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    Exam Review

    1. Which statement correctly reflects Texas Board of Nursing requirements regarding human trafficking training?
      A)
      The training is optional unless the nurse suspects trafficking in their workplace
      B)
      Only nurses working in emergency departments must complete human trafficking education
      C)
      All Texas nurses must complete a Human Trafficking Prevention course approved by HHSC for license renewal
      D)
      Nurses may complete any online trafficking course from any state D. The training is optional unless the nurse suspects trafficking in their workplace
    2. A 40-year-old male is brought to the emergency department following a lawnmower accident at home. Upon arrival, he is conscious and alert but in significant distress. Physical examination reveals traumatic amputation of his right foot, with active bleeding. The patient reports severe pain in the affected area. In the presented scenario, which of the following interventions should be prioritized for this patient?
      A)
      Applying ice packs to the affected area
      B)
      Administering intravenous pain medication
      C)
      Elevating the affected limb
      D)
      Direct pressure to control bleeding
    3. A 28-year-old female presents to the gynecology clinic for her routine check-up. She discloses a history of female genital mutilation (FGM) performed during childhood in her native country. Upon assessment, the nurse notes scarring and altered anatomy consistent with FGM. The patient reports experiencing chronic pelvic pain, dyspareunia (painful intercourse), and difficulty with menstruation.
      (SATA)
      A)
      Based on the scenario provided, which of the following long-term complications is the patient likely to experience as a result of female genital mutilation? Select all that apply.
      B)
      Pelvic inflammatory disease (PID)
      C)
      Sexual dysfunction
      D)
      Urinary tract infections (UTIs)
      E)
      Infertility
      F)
      Unable to conceive
    4. Medicalized female genital mutilation (FGM) refers to the practice of performing FGM procedures by healthcare providers in clinical settings, often under the belief that medical supervision makes the practice safer. Which of the following statements regarding medicalized FGM is true?
      A)
      Medicalized FGM is endorsed by religious authorities as a necessary cultural practice.
      B)
      Medicalized FGM is recognized as a legitimate medical practice by international health organizations.
      C)
      Medicalized FGM eliminates the risk of physical complications associated with traditional FGM procedures.
      D)
      Medicalized FGM violates the principles of medical ethics and human rights.
    Page 1 of 13

    Exam Review

    1. Which laboratory value requires monitoring due to risk of rhabdomyolysis?
      A)
      Hgb 11.2
      B)
      Platelets 250,000
      C)
      Sodium 139
      D)
      CK 450
    2. A 32-year-old male construction worker arrives in the ED after a fall from scaffolding approximately 12 feet high. Mechanism of Injury: Blunt trauma, fall from height Chief Complaint: Severe left leg pain, inability to bear weight Current Status: Primary survey is complete (ABCDs stable) Primary Survey (Completed) The primary survey identifies life-threatening conditions and follows the ABCDES: Breathing Circulation (bleeding, pulses) Disability (neurologic status) Exposure/environment control Patient after primary survey: Airway patent RR 20, adequate chest rise BP 136/82, HR 104 Controlled bleeding from abrasions HR 104 Controlled bleeding from abrasions GCS 15 C-spine immobilized You know a secondary survey needs to be done. You knows the purpose of the secondary survey in trauma care is to:
      A)
      Provide definitive treatment
      B)
      Discharge the patient safely
      C)
      Identify immediate life-threatening injuries
      D)
      Conduct a complete head-to-toe assessment after stabilization and Assess for limb swelling, ecchymosis, and deformity
    3. A 58-year-old male, the conductor of the New York Philharmonic, was vigorously conducting during a performance. While stepping backward, he accidentally moved too close to the edge of the stage and fell approximately 4 feet onto the lower pit level. He immediately yelled out in pain and clutched his left chest. The patient with rib fractures is breathing shallowly. What complication is he now at high risk for?
      A)
      Kidney stones
      B)
      Acute pancreatitis
      C)
      Atelectasis
      D)
      Hypoglycemia
    4. What is the Blue Campaign and how does it help in the fight against human trafficking?
      A)
      It is a law enforcement initiative aimed at tracking and arresting human traffickers.
      B)
      It is a fundraising campaign that provides financial support to organizations working with human trafficking victims.
      C)
      It is a national initiative that focuses on raising awareness about human trafficking and providing education to the public and professionals.
      D)
      it is a training program designed to teach healthcare providers how to identify signs of human trafficking.
    Page 2 of 13

    Exam Review

    1. A nurse in Texas completes a human trafficking screening but the patient becomes emotional and shuts down. According to trauma-informed care principles supported by Texas BON, the nurse should:
      A)
      End the interview and reassure the patient that they are safe
      B)
      Press the patient for more details
      C)
      Ask the companion to finish answering
      D)
      Immediately call security
    2. Name: Jason R., 27-year-old male Situation: Involved in a high-speed motorcycle crash. Was wearing a helmet. Brought in by EMS. History from wallet medical ID: Registered organ donor. Which assessment finding is the highest priority on arrival?
      A)
      Respiratory rate of 8 with shallow breaths
      B)
      Unequal pupils
      C)
      Deformity of left femur
      D)
      Swollen thigh with weak pulses
    3. Which of the following is not criteria for brain death?
      A)
      Traumatic Brain Injury, Intracranial Hemorrhage
      B)
      Permanent coma, absence of reflexes, and apnea
      C)
      Absence of cerebral and brainstem activity, confirmed by clinical examination and/or ancillary tests.
      D)
      Spontaneous respiratory effort with a PaCO2 level greater than 60 mmHg.
    4. A 5-year-old girl, recently adopted by a couple, has been spending an unusual amount of time in the bathroom urinating. Her adoptive parents, unaware of her medical history, are concerned and seek advice from a healthcare provider. Upon further inquiry, they discover that the child underwent female genital mutilation (FGM) as a newborn before her adoption.
      A)
      In the presented scenario, what signs and symptoms might the young girl exhibit due to her history of female genital mutilation (FGM)?
      B)
      All of the above
      C)
      Frequent urinary tract infections (UTIs)
      D)
      Dysuria and hematuria
      E)
      Voiding in unusual postures
    Page 3 of 13

