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. Aortic rupture typically presents with signs like presence of a "pleural cap," obliteration of the aortic knob, and deviation of the trachea to the right. Mediastinal emphysema is not a specific sign of aortic rupture but rather indicates air in the mediastinum, often seen in esophageal rupture or pneumomediastinum. Therefore, in the context of a blunt trauma victim, the presence of mediastinal emphysema is less suggestive of aortic rupture compared to the other signs listed.

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 stabilize any potential sources of hemorrhage. Pelvic fractures can lead to significant blood loss, causing hypotension. Placing a pelvic binder helps stabilize the pelvis, reducing the risk of further bleeding and improving hemodynamic stability. This intervention should be done early in the management of trauma patients to prevent worsening shock. Transferring to a trauma center (B) can be considered after initial stabilization. Pelvic x-ray (C) may be needed for definitive diagnosis but is not the immediate priority. Inserting a urinary catheter (D) is not the priority in this scenario and can be delayed until after stabilizing the patient's hemodynamic status.

Correct Answer: D

Rationale: The correct answer is D because delayed symptoms are more common in younger patients due to higher resilience and compensatory mechanisms. Choice A is incorrect as elderly individuals often have decreased circulatory volume. Choice B is incorrect as aging increases the risk of cervical spine degeneration but not necessarily injury risk. Choice C is incorrect as older individuals are more prone to occult fractures due to decreased bone density.

Correct Answer: D

Rationale: Hospice care is the correct answer because it is specialized care for individuals with a life expectancy of six months or less. It focuses on providing comfort and quality of life rather than curative treatment. Long-term care (choice A) is for individuals who need assistance with daily activities but do not necessarily have a terminal illness. Outpatient care (choice B) refers to medical services provided outside of a hospital setting and is not specific to end-of-life care. Intergenerational care (choice C) involves bringing different age groups together for mutual benefit and is not related 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 are crucial in maintaining transparency and credibility. By answering honestly, the nursing assistant follows ethical standards and ensures accurate information is conveyed to the surveyor. Option B is incorrect because the nursing assistant's primary role is to provide accurate information, not suggest improvements. Option C is incorrect as it could be perceived as uncooperative and may reflect poorly on the facility. Option D is incorrect as making up an answer can lead to misinformation and potential consequences.