A nurse is the first person on the scene of a motor vehicle accident.
The victim was the driver and is in the driver's seat unconscious.
The driver is breathing, has a pulse, and has minor lacerations on the head and face.
What action should the nurse implement first?

Stabilize the cervical spine until help arrives.

Control any external bleeding.

Use the head tilt chin lift method to maintain the airway.

Do not move the victim from the accident.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Stabilizing the cervical spine prevents further spinal injury in case of vertebral damage, which is a priority when managing trauma patients until specialized medical care becomes available.

Choice B rationale

While controlling bleeding is essential, it is secondary to stabilizing the cervical spine since the airway and neurological protection take precedence in trauma protocols.

Choice C rationale

The head tilt chin lift method should not be used if cervical spine injury is suspected, as it may exacerbate potential damage to the vertebrae or spinal cord.

Choice D rationale

While not moving the victim is critical, stabilization of the cervical spine is the primary intervention to prevent further injury before emergency assistance arrives.

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Correct Answer is ["56"]

Explanation

Step 1 is (250 mL ÷ 90 min) × 20 gtt/mL.

Step 2 is (2.777 mL/min × 20 gtt/mL).

Step 3 is 55.55 gtts/min. The final calculated answer is 56 gtts/min.

Correct Answer is ["0.1"]

Explanation

Step 1 is (225 mcg ÷ 1000 mcg) × 0.50 tablets.

Answer is 0.1 tablets.

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A nurse is the first person on the scene of a motor vehicle accident.The victim was the driver and is in the driver's seat unconscious.The driver is breathing, has a pulse, and has minor lacerations on the head and face.What action should the nurse implement first?

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Naxlex Comprehensive Predictor Exams

A client is to receive 250 mL of IV fluid over 90 minutes by gravity. The drop factor on the IV tubing is 20 gtts/mL. How many gtts/min should be administered?

Correct Answer is ["56"]

Explanation

A nurse is caring for a client who has heart failure and a prescription for digoxin 225 mcg PO daily. Available is digoxin PO 0.50 mg/tablet. How many tablets should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["0.1"]

Explanation

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A nurse is the first person on the scene of a motor vehicle accident.
The victim was the driver and is in the driver's seat unconscious.
The driver is breathing, has a pulse, and has minor lacerations on the head and face.
What action should the nurse implement first?