Intensive Care Nursing MCQs Nursing

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6 months ago

1. What is the primary goal of trauma nursing?
a) To manage chronic illnesses
b) To provide immediate care for traumatic injuries
c) To perform routine check-ups
d) To manage long-term rehabilitation
Answer: b) To provide immediate care for traumatic injuries

2. What does the “ABCDE” approach in trauma care stand for?
a) Airway, Breathing, Circulation, Disability, Exposure
b) Airway, Breathing, Circulation, Dosing, Examination
c) Airway, Breathing, Compression, Disability, Environment
d) Assessment, Breathing, Circulation, Discharge, Evaluation
Answer: a) Airway, Breathing, Circulation, Disability, Exposure

3. What is the initial step in managing a trauma patient according to the ABCDE approach?
a) Assess circulation
b) Establish airway
c) Check disability
d) Assess exposure
Answer: b) Establish airway

4. What is the most common cause of hypovolemic shock in trauma patients?
a) Cardiac arrest
b) Blood loss
c) Dehydration
d) Infection
Answer: b) Blood loss

5. What is the primary treatment for tension pneumothorax?
a) Intravenous fluids
b) Needle decompression
c) Chest tube insertion
d) Antibiotics
Answer: b) Needle decompression

6. What is the purpose of performing a FAST (Focused Assessment with Sonography for Trauma) exam?
a) To assess for fractures
b) To evaluate for internal bleeding
c) To measure vital signs
d) To assess airway patency
Answer: b) To evaluate for internal bleeding

7. In trauma nursing, what does “circulation” involve?
a) Ensuring the patient has a patent airway
b) Checking the patient’s level of consciousness
c) Assessing and managing blood pressure and pulse
d) Performing a neurological examination
Answer: c) Assessing and managing blood pressure and pulse

8. What is the primary purpose of a cervical collar in trauma care?
a) To stabilize the spine
b) To provide comfort
c) To administer medication
d) To monitor vital signs
Answer: a) To stabilize the spine

9. What does the term “trauma triage” refer to?
a) The process of assessing and categorizing trauma patients based on the severity of their injuries
b) The process of discharging patients
c) The process of administering pain relief
d) The process of performing routine physical exams
Answer: a) The process of assessing and categorizing trauma patients based on the severity of their injuries

10. What is the most critical intervention for a patient with suspected spinal cord injury?
a) Administering fluids
b) Immobilizing the spine
c) Performing chest compressions
d) Giving pain medication
Answer: b) Immobilizing the spine

11. What is the recommended method for controlling external bleeding in trauma patients?
a) Elevating the affected limb
b) Applying a cold compress
c) Using direct pressure and a pressure bandage
d) Administering intravenous fluids
Answer: c) Using direct pressure and a pressure bandage

12. What does “disability” assess in the ABCDE approach?
a) The patient’s ability to move their limbs
b) The patient’s level of consciousness and neurological status
c) The patient’s ability to breathe
d) The patient’s cardiovascular stability
Answer: b) The patient’s level of consciousness and neurological status

13. What is the primary concern for a patient with a suspected abdominal injury?
a) Infection
b) Bleeding and organ damage
c) Skin integrity
d) Pain management
Answer: b) Bleeding and organ damage

14. What is the purpose of administering intravenous fluids in trauma care?
a) To provide nutrition
b) To manage blood loss and maintain circulation
c) To reduce pain
d) To treat infections
Answer: b) To manage blood loss and maintain circulation

15. In trauma nursing, what is the significance of a “secondary survey”?
a) It involves a detailed head-to-toe assessment after the initial resuscitation
b) It is used to determine the patient’s discharge needs
c) It is the initial triage process
d) It is used to assess for fractures only
Answer: a) It involves a detailed head-to-toe assessment after the initial resuscitation

16. What is a common sign of a pelvic fracture?
a) Abdominal pain
b) Lower back pain
c) Hematuria
d) Difficulty walking or bearing weight
Answer: d) Difficulty walking or bearing weight

17. What is the primary intervention for a patient with a suspected traumatic brain injury (TBI)?
a) Administering pain medication
b) Performing a lumbar puncture
c) Ensuring adequate airway and monitoring intracranial pressure
d) Applying a cervical collar
Answer: c) Ensuring adequate airway and monitoring intracranial pressure

18. What does the term “hypotension” indicate in a trauma patient?
a) High blood pressure
b) Low blood pressure
c) Normal blood pressure
d) Elevated heart rate
Answer: b) Low blood pressure

19. What is the primary role of a trauma nurse during a mass casualty incident?
a) To prioritize care based on injury severity and available resources
b) To conduct financial assessments
c) To manage hospital administration
d) To perform routine patient check-ups
Answer: a) To prioritize care based on injury severity and available resources

20. What is a “cushing triad” in trauma nursing?
a) A sign of increased intracranial pressure characterized by hypertension, bradycardia, and irregular respirations
b) A method of fluid resuscitation
c) A type of spinal injury
d) A surgical procedure for trauma care
Answer: a) A sign of increased intracranial pressure characterized by hypertension, bradycardia, and irregular respirations

