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? - ANSWER Expedite transfer to the closest
trauma center
Which of the following considerations is the most important when caring for a geriatric
trauma pt? - ANSWER a pertinent medical hx is crucial
Following a review of recent drills and a real disaster event, a hospital has identified defi-
ciencies and is taking steps to minimize the impact of a future disaster . Which phase of the
disaster life cycle does this describe? - ANSWER Mitigation
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? - ANSWER Smell of ETOH on breath
What is the effect of hypothermia on the oxyhemoglobin dissociation curve? - ANSWER
hemoglobin does not readily release O2 for use by the tissues
Which of the following is a component of the trauma triad of death? - ANSWER acidosis
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? - ANSWER Complete
1
, Which of the following is an expected finding in a pt with a tube thoracstomy connected to a
chest drainage system? - ANSWER flucuation in the water seal chamber
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? - AN-
SWER insert an oropharyngeal airway if there is no gag reflex
A 35 y/o M presents with facial trauma after being struck in the face with a baseball. A tear-
drop-shaped left pupil is noted on exam. What type of injury is suspected? - ANSWER
globe rupture
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? - ANSWER compensated
An unresponsive trauma pt has an oropharygeal airway in place, shallow and labored respi-
rations, and dusky skin. The trauma team has administered medications for drug-assisted in-
tubation and attempted intubation but was unsuccessful. What is the most appropriate im-
mediate next step? - ANSWER ventilate with a bag mask device
When is the tertiary survey completed fora trauma pt? - ANSWER within 24 hrs of trauma
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 syn-
drome in a patient who is unconscious? - ANSWER pressure
Which of the following is possible complication of positive-pressure ventilation? - AN-
SWER worsening pneumothorax
the most reassuring finding for a male pt with hip pain after a fall is which of the following? -
ANSWER pelvic stability
2
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? - ANSWER Expedite transfer to the closest
trauma center
Which of the following considerations is the most important when caring for a geriatric
trauma pt? - ANSWER a pertinent medical hx is crucial
Following a review of recent drills and a real disaster event, a hospital has identified defi-
ciencies and is taking steps to minimize the impact of a future disaster . Which phase of the
disaster life cycle does this describe? - ANSWER Mitigation
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? - ANSWER Smell of ETOH on breath
What is the effect of hypothermia on the oxyhemoglobin dissociation curve? - ANSWER
hemoglobin does not readily release O2 for use by the tissues
Which of the following is a component of the trauma triad of death? - ANSWER acidosis
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? - ANSWER Complete
1
, Which of the following is an expected finding in a pt with a tube thoracstomy connected to a
chest drainage system? - ANSWER flucuation in the water seal chamber
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? - AN-
SWER insert an oropharyngeal airway if there is no gag reflex
A 35 y/o M presents with facial trauma after being struck in the face with a baseball. A tear-
drop-shaped left pupil is noted on exam. What type of injury is suspected? - ANSWER
globe rupture
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? - ANSWER compensated
An unresponsive trauma pt has an oropharygeal airway in place, shallow and labored respi-
rations, and dusky skin. The trauma team has administered medications for drug-assisted in-
tubation and attempted intubation but was unsuccessful. What is the most appropriate im-
mediate next step? - ANSWER ventilate with a bag mask device
When is the tertiary survey completed fora trauma pt? - ANSWER within 24 hrs of trauma
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 syn-
drome in a patient who is unconscious? - ANSWER pressure
Which of the following is possible complication of positive-pressure ventilation? - AN-
SWER worsening pneumothorax
the most reassuring finding for a male pt with hip pain after a fall is which of the following? -
ANSWER pelvic stability
2
