SCRIPT 2026 QUESTIONS WITH
SOLUTIONS GRADED A+
◍ Initial assessment consideration for older adults.
Answer: Medical history including current medications.
◍ Priority intervention for uncontrolled bleeding.
Answer: Use a tourniquet to control the bleeding.
◍ Serum lactate.
Answer: Measure of end-organ perfusion and tissue hypoxia
◍ Finding consistent with diaphragm injury.
Answer: Bowel sounds heard in the left lower chest.
◍ Injury consistent with rebound tenderness and elevated WBC.
Answer: Small bowel.
◍ Stage of shock.
Answer: Restlessness, confusion, increased heart rate and respiratory rate
◍ Appropriate intervention for disaster triage principles.
Answer: Initiate two large-caliber intravenous lines for isotonic crystalloid
administration.
◍ Subdural hematoma.
Answer: Likely cause of headache, dizziness, and nausea after a fall
◍ Injury suspected with teardrop-shaped pupil.
Answer: Globe rupture.
◍ Radiologic spine clearance.
Answer: Assessment finding that prompts preparation for radiologic
, clearance
◍ Immediate intervention for large open chest wound.
Answer: Needle decompression.
◍ Most appropriate intervention for chest pain after collision.
Answer: Rapid fluid boluses.
◍ Important intervention for managing cerebral blood flow.
Answer: Initiate another fluid bolus.
◍ Third impact of a motor vehicle crash.
Answer: Deployment of airbag and impact on front seat passenger
◍ Needle decompression.
Answer: An immediate intervention for certain types of chest injuries.
◍ Transfer to a trauma center.
Answer: Priority intervention for a patient with significant abdominal and
pelvic injuries
◍ Promptly identified injuries.
Answer: Spleen, lung, and brain injuries
◍ Crush injury.
Answer: Condition to monitor for dysrhythmias
◍ Tube thoracostomy.
Answer: A procedure to drain air or fluid from the pleural space.
◍ Dressing removal.
Answer: An intervention that may not be appropriate in acute trauma cases.
◍ Surgical repair.
Answer: A more invasive procedure typically reserved for specific injuries.
◍ Rapid fluid boluses.
Answer: An immediate intervention for a patient showing signs of shock.
◍ Tranexamic acid administration.
, Answer: A treatment used to reduce bleeding in trauma patients.
◍ Complete spinal cord injury.
Answer: Finding of priapism raises suspicion
◍ Haemostatic resuscitation.
Answer: A strategy to manage bleeding and restore hemostasis in trauma.
◍ Neurogenic shock.
Answer: Hypotension and absent motor function below the level of injury
◍ Suspected child maltreatment.
Answer: Priority nursing intervention to report suspicion
◍ Lower extremity fracture.
Answer: Priority nursing intervention is elevating the extremity to the level
of the heart
◍ Inotropic support.
Answer: Medications used to improve heart contractility in shock.
◍ Wrist deformity.
Answer: Appropriate intervention is applying a splint and elevating above
the level of the heart
◍ Late sign of increased intracranial pressure.
Answer: Decreased respiratory effort
◍ Mnemonic for trauma patient care.
Answer: MARCH (Massive uncontrolled hemorrhage, Airway, Respiration,
Circulation, Hypothermia prevention)
◍ Cerebral blood flow management.
Answer: The process of ensuring adequate blood supply to the brain.
◍ Disaster life cycle.
Answer: Phase of minimizing impact of future disasters is mitigation
◍ Early hypovolemic shock.
Answer: Narrowed pulse pressure