Trivium Clinical Skills and Procedures 3

Question 1

A patient receiving a blood transfusion develops sudden chills, fever, and back pain 15 minutes into the infusion. What is the priority action?

Accepted Answer

Stop the transfusion, keep the IV line open with normal saline, and notify the provider

Answer

Signs of an acute hemolytic reaction require immediately stopping the transfusion while maintaining IV access with normal saline and notifying the provider.

Question 2

Which finding indicates that a patient's chest tube is functioning correctly?

Accepted Answer

Intermittent bubbling in the water-seal chamber with respirations

Answer

Tidaling — intermittent fluctuation in the water-seal chamber that corresponds with respirations — indicates a patent, properly functioning chest tube.

Question 3

What is the correct hand placement for two-handed bag-valve-mask ventilation?

Accepted Answer

One hand forms a C-E clamp on the mask while the other squeezes the bag; a second provider squeezes the bag

Answer

Two-person BVM technique has one rescuer maintain a C-E clamp seal on the mask while the second rescuer compresses the bag, improving mask seal and tidal volume.

Question 4

A nurse is removing sutures from a healing wound. Which assessment finding would contraindicate suture removal?

Accepted Answer

Signs of wound dehiscence or incomplete healing

Answer

Dehiscence or evidence of inadequate healing indicates the wound cannot yet support itself without sutures, and removal should be delayed.

Question 5

When performing a 12-lead ECG, where is the V1 electrode placed?

Accepted Answer

4th intercostal space, right sternal border

Answer

V1 is placed at the 4th intercostal space on the right sternal border, serving as the reference point for the remaining precordial leads.

(Trivium) Trivium Health Care Exam Practice Test

(Trivium) Trivium Health Care Exam Practice Test

Trivium Clinical Skills and Procedures 3