NSER 7410 Final Exam UPDATED
QUESTIONS AND CORRECT ANSWERS
You have been caring for a patient for the past 6 hours with multiple chest and abdominal
injuries. She has been hypotensive and received almost 7 liters of fluids, but she is now
starting to bleed from her IV sites and nose. What intervention is expected for this
coagulopathy? - CORRECT ANSWER Give fresh frozen plasma
The trimodal distribution of trauma death informs us that 50% of deaths occur at the scene.
What mechanisms lead to these deaths? - CORRECT ANSWER lacerations of major
arteries and organs
T/F: Trauma systems standardize trauma management, coordinate medical management and
to standardize education for the trauma personnel involved - CORRECT
ANSWER True
A patient is the driver of a small car involved in a head-on crash with a bus. The driver has
severe facial injuries, is unconscious, and has significant chest and abdominal injuries. What
level of trauma center is most appropriate for the care of the patient? - CORRECT
ANSWER Level 1
Interventions under "J" include all of the following except:
A)
Imaging.
B)
Foley.
C)
Blood work.
D)
IVs. - CORRECT ANSWER D) IVs
,A 20-year-old patient is brought to your ER after a skateboarding injury. Bystanders say he
fell backwards off his board, landing on his neck and upper back area. He is conscious now
but having difficulty talking and breathing. His vitals are T 36.3, P 42, R 10, BP 85/40. He is
able to move his fingers but cannot lift his arms or legs. This patient has bitten his tongue and
needs suctioning. What is important to remember about suctioning a patient with a potential
spinal cord injury? - CORRECT ANSWER Bradycardia can result and atropine may be
needed
T/F: When a patient is immobilized on a backboard, the best method to auscultate lungs is as
laterally and posteriorly as possible. - CORRECT ANSWER True
If a patient's presentation had been a brief loss of consciousness, followed by a lucid period
of minutes to hours, followed by a rapid deterioration in consciousness, this type of bleed
should be suspected. - CORRECT ANSWER Epidural hematoma
One indication that may differentiate compartment syndrome in the arm from regular post-
injury swelling and inflammation is - CORRECT ANSWER Severely increased pain
with stretching of the involved compartment
Which part of the spine is most often injured by flexion or extension injuries? - CORRECT
ANSWER cervical
Signs and symptoms of an inhalation injury include all of the following except:
A)
change in voice.
B)
singed nasal hair.
C)
carbonaceous sputum.
D)
supraventricular tachycardia. - CORRECT ANSWER D) SVT
,Blisters that are intact and less than 2 cm should be kept intact because: - CORRECT
ANSWER allows for faster healing, causes less pain, better cosmetic appearance
Inadequate pain management for painful partial thickness burns can lead to all of the
following except:
A)
increased inflammatory response.
B)
increased opioid requirements.
C)
post traumatic stress disorder.
D)
eschar formation. - CORRECT ANSWER D) eschar formation
A patient who is ventilated has a low blood pressure. When he arrived to the ED the BP was
much higher at 152/85 and HR was 122. Possible reasons for his low BP include all of the
following except:
A)
hypovolemia.
B)
positive pressure ventilation.
C)
elevated PEEP
D)
inadequate sedation - CORRECT ANSWER D) inadequate sedation
The cardiac arrhythmia most likely in a lightning strike is: - CORRECT
ANSWER asystole
, If a patient has an unknown powder on the skin which may cause a chemical burn, immediate
treatment should be to: - CORRECT ANSWER brush off powder first and then rinse
with water.
You hear the charge nurse telling the trauma nurse a child is en route with significant burns to
his body after his shirt caught fire by a candle. The trauma nurse comes to you and asks what
is unique about treating children with burns. You offer differences which include all of the
following except:
A)
Their fluid volume requirements per %TBSA is larger.
B)
They have limited glycogen stores so dextrose containing maintenance fluids should be
initiated to prevent hypoglycemia.
C)
Their body surface to mass ratio is larger so a modified %TBSA chart is used.
D)
Their overall fluid requirements are smaller so they receive half the volume over twice the
time. - CORRECT ANSWER D)
Their overall fluid requirements are smaller so they receive half the volume over twice the
time.
The information needed to calculate fluid requirements based on the Parkland formula on a
patient with a superficial erythema thermal burn is:
A)
time of the burn.
B)
extent of the burn (TBSA).
C)
patient weight in kilograms.
