Trauma | Intra-abdominal | Crush Injuries | Multiple Injuries | Fractures | Mock Test | Staff Nurse | Guides Academy

Trauma- intraabdominal, crush injuries, multiple injures, fractures

Time: 15:00

In the primary survey of a multiple trauma patient, which assessment is performed first according to the ABCDE principles?

[a] Breathing and ventilation.

[b] Disability and neurological status.

[c] Circulation and hemorrhage control.

[d] Airway maintenance with cervical spine protection.

A patient with blunt abdominal trauma complains of left shoulder pain. The nurse recognizes this as Kehr's sign, which is indicative of irritation to the diaphragm from what likely injury?

[a] Liver laceration.

[b] Ruptured appendix.

[c] Splenic rupture.

[d] Bladder injury.

A patient with a tibial fracture in a cast reports severe, deep pain that is unrelieved by opioids. The nurse notes the toes are cool and pale. These are classic signs of what limb-threatening complication?

[a] Fat embolism syndrome.

[b] Osteomyelitis.

[c] Compartment syndrome.

[d] Deep vein thrombosis.

A patient is admitted with a severe crush injury to the lower extremities. The nurse should prioritize monitoring for which life-threatening electrolyte imbalance caused by rhabdomyolysis?

[a] Hyponatremia.

[b] Hypocalcemia.

[c] Hyperkalemia.

[d] Hypermagnesemia.

In the emergency department, what is the purpose of performing a Focused Assessment with Sonography for Trauma (FAST) scan on a patient with blunt abdominal trauma?

[a] To definitively diagnose the specific organ injured.

[b] To assess for spinal fractures.

[c] To rapidly detect free fluid or blood in the peritoneal cavity.

[d] To visualize the structure of the kidneys.

The "lethal triad" in severely injured trauma patients consists of hypothermia, metabolic acidosis, and which other component?

[a] Hyperglycemia.

[b] Hypertension.

[c] Coagulopathy.

[d] Sepsis.

A young adult with a femur fracture develops acute respiratory distress, confusion, and a petechial rash on the chest and axillae 24 hours post-injury. The nurse should have a high index of suspicion for:

[a] Pulmonary embolism from a DVT.

[b] Fat embolism syndrome.

[c] Hypovolemic shock.

[d] Pneumonia.

What is the single most important initial intervention in the management of a patient with a significant crush injury to prevent acute kidney injury?

[a] Administration of high-dose diuretics.

[b] Immediate application of a tourniquet.

[c] Aggressive intravenous fluid resuscitation.

[d] Administration of sodium bicarbonate before fluids.

A nurse observes bruising around the umbilicus (Cullen's sign) and along the flanks (Grey Turner's sign) in a patient after a fall. These findings are highly suggestive of:

[a] Gastric perforation.

[b] Splenic rupture.

[c] Retroperitoneal hemorrhage.

[d] A simple rib fracture.

For a patient with an open (compound) fracture of the femur, what is the highest priority nursing intervention after addressing life-threatening bleeding?

[a] Performing a detailed neurological exam.

[b] Covering the wound with a sterile dressing.

[c] Obtaining a complete medical history.

[d] Administering oral pain medication.

A patient with a suspected pelvic fracture is at highest risk for which immediate life-threatening complication?

[a] Spinal cord injury.

[b] Sepsis.

[c] Massive hemorrhage.

[d] Paralytic ileus.

A patient is being treated for rhabdomyolysis following a crush injury. The nurse would expect to see which characteristic finding in the patient's urine?

[a] Anuria.

[b] Clear, yellow urine.

[c] Dark, reddish-brown (tea-colored) urine.

[d] Polyuria.

A patient with a stab wound to the abdomen develops a rigid, board-like abdomen, guarding, and rebound tenderness. These are classic signs of:

[a] Liver laceration.

[b] Peritonitis from a perforated bowel.

[c] Simple contusion of the abdominal wall.

[d] Renal colic.

A polytrauma patient develops severe respiratory distress, hypotension, jugular vein distention, and tracheal deviation away from the affected side. The nurse should immediately prepare for what emergency procedure?

[a] Thoracotomy.

[b] Pericardiocentesis.

[c] Needle decompression/thoracostomy.

[d] Endotracheal intubation.

What is the primary principle of emergency care for a suspected fracture of an extremity at the scene of an accident?

[a] Attempting to realign the bone fragments.

[b] Applying a hot pack to the area.

[c] Vigorously massaging the area to improve circulation.

[d] Immobilizing the joint above and below the fracture site.

Which surgical procedure is performed to relieve the pressure and prevent tissue necrosis in severe crush injuries and compartment syndrome?

[a] Arthroplasty.

[b] Open reduction and internal fixation (ORIF).

[c] Fasciotomy.

[d] Debridement.

During the secondary survey of a multiple trauma patient, the nurse's role includes:

[a] Only assessing airway, breathing, and circulation.

[b] Primarily focusing on controlling external hemorrhage.

[c] Performing a rapid head-to-toe assessment to identify all injuries.

[d] Obtaining a definitive diagnosis.

The presence of a "seatbelt sign" (bruising across the lower abdomen) in a patient involved in a motor vehicle collision should raise the nurse's suspicion for:

[a] Aortic dissection.

[b] Cardiac contusion.

[c] Intra-abdominal and spinal injuries.

[d] A simple rib fracture.

When performing a neurovascular assessment on a fractured limb, the nurse assesses for paresthesia. What question would the nurse ask the patient to assess this?

[a] "Can you feel me touching your fingers/toes?"

[b] "Are you able to move your fingers/toes?"

[c] "Are you experiencing any 'pins and needles' or numbness?"

[d] "How would you rate your pain on a scale of 0-10?".

The concept of the "golden hour" in trauma care emphasizes the importance of:

[a] Completing all diagnostic imaging within the first hour.

[b] Notifying the family within 60 minutes of arrival.

[c] Initiating definitive surgical care as rapidly as possible to reduce mortality.

[d] Administering antibiotics within the first hour of injury.

Besides elevated potassium, which laboratory value is a hallmark indicator of muscle breakdown in a patient with a crush injury?

[a] Low serum albumin.

[b] Elevated white blood cell count.

[c] Low hematocrit.

[d] Markedly elevated Creatine Kinase (CK).

A fracture in which the bone is broken into more than two pieces or is shattered is classified as a:

[a] Greenstick fracture.

[b] Transverse fracture.

[c] Spiral fracture.

[d] Comminuted fracture.

What is the priority nursing intervention for a patient with a suspected liver laceration and signs of hypovolemic shock?

[a] Administering oral fluids.

[b] Obtaining a detailed pain assessment.

[c] Establishing two large-bore IV lines for fluid and blood administration.

[d] Applying a warm blanket.

Beck's triad, a classic sign of cardiac tamponade, includes hypotension, muffled heart sounds, and:

[a] Tracheal deviation.

[b] Unilateral chest expansion.

[c] Jugular vein distention.

[d] A petechial rash.

An elderly patient presents after a fall. The nurse observes that the patient's affected leg is shortened and externally rotated. These are classic signs of which type of fracture?

[a] Tibial fracture.

[b] Femoral shaft fracture.

[c] Hip fracture (fractured neck of femur).

[d] Ankle fracture.