CCRN Multisystem Trauma and Shock 5

Question 1

Which finding suggests that a trauma patient is progressing from compensated to decompensated shock?

Accepted Answer

Narrowing pulse pressure with falling blood pressure

Answer

Rising blood pressure

Answer

Slowing heart rate to normal

Answer

Improving mental status

Question 2

A patient with a high thoracic spinal cord injury is at risk for autonomic dysreflexia. Which trigger is most common?

Accepted Answer

Bladder distention

Answer

Hyperglycemia

Answer

Hypoxia

Answer

Hypothermia

Question 3

Which vasopressor is typically first-line for distributive (septic) shock unresponsive to fluids?

Accepted Answer

Norepinephrine

Answer

Dopamine

Answer

Phenylephrine

Answer

Vasopressin

Question 4

A trauma patient develops bilateral diffuse infiltrates, refractory hypoxemia, and a PaO2/FiO2 ratio of 150. Which condition is most likely?

Accepted Answer

Acute respiratory distress syndrome

Answer

Cardiogenic pulmonary edema

Answer

Pneumonia

Answer

Pulmonary embolism

Question 5

What is the recommended ventilation strategy for a trauma patient with ARDS?

Accepted Answer

Low tidal volume 6 mL/kg of predicted body weight

Answer

Tidal volume 10-12 mL/kg

Answer

High tidal volume to recruit alveoli

Answer

Zero PEEP

Question 6

Which assessment is the priority during the primary survey of a multisystem trauma patient?

Accepted Answer

Airway with cervical spine protection

Answer

Detailed neurologic exam

Answer

Full body x-ray

Answer

Medication history

Question 7

A trauma patient on massive transfusion develops oozing from IV sites and mucous membranes. Which condition should be suspected?

Accepted Answer

Disseminated intravascular coagulation

Answer

Hemophilia A

Answer

Von Willebrand disease

Answer

Vitamin K deficiency