    Exam Review

    1. A 25-year-old female presents to the emergency department with severe abdominal pain. The patient has a history of female genital mutilation (FGM), but the healthcare provider is unaware of this information. As the nurse, you are tasked with conducting an initial assessment and gathering relevant information from the patient.
      A)
      Based on the scenario described, what questions should the nurse should obtain in regard to specific information?
      B)
      Location where the procedure was performed
      C)
      Age at the time of the procedure
      D)
      Extent of tissue removal and any associated complications
      E)
      Cultural or religious reasons for the procedure
    2. Marcie, 85-year-old woman was riding her bicycle when she hit a deep pothole in the bike lane. She lost control and crashed to the ground. The patient is diagnosed with a femoral head fracture. Which complication is most concerning?
      A)
      Avascular necrosis of the femoral head
      B)
      Kidney stones
      C)
      Muscle strain
      D)
      Deep tissue bruising
    3. When assessing for compartment syndrome, which of the following are components of the "5 Ps" that should be evaluated? Select all that apply
      A)
      Pallor
      B)
      Pulselessness
      C)
      Paralysis
      D)
      Paresthesia
      E)
      Pitting edema
      F)
      Pain
    4. A 25-year-old female presents to the emergency department with severe abdominal pain. The patient has a history of female genital mutilation (FGM), but the healthcare provider is unaware of this information. As the nurse, you are tasked with conducting an initial assessment and gathering relevant information from the patient. Based on the scenario described, which of the following questions is most appropriate for the nurse to ask the patient to assess for complications related to FGM?
      A)
      "Have you ever had any surgery in your genital area?"
      B)
      "Do you experience pain or discomfort during urination or sexual intercourse?"
      C)
      "Have you ever been pregnant, and if so, did you experience any complications?"
      D)
      "Are you sexually active, and if so, do you use protection?"
    Page 4 of 13

    Exam Review

    1. Which statement about organ donation procedures is correct?
      A)
      The family must be asked about organ donation at the time of ED arrival
      B)
      The trauma physician must determine medical futility before OPO contact occurs.
      C)
      Only nurses are allowed to explain details of organ donation to the family.
      D)
      The nurse should notify the organ procurement agency immediately upon patient arrival
    2. Graft Reactions in Organ Transplant Patients Which of the following best describes hyperacute rejection?
      A)
      Occurs gradually, due to chronic ischemia
      B)
      Occurs days to weeks after transplant: characterized by organ fibrosis
      C)
      Occurs within minutes to hours: caused by pre-existing antibodies
      D)
      Occurs months to years after transplant: mediated by T-cells
    3. Which of the following behavioral cues should the nurse be aware of when assessing a patient who may be a victim of human trafficking?
      A)
      The patient is talkative and gives clear, specific answers about their injury
      B)
      The patient is cooperative with the nurse and appears eager to go home
      C)
      The patient appears confident and offers detailed information about their situation.
      D)
      The patient avoids eye contact, seems overly fearful, and is reluctant to speak about personal matters.
    4. Which question is most appropriate for a trauma-informed assessment?
      A)
      "Why do you let someone treat you like this?"
      B)
      "Why haven't you showered?"
      C)
      "Can you tell me about a typical day for you?"
    Page 5 of 13

    Exam Review

    1. Identify the instruments commonly used for female genital mutilation (FGM).
      A)
      None of the above. Female genital mutilation is medicalized
      B)
      Traditional or sterilized instruments
      C)
      Razor blades or knives, scissors, glass or metal shards
      D)
      Staples, strings, straw
    2. The Decision to Donate is Made. The donor needs to be evaluated. What of the following is done to evaluate the donor? (Select all that apply)
      A)
      ABO, Routine labs, Cultures
      B)
      Physical assessment, height/weight
      C)
      Risk factors for bloodborne illnesses, e.g., HIV, hep C, hep B (HIV and hep C not contraindication)
      D)
      Medical/social history that may affect the function of the organ
      E)
      All of the above
      F)
      HLA histocompatibility
      G)
      Transmissible diseases
    3. Match the following organizations with their responsibility and function related to organ donation and transplantation:
      A)
      OPTN-provides financial assistance to individuals who want to donate a kidney or part of their liver but may face financial barriers. The center helps with travel, lodging, and lost wages for living organ donors, making it easier for individuals to become living donors without facing financial hardship.
      B)
      OPO-Responsible for managing the national transplant waiting list, organ matching, and ensuring equitable organ allocation.
      C)
      UNOS-Coordinates the procurement of organs from deceased donors, facilitates the donation process, and ensures organs are distributed to transplant centers
      D)
      OPTN - Responsible for managing the national transplant waiting list, organ matching, and ensuring equitable organ allocation.
    4. Which of the following correctly distinguishes between human trafficking and human smuggling?
      A)
      Human trafficking involves the illegal transportation of people across borders, while human smuggling involves exploitation for forced labor or sexual purposes.
      B)
      Human trafficking involves the transportation of people with their consent, while human smuggling involves force, fraud, or coercion for labor or sexual exploitation.
      C)
      Human trafficking always involves the movement of people across borders, while human smuggling involves the transportation of people with their consent for illegal entry into a country.
      D)
      Human trafficking involves the exploitation of individuals for labor, sex, or other purposes, often through force or coercion, while human smuggling involves the illegal movement of people across borders with their consent.
    Page 6 of 13