• MCAT EXAM 09/09/2026
MCAT EXAM 1 STUDY GUIDE HIGH-YIELD
ACTUAL QUESTIONS AND ANSWERS | 100%
CORRECT | GRADE A
1. The emergency department triage nurse identifies that a patient with which condition should be treated first?
Inflammation of the ankle
A wound on the toe that has intact skin
Multisystem injuries
A 1-inch laceration on the hand
Multisystem injuries
2. Which patient would be a priority by emergency personnel based on findings during triage at an accident site?
Patient with bruising on the shoulders
Patient with a suspected arm fracture
Patient with venous bleeding
Patient with arterial bleeding
P 1
, • MCAT EXAM 09/09/2026
Patient with arterial bleeding
3. Which procedure would be considered if a patient with severe maxillofacial trauma requires mechanical
ventilation? Select all that apply. One, some, or all responses may be correct.
Surgical cricothyroidotomy
Oropharyngeal airway placement
Needle cricothyroidotomy
Oral endotracheal intubation
Nasotracheal intubation
Surgical cricothyroidotomy
Needle cricothyroidotomy
4. Which venous access is best in the case of a patient with peripheral vasoconstriction and venous collapse?
Central venous catheter
Forearm peripheral intravenous line
Antecubital peripheral intravenous line
Midline catheter
Central venous catheter
5. Which rewarming strategy would be classified as an active, internal technique?
Warm room
Head coverings
Warm IV fluids
Radiant light
Warm IV fluids
6. When assessing a trauma patient, which pneumonic could the nurse use for assessment during the secondary
survey?
AUDIT
SBAR
AVPU
AMPLE
AMPLE
P 2
, • MCAT EXAM 09/09/2026
7. Which blood test would the nurse anticipate for a 64-year-old female who reports to the emergency
department with trauma secondary to a motor vehicle accident? Select all that apply. One, some, or all
responses may be correct.
Pregnancy test
Electrolyte profile
Complete blood count
Coagulation panel
Serum lactate
Electrolyte profile
Complete blood count
Coagulation panel
Serum lactate
8. Based on best practice guidelines, which intervention would be used when caring for a patient admitted with
hemorrhagic shock after a penetrating wound? Select all that apply. One, some, or all responses may be correct.
Prepare for immediate surgical closure of the wound.
Administer 4 L of isotonic fluid to achieve a systolic blood pressure >100 mm Hg.
Administer blood replacement according to the massive transfusion protocols.
Maintain the systolic blood pressure between 70 and 90 mm Hg.
Prepare the patient for surgical interventions to control hemorrhage.
Administer blood replacement according to the massive transfusion protocols.
Maintain the systolic blood pressure between 70 and 90 mm Hg.
Prepare the patient for surgical interventions to control hemorrhage.
9. The nurse identifies that a patient who has undergone massive transfusion protocols is at risk for which
complication?
Acute respiratory distress syndrome (ARDS)
Skin breakdown of the sacrum and coccyx
Cardiogenic shock
Neurologic injury related to anoxia
Acute respiratory distress syndrome (ARDS)
1. Which interpretation would the nurse make of a patient’s assessment findings that include a 4-minute loss of
consciousness (LOC) and a score of 15 on the Glasgow Coma Scale (GCS)?
No evidence of brain injury
P 3
, • MCAT EXAM 09/09/2026
Mild traumatic brain injury
Moderate traumatic brain injury
Severe traumatic brain injury
Mild traumatic brain injury
2. Which assessment finding would be most concerning in a patient admitted with traumatic brain injury (TBI)?
Respiratory rate of 6 breaths/min
SpO2 of 94%
Temperature of 99.4℉
Blood pressure of 136/94 mm Hg
Respiratory rate of 6 breaths/min
3. Which diagnostic test would the nurse anticipate for a patient that reports with Battle sign and raccoon eyes?
Skull x-ray
Head CT
Cranial MRI
Electrocardiogram
Head CT
4. The nurse would immediately notify the surgical team for a patient with which traumatic brain injury?
Open skull fracture
Basilar skull fracture
Focal contusion
Concussion
Focal contusion
Concussion
Open skull fracture
5. After a baseball bat injury to the right side of the head, the nurse notes a fixed and dilated right pupil. Based
on the assessment findings, the nurse would prepare to implement interventions for which condition?
