Trauma Nursing Process Exam Questions with Correct Answers Graded A+
Preparation and Triage - Answers Preparation: State the need to (1) activate the trauma team, (2)
prepare the trauma room and (3) don PPE
~pt. arrives~
Triage: Assess for obvious uncontrolled external hemorrhage
When to decide if patient requires CAB or ABC - Answers Across the room observation
Equipments that may be needed to prepare before patient arrives - Answers Fluid warmer
Pediatric equipment
Bariatric equipment
Difficult airway or IV equipment
Need for potential safety threats to trauma team - Answers PPE
Decontamination
Primary survey sequence if uncontrolled hemorrhage is identified - Answers CAB
(1) control uncontrolled bleeding
(2) assess circulation
(3) initiate IV Fld and blood replacement as indicated
(4) assess airway and breathing
Primary survey sequence - Answers (1) Alertness and Airway with Simultaneous Cervical Spinal
Stabilization
(2) Breathing and ventilation
(3) circulation and control of hemorrhage
(4) Disability (neurologic status)
(5) Exposure and environmental control
, (6) Full set of vital signs
(7) Facilitate family presence
(8) Get monitoring devices and give comfort (LMNOP)
(9) Reevaluation for transfer to trauma center or definitive treatment
True or False: primary assessment sequence should be completed first before performing and
intervention. - Answers False: ABCDE are critical in nature and any deviation from baseline require
immediate intervention. Any life threatening situations need to be completed in the current element
before moving on to the next. (i.e., B is not assessed until A is addressed, and so on)
Sequence for assessing alertness & airway with simultaneous cervical spina stabilization - Answers AVPU
Cervical spine injury
Patency and protection of airway
Criteria for LoC assessment - Answers Alert
Verbal
Pain
Unresponsive
What to do when cervical spine injury is suspected - Answers (1) Second person provide manual cervical
spinal stabilization
(2) assess airway
(a) open airway using jaw thrust maneuver if pt is unconscious
(b) ask patient to speak or open mouth if conscious
How to assess patency and protection of airway - Answers Inspection
Auscultation
Palpation
What to look for during airway assessment - Answers Is the tongue obstructing
Are there any loose or missing teeth
Are there any foreign objects
Is there any blood, vomitus or secretions
Preparation and Triage - Answers Preparation: State the need to (1) activate the trauma team, (2)
prepare the trauma room and (3) don PPE
~pt. arrives~
Triage: Assess for obvious uncontrolled external hemorrhage
When to decide if patient requires CAB or ABC - Answers Across the room observation
Equipments that may be needed to prepare before patient arrives - Answers Fluid warmer
Pediatric equipment
Bariatric equipment
Difficult airway or IV equipment
Need for potential safety threats to trauma team - Answers PPE
Decontamination
Primary survey sequence if uncontrolled hemorrhage is identified - Answers CAB
(1) control uncontrolled bleeding
(2) assess circulation
(3) initiate IV Fld and blood replacement as indicated
(4) assess airway and breathing
Primary survey sequence - Answers (1) Alertness and Airway with Simultaneous Cervical Spinal
Stabilization
(2) Breathing and ventilation
(3) circulation and control of hemorrhage
(4) Disability (neurologic status)
(5) Exposure and environmental control
, (6) Full set of vital signs
(7) Facilitate family presence
(8) Get monitoring devices and give comfort (LMNOP)
(9) Reevaluation for transfer to trauma center or definitive treatment
True or False: primary assessment sequence should be completed first before performing and
intervention. - Answers False: ABCDE are critical in nature and any deviation from baseline require
immediate intervention. Any life threatening situations need to be completed in the current element
before moving on to the next. (i.e., B is not assessed until A is addressed, and so on)
Sequence for assessing alertness & airway with simultaneous cervical spina stabilization - Answers AVPU
Cervical spine injury
Patency and protection of airway
Criteria for LoC assessment - Answers Alert
Verbal
Pain
Unresponsive
What to do when cervical spine injury is suspected - Answers (1) Second person provide manual cervical
spinal stabilization
(2) assess airway
(a) open airway using jaw thrust maneuver if pt is unconscious
(b) ask patient to speak or open mouth if conscious
How to assess patency and protection of airway - Answers Inspection
Auscultation
Palpation
What to look for during airway assessment - Answers Is the tongue obstructing
Are there any loose or missing teeth
Are there any foreign objects
Is there any blood, vomitus or secretions
