ACE YOUR NUR 455 final EXAM: COMPLETE STUDY GUIDE WITH
COMPREHENSIVE QUESTIONS AND ANSWERS LATEST
2026/2027
◉ what is secondary survey. Answer: Secondary is at the hospital
(FGHI) o Focused assessment with sonography for Trauma
(FAST):
§ Ultrasound that looks for free fluid(blood) in the abdominal cavity,
pericardium, or pelvis
§ Insertion of foley to monitor I&Os
§ Insertion of gastric tube to empty stomach and prevent aspiration
§ Initial surgical stabilization o Full Set of
Vitals/focused adjuncts/family presence o Give
comfort measures o History and Head-to-Toe o
Inspect posterior surfaces o Remove-cut off all
clothing
§ May be evidence so DO NOT TRASH CLOTHES
◉ Chest Trauma is most often caused by. Answer: by motor vehicle
collisions
◉ treatment for chest trauma. Answer: ABC'S
Morphine allows the patient to breathe effectively
,◉ EARLY S/S OF HYPOXEMIA. Answer: Dyspnea, agitation and
anxiety, then decreased LOC
◉ Priority interventions for suspected C-Spine or head injury. Answer:
C-COLLAR
◉ How would you assess the airway of a patient with suspected
head/neck injury. Answer: · Modified jaw thrust
· DO NOT REMOVE THE C-Collar
◉ Nursing interventions do patients with blunt chest trauma (ABCD).
Answer: · Assess the Airway maintaining C-Spine stabilization
· Assess breathing -> breath sounds, even chest rise (uneven chest
rise, absent chest sounds) o Chest tube for hemo/pneumo o Chest pain
§ Splint, deep breath and cough, Incentive spirometer
· Circulation o IV fluid resuscitation to maintain
hemodynamic stability o Hemothorax -> May need blood
transfusion
· Disability -> level of consciousness (GCS scale)
◉ Signs and symptoms of tension pneumothorax. Answer: · Tracheal
deviation toward the unaffected side and asymmetrical chest movement
is a hallmark sign
· Positive pressure in the pleural cavity and affected lung collapses
, · Pain
· SOB
· Trouble breathing
· assess subcutaneous emphysema ->crackling feeling under the skin
◉ TREATMENT FOR BLUNT CHEST TRAUMA. Answer: · Chest
tube
· Incentive spirometer -> every 1-2 hours to prevent atelectasis and
assists in keeping airway clear
◉ S/S OF CARDIAC TAMPONADE. Answer: · Hypotension, muffled
heart sounds, and JVD -> Becks triad
◉ What is the most common cause of death with 48 hours in trauma
patients. Answer: Hemorrhage
◉ What are the interventions for victims of snakebite. Answer: · Below
heart -> functional position
· No tunicate, ice, or alcohol to affected extremity
· Antivenom -> rapid treatment (most effective when given within 4-6
hours after envenomation)
· Clean the wound and give tetanus prophylaxis is immunization is
unknown or outdated.
· Continuous cardiac monitoring -> hemodynamic monitoring
COMPREHENSIVE QUESTIONS AND ANSWERS LATEST
2026/2027
◉ what is secondary survey. Answer: Secondary is at the hospital
(FGHI) o Focused assessment with sonography for Trauma
(FAST):
§ Ultrasound that looks for free fluid(blood) in the abdominal cavity,
pericardium, or pelvis
§ Insertion of foley to monitor I&Os
§ Insertion of gastric tube to empty stomach and prevent aspiration
§ Initial surgical stabilization o Full Set of
Vitals/focused adjuncts/family presence o Give
comfort measures o History and Head-to-Toe o
Inspect posterior surfaces o Remove-cut off all
clothing
§ May be evidence so DO NOT TRASH CLOTHES
◉ Chest Trauma is most often caused by. Answer: by motor vehicle
collisions
◉ treatment for chest trauma. Answer: ABC'S
Morphine allows the patient to breathe effectively
,◉ EARLY S/S OF HYPOXEMIA. Answer: Dyspnea, agitation and
anxiety, then decreased LOC
◉ Priority interventions for suspected C-Spine or head injury. Answer:
C-COLLAR
◉ How would you assess the airway of a patient with suspected
head/neck injury. Answer: · Modified jaw thrust
· DO NOT REMOVE THE C-Collar
◉ Nursing interventions do patients with blunt chest trauma (ABCD).
Answer: · Assess the Airway maintaining C-Spine stabilization
· Assess breathing -> breath sounds, even chest rise (uneven chest
rise, absent chest sounds) o Chest tube for hemo/pneumo o Chest pain
§ Splint, deep breath and cough, Incentive spirometer
· Circulation o IV fluid resuscitation to maintain
hemodynamic stability o Hemothorax -> May need blood
transfusion
· Disability -> level of consciousness (GCS scale)
◉ Signs and symptoms of tension pneumothorax. Answer: · Tracheal
deviation toward the unaffected side and asymmetrical chest movement
is a hallmark sign
· Positive pressure in the pleural cavity and affected lung collapses
, · Pain
· SOB
· Trouble breathing
· assess subcutaneous emphysema ->crackling feeling under the skin
◉ TREATMENT FOR BLUNT CHEST TRAUMA. Answer: · Chest
tube
· Incentive spirometer -> every 1-2 hours to prevent atelectasis and
assists in keeping airway clear
◉ S/S OF CARDIAC TAMPONADE. Answer: · Hypotension, muffled
heart sounds, and JVD -> Becks triad
◉ What is the most common cause of death with 48 hours in trauma
patients. Answer: Hemorrhage
◉ What are the interventions for victims of snakebite. Answer: · Below
heart -> functional position
· No tunicate, ice, or alcohol to affected extremity
· Antivenom -> rapid treatment (most effective when given within 4-6
hours after envenomation)
· Clean the wound and give tetanus prophylaxis is immunization is
unknown or outdated.
· Continuous cardiac monitoring -> hemodynamic monitoring
