STUDY GUIDE 2026 FULL QUESTIONS
AND SOLUTIONS GRADED A+
◍ Why is a measure of serum lactate obtained in the initial assessment of the
trauma patient? a) to measure oxygenation and ventilationb) to quantify the
base deficit for the adequacy of cellular perfusionc) to gauge end-organ
perfusion and tissue hypoxia d) to determine the underlying cause of shock.
Answer: Answer: c
◍ Next number in sequence: 3, 6, 9, 12, ___.
Answer: c) 15
◍ Normal blood gases; pH.
Answer: 7.35-7.45
◍ Next number in sequence: 5, 10, 15, 20, ___.
Answer: b) 25
◍ LIS.
Answer: does not control bleeding
◍ Normal blood gases: CO2.
Answer: 35-45
◍ Initial measures for the treatment of angina pectoris do not include which
response below?.
Answer: Beta Blockers
◍ A trauma patient is restless and repeatedly asking "where am I?" vital signs
upon arrival were BP 100/60 mm Hg, HR 96 beats/min, and RR 24
breaths/min. Her skin is cool and dry. Current vital signs are BP 104/84mm
Hg, HR 108, RR 28 breaths/min. The patient is demonstrating signs and
, symptoms of which stage of shock? A) compensatedB) ProgressiveC)
irreversibleD) decompensated.
Answer: Answer: A
◍ An elderly patient with a history of anticoagulant use presents after a fall at
home that day. she denies any loss of consciousness. She has a hematoma to
her forehead and complains of headache, dizziness, and nausea. Which is a
most likely cause of her symptoms?A) epidural hematomaB) diffuse axonal
injuryC) post-concussive syndromeD) subdural hematoma.
Answer: Answer: D
◍ Initial measure for the treatment of angina pectoris does not include which
response below?1. resting2. beta blockers3. oxygen4. nitroglycerine.
Answer: beta blockers
◍ EMS brings a patient who fell riding his bicycle. Using the American
College of Surgeons screening guidelines, which assessment finding would
prompt the nurse to prepare the patient for radiologic spine clearance?A)
Alert with no neurologic deficitsB) Multiple abrasions to the extremities C)
Multiple requests of waterD) Smell of alcohol on breath.
Answer: Answer: D
◍ Next number in sequence: 2, 4, 8, 16, ___.
Answer: d) 32
◍ Normal blood gases: HcO3.
Answer: 22-26
◍ NG.
Answer: best verified by x-ray
◍ Which of the following occurs during the third impact of a motor vehicle
crash?A) The driver of the vehicle collides with the steering wheelB) the
vehicle collides with a treeC) the aorta is torn at its attachment with the
ligamentum arteriosum D) the airbag deploys and strikes the front seat
passenger.
Answer: Answer: C
,◍ Normal blood gases: PO2.
Answer: 80 or above
◍ Normal vacuum pressures for suction?.
Answer: 120-140 mmHg
◍ A passenger is brought to the emergency department of a rural hospital
following a high-speed MV
C. When significant abdominal and pelvic injuries are noted in the primary
survey, which of the following is the priority interventions?A) initiate
transfer to a trauma centerB) provide report to the operating room nurseC)
Obtained imaging studiesD) Place a gastric tube.
Answer: Answer: A
◍ Which of the following injuries is LEAST likely to be promptly
identified?A) spleenB) lungC) bowelD) brain.
Answer: Answer: C
◍ What may a high pressure vent alarm indicate?.
Answer: Pt is biting on the tubing, excessive secretions in the tubing, kinked
tubing
◍ Patients with a crush injury should be monitored for which of the following
conditions?A) Hypernatremia B) Hypercalcemia C) DysrhthmiasD)
polyuria.
Answer: Answer: C
◍ The classical ECG change with muscle injury in acute myocardial infarction
is:1. presence of a Q wave 2. ST segment elevation3. myocardial electrical
irritability4. a peaked T wave.
Answer: ST segment elevation
◍ What finding raises suspicion of complete spinal cord injury?A) Weakness
in the lower extremitiesB) PriapismC) voluntary anal sphincter toneD) intact
reflexes distal to the injury.
Answer: Answer: B
, ◍ What may a low pressure vent alarm indicate?.
Answer: cuff leak or the tubing is disconnected somewhere
◍ change in mental status.
Answer: while receiving tpa, what would warrant for you to stop the
medication
◍ How do you verify positioning of an endotracheal tube?.
Answer: -auscultate lung bases and apices for bilateral breath
sounds-observe chest for symmetric chest wall movement-confirm with end
tidal CO2 measureGOLD STANDARD: chest x-ray
◍ expected to see what in an ex-lap?.
Answer: coffee ground
◍ The classical ECG change with muscle injury in acute myocardial infarction
is:.
Answer: ST segment elevation
◍ Triage Intervention for Patients with Fever and Rash.
Answer: Immediately initiate isolation precautions
◍ t/f: people with ET tubes should be suctioned routinely.
Answer: FALSE-- they should be suctioned on an as needed basis
◍ Next number in sequence: 1, 2, 4, 8, ___.
Answer: Answer choices: a) 10, b) 12, c) 16, d) 20
◍ A patient with a complete spinal cord injury in neurogenic shock will
demonstrate hypotension and which other clinical signs?A) Bradycardia and
ipsilateral absences of motor functionB) Tachycardia and respiratory
depressionC) Tachycardia and absent motor function below the level of
injuryD) Bradycardia and absent motor function below the level of the
injury.
Answer: Answer: D
◍ what should ET tube cuff pressure be kept at?.
Answer: 20-25 mmHg