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SCHOOL OF NURSING
COLLEGE OF HEALTH SCIENCES
UNIVERSITY OF GHANA
FIRST SEMESTER EXAMINATIONS, 2010/2011
NURS 111: TRAUMA AND EMERGENCY NURSING (2 CREDiTS)
TIM~: ALLOWED: TWO (2) HOURS
INSTRUCTIONS: ANSWER ALL QUESTIONS. S~~CTION A ON TIlE QUESTION
PAPER AND SECTION B IN THE ANSWER BOOKLET PROVIDIW
I. Which of the following head injuries generally get worse in the first few hours after injury')
a. Brainstem contusion
b. Cerebral concussion
c. Cerebral contusion
d. Cerebral edema and intracranial hemorrhage
2. The injury which causes the brain to be damaged on the side opposite of the impact is called
... _ - - - -
a. concussion
b. contrecoup
c. contusion
d. coup
3. The trauma nurse knows that an injury which classically presents with unconsciousness
immediately after the accident followed by a lucid interval and then a decreasing kvel or
consciousness is most likely a(n )_ __
a. cerebral hemorrhage
b. concussion
c. epidural hematoma
d. subdural hematoma
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'< N (J M BE iC __________ _ ~~-
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52. bent
53. Open Line of fracture twist along shaft of bone
54. Oblique , d. Results from pulling effect of tendons iligament
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55. Impacted
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56. Greenstick
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57. Transverse Fracture fragment overrides other bone fragment
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58. Displaced Fracture with more than two fragment
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_ _60. Pathologic Line of fracture at right angle to longitudinal axis
Section B
Answer all the questions in the answer booklet provided
Ii
I. Akosua seven years old, mistakenly drank kerosene from a Tampico bottle and has been
rushed to the outpatient department.
a. List [<OUR signs and symptoms of irritant poison?
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(2marks) :: .~ -
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b. How would you classify Akosua's poisoning?
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(2marks) . '.' ~ -::-:,'I'
c. Describe the first aid management you would give to Akosua and family.
(6marks)
Total =40marks
4. During your assessment you determine that the patient exhibits confused speech, follows
-- simple commands and opens his eyes on his own. What Glasgow Coma Scale value would
you assign?
a. IS
b. 14
c. 12
d. 10
8. The presence of blood or other fluids in the trachea causes an unusual breathing sound
known as ________
a. crowlIlg
b. gurgling
c. snoring
d. wheezing
9. An emergency or first aider who is breathing for a patient must continue to do so until
- - - - - - - _..._ - - - - -
EXAMINER: MRS CECILIA ELIASON
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'10, If breathing ceases, the patient is in _ _ _ _ __
a, cardiac arrest
b, dyspnea
c. respiratory arrest
d. tachypnea
II. During mouth·to·mouth ventilation the patient receives air with .. ___ .~
a. 6% oxygen
b, 10% Oxygen
c. 15% Oxygen
d, 21 % oxygen
12, The best place to check for a pulse in a patient with a possible cardiac arrest is at the ______'
a, ankle
b, elbow
c, neck
d. wrist
13. To open the airway of an infant, use the head -tilt, chin -lift maneuver and apply
a. a slight extension
b, a slight flexion
c. an exaggerated extension
d. an exaggerated flexion
19. During adult CPR the heel of the hand is placed over the compression point. Where are the
fingers?
a. Off the chest
b. Curled into a fist
c. Curled between the ribs
d. Pressing downward
'31. A patient with a head injury has clear or light pink fluid coming from the nose. This likely
indicates _ _ _ _ _ _ _ _ __
a. A skull fracture
b. Perforation of a sinus
c. Intracranial bleeding
d. Intracranial pressure
32. Which of the following is not evaluated in the Glasgow Coma Scale?
a. Spontaneous eye opening
b. Ability to obey commands
c. Ability to withdraw from painful stimuli
d. Blood pressure
34. After ensuring respirations and circulation in a patient with possible internal bleeding you
should
a. Administer liquids by mouth
b. Apply a bulky dressing
c. Elevate the feet
d.Place the patient in sitting position
35. Shock may be indicated by all of the following signs and symptoms EXCEPT____ _
a. Bounding pulse
b.Cold clammy skin
c. Restlessness
d. Shallow breathing
45. A diabetic person has the following signs: rapid full pulse, cold clammy skin,
and convulsions. These signs may indicate _________
a. Diabetic coma
b. Diabetic shock
c. Insulin coma
d. Insulin shock
46. A patient who experiences tonic and clonic seizures probably has ____ ._ .. __ _
a. A brain tumor
b. Asthma
c. Epilepsy
d. Pancreatitis
47. Which seizure disorder begins at one location and may progress to a generalized seizure?
a. r ocal motor
b. Grand mal
c. hysterical
d. Petit mal
State whether the following statements (questions 48 to 50) are True or False
48. Both head and spine injuries may present without recognizable signs or symptoms.
49. lt is common [or the trauma nurse to observe either Battle's sign or bilateral periorbital
ecchymosis in the patient who has just sustained a basilar skull fracture.
50. The primary assessment is completed in the first few minutes while at the patient's side. Ir
done correctly, it never needs to be repeated or updated. ______