Test Bank for Trauma Nursing Core Course 20th,
Edition| Verified Questions & Answers | Real Exam,
100% Complete & Graded A
A 5-year old child presents to the ED with bruises to the upper arms and buttocks in
various stages of healing and multiple small, clean, round burns to the back. There
are no abnormalities found based on the pediatric assessment triangle or primary
survey. Which of the following is the priority nursing intervention?
Answer: A - ANSA) report your suspicion of the maltreatment in accordance with
local regulations ***
B) apply ice to the bruises and consult wound care
C) engage in therapeutic communication to determine the MOI
D) provide the family with injury prevention resourse
A 20-year old male presents to the ED c/o severe lower abd pain after landing hard on
the bicycle cross bars which performing an aerial BMX maneuver. Secondary
assessment reveals lower abd tenderness and scrotal ecchymosis. Which of the
following orders would the nurse questions?
Answer: C - ANSA) Fast exam
B) CT scan
C) straight cath for urine sample ***
D) ice and elevation of the scrotum
A 35-year old male presents with facial trauma after bring struck inthe face with a
baseball. a tear-drop shaped left pupil is noted on exam. What type of injury is
suspected?
Answer: B - ANSA) oculomotor nerve palsy
B) globe rupture ***
C) uncal herniation
D) retinal detachment
1|Page
,A 36-year old female has a deformity of the left wrist after a fall. She is reluctant to
move her hand due to pain. Which of the following is the most appropriate
intervention?
Answer: B - ANSA) apply a sling and elevate the extremity to the level of the heart.
B) apply a splint and ELEVATE ABOVE THE LEVEL OF THE HEART ***
C) Apply a sling and elevate the extremity above the level of the heart
D) apply a splint and elevate the extremity to the level of the heart.
A 49-year old restrained driver involved in a MVC presents to the trauma center c/o
abd, pelvic, and bil lower extremity pain Vitals signs are stable. The nurse can
anticipate all of these negative fast exam except which of the following?
Answer: A
The FAST exam is done at the bedside to identify pathological fluid in the abdominal
and pelvic cavities. FAST exams reduce the use of more invasive diagnostic
peritoneal lavage and can be repeated if clinical changes or hemodynamic changes
occur. A negative FAST study does not rule out injury and may warrant a follow-up
computed tomography scan. Serial FAST exams can identify increasing abdominal
fluid collections from hemorrhage. Diagnostic peritoneal lavage/diagnostic peritoneal
aspiration is performed by the surgical team to rapidly identify the presence of
hemorrhage in patients who are hemodynamically unstable after trauma. - ANSA)
diagnostic peritoneal lavage ***
B) serial fast exams
C) abdominal and pelvic CT scans
D) serial abdominal assessments
A 56-year- male patient involved in a MVC is brought to the ED of a rural critical
access facility. He c/o neck pain, SOB, and diffuse abd pain. His GCS is 15. His vitals
are as follows:
BP 98/71
HR 125 beats/min
RR 26 breaths/min
2|Page
,SpO2 94% on high flow O2 via NRB mask
which of the following is the priority intervention for this patient?
Answer: C - ANSA) Expedite transport to the CT scanner
B) prepare the patient for spinal radiographs
C) expedite transfer to the closest trauma center ***
D) notify the patients family
A passenger is brought to the emergency department of a rural hospital following a
high-speed MVC. When significant abdominal and pelvic injuries are noted in the
primary survey, which of the following is the priority interventions?
Answer: A - ANSA) initiate transfer to a trauma center **
B) provide report to the operating room nurse
C) Obtained imaging studies
D) Place a gastric tube
A patient arrives with a large open chest wound after being assault ed with a
machete, Prehospital providers placed a nonporous dressing over the chest wound
and tapes it on 3 sides. He is now showing signs of anxiety, restlessness, severe
respiratory distress, cyanosis, and decreasing blood pressure. Which of the following is
the MOST appropriate interventions?
Answer: C - ANSA) needle decompression
B) tube thoracostomy
C) dressing removal **
D) surgical repair
A patient has been in the ED for several hours waiting to be admitted. He sustained
multiple rib fractures and a femur fracture after a fall. He has been awake, alert, and
c/o leg pain. His wife reported suddenly becoming anxious and confused. Upon
reassessment, the patient is restless, with respiratory distress and petechiae to his
neck. the patient is exhibiting signs of symptoms commonly associated with which of
the following conditions?
3|Page
, Answer: B - ANSA) acute lung injury
B) fat embolism ***
C) PTX
D) pulmonary contusion
A patient is found lying on the floor after falling 13 hours ago. Which of the following
lab values is expected with a musculoskeletal complication associated with this
presentation?
Answer: A - ANSA) elevated creatine kinase ***
B) decreased potassium level
C) decreased WBC
D) elevated GFR
A patient is thrown against a car during a tornado and presents with obvious bilateral
femoral fractures. The patient is pale, alert, disoriented, and has delayed cap refill.
Which of the following interventions would be most appropriate for this patient based
on the disaster triage principle?
Answer: A - ANSA) initiate two large caliber intravenous lines for Ringers lactate
solution administration ***
B) Administer Dilaudid for pain control and provide comfort care
C) Place the patient in an observation area for care within the next few hours
D) Contact the command center for the personnel to notify next of kin.
A patient with a complete spinal cord injury in neurogenic shock will demonstrate
hypotension and which other clinical signs?
Answer: D - ANSA) Bradycardia and ipsilateral absences of motor function
B) Tachycardia and respiratory depression
C) Tachycardia and absent motor function below the level of injury
D) Bradycardia and absent motor function below the level of the injury ***
A patient with lower extremity fracture complains of severe pain and tightness in his
calf, minimally relieved by pain medications. Which of the following is the priority
nursing intervention?
