spatel.

11. The procedure of pounding towards the back of the top by putting the hands clenched on the
upper abdomen (below the sternum) is called:

Select one:

a. Valsava maneuver

b. Heimlich maneuver

c. Leopold maneuver

d. Sellick maneuver

e. Valsava maneuver

12. The patient was a 34-years-old male who was diagnosed with blunt abdominal trauma. Physical
examination identified there are bruises, abrasion over the abdomen,
 Abdominal pain or tenderness, absent bowel sounds and oliguria and hypotension
.

Select one:

a. Risk for Bleeding

b. Hypotension

c. Hipovolemia

d. Ancietas

e. Risk for infection

13. A client is prescribed alprazolam (Xanax) for acute anxiety. What client history should cause a
nurse to question this order?

Select one:

a. History of alcohol dependence

b. History of personality disorder

c. History of hypertension

d. History of schizophrenia

14. What is the main intervention for patient with nursing diagnosis Hypovelemia :

Select one:

a. infection protection

b. Monitoring fluid balance

c. acid - base management

d. Pain management

e. fluid management
15. Most commonly injured organs in penetrating abdominal trauma:

Select one:

a. Spleen

b. Pancreas

c. colon.

d. small intestine.

e. Liver.