21. What is the purpose of “wound debridement” in trauma care?
a) To remove damaged or contaminated tissue to promote healing
b) To administer antibiotics
c) To stabilize fractures
d) To manage pain
Answer: a) To remove damaged or contaminated tissue to promote healing

22. What is the first-line treatment for an open fracture?
a) Applying a splint and immobilizing the fracture
b) Administering pain medication
c) Performing surgical intervention
d) Applying a bandage over the wound
Answer: a) Applying a splint and immobilizing the fracture

23. What does “fast-tracking” mean in trauma care?
a) Prioritizing patients with less severe injuries for quicker treatment
b) Delaying treatment for minor injuries
c) Immediate triage and treatment of patients with severe injuries
d) Providing immediate discharge to all patients
Answer: c) Immediate triage and treatment of patients with severe injuries

24. What is “compartment syndrome”?
a) A condition where increased pressure within a muscle compartment reduces blood flow and can cause tissue damage
b) A type of spinal injury
c) A type of fracture
d) A form of allergic reaction
Answer: a) A condition where increased pressure within a muscle compartment reduces blood flow and can cause tissue damage

25. What is the recommended method for assessing a patient’s level of consciousness?
a) Using the Glasgow Coma Scale
b) Measuring blood pressure
c) Observing respiratory rate
d) Checking temperature
Answer: a) Using the Glasgow Coma Scale

26. What is the primary concern for a patient with a suspected rib fracture?
a) Pneumothorax or hemothorax
b) Skin infection
c) Gastrointestinal bleeding
d) Abdominal pain
Answer: a) Pneumothorax or hemothorax

27. What is the purpose of “triage” in a trauma setting?
a) To prioritize patients based on the severity of their injuries
b) To discharge patients who are stable
c) To manage hospital finances
d) To perform routine check-ups
Answer: a) To prioritize patients based on the severity of their injuries

28. What does “reassessment” involve in trauma care?
a) Regularly evaluating the patient’s condition and response to treatment
b) Discharging the patient
c) Initiating new treatment protocols
d) Performing initial triage
Answer: a) Regularly evaluating the patient’s condition and response to treatment

29. What is “emergency medical services (EMS)”?
a) A system of providing pre-hospital emergency medical care and transportation
b) A type of patient discharge service
c) A method for financial management in hospitals
d) A routine patient care protocol
Answer: a) A system of providing pre-hospital emergency medical care and transportation

30. What is the recommended treatment for a patient with suspected internal bleeding?
a) Administer intravenous fluids and blood products
b) Apply external pressure
c) Perform immediate surgery
d) Provide oral fluids
Answer: a) Administer intravenous fluids and blood products

31. What does “airway management” involve?
a) Ensuring the airway is clear and open to allow for proper breathing
b) Managing patient comfort
c) Administering pain medication
d) Assessing circulation
Answer: a) Ensuring the airway is clear and open to allow for proper breathing

32. What is a common complication of long bone fractures?
a) Nerve damage
b) Infection
c) Fat embolism
d) Muscle atrophy
Answer: c) Fat embolism

33. What is the significance of a patient’s mechanism of injury?
a) It helps to predict potential injuries based on the nature of the trauma
b) It is irrelevant in trauma care
c) It helps to assess the patient’s emotional state
d) It is used only for billing purposes
Answer: a) It helps to predict potential injuries based on the nature of the trauma

34. What is the purpose of a trauma registry?
a) To collect and analyze data on trauma patients for quality improvement
b) To manage patient billing
c) To discharge patients more quickly
d) To monitor hospital staff performance
Answer: a) To collect and analyze data on trauma patients for quality improvement

35. What does “transport” refer to in trauma care?
a) Moving a patient safely to an appropriate facility for further treatment
b) Transferring medical records
c) Moving equipment
d) Discharging patients
Answer: a) Moving a patient safely to an appropriate facility for further treatment

36. What is the role of a trauma surgeon?
a) To manage surgical interventions and care for trauma patients
b) To perform routine check-ups
c) To administer medications
d) To manage hospital finances
Answer: a) To manage surgical interventions and care for trauma patients

37. What is a common sign of an aortic injury in trauma patients?
a) Abdominal pain
b) Sudden hypotension
c) Nausea
d) Shortness of breath
Answer: b) Sudden hypotension

38. What is the significance of “preventive care” in trauma nursing?
a) To identify and address potential risks to prevent future trauma
b) It is not relevant in trauma care
c) To manage chronic illnesses
d) To conduct routine check-ups
Answer: a) To identify and address potential risks to prevent future trauma

39. What is the primary goal of pain management in trauma nursing?
a) To eliminate all pain
b) To provide comfort and facilitate recovery
c) To prevent patient movement
d) To prepare for surgery
Answer: b) To provide comfort and facilitate recovery

40. What is the main purpose of a “primary survey” in trauma care?
a) To identify life-threatening conditions and stabilize the patient
b) To perform a detailed assessment of injuries
c) To evaluate discharge needs
d) To administer medication
Answer: a) To identify life-threatening conditions and stabilize the patient

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