FISDAP TRAUMA LATEST EXAM (3 DIFFERENT VERSIONS)
QUESTIONS AND VERIFIED ANSWERS / TRAUMA FISDAP
LATEST EDITION 2025-2026 – EXPERT FEEDBACK
VERSION 1
An alert 18 y/o female is found trapped in her car after a single-car MVC. The
airbag deployed, and she denies any head or neck pain, but she complains of hip
and left leg pain. When she is finally extricated from the car, her vital signs begin
to collapse. What shock is she transitioning from?
A) neurogenic shock to hypovolemic shock
B) decompensated shock to compensated shock
C) compensated shock to decompensated shock
D) decompensated shock to hypovolemic shock - SELECTED- C)
compensated shock to decompensated shock
Which of the following MOIs would NOT be significant for an adult?
A) death in the same passenger compartment
B) fall from more than 10 feet
C) ejection from vehicle
D) altered mental status - SELECTED- B) fall from more than 10 feet
A 20 y/o female has burns on her chest, abdomen, and on the anterior side of her
right arm. What percentage of her body is burned?
A) 22.5%
B) 27%
C) 40.5%
D) 18% - CORRECT ANSWER- A) 22.5%
1
,Before placing an unconscious 6 y/o on a backboard, what should you
do?
A) place padding directly underneath the
head
B) place padding underneath the
shoulders
C) contact the parents for
consent
D) assess vital signs - SELECTED- B) place padding underneath
the
shoulders
What best defines shock?
A) lack of adequate perfusion to the tissues
B) hemorrhage exceeding 50% of total blood volume
C) deficiency of vascular tone due to hemorrhage
D) inadequate cerebral blood flow - SELECTED- A) lack of adequate perfusion
to the tissues
Your client's vehicle was struck by another motorist from behind. What should you
do?
A) perform a head-to-toe examination
B) stabilize the c-spine
C) administer high-flow oxygen
D) apply a half-spine immobilization device - SELECTED- B) stabilize the c-
spine
An 18 y/o female was hit and has 4 teeth pushed into the upper gums of her jaw.
She complains of severe pain and discomfort. Bleeding is minimal. BP is 120/90,
HR is 88 bpm, RR is 16/min, and SpO2 is 96%. What should you do?
A) administer aspirin for pain
B) insert an OPA to maintain patency
C) apply oxygen by NRB at 15 L/min
D) monitor her bleeding and ensure a patent airway - SELECTED- D) monitor
her bleeding and ensure a patent airway
2
,An injury produced by wounding forces of compression and change of speed, both
of which can disrupt tissue, is defined as:
A) third degree trauma
B) penetrating trauma
C) blunt trauma
D) cavitation - SELECTED- C) blunt trauma
A 34 y/o female has been bleeding vaginally for 2 hours. She is anxious, alert, and
oriented. Her skin is cool, pale, and diaphoretic. BP is 116/70, HR 118 bpm, and
RR 20/min. What should you suspect?
A) hypotensive shock
B) hypertensive shock
C) decompensated shock
D) compensated shock - SELECTED- D) compensated shock
What is a contraindication of a traction splint?
A) signs of hypoperfusion
B) swelling or deformity to the thigh
C) pelvic fracture
D) potential spinal injury - SELECTED- C) pelvic fracture
A 56 y/o male involved in a car accident complains of chest and abdominal pain.
Pulses differ by 10 mmHg systolic bilaterally and lung sounds are muffled. To
which artery should you suspect a rupture?
A) subclavian
B) carotid
C) iliac
D) radial - SELECTED- A) subclavian
A 32 y/o female attempted suicide by taking sleeping pills and cutting her wrists.
She has dark red blood oozing from the wrist lacerations. BP is 90/52, HR 130 bpm
and weak, RR 18/min. What type of bleeding and shock is she experiencing?
A) venous bleeding with hypovolemic shock
B) capillary bleeding with cardiogenic shock
C) arterial bleeding with hypovolemic shock
D) venous bleeding with neurogenic shock - CORRECT ANSWER- A) venous
bleeding with hypovolemic shock
3
, Unequal pupils are a result of pressure on which structure?
A) oculomotor nerve
B) central medulla
C) trochlear membrane
D) vagus nerve - SELECTED- A) oculomotor nerve
A 41 y/o male has been injured in an explosion at a chemical lab. He has ruptured
TMs and sinus injuries. At what phase of the blast did the client sustain the
injuries? A) primary
B) ultimate
C) tertiary
D) second ary - CORRECT ANSWER- A) primary
When protecting the cervical spine of a suspected trauma client, what should you
do?
A) place gentle traction to straighten the c-spine
B) hold the c-spine in the position found
C) place a rigid collar on the neck prior to continuing with the rest of the
assessment
D) hold the neck in a neutral, in-line position - SELECTED- D) hold the
neck in a neutral, in-line position
What is a mechanism of obstructive shock?
A) MI
B) spinal cord injury
C) acute fluid loss
D) tension PTX - SELECTED- D) tension PTX
Which of the following is the first sign of shock that usually appears in clients?
