1|Page
100 Practice Questions and Answers for CNT Exam
Prep | Clean Needle Technique – CNT exam
Answered Practice Questions Latest
A 22-year-old man is hypotensive and tachycardic after a
shotgun wound to the left shoulder. His blood pressure is
initially 80/40 mm Hg. After initial fluid resuscitation his
blood pressure increases to 122/84 mm Hg. His heart rate
is now 100 beats per minute and his respiratory rate is 28
breaths per minute. A tube thoracostomy is performed for
decreased left chest breath sounds with the return of a
small amount of blood and no air leak. After chest tube
insertion, the most appropriate next step is: -
...ANSWER...✓✓ re-examine the chest
A construction worker falls two stories from a building
and sustains bilateral calcaneal fractures. In the
emergency department, he is alert, vital signs are normal,
and he is complaining of severe pain in both heels and his
lower back. Lower extremity pulses are strong and there
is no other deformity. The suspected diagnosis is most
likely to be confirmed by: - ...ANSWER...✓✓ complete
spine x-ray series
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Which of the following is true regarding the initial
resuscitation of a trauma patient? - ...ANSWER...✓✓
Evidence of improved perfusion after fluid resuscitation
could include improvement in Glasgow Coma Scale score
on reevaluation.
In managing a patient with a severe traumatic brain
injury, the most important initial step is to: -
...ANSWER...✓✓ secure the airway
A previously healthy, 70-kg (154-pound) man suffers an
estimated acute blood loss of 2 liters. Which one of the
following statements applies to this patient? -
...ANSWER...✓✓ An ABG would demonstrate a base deficit
between -6 and -10 mEq/L.
The physiological hypervolemia of pregnancy has clinical
significance in the management of the severely injured,
gravid woman by: - ...ANSWER...✓✓ increasing the
volume of blood loss to produce maternal hypotension
The best assessment of fluid resuscitation of the adult
burn patient is: - ...ANSWER...✓✓ urinary output of 0.5
mL/kg/hr
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The diagnosis of shock must include: - ...ANSWER...✓✓
evidence of inadequate organ perfusion
A 7-year-old boy is brought to the emergency department
by his parents several minutes after he fell through a
window. He is bleeding profusely from a 6-cm wound of
his medial right thigh. Immediate management of the
wound should consist of: - ...ANSWER...✓✓ direct
pressure on the wound
For the patient with severe traumatic brain injury,
profound hypocarbia should be avoided to prevent: -
...ANSWER...✓✓ cerebral vasoconstriction with
diminished perfusion
After being involved in a motor vehicle crash, a 25-year-
old man is brought to a hospital that has surgery
capabilities available.. Computed tomography of the chest
and abdomen shows an aortic injury and splenic
laceration with free abdominal fluid. His blood pressure
falls to 70 mm Hg after CT. The next step is: -
...ANSWER...✓✓ perform an exploratory laparotomy
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Which one of the following statements regarding
abdominal trauma in the pregnant patient is TRUE? -
...ANSWER...✓✓ Leakage of amniotic fluid is an indication
for hospital admission.
