Stress and Trauma NUR 2712C Exam
Questions & Answers (Grade A+)
Gastric lavage and administration of activated charcoal are ordered
for an unconscious patient who has been admitted to the
emergency department (ED) after ingesting 30 lorazepam (Ativan)
tablets. Which action should the nurse plan to do first?
a. Insert a large-bore orogastric tube.
b. Assist with intubation of the patient.
c. Prepare a 60-mL syringe with saline.
d. Give first dose of activated charcoal. -
correct answer ✅ANS: B
(Primary Survery: Airway)
In an unresponsive patient, intubation is done before gastric lavage
and activated charcoal administration to prevent aspiration. The
other actions will be implemented after intubation.
In which order will the nurse take these actions when caring for a
patient in the emergency department with a right leg fracture after
a motor vehicle crash? (Put a comma and a space between each
answer choice [A, B, C, D, E, F].)
a. Obtain x-rays.
,Stress and Trauma NUR 2712C Exam
Questions & Answers (Grade A+)
b. Check pedal pulses.
c. Assess lung sounds.
d. Take blood pressure.
e. Apply splint to the leg.
f. Administer tetanus prophylaxis. -
correct answer ✅ANS: C, D, B, E, A, F
(Primary Survey ABCDE)
1. Assess lung sounds.
2. Take blood pressure.
3. Check pedal pulses.
4. Apply splint to the leg.
5. Obtain x-rays.
6. Administer tetanus prophylaxis.
The initial actions should be to ensure adequate airway, breathing,
and circulation. This should be followed by checking the
neurovascular condition of the leg (before and after splint
application). Application of a splint to immobilize the leg should be
done before sending the patient for x-ray examination. The tetanus
prophylaxis is the least urgent of the actions.
,Stress and Trauma NUR 2712C Exam
Questions & Answers (Grade A+)
Which parameter does the nurse assess first while assessing a client
with severe trauma?
a. Airway
b. Disability
c. Breathing
d. Circulation -
correct answer ✅ANS: A
(Primary Survery: Airway)
Airway is first assessed in a client with severe trauma because
inadequate oxygen supply can lead to brain injury that can progress
to anoxic brain death. Disability is assessed after the vital signs are
assessed. Breathing is assessed after the airway is assessed and
cleared. Circulation is assessed after effective breathing is ensured.
The nurse is assessing a client with a laryngeal trauma. This client
presents with hemoptysis, aphonia, hoarseness, dyspnea, and
subcutaneous emphysema. Which condition of the client stands
first in the priority list?
a. Dyspnea
b. Aphonia
, Stress and Trauma NUR 2712C Exam
Questions & Answers (Grade A+)
c. Hoarseness
d. Subcutaneous emphysema -
correct answer ✅ANS: A
(Primary Survery: Airway)
Bleeding from the airway, aphonia, hoarseness, and subcutaneous
emphysema are the clinical manifestations of laryngeal trauma.
Maintaining a patent airway is a priority; therefore, dyspnea should
be corrected to prevent life-threatening consequences. Aphonia is
of moderate priority and can be corrected by clearing the throat.
Hoarseness can be cleared slowly since it does not threaten the
client's life. Subcutaneous emphysema is of moderate priority since
it does not affect the client's life directly.
A client is admitted with traumatic injuries after a tornado. While
performing resuscitation during the primary survey, the nurse
notices a compromised airway. Which nursing intervention would
be of most benefit to the client?
a. Preparing for chest decompression if needed
b. Monitoring vital signs, especially blood pressure and pulse
c. Preventing hypothermia using blankets and heating devices
Questions & Answers (Grade A+)
Gastric lavage and administration of activated charcoal are ordered
for an unconscious patient who has been admitted to the
emergency department (ED) after ingesting 30 lorazepam (Ativan)
tablets. Which action should the nurse plan to do first?
a. Insert a large-bore orogastric tube.
b. Assist with intubation of the patient.
c. Prepare a 60-mL syringe with saline.
d. Give first dose of activated charcoal. -
correct answer ✅ANS: B
(Primary Survery: Airway)
In an unresponsive patient, intubation is done before gastric lavage
and activated charcoal administration to prevent aspiration. The
other actions will be implemented after intubation.
In which order will the nurse take these actions when caring for a
patient in the emergency department with a right leg fracture after
a motor vehicle crash? (Put a comma and a space between each
answer choice [A, B, C, D, E, F].)
a. Obtain x-rays.
,Stress and Trauma NUR 2712C Exam
Questions & Answers (Grade A+)
b. Check pedal pulses.
c. Assess lung sounds.
d. Take blood pressure.
e. Apply splint to the leg.
f. Administer tetanus prophylaxis. -
correct answer ✅ANS: C, D, B, E, A, F
(Primary Survey ABCDE)
1. Assess lung sounds.
2. Take blood pressure.
3. Check pedal pulses.
4. Apply splint to the leg.
5. Obtain x-rays.
6. Administer tetanus prophylaxis.
The initial actions should be to ensure adequate airway, breathing,
and circulation. This should be followed by checking the
neurovascular condition of the leg (before and after splint
application). Application of a splint to immobilize the leg should be
done before sending the patient for x-ray examination. The tetanus
prophylaxis is the least urgent of the actions.
,Stress and Trauma NUR 2712C Exam
Questions & Answers (Grade A+)
Which parameter does the nurse assess first while assessing a client
with severe trauma?
a. Airway
b. Disability
c. Breathing
d. Circulation -
correct answer ✅ANS: A
(Primary Survery: Airway)
Airway is first assessed in a client with severe trauma because
inadequate oxygen supply can lead to brain injury that can progress
to anoxic brain death. Disability is assessed after the vital signs are
assessed. Breathing is assessed after the airway is assessed and
cleared. Circulation is assessed after effective breathing is ensured.
The nurse is assessing a client with a laryngeal trauma. This client
presents with hemoptysis, aphonia, hoarseness, dyspnea, and
subcutaneous emphysema. Which condition of the client stands
first in the priority list?
a. Dyspnea
b. Aphonia
, Stress and Trauma NUR 2712C Exam
Questions & Answers (Grade A+)
c. Hoarseness
d. Subcutaneous emphysema -
correct answer ✅ANS: A
(Primary Survery: Airway)
Bleeding from the airway, aphonia, hoarseness, and subcutaneous
emphysema are the clinical manifestations of laryngeal trauma.
Maintaining a patent airway is a priority; therefore, dyspnea should
be corrected to prevent life-threatening consequences. Aphonia is
of moderate priority and can be corrected by clearing the throat.
Hoarseness can be cleared slowly since it does not threaten the
client's life. Subcutaneous emphysema is of moderate priority since
it does not affect the client's life directly.
A client is admitted with traumatic injuries after a tornado. While
performing resuscitation during the primary survey, the nurse
notices a compromised airway. Which nursing intervention would
be of most benefit to the client?
a. Preparing for chest decompression if needed
b. Monitoring vital signs, especially blood pressure and pulse
c. Preventing hypothermia using blankets and heating devices