D)
none of the above. - CORRECT ANSWER D) none of the above
QUESTIONS AND CORRECT ANSWERS
You have been caring for a patient for the past 6 hours with multiple chest and abdominal
injuries. She has been hypotensive and received almost 7 liters of fluids, but she is now
starting to bleed from her IV sites and nose. What intervention is expected for this
coagulopathy? - CORRECT ANSWER Give fresh frozen plasma
The trimodal distribution of trauma death informs us that 50% of deaths occur at the scene.
What mechanisms lead to these deaths? - CORRECT ANSWER lacerations of major
arteries and organs
T/F: Trauma systems standardize trauma management, coordinate medical management and
to standardize education for the trauma personnel involved - CORRECT
ANSWER True
A patient is the driver of a small car involved in a head-on crash with a bus. The driver has
severe facial injuries, is unconscious, and has significant chest and abdominal injuries. What
level of trauma center is most appropriate for the care of the patient? - CORRECT
ANSWER Level 1
Interventions under "J" include all of the following except:
A)
Imaging.
B)
Foley.
C)
Blood work.
D)
IVs. - CORRECT ANSWER D) IVs
,A 20-year-old patient is brought to your ER after a skateboarding injury. Bystanders say he
fell backwards off his board, landing on his neck and upper back area. He is conscious now
but having difficulty talking and breathing. His vitals are T 36.3, P 42, R 10, BP 85/40. He is
able to move his fingers but cannot lift his arms or legs. This patient has bitten his tongue and
needs suctioning. What is important to remember about suctioning a patient with a potential
spinal cord injury? - CORRECT ANSWER Bradycardia can result and atropine may be
needed
T/F: When a patient is immobilized on a backboard, the best method to auscultate lungs is as
laterally and posteriorly as possible. - CORRECT ANSWER True
If a patient's presentation had been a brief loss of consciousness, followed by a lucid period
of minutes to hours, followed by a rapid deterioration in consciousness, this type of bleed
should be suspected. - CORRECT ANSWER Epidural hematoma
One indication that may differentiate compartment syndrome in the arm from regular post-
injury swelling and inflammation is - CORRECT ANSWER Severely increased pain
with stretching of the involved compartment
Which part of the spine is most often injured by flexion or extension injuries? - CORRECT
ANSWER cervical
Signs and symptoms of an inhalation injury include all of the following except:
A)
change in voice.
B)
singed nasal hair.
C)
carbonaceous sputum.
D)
supraventricular tachycardia. - CORRECT ANSWER D) SVT
,Blisters that are intact and less than 2 cm should be kept intact because: - CORRECT
ANSWER allows for faster healing, causes less pain, better cosmetic appearance
Inadequate pain management for painful partial thickness burns can lead to all of the
following except:
A)
increased inflammatory response.
B)
increased opioid requirements.
C)
post traumatic stress disorder.
D)
eschar formation. - CORRECT ANSWER D) eschar formation
A patient who is ventilated has a low blood pressure. When he arrived to the ED the BP was
much higher at 152/85 and HR was 122. Possible reasons for his low BP include all of the
following except:
A)
hypovolemia.
B)
positive pressure ventilation.
C)
elevated PEEP
D)
inadequate sedation - CORRECT ANSWER D) inadequate sedation
The cardiac arrhythmia most likely in a lightning strike is: - CORRECT
ANSWER asystole
, If a patient has an unknown powder on the skin which may cause a chemical burn, immediate
treatment should be to: - CORRECT ANSWER brush off powder first and then rinse
with water.
You hear the charge nurse telling the trauma nurse a child is en route with significant burns to
his body after his shirt caught fire by a candle. The trauma nurse comes to you and asks what
is unique about treating children with burns. You offer differences which include all of the
following except:
A)
Their fluid volume requirements per %TBSA is larger.
B)
They have limited glycogen stores so dextrose containing maintenance fluids should be
initiated to prevent hypoglycemia.
C)
Their body surface to mass ratio is larger so a modified %TBSA chart is used.
D)
Their overall fluid requirements are smaller so they receive half the volume over twice the
time. - CORRECT ANSWER D)
Their overall fluid requirements are smaller so they receive half the volume over twice the
time.
The information needed to calculate fluid requirements based on the Parkland formula on a
patient with a superficial erythema thermal burn is:
A)
time of the burn.
B)
extent of the burn (TBSA).
C)
patient weight in kilograms.
D)
none of the above. - CORRECT ANSWER D) none of the above
