What is the key to a high performing trauma team? Correct Answers: Consistent communication
(Communication, cooperation, and coordination are the foundations of successful teamwork in
trauma care p.6)
When obtaining a history for an injured patient, determining energy transfer through biomechanical
data helps the nurse to: Correct Answers: Anticipate the types of injury that may be present
(Mechanism of injury and energy transfer can help predict potential injuries and injury patterns p.29)
The major preventable cause of death in trauma patient is: Correct Answers: Uncontrolled
hemorrhage.
(Uncontrolled hemorrhage is the major cause of preventable death after injury, so assessment to
identify uncontrolled hemorrhage is key to the initial assessment process. p.40)
The across-the-room observation step in the initial assessment provides the opportunity to: Correct
Answers: Reprioritize ciculation before airway or breathing (The accross the room observation is
done at the beginning of th eprimary survey to rapidy assess the need ot reprioritize ciculation before
airway or breathing. This is done if uncontrolled external hemorrhage is identified. p.40)
Which of the following accurately describes ventilation principles associated with a bag-mask device?
Correct Answers: Ventilate at a rate of 10-12 breaths/min
(When patient ventilation is ineffective, the best intervention is to assist ventilations at 10-12
breaths/min or one every 5-6 seconds. p.44)
Which of the following is the best measure of the adequacy of cellular perfusion and helps to predict
the outcome of resuscitation? Correct Answers: Base deficit
(Base deficit serves as an endpoint measurement of the adequacy of cellular perfusion and predicts
the success of the resuscitation)
According to the WHO pain relief ladder, adjuvant medications are: Correct Answers: Treatment for
symptoms associated with pain
(Adjuvant medications are not originally intended to treat pain, but can help manage pain by treating
associated symptoms, such as nausea, anxiety, and others
In a patient with severe traumatic brain injury, hypocapnia causes: Correct Answers: Cerebral
vasoconstriction
(Hypocapnia, or low levels of carbon dioxide, will cause vasoconstriction, especially in the cerebral
vasculature.) p.109
A patient with a knife injury to the neck has an intact airway and is hemodynamically stable. He
complains of difficulty swallowing and speaking. Further assessment is indicated next for which of the
following conditions? Correct Answers: Damage to the spinal cord.
(Penetrating neck trauma may include concurrent injuries to the spinal cord, airway, or vascular neck
structures. With an intact airway and hemodynamic stability, the other common concurrent injury is to
the spinal cord. p.143)
What is the appropriate technique to palpate the pelvis for stability? Correct Answers: Apply gentle
pressure over the iliac wings downward and medially.
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