TRAUMA NURSING EXAM REVIEW 415 VERIFIED
QUESTIONS AND CORRECT DETAILED ANSWERS | UPDATED
NEW VERSION 2026/2027 || GRADED A+
Expedite transfer to the closest trauma center - CORRECT ANSWER - A 56
y/o M pt involved in a motor vehicle crash is brought to the ED of a rural critical
access facility. He complains of neck pain, SOB, and diffuse abd pain. His GCS is
15. His VS: BP 98/71, HR 125, RR 26, SpO2 94% on high-flow O2 via NRB
mask. Which of the following is the priority intervention for this patient?
a pertinent medical hx is crucial - CORRECT ANSWER - Which of the
following considerations is the most important when caring for a geriatric trauma
pt?
Mitigation - CORRECT ANSWER - Following a review of recent drills and a
real disaster event, a hospital has identified deficiencies and is taking steps to
minimize the impact of a future disaster . Which phase of the disaster life cycle
does this describe?
Multiple requests for water - CORRECT ANSWER - EMS brings a pt who fell
while riding his bicycle. Using the American College of Surgeobs screening
guidelines, which assessment finding would prompt the RN to prepare the pt for a
radiologic spine clearance?
hemoglobin does not readily release O2 for use by the tissues - CORRECT
ANSWER - What is the effect of hypothermia on the oxyhemoglobin
dissociation curve?
,acidosis - CORRECT ANSWER - Which of the following is a component of
the trauma triad of death?
Complete - CORRECT ANSWER - EMS brings a pt from MVC. VS: BP
90/49, HR 48, RR 12, temp 97.2F (36.2 C). The pt exhibits urinary incontinence
and priapism. These assessment findings are most consistent with which of the
following types of spinal cord injury?
flucuation in the water seal chamber - CORRECT ANSWER - Which of the
following is an expected finding in a pt with a tube thoracstomy connected to a
chest drainage system?
insert an oropharyngeal airway if there is no gag reflex - CORRECT
ANSWER - During the primary survey of an unconscious pt with multi-system
trauma, the nurse notes snoring respirations. What priority nursing interventions
should be preformed next?
globe rupture - CORRECT ANSWER - A 35 y/o M presents with facial
trauma after being struck in the face with a baseball. A teardrop-shaped left pupil is
noted on exam. What type of injury is suspected?
compensated - CORRECT ANSWER - A trauma pt is restless and repeatedly
asking "where am i?" VS upon arrival: BP 110/60, HR96, RR 24. Her skin is cool
and dry. Current VS are BP 104/84, HR 108, RR 28. The pt is demonstrating s/sx
of which stage of shock?
,ventilate with a bag mask device - CORRECT ANSWER - An unresponsive
trauma pt has an oropharygeal airway in place, shallow and labored respirations,
and dusky skin. The trauma team has administered medications for drug-assisted
intubation and attempted intubation but was unsuccessful. What is the most
appropriate immediate next step?
within 24 hrs of trauma - CORRECT ANSWER - When is the tertiary survey
completed fora trauma pt?
pressure - CORRECT ANSWER - An intubated and sedated pt in the ED has
multiple extremity injuries with the potential for causing compartment syndrome.
What is the most reliable indication of compartment syndrome in a patient who is
unconscious?
worsening pneumothorax - CORRECT ANSWER - Which of the following is
possible complication of positive-pressure ventilation?
pelvic stability - CORRECT ANSWER - the most reassuring finding for a
male pt with hip pain after a fall is which of the following?
narrowed - CORRECT ANSWER - Which of the following pulse pressures
indicate early hypovolemic shock?
dysrhythmias - CORRECT ANSWER - Patients with a crush injury should be
monitored for which of the following conditions?
, subdural hematoma - CORRECT ANSWER - Tearing of the bridging veins is
most frequently associated with which brain injury?
straight cath for urine sample - CORRECT ANSWER - A 20 y/o M presents to
the ED complaining of severe lower abd pain after landing hard on the bicycle
cross bars while preforming an aerial BMX maneuver. Secondary assessment
reveals lower abd tenderness and scrotal ecchymosis. Which of the following
orders would the RN question?
placental abruption - CORRECT ANSWER - You are caring for a pt who was
involved in a MVC and is 32 weeks pregnant. Findings of your secondary survey
include abd pain on palpation, fundal ht at the costal margin, and some dark bloody
show. Varying accelerations and decelerations are noted on cariocgraphy. These
findings are most consistent with which of the following?
it can worsen cord damage from an unstable spinal injury - CORRECT
ANSWER - Which of the following is true about the log-roll?
defusings - CORRECT ANSWER - All of these are considered a critical
communication point in trauma care EXCEPT which of the following?
pulse oximetry and capnography - CORRECT ANSWER - What bedside
monitoring parameters are used to assess for adequacy of O2 and effectiveness of
ventilation?
padding the upper back while stabilizing the cervical spine - CORRECT
ANSWER - Caregivers carry in a 2 y/o into the ED who fell out of a second-
QUESTIONS AND CORRECT DETAILED ANSWERS | UPDATED
NEW VERSION 2026/2027 || GRADED A+
Expedite transfer to the closest trauma center - CORRECT ANSWER - A 56
y/o M pt involved in a motor vehicle crash is brought to the ED of a rural critical
access facility. He complains of neck pain, SOB, and diffuse abd pain. His GCS is
15. His VS: BP 98/71, HR 125, RR 26, SpO2 94% on high-flow O2 via NRB
mask. Which of the following is the priority intervention for this patient?
a pertinent medical hx is crucial - CORRECT ANSWER - Which of the
following considerations is the most important when caring for a geriatric trauma
pt?
