NR 324 Adult Health II Week 8 Final Quiz 2026 |Chamberlain College
1. During a mass casualty incident, which color tag is assigned to a patient with
a sucking chest wound and labored breathing?
A. Green
B. Red
C. Yellow
D. Black
Answer: B
Rationale: Red tags are for immediate life-threatening injuries that require rapid
intervention, such as airway obstruction or tension pneumothorax.
2. Which assessment is the highest priority during the primary survey of a
trauma patient?
A. Neurological status
B. Exposure and environmental control
C. Airway with cervical spine stabilization
D. Circulation and hemorrhage control
Answer: C
Rationale: Airway always comes first in the ABCDE assessment, and cervical spine
stabilization is essential until injury is ruled out.
,3. A patient in neurogenic shock typically exhibits which of the following unique
clinical signs?
A. Tachycardia
B. Hypertension
C. Bradycardia
D. Hyperthermia
Answer: C
Rationale: Neurogenic shock is characterized by bradycardia and hypotension due to the
loss of sympathetic tone.
4. Using the Parkland Formula, calculate the total fluid for a 70kg patient with
40% TBSA burns for the first 24 hours.
A. 5,600 mL
B. 14,000 mL
C. 11,200 mL
D. 2,800 mL
Answer: C
Rationale: Parkland Formula: 4mL x kg x %TBSA. 4 x 70 x 40 = 11,200 mL.
5. What is the target Mean Arterial Pressure (MAP) for a patient in septic shock
receiving vasopressors?
A. Above 50 mmHg
B. Above 120 mmHg
C. Above 90 mmHg
D. Above 65 mmHg
Answer: D
Rationale: A MAP of 65 mmHg is generally considered the minimum required to maintain
adequate tissue perfusion.
, 6. In a mass casualty, which patient should be tagged ‘Black’?
A. A patient with a fractured femur
B. A patient with 15% body surface area burns
C. A patient with agonal respirations and fixed pupils
D. A patient screaming in pain from a deep laceration
Answer: C
Rationale: Black tags signify deceased or expectant patients who are unlikely to survive
even with treatment in a resource-limited setting.
7. What is the primary goal of the emergent phase of burn management?
A. Wound grafting
B. Fluid resuscitation
C. Physical therapy
D. Scar management
Answer: B
Rationale: The emergent phase focuses on ABCs and preventing hypovolemic shock
through massive fluid resuscitation.
8. Which hemodynamic finding is characteristic of cardiogenic shock?
A. Low Central Venous Pressure (CVP)
B. Low Pulmonary Artery Wedge Pressure (PAWP)
C. High Cardiac Output (CO)
D. High Systemic Vascular Resistance (SVR)
Answer: D
Rationale: In cardiogenic shock, SVR increases as a compensatory mechanism to maintain
BP despite a failing heart and low CO.
1. During a mass casualty incident, which color tag is assigned to a patient with
a sucking chest wound and labored breathing?
A. Green
B. Red
C. Yellow
D. Black
Answer: B
Rationale: Red tags are for immediate life-threatening injuries that require rapid
intervention, such as airway obstruction or tension pneumothorax.
2. Which assessment is the highest priority during the primary survey of a
trauma patient?
A. Neurological status
B. Exposure and environmental control
C. Airway with cervical spine stabilization
D. Circulation and hemorrhage control
Answer: C
Rationale: Airway always comes first in the ABCDE assessment, and cervical spine
stabilization is essential until injury is ruled out.
,3. A patient in neurogenic shock typically exhibits which of the following unique
clinical signs?
A. Tachycardia
B. Hypertension
C. Bradycardia
D. Hyperthermia
Answer: C
Rationale: Neurogenic shock is characterized by bradycardia and hypotension due to the
loss of sympathetic tone.
4. Using the Parkland Formula, calculate the total fluid for a 70kg patient with
40% TBSA burns for the first 24 hours.
A. 5,600 mL
B. 14,000 mL
C. 11,200 mL
D. 2,800 mL
Answer: C
Rationale: Parkland Formula: 4mL x kg x %TBSA. 4 x 70 x 40 = 11,200 mL.
5. What is the target Mean Arterial Pressure (MAP) for a patient in septic shock
receiving vasopressors?
A. Above 50 mmHg
B. Above 120 mmHg
C. Above 90 mmHg
D. Above 65 mmHg
Answer: D
Rationale: A MAP of 65 mmHg is generally considered the minimum required to maintain
adequate tissue perfusion.
, 6. In a mass casualty, which patient should be tagged ‘Black’?
A. A patient with a fractured femur
B. A patient with 15% body surface area burns
C. A patient with agonal respirations and fixed pupils
D. A patient screaming in pain from a deep laceration
Answer: C
Rationale: Black tags signify deceased or expectant patients who are unlikely to survive
even with treatment in a resource-limited setting.
7. What is the primary goal of the emergent phase of burn management?
A. Wound grafting
B. Fluid resuscitation
C. Physical therapy
D. Scar management
Answer: B
Rationale: The emergent phase focuses on ABCs and preventing hypovolemic shock
through massive fluid resuscitation.
8. Which hemodynamic finding is characteristic of cardiogenic shock?
A. Low Central Venous Pressure (CVP)
B. Low Pulmonary Artery Wedge Pressure (PAWP)
C. High Cardiac Output (CO)
D. High Systemic Vascular Resistance (SVR)
Answer: D
Rationale: In cardiogenic shock, SVR increases as a compensatory mechanism to maintain
BP despite a failing heart and low CO.
