Basic Trauma Course Questions and Answers
All Correct.
Structures that may be found in the retroperitoneum include:
Duodenum, pancreas, kidneys, vascular structure
Liver, spleen, diaphragm, stomach, transverse colon
All of the intestinal tract
None of the above - Correct answer Duodenum, pancreas,
kidneys, vascular structure
In regards to retroperitoneal injuries, all of the following are
correct EXCEPT:
Injuries are hard to detect
Physical exam and DPL are reliable
Associated with spinal injuries - Correct answer Physical exam and
DPL are reliable
Which of the following is TRUE regarding abdominal trauma?
93% of trauma is penetrating
Incidence is increased by seatbelts
Hollow viscous injury is the most common injury
Not a major source of blood loss - Correct answer Hollow viscous
injury is the most common injury
The treatment goals of an unstable patient with abdominal trauma
is:
Control of bleeding and intestinal leaks
Accurate diagnosis of all injuries
Cool patient to decrease O2 demand
All of the above - Correct answer Control of bleeding and intestinal
leaks
Signs and symptoms of Abdominal Compartment Syndrome
include:
,Tachycardia and hypotension
Tachypnea, decreasing tidal volume, rising peak pressures
Decreased urine output
All of the above - Correct answer All of the above
You receive report on a patient from the operating room. The
patient is a 35-year-old man who was assaulted with a baseball
bat to the abdomen and chest. He has a grade V liver laceration
and went to the operating room for a damage control procedure.
The trauma nurse would know to expect the following clinical
presentation on arrival to the ICU:
Coagulopathy, acidosis, hypothermia
Renal failure, volume depletion, hypothermia
Myocardial failure, volume overload, elevated wedge pressure
ARDS, renal failure, acidosis - Correct answer
Your patient is a 65 year-old-man who fell down the stairs in his
home. HR 100, BP 90/50, RR 28, temp 97. He is complaining of
pain in his abdomen, left chest, and left shoulder. The trauma
nurse suspects which of the following:
Lacerated liver
Ruptured pancreas
Perforated bowel
Ruptured spleen - Correct answer Ruptured spleen
What clinical symptoms would necessitate an emergency return
to the operating room?
Firm abdomen, profuse serous-sanguinous drainage, hypotension
Warm, tight incision, hyperthermia, bradycardia
Tachypnea, hyperthermia, 1% decrease in hematocrit
1% decrease in hematocrit, tachycardia, oliguria - Correct answer
A 20 year-old-male has suffered a gun shot wound to the
abdomen. Your assessment reveals gross hematuria and an
expanding palpable flank mass. He is complaining of flank pain
,and tenderness. He has had an IVP. HR 140, BP 80/40, RR 35.
The trauma nurse should anticipate the following diagnosis:
Minor renal trauma
Major renal trauma
Grade III splenic laceration
Grade III liver laceration - Correct answer Major renal trauma
Categories of Geriatric Abuse include:
Physical/Sexual
Neglect/Psychological
Financial, violation of rights
A & B only
All of the above - Correct answer All of the above
When questioning a trauma patient about suspected abuse, the
trauma nurse should:
Interview the patient alone
Interview the patient with the spouse present
Tell the patient they are a victim
Leave literature on abuse lying around the room - Correct answer
Interview the patient alone
Questions about abuse should be incorporated into the trauma
nurse's assessment for which of the following adult patients?
All pregnant female patients
All elderly poor patients
All female patients
All adult patients - Correct answer All adult patients
The trauma nurse should consider abuse as a potential cause of
injury when:
The injuries do not fit the story, patterned injuries, injuries in
various stages of healing
The injuries do not fit the story, the spouse uses drugs/alcohol,
similar injuries occurred several years ago
, Drug/alcohol use by the patient, patterned injuries, and refusal of
treatment
Injuries do not fit the story, similar injuries occurred in childhood
and refusal of treatment - Correct answer The injuries do not fit the
story, patterned injuries, injuries in various stages of healing
Recognition of acute post traumatic stress disorder in the trauma
patient would include the following:
Difficulty falling asleep, hypervigilance, and exaggerated startle
response
Difficulty staying asleep, preservation and sundowning
Difficulty staying asleep, poor concentration and perseveration
Difficulty falling asleep, poor concentration and sundowning -
Correct answer Difficulty falling asleep, hypervigilance, and
exaggerated startle response
Stress management techniques include:
Learning relaxation techniques
Talk to a friend, religious leader, or psychologist
Believing in YOUR ability to cope
All of the above - Correct answer All of the above
Patterns of injury that raise high index of suspicion of potential
abuse include:
Palms, and Soles
Mastoid area
Inner arms and thighs
All of the above - Correct answer All of the above
Trauma Nurses are at high risk for developing compassion
fatigue.
True
False - Correct answer True
Chest injuries account for up to 25% of all trauma deaths.