Epidural hematoma
Open skull fracture
Subdural hematoma
P 4
MCAT EXAM 1 STUDY GUIDE HIGH-YIELD
ACTUAL QUESTIONS AND ANSWERS | 100%
CORRECT | GRADE A
1. The emergency department triage nurse identifies that a patient with which condition should be treated first?
Inflammation of the ankle
A wound on the toe that has intact skin
Multisystem injuries
A 1-inch laceration on the hand
Multisystem injuries
2. Which patient would be a priority by emergency personnel based on findings during triage at an accident site?
Patient with bruising on the shoulders
Patient with a suspected arm fracture
Patient with venous bleeding
Patient with arterial bleeding
P 1
, • MCAT EXAM 09/09/2026
Patient with arterial bleeding
3. Which procedure would be considered if a patient with severe maxillofacial trauma requires mechanical
ventilation? Select all that apply. One, some, or all responses may be correct.
Surgical cricothyroidotomy
Oropharyngeal airway placement
Needle cricothyroidotomy
Oral endotracheal intubation
Nasotracheal intubation
Surgical cricothyroidotomy
Needle cricothyroidotomy
4. Which venous access is best in the case of a patient with peripheral vasoconstriction and venous collapse?
Central venous catheter
Forearm peripheral intravenous line
Antecubital peripheral intravenous line
Midline catheter
Central venous catheter
5. Which rewarming strategy would be classified as an active, internal technique?
Warm room
Head coverings
Warm IV fluids
Radiant light
Warm IV fluids
6. When assessing a trauma patient, which pneumonic could the nurse use for assessment during the secondary
survey?
AUDIT
SBAR
AVPU
AMPLE
AMPLE
P 2
, • MCAT EXAM 09/09/2026
7. Which blood test would the nurse anticipate for a 64-year-old female who reports to the emergency
department with trauma secondary to a motor vehicle accident? Select all that apply. One, some, or all
responses may be correct.
Pregnancy test
Electrolyte profile
Complete blood count
Coagulation panel
Serum lactate
Electrolyte profile
Complete blood count
Coagulation panel
Serum lactate
8. Based on best practice guidelines, which intervention would be used when caring for a patient admitted with
hemorrhagic shock after a penetrating wound? Select all that apply. One, some, or all responses may be correct.
Prepare for immediate surgical closure of the wound.
Administer 4 L of isotonic fluid to achieve a systolic blood pressure >100 mm Hg.
Administer blood replacement according to the massive transfusion protocols.
Maintain the systolic blood pressure between 70 and 90 mm Hg.
Prepare the patient for surgical interventions to control hemorrhage.
Administer blood replacement according to the massive transfusion protocols.
Maintain the systolic blood pressure between 70 and 90 mm Hg.
Prepare the patient for surgical interventions to control hemorrhage.
9. The nurse identifies that a patient who has undergone massive transfusion protocols is at risk for which
complication?
Acute respiratory distress syndrome (ARDS)
Skin breakdown of the sacrum and coccyx
Cardiogenic shock
Neurologic injury related to anoxia
Acute respiratory distress syndrome (ARDS)
1. Which interpretation would the nurse make of a patient’s assessment findings that include a 4-minute loss of
consciousness (LOC) and a score of 15 on the Glasgow Coma Scale (GCS)?
No evidence of brain injury
P 3
, • MCAT EXAM 09/09/2026
Mild traumatic brain injury
Moderate traumatic brain injury
Severe traumatic brain injury
Mild traumatic brain injury
2. Which assessment finding would be most concerning in a patient admitted with traumatic brain injury (TBI)?
Respiratory rate of 6 breaths/min
SpO2 of 94%
Temperature of 99.4℉
Blood pressure of 136/94 mm Hg
Respiratory rate of 6 breaths/min
3. Which diagnostic test would the nurse anticipate for a patient that reports with Battle sign and raccoon eyes?
Skull x-ray
Head CT
Cranial MRI
Electrocardiogram
Head CT
4. The nurse would immediately notify the surgical team for a patient with which traumatic brain injury?
Open skull fracture
Basilar skull fracture
Focal contusion
Concussion
Focal contusion
Concussion
Open skull fracture
5. After a baseball bat injury to the right side of the head, the nurse notes a fixed and dilated right pupil. Based
on the assessment findings, the nurse would prepare to implement interventions for which condition?
Epidural hematoma
Open skull fracture
Subdural hematoma
P 4
