HIGH ACUITY NURSING 7TH EDITION
KATHLEEN DORMAN WAGNER WITH
ANSWERS AND RATIONALS STUDY GUIDE
QUESTIONS AND SOLUTIONS 2026
CORRECT ANSWERS GRADED A+
⩥ primary survey. Answer: -airway, breathing, ventilation, and life
threatening injuries identified
⩥ secondary survey. Answer: detailed head to toe, plan for appropriate
diagnostic tests
⩥ tertiary survey. Answer: -done on admission to ICU
-another head to toe, assess response to interventions, labs and x-rays
reviewed
⩥ crystalloids. Answer: -expand volume status
-isotonic, hypotonic, and hypertonic
-typically at least 2L of isotonic (NS and LR)
⩥ colloids. Answer: -rapid volume expander
-albumin, dextran, hetastarch
,⩥ when do we give blood products in a trauma pt?. Answer: when
hemodynamically unstable or are showing signs of tissue hypoxia
despite crystalloid infusion
⩥ stage 1 of damage control. Answer: -stop hemorrhage
-control contamination
-closure methods to close wounds temporarily
⩥ stage 2 of damage control. Answer: correct physiologic abnormalities
in the ICU by warming and ensuring adequate resuscitation; correcting
coagulopathy
⩥ stage 3 of damage control. Answer: -definitive operative management
-final stage
⩥ priority for thoracic trauma. Answer: airway management
⩥ examples of life threatening injuries that would be addressed during
primary survey (thoracic trauma). Answer: -airway obstruction
-pneumothorax
-cardiac tamponade
-flail chest
, ⩥ what is flail chest?. Answer:
⩥ examples of injuries addressed during secondary survey (thoracic
trauma). Answer: -aortic disruption
-tracheobronchial disruption
-myocardial contusion
-diaphragm tear
-esophageal disruption
-pulmonary contusion
⩥ true or false. pelvic fractures are low priority.. Answer: false
⩥ most common cause of abdominal trauma is.... Answer: MVC
-followed by assaults, falls, pedestrian-MVC, and industrial accidents
⩥ indications of visceral damage to the abdomen. Answer: -abdominal
tenderness or guarding
-hemodynamic instability
-lumbar spine injury
-pelvic fracture
-retroperitoneal or intraperitoneal air
KATHLEEN DORMAN WAGNER WITH
ANSWERS AND RATIONALS STUDY GUIDE
QUESTIONS AND SOLUTIONS 2026
CORRECT ANSWERS GRADED A+
⩥ primary survey. Answer: -airway, breathing, ventilation, and life
threatening injuries identified
⩥ secondary survey. Answer: detailed head to toe, plan for appropriate
diagnostic tests
⩥ tertiary survey. Answer: -done on admission to ICU
-another head to toe, assess response to interventions, labs and x-rays
reviewed
⩥ crystalloids. Answer: -expand volume status
-isotonic, hypotonic, and hypertonic
-typically at least 2L of isotonic (NS and LR)
⩥ colloids. Answer: -rapid volume expander
-albumin, dextran, hetastarch
,⩥ when do we give blood products in a trauma pt?. Answer: when
hemodynamically unstable or are showing signs of tissue hypoxia
despite crystalloid infusion
⩥ stage 1 of damage control. Answer: -stop hemorrhage
-control contamination
-closure methods to close wounds temporarily
⩥ stage 2 of damage control. Answer: correct physiologic abnormalities
in the ICU by warming and ensuring adequate resuscitation; correcting
coagulopathy
⩥ stage 3 of damage control. Answer: -definitive operative management
-final stage
⩥ priority for thoracic trauma. Answer: airway management
⩥ examples of life threatening injuries that would be addressed during
primary survey (thoracic trauma). Answer: -airway obstruction
-pneumothorax
-cardiac tamponade
-flail chest
, ⩥ what is flail chest?. Answer:
⩥ examples of injuries addressed during secondary survey (thoracic
trauma). Answer: -aortic disruption
-tracheobronchial disruption
-myocardial contusion
-diaphragm tear
-esophageal disruption
-pulmonary contusion
⩥ true or false. pelvic fractures are low priority.. Answer: false
⩥ most common cause of abdominal trauma is.... Answer: MVC
-followed by assaults, falls, pedestrian-MVC, and industrial accidents
⩥ indications of visceral damage to the abdomen. Answer: -abdominal
tenderness or guarding
-hemodynamic instability
-lumbar spine injury
-pelvic fracture
-retroperitoneal or intraperitoneal air
