TNCC Musculoskeletal and Surface Trauma 2

Question 1

A patient with a closed femur fracture is at risk for significant hemorrhage. The estimated blood loss from a single femur fracture is approximately:

Accepted Answer

1,000-1,500 mL

Answer

200-500 mL

Answer

500-750 mL

Answer

2,500-3,000 mL

Question 2

A trauma patient presents with a pale, cool, pulseless right lower leg after a knee dislocation. The nurse's priority is:

Accepted Answer

Notify the physician immediately for emergent vascular assessment — limb-threatening vascular injury is likely

Answer

Apply ice and elevate the extremity

Answer

Document the findings and continue the secondary survey

Answer

Obtain bilateral ankle-brachial indices

Question 3

The six P's of compartment syndrome include all of the following EXCEPT:

Accepted Answer

Purulent drainage

Answer

Pain out of proportion to injury

Answer

Pulselessness

Answer

Paresthesia

Question 4

A patient has a degloving injury of the forearm with significant soft tissue loss. The appropriate wound management includes:

Accepted Answer

Wound irrigation, debridement of devitalized tissue, moist sterile dressing, and surgical consultation

Answer

Primary wound closure with sutures in the trauma bay

Answer

Application of a dry dressing without irrigation to prevent hypothermia

Answer

Immediate skin grafting in the emergency department

Question 5

Which splinting principle is MOST important when immobilizing a fractured extremity?

Accepted Answer

Splint the joint above and below the fracture site

Answer

Apply the splint as tightly as possible to prevent any movement

Answer

Straighten all angulated fractures before splinting

Answer

Splint over clothing to save time

Question 6

A patient with an open (compound) fracture of the tibia has bone protruding through the skin. Which action should the nurse avoid?

Accepted Answer

Pushing the bone back beneath the skin surface

Answer

Covering the wound with a moist sterile dressing

Answer

Administering IV antibiotics within one hour

Answer

Assessing distal neurovascular status