FISDAP TRAUMA exam bank-with 100% verified answers-2024-2025.docx, Exams of Nursing

Download FISDAP TRAUMA exam bank-with 100% verified answers-2024-2025.docx and more Exams Nursing in PDF only on Docsity! FISDAP TRAUMA exam bank-with 100% verified answers-2024-2025 Answers on the last pages 1. An alert 18 year old female is found trapped in her car after a single motor vehicle crash. The air bag deployed and she denies any head or neck pain, but she complains of hip and left leg pain. When she is finally extricated from the car, her vital signs begin to collapse. What shock is she transitioning from? A. neurogenic shock to hypovolemic shock. B. decompensated shock to compensated shock. C. compensated shock to decompensated shock. D. decompensated shock to hypovolemic shock. 2. Which of the following mechanism of injuries would NOT be significant for an adult? A. Death in the same passenger compartment. B. Fall from more than ten feet. C. Ejection from vehicle. D. Altered mental status. 3. A 20 year old female has burns on her chest, abdomen, and on the anterior side of her right arm. What percentage of body is burned? A. 22.5% B. 27% C. 40.5% D. 18% 4. Before placing an unconscious 6 year old on a long backboard, what should you do? A. Place padding directly underneath the head. B. Place padding underneath the shoulders. C. Contact the parents for consent. D. Asses vital signs. 5. What best defines shock? A. Lack of adequate perfusion to the tissues. B. Hemorrhage exceeding 50% of total blood volume. C. Deficiency of vascular tone due to hemorrhage. D. Inadequate cerebral blood flow. 6. Your patient's vehicle was struck by another motorist from behind. What should you do? A. Perform a head-to-toe examination. B. Stabilize the cervical spine. C. Administer high-flow oxygen. D. Apply a half-spine immobilization device. 7. An 18 year old female was hit and has 4 teeth pushed into the upper gums of her jaw. She complains of severe pain and discomfort. Bleeding is minimal and vital signs are BP 120/90, R 16, P 88, SpO2 96%. What should you do? A. Administer aspirin for pain. B. Insert an oropharyngeal airway to maintain patency. C. Apply oxygen by nonrebreather mask at 15 lpm. 21. A 12 year old male has suffered a blast injury. What phase would projectiles have caused injury to the patient? A. Secondary B. Primary C. Tertiary D. Quaternary 22. When the vascular container enlarges without proportional increase in the fluid volume, what type of shock should you suspect? A. Decompensated B. Hypovolemic C. Cardiogenic D. Distributive 23. A 26 year old female complains of chest pain after a motor vehicle accident. Auscultation of lung sounds reveals distant heart tones. Vital signs are BP 160/70, P 56, R 22 and she has distended neck veins. What should you suspect? A. Hemothorax B. Abdominal aortic aneurysm C. Congestive heart failure D. Pericardial tamponade 24. A 34 year old male involved in a motorcycle crash presents with tachycardia, hypotension and muffled heart tones. What should you suspect? A. Pericardial tamponade B. Hemopneumothorax C. Traumatic asphyxia D. Tension pneumothorax 25. What organ is located in the upper right quadrant? A. Spleen B. Liver C. Kidney D. Pancreas 26. An alert, ambulatory, 26 year old female admits to laying her motorcycle down at 25 mph to avoid a crash. She has extreme pain to her left side where you note severe abrasions. She denies any neck or back pain. What should you do? A. C-collar and immobilize her fully in the standing position. B. Oxygen and transport in a semi-sitting position of comfort. C. C-collar and transport her on his left side. D. Sterile dressings and treat her pain with ice. 27. A 20 year old female was involved in a car crash. She complains of midline neck pain and is unable to move her extremities. What secondary injury should you suspect? A. Difficulty breathing B. Ruptured vertebrae C. Vertebral swelling D. Subluxation 28. A unrestrained 24 year old female driver hit an electrical pole and struck the steering wheel. She appears pale and complains of nausea and abdominal pain. What organ is LEAST likely to suffer an injury as a result of this impact? A. Liver B. Stomach C. Spleen D. Diagphram 29. A 28 year old female has full thickness burns to her hands and arms after being shocked by an electrical outlet. Vital signs are BP 150/90, R 20, P 84. What should you do? A. Cover her wounds with moist sterile dressings. B. Irrigate her burns with normal saline. C. Apply dry sterile dressings to her wounds. D. Administer ice to her burns. Scenario: 30. A 38 year old male has been struck with a brick. His words are incomprehensible, and he has no eye opening or motor response. He has unequal pupils and has blood draining from his left ear. Vital signs are BP 178/110, P 58, R 8. What should you suspect? A. A narcotic overdose B. A basal skull fracture C. Hypovolemic shock D. Subdural hematoma 31. What is an injury to ligaments around a joint called? A. Fracture B. Strain C. Sprain D. Dislocation 32. A 16 year old male has a broken nose. He is bleeding heavily from both nostrils. What should you do? A. Pinch his nose and lean him forward. B. Pinch his nose and lean him back. C. Gently pack both nostrils with sterile gauze. D. Apply direct pressure to his nostrils. 