A) changes in vitals
B) pale, cool, and clammy skin
C) AMS
D) nausea and vomiting - SELECTED- C) AMS
4
QUESTIONS AND VERIFIED ANSWERS / TRAUMA FISDAP
LATEST EDITION 2025-2026 – EXPERT FEEDBACK
VERSION 1
An alert 18 y/o female is found trapped in her car after a single-car MVC. The
airbag deployed, and she denies any head or neck pain, but she complains of hip
and left leg pain. When she is finally extricated from the car, her vital signs begin
to collapse. What shock is she transitioning from?
A) neurogenic shock to hypovolemic shock
B) decompensated shock to compensated shock
C) compensated shock to decompensated shock
D) decompensated shock to hypovolemic shock - SELECTED- C)
compensated shock to decompensated shock
Which of the following MOIs would NOT be significant for an adult?
A) death in the same passenger compartment
B) fall from more than 10 feet
C) ejection from vehicle
D) altered mental status - SELECTED- B) fall from more than 10 feet
A 20 y/o female has burns on her chest, abdomen, and on the anterior side of her
right arm. What percentage of her body is burned?
A) 22.5%
B) 27%
C) 40.5%
D) 18% - CORRECT ANSWER- A) 22.5%
1
,Before placing an unconscious 6 y/o on a backboard, what should you
do?
A) place padding directly underneath the
head
B) place padding underneath the
shoulders
C) contact the parents for
consent
D) assess vital signs - SELECTED- B) place padding underneath
the
shoulders
What best defines shock?
A) lack of adequate perfusion to the tissues
B) hemorrhage exceeding 50% of total blood volume
C) deficiency of vascular tone due to hemorrhage
D) inadequate cerebral blood flow - SELECTED- A) lack of adequate perfusion
to the tissues
Your client's vehicle was struck by another motorist from behind. What should you
do?
A) perform a head-to-toe examination
B) stabilize the c-spine
C) administer high-flow oxygen
D) apply a half-spine immobilization device - SELECTED- B) stabilize the c-
spine
An 18 y/o female was hit and has 4 teeth pushed into the upper gums of her jaw.
She complains of severe pain and discomfort. Bleeding is minimal. BP is 120/90,
HR is 88 bpm, RR is 16/min, and SpO2 is 96%. What should you do?
A) administer aspirin for pain
B) insert an OPA to maintain patency
C) apply oxygen by NRB at 15 L/min
D) monitor her bleeding and ensure a patent airway - SELECTED- D) monitor
her bleeding and ensure a patent airway
2
,An injury produced by wounding forces of compression and change of speed, both
of which can disrupt tissue, is defined as:
A) third degree trauma
B) penetrating trauma
C) blunt trauma
D) cavitation - SELECTED- C) blunt trauma
A 34 y/o female has been bleeding vaginally for 2 hours. She is anxious, alert, and
oriented. Her skin is cool, pale, and diaphoretic. BP is 116/70, HR 118 bpm, and
RR 20/min. What should you suspect?
A) hypotensive shock
B) hypertensive shock
C) decompensated shock
D) compensated shock - SELECTED- D) compensated shock
What is a contraindication of a traction splint?
A) signs of hypoperfusion
B) swelling or deformity to the thigh
C) pelvic fracture
D) potential spinal injury - SELECTED- C) pelvic fracture
A 56 y/o male involved in a car accident complains of chest and abdominal pain.
Pulses differ by 10 mmHg systolic bilaterally and lung sounds are muffled. To
which artery should you suspect a rupture?
A) subclavian
B) carotid
C) iliac
D) radial - SELECTED- A) subclavian
A 32 y/o female attempted suicide by taking sleeping pills and cutting her wrists.
She has dark red blood oozing from the wrist lacerations. BP is 90/52, HR 130 bpm
and weak, RR 18/min. What type of bleeding and shock is she experiencing?
A) venous bleeding with hypovolemic shock
B) capillary bleeding with cardiogenic shock
C) arterial bleeding with hypovolemic shock
D) venous bleeding with neurogenic shock - CORRECT ANSWER- A) venous
bleeding with hypovolemic shock
3
, Unequal pupils are a result of pressure on which structure?
A) oculomotor nerve
B) central medulla
C) trochlear membrane
D) vagus nerve - SELECTED- A) oculomotor nerve
A 41 y/o male has been injured in an explosion at a chemical lab. He has ruptured
TMs and sinus injuries. At what phase of the blast did the client sustain the
injuries? A) primary
B) ultimate
C) tertiary
D) second ary - CORRECT ANSWER- A) primary
When protecting the cervical spine of a suspected trauma client, what should you
do?
A) place gentle traction to straighten the c-spine
B) hold the c-spine in the position found
C) place a rigid collar on the neck prior to continuing with the rest of the
assessment
D) hold the neck in a neutral, in-line position - SELECTED- D) hold the
neck in a neutral, in-line position
What is a mechanism of obstructive shock?
A) MI
B) spinal cord injury
C) acute fluid loss
D) tension PTX - SELECTED- D) tension PTX
Which of the following is the first sign of shock that usually appears in clients?
A) changes in vitals
B) pale, cool, and clammy skin
C) AMS
D) nausea and vomiting - SELECTED- C) AMS
4
