NR-299: Foundations of Clinical Practice for
Military questions and correct answers with
rationales 2025
1. Which of the following is the most appropriate initial action when a
service member presents with a penetrating wound?
A. Apply a tourniquet
B. Control bleeding and assess airway
C. Immediately start antibiotics
D. Give oral pain medication
Rationale: Controlling bleeding and assessing airway are primary
priorities in trauma care according to military clinical guidelines.
2. The primary purpose of triage in a battlefield scenario is to:
A. Transport all patients immediately
B. Prioritize care based on severity of injury
C. Administer medications to all injured
D. Record patient information
Rationale: Triage ensures limited resources are used efficiently to treat
those most in need first.
3. In a military clinical setting, the most common site for intravenous
access during emergencies is:
A. Femoral vein
B. Peripheral veins of the arm
C. Jugular vein
D. Subclavian vein
,Rationale: Peripheral veins are accessible, fast, and safer for emergency
fluid administration.
4. Which vital sign change is most concerning in a patient with
suspected hypovolemic shock?
A. Mild tachycardia
B. Hypotension
C. Slight fever
D. Normal respiratory rate
Rationale: Hypotension indicates a critical drop in circulating volume
and requires immediate intervention.
5. The primary goal of aseptic technique in a military field hospital is
to:
A. Reduce paperwork
B. Prevent infection
C. Minimize bleeding
D. Improve patient comfort
Rationale: Aseptic technique prevents introduction of pathogens, critical
in environments with high infection risk.
6. Which of the following is the first step in performing CPR on a
service member found unresponsive?
A. Check pulse
B. Check responsiveness and breathing
C. Deliver chest compressions
D. Call for backup
Rationale: Confirming responsiveness and breathing is essential before
starting CPR to determine the appropriate interventions.
,7. The most accurate method to assess perfusion in a trauma patient
is:
A. Measure oxygen saturation
B. Check capillary refill and skin color
C. Monitor heart rate only
D. Measure body temperature
Rationale: Capillary refill and skin color provide rapid assessment of
tissue perfusion and circulation.
8. A service member presents with signs of tension pneumothorax.
The nurse should:
A. Administer high-flow oxygen
B. Perform needle decompression immediately
C. Place patient supine
D. Apply chest tube after 24 hours
Rationale: Tension pneumothorax is life-threatening and requires
immediate decompression to prevent cardiovascular collapse.
9. When documenting patient care in a military setting, the most
important principle is:
A. Using abbreviations liberally
B. Accuracy and timeliness
C. Keeping notes brief
D. Reporting only abnormal findings
Rationale: Accurate and timely documentation ensures continuity of
care and legal accountability in military healthcare.
10. The first-line treatment for a service member with heat stroke is:
A. Oral fluids
, B. Rapid cooling and IV fluids
C. Bed rest
D. Antibiotics
Rationale: Rapid cooling prevents organ damage and is critical in severe
heat-related illness.
11. When assessing a battlefield injury, which is the priority?
A. Patient history
B. Airway, Breathing, Circulation (ABC)
C. Pain level
D. Vaccination status
Rationale: Immediate life-threatening issues must be addressed first
using the ABC approach.
12. A service member with a suspected spinal injury should be moved:
A. Quickly to the nearest medic
B. Only after spinal stabilization
C. Using a stretcher without precautions
D. To a seated position
Rationale: Spinal precautions prevent further neurologic damage.
13. The “Golden Hour” in military trauma refers to:
A. The first 15 minutes of care
B. The first 60 minutes after injury
C. Time until antibiotics are given
D. Time to evacuate to base hospital
Military questions and correct answers with
rationales 2025
1. Which of the following is the most appropriate initial action when a
service member presents with a penetrating wound?
A. Apply a tourniquet
B. Control bleeding and assess airway
C. Immediately start antibiotics
D. Give oral pain medication
Rationale: Controlling bleeding and assessing airway are primary
priorities in trauma care according to military clinical guidelines.
2. The primary purpose of triage in a battlefield scenario is to:
A. Transport all patients immediately
B. Prioritize care based on severity of injury
C. Administer medications to all injured
D. Record patient information
Rationale: Triage ensures limited resources are used efficiently to treat
those most in need first.
3. In a military clinical setting, the most common site for intravenous
access during emergencies is:
A. Femoral vein
B. Peripheral veins of the arm
C. Jugular vein
D. Subclavian vein
,Rationale: Peripheral veins are accessible, fast, and safer for emergency
fluid administration.
4. Which vital sign change is most concerning in a patient with
suspected hypovolemic shock?
A. Mild tachycardia
B. Hypotension
C. Slight fever
D. Normal respiratory rate
Rationale: Hypotension indicates a critical drop in circulating volume
and requires immediate intervention.
5. The primary goal of aseptic technique in a military field hospital is
to:
A. Reduce paperwork
B. Prevent infection
C. Minimize bleeding
D. Improve patient comfort
Rationale: Aseptic technique prevents introduction of pathogens, critical
in environments with high infection risk.
6. Which of the following is the first step in performing CPR on a
service member found unresponsive?
A. Check pulse
B. Check responsiveness and breathing
C. Deliver chest compressions
D. Call for backup
Rationale: Confirming responsiveness and breathing is essential before
starting CPR to determine the appropriate interventions.
,7. The most accurate method to assess perfusion in a trauma patient
is:
A. Measure oxygen saturation
B. Check capillary refill and skin color
C. Monitor heart rate only
D. Measure body temperature
Rationale: Capillary refill and skin color provide rapid assessment of
tissue perfusion and circulation.
8. A service member presents with signs of tension pneumothorax.
The nurse should:
A. Administer high-flow oxygen
B. Perform needle decompression immediately
C. Place patient supine
D. Apply chest tube after 24 hours
Rationale: Tension pneumothorax is life-threatening and requires
immediate decompression to prevent cardiovascular collapse.
9. When documenting patient care in a military setting, the most
important principle is:
A. Using abbreviations liberally
B. Accuracy and timeliness
C. Keeping notes brief
D. Reporting only abnormal findings
Rationale: Accurate and timely documentation ensures continuity of
care and legal accountability in military healthcare.
10. The first-line treatment for a service member with heat stroke is:
A. Oral fluids
, B. Rapid cooling and IV fluids
C. Bed rest
D. Antibiotics
Rationale: Rapid cooling prevents organ damage and is critical in severe
heat-related illness.
11. When assessing a battlefield injury, which is the priority?
A. Patient history
B. Airway, Breathing, Circulation (ABC)
C. Pain level
D. Vaccination status
Rationale: Immediate life-threatening issues must be addressed first
using the ABC approach.
12. A service member with a suspected spinal injury should be moved:
A. Quickly to the nearest medic
B. Only after spinal stabilization
C. Using a stretcher without precautions
D. To a seated position
Rationale: Spinal precautions prevent further neurologic damage.
13. The “Golden Hour” in military trauma refers to:
A. The first 15 minutes of care
B. The first 60 minutes after injury
C. Time until antibiotics are given
D. Time to evacuate to base hospital