33. A 18 year old male has hypotension, bradycardia, and warm dry skin following a hard hit during a football game. What should you suspect? A. Septic shock B. Neurogenic shock C. Hypovolemic shock D. Cardiogenic shock Scenario: 34. An 80 year old male complains of leg pain. His left foot is pulseless, discolored, and cool to the touch. He had surgery two days prior with no complications. What should you suspect? A. Diabetes B. Normal post surgery occurrence. C. Medication overdose D. A blood clot 35. A 29 year old female fell from an 18 foot roof. During your rapid trauma assessment, where are you most likely to find life-threatening injuries? A. Abdomen, pelvis, arms B. Head, chest, abdomen C. Head, neck, extremities D. Chest, pelvis, extremities 36. How quickly should you expect a clot to form from a venous laceration? A. 11-14 minutes B. 7-10 minutes C. 4-6 minutes D. 1 minute 37. A 60 year old male fell onto a coffee table yesterday and he woke up this morning complaining of diffuse, dull abdominal pain. You note periumbilical bruising. What is this known as? A. Grey-Turner's sign B. Kehr's sign C. Crohn's sign D. Cullen's sign 38. A 56 year old female has an arm injury with arterial bleeding. The dressing becomes soaked with blood. What should you do? A. Apply additional dressing material with direct pressure. B. Remove and replace the dressing with a thicker dressing. C. Wrap an elastic bandage around the blood soaked dressing. D. Cover the existing dressing with an occlusive dressing. 51. A 25 year old female has a distended abdomen and muffled lung sounds after a car accident. BP 130/80, P 96, R 24. What should you suspect? A. Abdominal evisceration B. Pericardial tamponade C. Ruptured bowel D. Tension pneumothorax 52. What are the general principles for the management of a dislocation? A. Traction and realignment. B. Splinting in a position of comfort. C. Pain management and realignment. D. Splinting in the position found. 53. An alert and oriented 35 year old female is sitting on the ground after a car accident. Vital signs are BP 90/62, P 96, R 24 and shallow. She denies any numbness or tingling in her extremities. What should you do? A. Reassess her vitals B. Apply oxygen by nasal cannula C. Perform full spinal immobilization D. Transport immediately 54. What findings would indicate a serious mechanism of injury during a motor vehicle crash? A. The front end of the car has crumpled without intrusion into the passenger compartment. B. The patient has a 1" laceration to his face and his left shoulder is bruised. C. The windshield is badly cracked on the passenger's side. D. The steering wheel is deformed, and the steering column is damaged. 55. What patient would NOT be triaged as a red? A. A patient with an obstructed airway. B. A patient with a sucking chest wound. C. A patient in decompensated shock. D. A patient with a 4 inch thigh laceration. 56. What is the initial treatment of an abdominal evisceration? A. Apply a moist sterile dressing. B. Apply cold pack to the injury. C. Apply a dry sterile dressing. D. Carefully reinsert of the organs. 57. If transport is delayed or prolonged, and if circulation is impaired, an attempt should be made to reposition a grossly deformed fracture or dislocated joint (if allowed by medical control or protocol). The exception is an injury to the A. Knee B. Elbow C. Ankle D. Hip 58. A 22 year old male complains of shortness of breath with diminished lung sounds on the right side. Vital signs are BP 130/90, P 86, R 24. What should you suspect? A. Pneumothorax B. Tension pneumothorax C. Exacerbation of COPD D. Asthma attack 59. A 23 year old motorcyclist was struck by an automobile. He complains of hip and leg pain. Your exam reveals a tender pelvis, deformed left upper leg, and a compound fracture to the left lower leg. What should you use? A. Hare traction splint B. Long backboard C. Bilateral SAM splints D. Anti-shock trousers 60. A 27 year old female was involved in an assault. She has a 10 cm long cut across her lower abdomen and you see her lower intestine push out each time she breathes out. What should you do? A. Apply a gloved hand and gently push downwards. B. Wrap her lower abdomen in dry sterile dressings. C. Irrigate her wound with 500 mL normal saline. D. Apply a moist dressing then an occlusive dressing. 