CEN Trauma Nursing 2

Question 1

Which assessment finding indicates a class III hemorrhagic shock (estimated blood loss 1500–2000 mL)?

Accepted Answer

Heart rate 120–140, decreased BP, confused, decreased urine output

Answer

Heart rate <100, BP normal, slightly anxious

Answer

Heart rate 100–120, decreased pulse pressure, mildly anxious

Answer

Heart rate >140, no palpable BP, unconscious

Question 2

A patient with a traumatic amputation of the right forearm has uncontrolled arterial bleeding. A tourniquet is applied. Which documentation is mandatory?

Accepted Answer

Time of tourniquet application

Answer

Reason for tourniquet application

Answer

Name of the person who applied it

Answer

Patient's blood type

Question 3

A patient with multiple rib fractures (ribs 4–8) on the right side splints their breathing and has SpO2 of 91%. What is the most effective initial pain management strategy to restore ventilation?

Accepted Answer

Thoracic epidural or regional nerve block

Answer

IV morphine titrated to effect

Answer

Oral oxycodone every 4 hours

Answer

Fentanyl patch application

Question 4

A patient sustains an impalement injury to the right chest with the object still in place. What is the correct field management of the impaled object?

Accepted Answer

Stabilize the object in place and do not remove it

Answer

Remove the object carefully and apply pressure

Answer

Remove the object only if it is obstructing the airway

Answer

Cut the object to a manageable length and stabilize

Question 5

Which trauma patient is most likely to benefit from permissive hypotension strategy (target MAP 50 mmHg) during resuscitation?

Accepted Answer

25-year-old with penetrating abdominal trauma, no TBI

Answer

68-year-old with TBI and abdominal bleeding

Answer

Patient with suspected spinal cord injury

Answer

Patient in septic shock

Question 6

A patient in hemorrhagic shock receives a 1:1:1 ratio of packed red blood cells, fresh frozen plasma, and platelets. What does this ratio represent?

Accepted Answer

Damage control resuscitation to prevent trauma-induced coagulopathy

Answer

Standard maintenance fluid replacement

Answer

Treatment for dilutional anemia only

Answer

Prevention of transfusion-related lung injury