CCRN Multisystem Trauma and Shock 2

Question 1

A trauma patient presents with hypotension, jugular venous distention, and muffled heart sounds. Which condition is most likely?

Accepted Answer

Cardiac tamponade

Answer

Tension pneumothorax

Answer

Hemorrhagic shock

Answer

Pulmonary embolism

Question 2

What is the earliest reliable sign of compensated shock in a young trauma patient?

Accepted Answer

Tachycardia

Answer

Hypotension

Answer

Bradycardia

Answer

Decreased urine output

Question 3

Which class of hemorrhagic shock corresponds to a 30-40% blood volume loss?

Accepted Answer

Class III

Answer

Class I

Answer

Class II

Answer

Class IV

Question 4

A patient with a femur fracture develops sudden dyspnea, petechiae, and confusion 24-48 hours after injury. What is the likely cause?

Accepted Answer

Fat embolism syndrome

Answer

Pulmonary contusion

Answer

ARDS

Answer

Tension pneumothorax

Question 5

What is the recommended target for permissive hypotension in an actively bleeding trauma patient without head injury?

Accepted Answer

SBP 80-90 mmHg

Answer

SBP 60-70 mmHg

Answer

SBP 110-120 mmHg

Answer

MAP greater than 90 mmHg

Question 6

Which laboratory finding best reflects the adequacy of tissue perfusion in shock?

Accepted Answer

Lactate

Answer

Serum sodium

Answer

White blood cell count

Answer

Serum potassium

Question 7

In neurogenic shock from a spinal cord injury, which combination of findings is expected?

Accepted Answer

Hypotension with bradycardia

Answer

Hypotension with tachycardia

Answer

Hypertension with bradycardia

Answer

Hypertension with tachycardia