61. A factory worker has a 3/4 inch laceration on his forehead that bleeds through the dressings despite direct pressure. What should you do? A. Apply unilateral carotid pressure. B. Remove the dressing and apply direct digital pressure. C. Continue direct pressure and apply additional dressings. D. Apply pressure to the facial artery. 62. A 24 year old male was stabbed in the thigh. Bright red blood spurts from the wound. What should you suspect that the patient severed? A. Vein B. Artery C. Tendon D. Ligament 63. A 60 year old male with a head injury is moaning and making incomprehensible sounds. He withdrew when you started his IV but is otherwise not moving. His eyes are wide open. What is his Glascow Coma Score? A. 13 B. 6 C. 3 D. 10 64. What type of impact to an unrestrained occupant commonly results in a multiple system injury? A. Rotational B. Lateral C. Broadside D. Frontal 65. A 45 year old male has a small puncture wound to his hand after cleaning his pressure washer. You notice swelling in his palm and fingers. What should you do? A. Wrap the hand in curlex B. Irrigate the wound with saline C. Apply ice and splint the hand D. Elevate and splint the hand 66. A 72 year old female was in a motor vehicle collision. She has a right ulnar fracture with no distal circulation. What should you do? A. Attempt to realign the fracture B. Splint the fracture in position found C. Apply a traction splint D. Transport immediately 67. What the minimum systolic blood pressure that will perfuse all vital organs? A. 90 mmHg B. 70 mmHg C. 80 mmHg D. 60 mmHg 68. An 18 year old female is found conscious and alert, but trapped in her car. She denies any head or neck pain, but she complains of hip and left leg pain. When she is finally extricated from the car, her vital signs begin to collapse. What should you suspect? A. Neurogenic shock B. Air embolism C. Internal injuries D. Crush syndrome 69. What is NOT included in the management of a minor venous laceration? A. Pressure point B. Elevation 83. A 13 year old has fallen 15 feet. He has a deformed right thigh and is lethargic to respond. What should you do? A. Apply a traction splint. B. Obtain a sample history. C. Immediately attempt to contact his parents. D. Manually stabilize the c-spine. 84. A 34 year old male was involved in a car accident. He has significant facial trauma and is bleeding profusely from his mouth and nose. When performing your assessment, what findings are most indicative of neurological disorders? A. Changes in level of consciousness B. Narrowing pulse pressure C. Tachycardia and hypotension D. Head trauma 85. A 24 year old female responds to a sternal rub by opening her eyes and moaning incomprehensibly. She tries to push your hands away from her sternum. What is her Glasgow Coma Scale score? A. 6 B. 3 C. 12 D. 9 86. A 26 year old female has difficulty breathing after a motor vehicle accident. Lung sounds are distant on her left side and she has paroxysmal chest rise. What should you do? A. Insert an oral airway. B. Wrap her chest in bandages. C. Apply a nonrebreather mask at 15 lpm. D. Ventilate her with a BVM. 87. A 22 year female has lower leg deformity, moderate bleeding from the forehead, and signs and symptoms of shock following a motor vehicle collision. What should you do? A. Open the airway and monitor the vital signs every 15 minutes. B. Complete a detailed trauma assessment and patient history. C. Perform primary assessment, stabilize, and transport. D. Splint and bandage the patient's injuries before transporting. 88. An 18 year old male was struck in the head by a large rock. When caring for this patient, what should you continually reassess? A. Locomotor function. B. Level of consciousness. C. Quality and degree of pain. D. Pulse motor sensory. 89. What will initial compensatory mechanisms do during hemorrhaging? A. Increase stroke volume and increase cardiac output. B. Increase cardiac output and reduce mean arterial pressure. C. Decrease respiratory rate and increase heart rate. D. Decrease peripheral vascular resistance and increase respiratory rate. 90. In the field, you splinted a patient with a deformed humerus. Enroute to the hospital, you cannot feel a pulse in the limb. What should you do? A. Loosen the splint and reassess the pulse. B. Remove the splint and apply manual stabilization. C. Make a note in your report and call medical control. D. Reposition the extremity at a level below the heart. 