CCRN Multisystem Trauma and Shock 4

Question 1

A patient with crush injury to both legs is at highest risk for which life-threatening complication during reperfusion?

Accepted Answer

Hyperkalemia

Answer

Hypokalemia

Answer

Hypoglycemia

Answer

Hypernatremia

Question 2

Which finding in a patient with suspected abdominal compartment syndrome is most diagnostic?

Accepted Answer

Bladder pressure greater than 20 mmHg with organ dysfunction

Answer

Elevated serum amylase

Answer

Decreased bowel sounds

Answer

Abdominal bruising

Question 3

A trauma patient develops dark, tea-colored urine after a crush injury. Which complication should be suspected?

Accepted Answer

Rhabdomyolysis

Answer

Urinary tract infection

Answer

Bladder rupture

Answer

Acute glomerulonephritis

Question 4

Which type of shock is characterized by a low systemic vascular resistance and a high cardiac output in its early phase?

Accepted Answer

Septic (distributive) shock

Answer

Cardiogenic shock

Answer

Hypovolemic shock

Answer

Obstructive shock

Question 5

What is the most appropriate initial fluid for resuscitation of acute hemorrhagic shock when blood products are not yet available?

Accepted Answer

Balanced crystalloid such as lactated Ringer's

Answer

0.45% saline

Answer

Dextrose 5% in water

Answer

Albumin 25%

Question 6

Which intervention takes priority in a trauma patient with a tension pneumothorax and rapidly deteriorating vital signs?

Accepted Answer

Needle decompression

Answer

Chest x-ray

Answer

CT scan

Answer

Endotracheal intubation

Question 7

In a polytrauma patient, which scoring tool is commonly used to quantify overall anatomic injury severity?

Accepted Answer

Injury Severity Score (ISS)

Answer

Glasgow Coma Scale

Answer

APACHE II

Answer

RIFLE criteria