All Correct.
Structures that may be found in the retroperitoneum include:
Duodenum, pancreas, kidneys, vascular structure
Liver, spleen, diaphragm, stomach, transverse colon
All of the intestinal tract
None of the above - Correct answer Duodenum, pancreas,
kidneys, vascular structure
In regards to retroperitoneal injuries, all of the following are
correct EXCEPT:
Injuries are hard to detect
Physical exam and DPL are reliable
Associated with spinal injuries - Correct answer Physical exam and
DPL are reliable
Which of the following is TRUE regarding abdominal trauma?
93% of trauma is penetrating
Incidence is increased by seatbelts
Hollow viscous injury is the most common injury
Not a major source of blood loss - Correct answer Hollow viscous
injury is the most common injury
The treatment goals of an unstable patient with abdominal trauma
is:
Control of bleeding and intestinal leaks
Accurate diagnosis of all injuries
Cool patient to decrease O2 demand
All of the above - Correct answer Control of bleeding and intestinal
leaks
Signs and symptoms of Abdominal Compartment Syndrome
include:
,Tachycardia and hypotension
Tachypnea, decreasing tidal volume, rising peak pressures
Decreased urine output
All of the above - Correct answer All of the above
You receive report on a patient from the operating room. The
patient is a 35-year-old man who was assaulted with a baseball
bat to the abdomen and chest. He has a grade V liver laceration
and went to the operating room for a damage control procedure.
The trauma nurse would know to expect the following clinical
presentation on arrival to the ICU:
Coagulopathy, acidosis, hypothermia
Renal failure, volume depletion, hypothermia
Myocardial failure, volume overload, elevated wedge pressure
ARDS, renal failure, acidosis - Correct answer
Your patient is a 65 year-old-man who fell down the stairs in his
home. HR 100, BP 90/50, RR 28, temp 97. He is complaining of
pain in his abdomen, left chest, and left shoulder. The trauma
nurse suspects which of the following:
Lacerated liver
Ruptured pancreas
Perforated bowel
Ruptured spleen - Correct answer Ruptured spleen
What clinical symptoms would necessitate an emergency return
to the operating room?
Firm abdomen, profuse serous-sanguinous drainage, hypotension
Warm, tight incision, hyperthermia, bradycardia
Tachypnea, hyperthermia, 1% decrease in hematocrit
1% decrease in hematocrit, tachycardia, oliguria - Correct answer
A 20 year-old-male has suffered a gun shot wound to the
abdomen. Your assessment reveals gross hematuria and an
expanding palpable flank mass. He is complaining of flank pain
,and tenderness. He has had an IVP. HR 140, BP 80/40, RR 35.
The trauma nurse should anticipate the following diagnosis:
Minor renal trauma
Major renal trauma
Grade III splenic laceration
Grade III liver laceration - Correct answer Major renal trauma
Categories of Geriatric Abuse include:
Physical/Sexual
Neglect/Psychological
Financial, violation of rights
A & B only
All of the above - Correct answer All of the above
When questioning a trauma patient about suspected abuse, the
trauma nurse should:
Interview the patient alone
Interview the patient with the spouse present
Tell the patient they are a victim
Leave literature on abuse lying around the room - Correct answer
Interview the patient alone
Questions about abuse should be incorporated into the trauma
nurse's assessment for which of the following adult patients?
All pregnant female patients
All elderly poor patients
All female patients
All adult patients - Correct answer All adult patients
The trauma nurse should consider abuse as a potential cause of
injury when:
The injuries do not fit the story, patterned injuries, injuries in
various stages of healing
The injuries do not fit the story, the spouse uses drugs/alcohol,
similar injuries occurred several years ago
, Drug/alcohol use by the patient, patterned injuries, and refusal of
treatment
Injuries do not fit the story, similar injuries occurred in childhood
and refusal of treatment - Correct answer The injuries do not fit the
story, patterned injuries, injuries in various stages of healing
Recognition of acute post traumatic stress disorder in the trauma
patient would include the following:
Difficulty falling asleep, hypervigilance, and exaggerated startle
response
Difficulty staying asleep, preservation and sundowning
Difficulty staying asleep, poor concentration and perseveration
Difficulty falling asleep, poor concentration and sundowning -
Correct answer Difficulty falling asleep, hypervigilance, and
exaggerated startle response
Stress management techniques include:
Learning relaxation techniques
Talk to a friend, religious leader, or psychologist
Believing in YOUR ability to cope
All of the above - Correct answer All of the above
Patterns of injury that raise high index of suspicion of potential
abuse include:
Palms, and Soles
Mastoid area
Inner arms and thighs
All of the above - Correct answer All of the above
Trauma Nurses are at high risk for developing compassion
fatigue.
True
False - Correct answer True
Chest injuries account for up to 25% of all trauma deaths.
