NSER 7410 Final Exam Questions with Verified Solutions Latest Version 2025
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? - Answers 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? - Answers 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 - Answers 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? - Answers Level 1
Interventions under "J" include all of the following except:
A)
Imaging.
B)
Foley.
C)
Blood work.
D)
IVs. - Answers 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? - Answers
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. - Answers 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. -
Answers Epidural hematoma
,One indication that may differentiate compartment syndrome in the arm from regular post-injury
swelling and inflammation is - Answers Severely increased pain with stretching of the involved
compartment
Which part of the spine is most often injured by flexion or extension injuries? - Answers 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. - Answers D) SVT
Blisters that are intact and less than 2 cm should be kept intact because: - Answers 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. - Answers 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 - Answers D) inadequate sedation
The cardiac arrhythmia most likely in a lightning strike is: - Answers asystole
If a patient has an unknown powder on the skin which may cause a chemical burn, immediate treatment
should be to: - Answers 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. -
Answers 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. - Answers D) none of the above
The Rule of 9's for adults does not apply to the infant's body when calculating the extent of a burn
because:
A)
they have more total body water than adults that changes the calculation.
B)
their head is disproportionately larger than an adult's head.
C)
their lack of height changes the calculated BSA.
D)
smaller numbers are used for smaller bodies. - Answers B)
their head is disproportionately larger than an adult's head
Kevin is a patient who was admitted following an inhalation injury when he was trapped in a burning car.
Other injuries have been ruled out and he remains intubated and will be your patient this shift. The RT
tells you that the mode has recently been switched from A/C-volume to A/C - pressure. She explains that
the patient's lung pressures were rising because the lungs were becoming "stiffer." A reason for this
change in compliance with Kevin's lungs could be: - Answers pulmonary edema from the inhalation
injury.
T/F: When a trauma team is assembled, the nurse has assigned assessments and interventions to
complete and the physician has their own unique assessments and interventions to complete. - Answers
False
T/F: The attending physician is in charge of deciding whether or not a patient is an appropriate organ
donor. - Answers False
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? - Answers 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? - Answers 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 - Answers 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? - Answers Level 1
Interventions under "J" include all of the following except:
A)
Imaging.
B)
Foley.
C)
Blood work.
D)
IVs. - Answers 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? - Answers
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. - Answers 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. -
Answers Epidural hematoma
,One indication that may differentiate compartment syndrome in the arm from regular post-injury
swelling and inflammation is - Answers Severely increased pain with stretching of the involved
compartment
Which part of the spine is most often injured by flexion or extension injuries? - Answers 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. - Answers D) SVT
Blisters that are intact and less than 2 cm should be kept intact because: - Answers 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. - Answers 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 - Answers D) inadequate sedation
The cardiac arrhythmia most likely in a lightning strike is: - Answers asystole
If a patient has an unknown powder on the skin which may cause a chemical burn, immediate treatment
should be to: - Answers 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. -
Answers 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. - Answers D) none of the above
The Rule of 9's for adults does not apply to the infant's body when calculating the extent of a burn
because:
A)
they have more total body water than adults that changes the calculation.
B)
their head is disproportionately larger than an adult's head.
C)
their lack of height changes the calculated BSA.
D)
smaller numbers are used for smaller bodies. - Answers B)
their head is disproportionately larger than an adult's head
Kevin is a patient who was admitted following an inhalation injury when he was trapped in a burning car.
Other injuries have been ruled out and he remains intubated and will be your patient this shift. The RT
tells you that the mode has recently been switched from A/C-volume to A/C - pressure. She explains that
the patient's lung pressures were rising because the lungs were becoming "stiffer." A reason for this
change in compliance with Kevin's lungs could be: - Answers pulmonary edema from the inhalation
injury.
T/F: When a trauma team is assembled, the nurse has assigned assessments and interventions to
complete and the physician has their own unique assessments and interventions to complete. - Answers
False
T/F: The attending physician is in charge of deciding whether or not a patient is an appropriate organ
donor. - Answers False