Mitigation - CORRECT ANSWER - Following a review of recent drills and a
real disaster event, a hospital has identified deficiencies and is taking steps to
minimize the impact of a future disaster . Which phase of the disaster life cycle
does this describe?
Multiple requests for water - CORRECT ANSWER - EMS brings a pt who fell
while riding his bicycle. Using the American College of Surgeobs screening
guidelines, which assessment finding would prompt the RN to prepare the pt for a
radiologic spine clearance?
hemoglobin does not readily release O2 for use by the tissues - CORRECT
ANSWER - What is the effect of hypothermia on the oxyhemoglobin
dissociation curve?
,acidosis - CORRECT ANSWER - Which of the following is a component of
the trauma triad of death?
Complete - CORRECT ANSWER - EMS brings a pt from MVC. VS: BP
90/49, HR 48, RR 12, temp 97.2F (36.2 C). The pt exhibits urinary incontinence
and priapism. These assessment findings are most consistent with which of the
following types of spinal cord injury?
flucuation in the water seal chamber - CORRECT ANSWER - Which of the
following is an expected finding in a pt with a tube thoracstomy connected to a
chest drainage system?
insert an oropharyngeal airway if there is no gag reflex - CORRECT
ANSWER - During the primary survey of an unconscious pt with multi-system
trauma, the nurse notes snoring respirations. What priority nursing interventions
should be preformed next?
globe rupture - CORRECT ANSWER - A 35 y/o M presents with facial
trauma after being struck in the face with a baseball. A teardrop-shaped left pupil is
noted on exam. What type of injury is suspected?
compensated - CORRECT ANSWER - A trauma pt is restless and repeatedly
asking "where am i?" VS upon arrival: BP 110/60, HR96, RR 24. Her skin is cool
and dry. Current VS are BP 104/84, HR 108, RR 28. The pt is demonstrating s/sx
of which stage of shock?
,ventilate with a bag mask device - CORRECT ANSWER - An unresponsive
trauma pt has an oropharygeal airway in place, shallow and labored respirations,
and dusky skin. The trauma team has administered medications for drug-assisted
intubation and attempted intubation but was unsuccessful. What is the most
appropriate immediate next step?
within 24 hrs of trauma - CORRECT ANSWER - When is the tertiary survey
completed fora trauma pt?
pressure - CORRECT ANSWER - An intubated and sedated pt in the ED has
multiple extremity injuries with the potential for causing compartment syndrome.
What is the most reliable indication of compartment syndrome in a patient who is
unconscious?
worsening pneumothorax - CORRECT ANSWER - Which of the following is
possible complication of positive-pressure ventilation?
pelvic stability - CORRECT ANSWER - the most reassuring finding for a
male pt with hip pain after a fall is which of the following?
narrowed - CORRECT ANSWER - Which of the following pulse pressures
indicate early hypovolemic shock?
dysrhythmias - CORRECT ANSWER - Patients with a crush injury should be
monitored for which of the following conditions?
, subdural hematoma - CORRECT ANSWER - Tearing of the bridging veins is
most frequently associated with which brain injury?
straight cath for urine sample - CORRECT ANSWER - A 20 y/o M presents to
the ED complaining of severe lower abd pain after landing hard on the bicycle
cross bars while preforming an aerial BMX maneuver. Secondary assessment
reveals lower abd tenderness and scrotal ecchymosis. Which of the following
orders would the RN question?
placental abruption - CORRECT ANSWER - You are caring for a pt who was
involved in a MVC and is 32 weeks pregnant. Findings of your secondary survey
include abd pain on palpation, fundal ht at the costal margin, and some dark bloody
show. Varying accelerations and decelerations are noted on cariocgraphy. These
findings are most consistent with which of the following?
it can worsen cord damage from an unstable spinal injury - CORRECT
ANSWER - Which of the following is true about the log-roll?
defusings - CORRECT ANSWER - All of these are considered a critical
communication point in trauma care EXCEPT which of the following?
pulse oximetry and capnography - CORRECT ANSWER - What bedside
monitoring parameters are used to assess for adequacy of O2 and effectiveness of
ventilation?
padding the upper back while stabilizing the cervical spine - CORRECT
ANSWER - Caregivers carry in a 2 y/o into the ED who fell out of a second-
