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1. EMS brings a patient who fell while riding his bicycle. Using the American
College of Surgeons screening guidelines, which assessment finding would
prompt the nurse to prepare the patient for radiologic spine clearance?: Alert
with no neurological deficits
2. The trauma nurse knows that placing a bariatric patient in a "ramped posi-
tion" provides better visualization during the insertion of which device?: En-
dotracheal tube
3. A 35-year-old male presents with facial trauma after being struck in the face
with a baseball. A teardrop-shaped left pupil is noted on exam. What type of
injury is suspected?: Globe rupture
4. Caregivers carry a 2-year-old into the emergency department who fell out
of a second-story window. The patient is awake and crying with increased
work of breathing and pale skin. Which of the following interventions has the
highest priority?: Padding the upper back while stabilizing the cervical spine
5. Which of the following injuries is LEAST likely to be promptly identified?: -
Bowel
6. A 49-year-old restrained driver involved in a motor vehicle collision presents
to the trauma center complaining of abdominal, pelvic, and bilateral lower
extremity pain. Vital signs are stable. The nurse can anticipate all of these after
a negative FAST exam EXCEPT which of the following?: Diagnostic peritoneal
lavage
7. Why is a measure of serum lactate obtained in the initial assessment of a
trauma patient?: To gauge end-organ perfusion and tissue hypoxia
8. During the primary survey of an unconscious patient with multi-system trau-
ma, the nurse notes snoring respirations. Which priority nursing intervention
should be performed next?: Insert an oropharyngeal airway if there is no gag reflex
9. Which of the following assessment findings differentiates a tension pneu-
mothorax from a simple pneumothorax?: Hypotension that worsens with inspi-
ration (pulsus paradoxus)
10. What is the effect of hypothermia on the oxyhemoglobin dissociation
curve?: Hemoglobin does not readily release oxygen for use by the tissues (Left
shift)
11. A trauma patient is en route to a rural emergency department. Radiology
notifies the charge nurse that the computed tomography (CT) scanner will be
out of service for several hours. The team gathers to plan accordingly. Which
