All of the following signs on the chest x-ray of a blunt injury victim may suggest aortic rupture EXCEPT:

Correct Answer: A

Rationale: The correct answer is A: Mediastinal emphysema. In aortic rupture, air can leak into the mediastinum causing mediastinal emphysema. This suggests aortic injury. Choices B, C, and D are actually signs of aortic rupture. A "pleural cap" is seen in aortic rupture due to hemorrhage dissecting into the pleura. Obliteration of the aortic knob occurs due to aortic injury, and tracheal deviation to the right can occur due to a large hematoma pushing the trachea.

Correct Answer: A

Rationale: The correct answer is A: "Placement of a pelvic binder." In a trauma scenario with hypotension and tachycardia, the priority is to address potential life-threatening hemorrhage. Pelvic binders stabilize pelvic fractures, reducing bleeding and improving hemodynamics. This intervention can be crucial in preventing further blood loss and stabilizing the patient's condition. The other choices are not immediate priorities. Transferring to a trauma center can be done after stabilizing the patient. Pelvic x-ray and urinary catheter insertion are important for further evaluation but not urgent in this critical situation.

Correct Answer: D

Rationale: The correct answer is D because the older patient is less likely to exhibit delayed symptoms compared to a younger patient. This is because older individuals may have reduced sensory perception, leading to immediate symptoms post-injury. Choice A is incorrect as older adults often have decreased circulatory volume. Choice B is incorrect because the elderly are more likely to have pre-existing spinal issues, increasing the risk of cervical spine injury. Choice C is incorrect as older individuals have a higher likelihood of occult fractures due to decreased bone density.

Correct Answer: D

Rationale: Hospice care is the correct answer because it provides specialized care for individuals with a life expectancy of six months or less. It focuses on enhancing quality of life through symptom management and emotional support. Long-term care is for individuals needing assistance with daily activities for an extended period. Outpatient care is for those who do not require hospitalization. Intergenerational care involves integrating different age groups in caregiving settings, not specific to end-of-life care.

Correct Answer: A

Rationale: The correct answer is A because honesty and providing information to the best of one's ability is essential in maintaining integrity and transparency during surveying processes. This aligns with ethical standards and ensures accurate data collection. Explanation: 1. Honesty is crucial in professional conduct. 2. Providing answers to the best of one's ability shows dedication and competence. 3. Fosters trust between the surveyor and the nursing assistant. 4. Upholds ethical and professional standards. Incorrect Choices: B: Offering suggestions goes beyond the scope of the question and can potentially lead to misinterpretation. C: Refusing to answer without a supervisor may create a negative impression and hinder the survey process. D: Making up an answer compromises integrity and can lead to misinformation.