First assessment in a patient with suspected spinal cord injury Answer: C. A patient with difficulty breathing Post-operative thyroidectomy patient requiring immediate nursing care Answer: B. A patient with difficulty breathing Which patient should be assessed first? Answer: B. A patient with severe pain Who should the nurse see FIRST? Answer: C. A patient with sudden shortness of breath Patient with fractures requiring immediate attention Answer: C. A patient with loss of sensation in the limb Patient with head injury develops unilateral pupil dilation Answer: D. Increased intracranial pressure Condition most at risk for developing myoglobinuria Answer: A. Crush injury Condition that can increase intracranial pressure Answer: C. Hypoxemia Symptoms that indicate thyroid storm Answer: B. Tachycardia From the second page: Nursing action that helps reduce intracranial pressure in head injury Answer: A. Elevate head of bed Head injury patient suddenly drowsy with repeated vomiting Answer: A. Cerebral edema Patient with spinal cord injury at C3 is most at risk for Answer: C. Respiratory failure Finding suggesting recurrent laryngeal nerve damage after thyroidectomy Answer: A. Hoarseness of voice Finding most characteristic of hypothyroidism Answer: C. Cold intolerance

First assessment in a patient with suspected spinal cord injury Answer: C. A patient with difficulty breathing Post-operative thyroidectomy patient requiring immediate nursing care Answer: B. A patient with difficulty breathing Which patient should be assessed first? Answer: B. A patient with severe pain Who should the nurse see FIRST? Answer: C. A patient with sudden shortness of breath Patient with fractures requiring immediate attention Answer: C. A patient with loss of sensation in the limb Patient with head injury develops unilateral pupil dilation Answer: D. Increased intracranial pressure Condition most at risk for developing myoglobinuria Answer: A. Crush injury Condition that can increase intracranial pressure Answer: C. Hypoxemia Symptoms that indicate thyroid storm Answer: B. Tachycardia Nursing action that helps reduce intracranial pressure in head injury Answer: A. Elevate head of bed Head injury patient suddenly drowsy with repeated vomiting Answer: A. Cerebral edema Patient with spinal cord injury at C3 is most at risk for Answer: C. Respiratory failure Finding suggesting recurrent laryngeal nerve damage after thyroidectomy Answer: A. Hoarseness of voice Finding most characteristic of hypothyroidism Answer: C. Cold intolerance