ENA Abdominal & Genitourinary Trauma Study Guide 2026 | Emergency Nursing Review &
Exam Prep
Which type of injury requires immediate surgery?
A. Pancreatic
B. Gastric
C. Splenic
D. Hepatic - ANS ✔✔B. Gastric
Injury of which organ produces an elevated serum amylase level?
A. Kidney
B. Liver
C. Pancreas
D. Small intestine - ANS ✔✔C. Pancreas
Which organ is most likely to be injured by blunt trauma?
A. Kidney
B. Liver
C. Stomach
D. Pancreas - ANS ✔✔B. Liver
For a hemodynamically stable patient who complains of abdominal and left shoulder pain after
falling off a bicycle, which intervention is indicated?
A. Perform serial abdominal assessments.
B. Prepare for immediate surgery.
C. Prepare for immediate diagnostic peritoneal lavage.
D. Perform discharge teaching. - ANS ✔✔A. Perform serial abdominal assessments.
, Which part of the genitourinary tract is the least commonly injured?
A. Bladder
B. Kidneys
C. Ureters
D. Urethra - ANS ✔✔C. Ureters
In a patient with a penetrating injury, why is it difficult to estimate the extent of tissue damage?
A. Stab wounds to the back rarely cause abdominal injury.
B. Entrance and exit wounds are difficult to differentiate.
C. Plain radiography is not useful when caring for a bullet wound.
D. The wound tract can close in on itself. - ANS ✔✔D. The wound tract can close in on itself.
Which diagnostic test is used to detect a foreign body?
A. Plain abdominal radiography
B. Computed tomography of the abdomen
C. Focused assessment with sonography for trauma
D. Magnetic resonance imaging - ANS ✔✔A. Plain abdominal radiography
Which laboratory test is considered the best indicator of a pancreatic injury?
A. White blood cell count
B. Amylase level
C. Lipase level
D. Hemoglobin level and hematocrit - ANS ✔✔C. Lipase level
Exam Prep
Which type of injury requires immediate surgery?
A. Pancreatic
B. Gastric
C. Splenic
D. Hepatic - ANS ✔✔B. Gastric
Injury of which organ produces an elevated serum amylase level?
A. Kidney
B. Liver
C. Pancreas
D. Small intestine - ANS ✔✔C. Pancreas
Which organ is most likely to be injured by blunt trauma?
A. Kidney
B. Liver
C. Stomach
D. Pancreas - ANS ✔✔B. Liver
For a hemodynamically stable patient who complains of abdominal and left shoulder pain after
falling off a bicycle, which intervention is indicated?
A. Perform serial abdominal assessments.
B. Prepare for immediate surgery.
C. Prepare for immediate diagnostic peritoneal lavage.
D. Perform discharge teaching. - ANS ✔✔A. Perform serial abdominal assessments.
, Which part of the genitourinary tract is the least commonly injured?
A. Bladder
B. Kidneys
C. Ureters
D. Urethra - ANS ✔✔C. Ureters
In a patient with a penetrating injury, why is it difficult to estimate the extent of tissue damage?
A. Stab wounds to the back rarely cause abdominal injury.
B. Entrance and exit wounds are difficult to differentiate.
C. Plain radiography is not useful when caring for a bullet wound.
D. The wound tract can close in on itself. - ANS ✔✔D. The wound tract can close in on itself.
Which diagnostic test is used to detect a foreign body?
A. Plain abdominal radiography
B. Computed tomography of the abdomen
C. Focused assessment with sonography for trauma
D. Magnetic resonance imaging - ANS ✔✔A. Plain abdominal radiography
Which laboratory test is considered the best indicator of a pancreatic injury?
A. White blood cell count
B. Amylase level
C. Lipase level
D. Hemoglobin level and hematocrit - ANS ✔✔C. Lipase level
