TNS Pre/Post Test
What is a consequence of anaerobic metabolism - ANSWER-decreased ATP production
What occurs following release of aldosterone from the adrenal cortex? - ANSWER- Kidney's reabsorb sodium and water
What is an example of a hypertonic IV solution - ANSWER-3% Saline
What is an example of an isotonic IV solution? - ANSWER-Lactated Ringer
What is associated with hyponatremia - ANSWER-Seizures
What is the maximum response time for a neurosurgeon at a level I Trauma Center for a Category I trauma patient? - ANSWER-60 minutes
Which legislation provides the statutory authority to establish and regulate EMS and Trauma Systems in Illinois - ANSWER-Illinois EMS act and Trauma Center Code
Starling's Law states that optimum ventricular wall stretch will result in - ANSWER-more forceful contractions
It originates just above aortic valve leaflets and is dependent on the aortic root afterload
- ANSWER-coronary arteries
what is afterload - ANSWER-Resistance or impedance to ventricular ejection
What does a CVP of 0 mmHg reflect in an adult with multiple trauma? - ANSWER- Hypovolemia and need for fluid resuscitation
What medication decreases myocardial contractility - ANSWER-Metoprolol
What suggests overhydration - ANSWER-dependent edema
What will directly increase LV afterload? - ANSWER-Titrating Neosynephrine drip to keep MAP >60
What is the minimum MAP needed to fill the coronary arteries? - ANSWER-60-65 mmHg
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Which mechanism of cellular transport moves molecules passively from an area of higher to an area of lower particle concentration along their concentration gradient - ANSWER-diffusion
The ED has received multiple trauma patients and all the TNS's are caring for them.Another trauma patient has just arrived and is designated a Category II. Based on the Illinois Trauma Center regulations, who can care for this patient? - ANSWER-A nurse with 4 documented hours of trauma training
A category I trauma patient has arrived at the trauma center. According to the Illinois Trauma Center regulations, which is required documentation on the trauma nursing sheet? - ANSWER-The time the patient arrived at the trauma center
What is the maximum response time for anesthesia when requested by a Level II Trauma Center for a category I patient? - ANSWER-On call for response within 30 minutes.
A trauma patient presents with traumatic brain injury. What blood gas findings are associated with cerebral vasodilation? - ANSWER-pO2 45mmHg
Which lobe of the brain is responsible for intellect, judgment, and purposeful movement? - ANSWER-Frontal Lobe
In which space does the cerebrospinal fluid circulate? - ANSWER-Subarachnoid
Which two cranial nerves provide a gag reflex? - ANSWER-Glossopharyngeal and Vagus (IX & X)
What connects the two major arteries bringing blood flow to the cerebral tissues? - ANSWER-Circle of Willis
What should a TNS expect when the parasympathetic system is stimulated? - ANSWER-Bronchial Constriction
What is the primary neurotransmitter of the sympathetic nervous system? - ANSWER- Norepinephrine
What are early signs on increased ICP? - ANSWER-confusion, headache, vomiting, visual field deficits
Fixed deviation of the eye toward the nose with loss of outward movement to the ear is caused by dysfunction of what cranial nerve - ANSWER-CN VI abducens
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