The trauma nurse knows that placing a bariatric patient in a "ramped position" provides bet-
ter visualization during the insertion of which device? - ANSWER endotracheal tube
Tearing of the bridging veins is most frequently associated with which brain injury? - AN-
SWER subdural hematoma
A patient is found lying on the floor after falling 13 hours ago. Which of the following labora-
tory values is expected with a musculoskeletal complication associated with this presenta-
tion? - ANSWER Elevated creatine kinase
A patient is brought to the emergency department of a rural hospital following a high-speed
motor vehicle collision. When significant abdominal and pelvic injuries are noted in the pri-
mary survey, which of the following is the priority intervention? - ANSWER Initiate trans-
fer to a trauma center
Which of the following injuries is LEAST likely to be promptly identified? - ANSWER bowel
Which of the following patients warrants referral to a burn center? - ANSWER A 52-year-
old diabetic male with a partial-thickness burn to the left lower leg
A patient has been in the emergency department for several hours waiting to be admitted.
He sustained multiple rib fractures and a femur fracture after a fall. He has been awake,
alert, and complaining of leg pain. His wife reported that he suddenly became anxious and
confused. Upon reassessment, the patient is restless, with respiratory distress and petechiae
to his neck. The patient is exhibiting signs and symptoms most commonly associated with
which of the follow conditions? - ANSWER fat embolism
1
, A 36-year old female has a deformity of the left wrist after a fall. She is reluctant to move her
hand due to pain. Which of the following is the most appropriate intervention? - AN-
SWER Apply a splint and elevate the extremity ABOVE the level of the heart
A 56-year-old male patient involved in a motor vehicle crash is brought to the emergency de-
partment of a rural critical assess facility. He complaints of neck pain, shortness of breath,
and diffuse abdominal pain. His Glasgow Coma Score is 15. His vital signs are as follows: BP
98/71 mm Hg, HR 125 beats/minute, RR 26 breaths/minute, SpO2 94% on high-flow oxygen
via non-rebreather mask. Which of the follow is the priority intervention for this patient? -
ANSWER Expedite transfer to the closest trauma center
Which of the following values indicates the need for alcohol withdrawal interventions? - AN-
SWER CIWA-Ar of 36
A trauma patient is en route to a rural emergency department. Radiology notifies the charge
nurse that the computed tomography (CT) scanner will be out of service for several hours.
The team gathers to plan accordingly. Which of the following terms best describes this
trauma team's communication? - ANSWER huddle
A patient with a complete spinal cord injury in neurogenic shock will demonstrate hypoten-
sion and which other clinical signs? - ANSWER Bradycardia and absent motor function be-
low the level of injury
Which of the following is true about the log-roll maneuver? - ANSWER It can worsen cord
damage from a unstable spinal injury
What factor contributes most to the kinetic energy of a body in motion? - ANSWER veloc-
ity
A 5-year-old child presents to the ED with bruises to the upper arms and buttocks in various
stages of healing and multiple small, clean, round burns to the back. There are no abnormal-
ities found based on the pediatric assessment triangle or primary survey. Which of the
2
ter visualization during the insertion of which device? - ANSWER endotracheal tube
Tearing of the bridging veins is most frequently associated with which brain injury? - AN-
SWER subdural hematoma
A patient is found lying on the floor after falling 13 hours ago. Which of the following labora-
tory values is expected with a musculoskeletal complication associated with this presenta-
tion? - ANSWER Elevated creatine kinase
A patient is brought to the emergency department of a rural hospital following a high-speed
motor vehicle collision. When significant abdominal and pelvic injuries are noted in the pri-
mary survey, which of the following is the priority intervention? - ANSWER Initiate trans-
fer to a trauma center
Which of the following injuries is LEAST likely to be promptly identified? - ANSWER bowel
Which of the following patients warrants referral to a burn center? - ANSWER A 52-year-
old diabetic male with a partial-thickness burn to the left lower leg
A patient has been in the emergency department for several hours waiting to be admitted.
He sustained multiple rib fractures and a femur fracture after a fall. He has been awake,
alert, and complaining of leg pain. His wife reported that he suddenly became anxious and
confused. Upon reassessment, the patient is restless, with respiratory distress and petechiae
to his neck. The patient is exhibiting signs and symptoms most commonly associated with
which of the follow conditions? - ANSWER fat embolism
1
, A 36-year old female has a deformity of the left wrist after a fall. She is reluctant to move her
hand due to pain. Which of the following is the most appropriate intervention? - AN-
SWER Apply a splint and elevate the extremity ABOVE the level of the heart
A 56-year-old male patient involved in a motor vehicle crash is brought to the emergency de-
partment of a rural critical assess facility. He complaints of neck pain, shortness of breath,
and diffuse abdominal pain. His Glasgow Coma Score is 15. His vital signs are as follows: BP
98/71 mm Hg, HR 125 beats/minute, RR 26 breaths/minute, SpO2 94% on high-flow oxygen
via non-rebreather mask. Which of the follow is the priority intervention for this patient? -
ANSWER Expedite transfer to the closest trauma center
Which of the following values indicates the need for alcohol withdrawal interventions? - AN-
SWER CIWA-Ar of 36
A trauma patient is en route to a rural emergency department. Radiology notifies the charge
nurse that the computed tomography (CT) scanner will be out of service for several hours.
The team gathers to plan accordingly. Which of the following terms best describes this
trauma team's communication? - ANSWER huddle
A patient with a complete spinal cord injury in neurogenic shock will demonstrate hypoten-
sion and which other clinical signs? - ANSWER Bradycardia and absent motor function be-
low the level of injury
Which of the following is true about the log-roll maneuver? - ANSWER It can worsen cord
damage from a unstable spinal injury
What factor contributes most to the kinetic energy of a body in motion? - ANSWER veloc-
ity
A 5-year-old child presents to the ED with bruises to the upper arms and buttocks in various
stages of healing and multiple small, clean, round burns to the back. There are no abnormal-
ities found based on the pediatric assessment triangle or primary survey. Which of the
2