4|Page
Edition| Verified Questions & Answers | Real Exam,
100% Complete & Graded A
A 5-year old child presents to the ED with bruises to the upper arms and buttocks in
various stages of healing and multiple small, clean, round burns to the back. There
are no abnormalities found based on the pediatric assessment triangle or primary
survey. Which of the following is the priority nursing intervention?
Answer: A - ANSA) report your suspicion of the maltreatment in accordance with
local regulations ***
B) apply ice to the bruises and consult wound care
C) engage in therapeutic communication to determine the MOI
D) provide the family with injury prevention resourse
A 20-year old male presents to the ED c/o severe lower abd pain after landing hard on
the bicycle cross bars which performing an aerial BMX maneuver. Secondary
assessment reveals lower abd tenderness and scrotal ecchymosis. Which of the
following orders would the nurse questions?
Answer: C - ANSA) Fast exam
B) CT scan
C) straight cath for urine sample ***
D) ice and elevation of the scrotum
A 35-year old male presents with facial trauma after bring struck inthe face with a
baseball. a tear-drop shaped left pupil is noted on exam. What type of injury is
suspected?
Answer: B - ANSA) oculomotor nerve palsy
B) globe rupture ***
C) uncal herniation
D) retinal detachment
1|Page
,A 36-year old female has a deformity of the left wrist after a fall. She is reluctant to
move her hand due to pain. Which of the following is the most appropriate
intervention?
Answer: B - ANSA) apply a sling and elevate the extremity to the level of the heart.
B) apply a splint and ELEVATE ABOVE THE LEVEL OF THE HEART ***
C) Apply a sling and elevate the extremity above the level of the heart
D) apply a splint and elevate the extremity to the level of the heart.
A 49-year old restrained driver involved in a MVC presents to the trauma center c/o
abd, pelvic, and bil lower extremity pain Vitals signs are stable. The nurse can
anticipate all of these negative fast exam except which of the following?
Answer: A
The FAST exam is done at the bedside to identify pathological fluid in the abdominal
and pelvic cavities. FAST exams reduce the use of more invasive diagnostic
peritoneal lavage and can be repeated if clinical changes or hemodynamic changes
occur. A negative FAST study does not rule out injury and may warrant a follow-up
computed tomography scan. Serial FAST exams can identify increasing abdominal
fluid collections from hemorrhage. Diagnostic peritoneal lavage/diagnostic peritoneal
aspiration is performed by the surgical team to rapidly identify the presence of
hemorrhage in patients who are hemodynamically unstable after trauma. - ANSA)
diagnostic peritoneal lavage ***
B) serial fast exams
C) abdominal and pelvic CT scans
D) serial abdominal assessments
A 56-year- male patient involved in a MVC is brought to the ED of a rural critical
access facility. He c/o neck pain, SOB, and diffuse abd pain. His GCS is 15. His vitals
are as follows:
BP 98/71
HR 125 beats/min
RR 26 breaths/min
2|Page
,SpO2 94% on high flow O2 via NRB mask
which of the following is the priority intervention for this patient?
Answer: C - ANSA) Expedite transport to the CT scanner
B) prepare the patient for spinal radiographs
C) expedite transfer to the closest trauma center ***
D) notify the patients family
A passenger is brought to the emergency department of a rural hospital following a
high-speed MVC. When significant abdominal and pelvic injuries are noted in the
primary survey, which of the following is the priority interventions?
Answer: A - ANSA) initiate transfer to a trauma center **
B) provide report to the operating room nurse
C) Obtained imaging studies
D) Place a gastric tube
A patient arrives with a large open chest wound after being assault ed with a
machete, Prehospital providers placed a nonporous dressing over the chest wound
and tapes it on 3 sides. He is now showing signs of anxiety, restlessness, severe
respiratory distress, cyanosis, and decreasing blood pressure. Which of the following is
the MOST appropriate interventions?
Answer: C - ANSA) needle decompression
B) tube thoracostomy
C) dressing removal **
D) surgical repair
A patient has been in the ED for several hours waiting to be admitted. He sustained
multiple rib fractures and a femur fracture after a fall. He has been awake, alert, and
c/o leg pain. His wife reported suddenly becoming anxious and confused. Upon
reassessment, the patient is restless, with respiratory distress and petechiae to his
neck. the patient is exhibiting signs of symptoms commonly associated with which of
the following conditions?
3|Page
, Answer: B - ANSA) acute lung injury
B) fat embolism ***
C) PTX
D) pulmonary contusion
A patient is found lying on the floor after falling 13 hours ago. Which of the following
lab values is expected with a musculoskeletal complication associated with this
presentation?
Answer: A - ANSA) elevated creatine kinase ***
B) decreased potassium level
C) decreased WBC
D) elevated GFR
A patient is thrown against a car during a tornado and presents with obvious bilateral
femoral fractures. The patient is pale, alert, disoriented, and has delayed cap refill.
Which of the following interventions would be most appropriate for this patient based
on the disaster triage principle?
Answer: A - ANSA) initiate two large caliber intravenous lines for Ringers lactate
solution administration ***
B) Administer Dilaudid for pain control and provide comfort care
C) Place the patient in an observation area for care within the next few hours
D) Contact the command center for the personnel to notify next of kin.
A patient with a complete spinal cord injury in neurogenic shock will demonstrate
hypotension and which other clinical signs?
Answer: D - ANSA) Bradycardia and ipsilateral absences of motor function
B) Tachycardia and respiratory depression
C) Tachycardia and absent motor function below the level of injury
D) Bradycardia and absent motor function below the level of the injury ***
A patient with lower extremity fracture complains of severe pain and tightness in his
calf, minimally relieved by pain medications. Which of the following is the priority
nursing intervention?
4|Page