The first maneuver to improve oxygenation after chest
injury is: - ...ANSWER...✓✓ administer supplemental
oxygen
A 25-year-old man, injured in a motor vehicular crash, is
admitted to the emergency department. His pupils react
sluggishly and his eyes open to pressure. He does not
follow commands, but he does moan periodically. His
right arm is deformed and does not respond to pressure;
however, his left hand reaches purposefully toward the
stimulus. Both legs are stiffly extended. His GCS score is:
- ...ANSWER...✓✓ 9
A 20-year-old woman who is at 32 weeks gestation, is
stabbed in the upper right chest. In the emergency
department, her blood pressure is 80/60 mm Hg. She is
gasping for breath, extremely anxious, and yelling for
help. Breath sounds are diminished in the right chest. The
most appropriate first step is to: - ...ANSWER...✓✓
100 Practice Questions and Answers for CNT Exam
Prep | Clean Needle Technique – CNT exam
Answered Practice Questions Latest
A 22-year-old man is hypotensive and tachycardic after a
shotgun wound to the left shoulder. His blood pressure is
initially 80/40 mm Hg. After initial fluid resuscitation his
blood pressure increases to 122/84 mm Hg. His heart rate
is now 100 beats per minute and his respiratory rate is 28
breaths per minute. A tube thoracostomy is performed for
decreased left chest breath sounds with the return of a
small amount of blood and no air leak. After chest tube
insertion, the most appropriate next step is: -
...ANSWER...✓✓ re-examine the chest
A construction worker falls two stories from a building
and sustains bilateral calcaneal fractures. In the
emergency department, he is alert, vital signs are normal,
and he is complaining of severe pain in both heels and his
lower back. Lower extremity pulses are strong and there
is no other deformity. The suspected diagnosis is most
likely to be confirmed by: - ...ANSWER...✓✓ complete
spine x-ray series
,2|Page
Which of the following is true regarding the initial
resuscitation of a trauma patient? - ...ANSWER...✓✓
Evidence of improved perfusion after fluid resuscitation
could include improvement in Glasgow Coma Scale score
on reevaluation.
In managing a patient with a severe traumatic brain
injury, the most important initial step is to: -
...ANSWER...✓✓ secure the airway
A previously healthy, 70-kg (154-pound) man suffers an
estimated acute blood loss of 2 liters. Which one of the
following statements applies to this patient? -
...ANSWER...✓✓ An ABG would demonstrate a base deficit
between -6 and -10 mEq/L.
The physiological hypervolemia of pregnancy has clinical
significance in the management of the severely injured,
gravid woman by: - ...ANSWER...✓✓ increasing the
volume of blood loss to produce maternal hypotension
The best assessment of fluid resuscitation of the adult
burn patient is: - ...ANSWER...✓✓ urinary output of 0.5
mL/kg/hr
,3|Page
The diagnosis of shock must include: - ...ANSWER...✓✓
evidence of inadequate organ perfusion
A 7-year-old boy is brought to the emergency department
by his parents several minutes after he fell through a
window. He is bleeding profusely from a 6-cm wound of
his medial right thigh. Immediate management of the
wound should consist of: - ...ANSWER...✓✓ direct
pressure on the wound
For the patient with severe traumatic brain injury,
profound hypocarbia should be avoided to prevent: -
...ANSWER...✓✓ cerebral vasoconstriction with
diminished perfusion
After being involved in a motor vehicle crash, a 25-year-
old man is brought to a hospital that has surgery
capabilities available.. Computed tomography of the chest
and abdomen shows an aortic injury and splenic
laceration with free abdominal fluid. His blood pressure
falls to 70 mm Hg after CT. The next step is: -
...ANSWER...✓✓ perform an exploratory laparotomy
, 4|Page
Which one of the following statements regarding
abdominal trauma in the pregnant patient is TRUE? -
...ANSWER...✓✓ Leakage of amniotic fluid is an indication
for hospital admission.
The first maneuver to improve oxygenation after chest
injury is: - ...ANSWER...✓✓ administer supplemental
oxygen
A 25-year-old man, injured in a motor vehicular crash, is
admitted to the emergency department. His pupils react
sluggishly and his eyes open to pressure. He does not
follow commands, but he does moan periodically. His
right arm is deformed and does not respond to pressure;
however, his left hand reaches purposefully toward the
stimulus. Both legs are stiffly extended. His GCS score is:
- ...ANSWER...✓✓ 9
A 20-year-old woman who is at 32 weeks gestation, is
stabbed in the upper right chest. In the emergency
department, her blood pressure is 80/60 mm Hg. She is
gasping for breath, extremely anxious, and yelling for
help. Breath sounds are diminished in the right chest. The
most appropriate first step is to: - ...ANSWER...✓✓