91. A 19 year old female with head trauma has hypertension, bradycardia, Cheynes-Stokes respirations and withdraws from pain. Which area of the brain is likely affected? A. Medulla B. Temporal lobe C. Cerebellum D. Hypothalamus 92. What bone should you use a traction splint on? A. Radius B. Femur C. Tibia D. Humerus 93. A 19 year old male struck his head against the platform while doing a reverse flip. Vital signs are BP 88/70, P 96, R 8 What type of shock is he in? A. Hemorrhagic B. Distributive C. Hypovolemic D. Cardiogenic 94. A 45 year old male was bitten by a dog and has wounds to his left arm and leg. What should you do? A. Allow the injuries to continue bleeding to clean the wounds. B. Irrigate the wounds with saline and wrap with dry curlex. C. Cover with moist and occlusive dressings. D. Establish two large bore IVs and administer an analgesic. 95. A 17 year old male has a knife impaled in his left chest. Vital signs are BP 170/90, R 10, P 97. What should you do? A. Perform positive pressure ventilations. B. Attempt to remove the knife. C. Stabilize the knife with dressings. D. Auscultate lung sounds. 96. How does the body try to compensate during uncontrolled bleeding? A. Increasing the heart rate B. Increasing blood clotting mechanisms C. Decreasing the respiratory rate D. Decreasing blood pH 97. <img src="http://www.fisdap.net/~lbriguglio/testing_images/MH2009/aeh82892_3709_edt .jpg"><br> What does this picture show? A. An open femur fracture. B. A closed femur fracture. C. An open tibia fracture. D. A closed tibia fracture. 98. A 40 year old male is unresponsive and pale, and you notice a deformity above his right wrist and bruising around his navel. His wife tells you that her husband was out drinking the previous evening and he stumbled while walking up the front steps. What should you suspect? A. An extremity fracture B. Alcohol poisoning C. Hypoglycemia D. Internal bleeding 99. Open wounds that sometimes cause significant blood loss are called A. Abrasions. B. Punctures. C. Lacerations. D. Contusions. 100. A 39 year old male has an angulated deformity to the humerus. You cannot feel a distal pulse and the limb is blue. What should you do? A. Contact medical control for pain medication orders. B. Attempt to pull gentle traction and realign the bones. C. Transport emergently to the closest hospital. D. Splint with a sling and swathe, apply ice, and transport. Scenario: 101. A 37 year old male has been pulled from the water after diving into a shallow lake. He is unconscious, flaccid, and has diaphragmatic breathing. Vital signs are BP 100/70, P 68, R 20. What should you do? A. Manually stabilize the cervical spine. B. Insert a blind airway device. C. Apply high-flow oxygen. D. Activate air-medical transport. 102. A gunshot wound is an example of a A. Laceration. B. Deformity. C. Contusion. D. Penetration. 114. A 57 year old female was the unrestrained driver in a frontal impact collision. Which of the following injuries would lead you to believe she traveled "up and over" the dashboard, instead of "down and under"? A. A flail chest B. A patellar dislocation C. A cervical spine fracture D. A ruptured diaphragm 115. A 29 year old male crashed his motorcycle. He is unconscious and the lower portion of jaw is torn from his face. He has gurgling respirations with bleeding into throat. What should you do? A. Insert an oropharyngeal airway. B. Apply a c-collar and administer blow-by oxygen. C. Perform a head chin tilt and apply a non-rebreather mask. D. Apply a nasal cannula and suction as needed. 116. What is the most serious complication of vaginal bleeding? A. Pelvic inflammatory disease B. Yeast infection C. Pregnancy D. Hypovolemic shock 117. A 20 year old male has a 4 cm long by 3 mm wide cut along his right forearm. How should you classify this wound? A. Abrasion B. Avulsion C. Contusion D. Laceration 118. An 8 year old male has a 22 caliber gunshot wound to the lower left abdomen. The wound has been dressed but continues to bleed. Vitals are BP 118/68, P 92, SpO2 96%. What should you do? A. Apply direct pressure to the wound. B. Remove the soaked dressing and apply a new one. C. Administer oxygen. D. Auscultate lung sounds. 119. In a compound extremity fracture involving the loss of distal pulses, what your first priority in providing care? A. Pulling traction B. Bleeding control C. Splinting D. Rapid Transport 1. ANSWER: C 2. ANSWER: B 3. ANSWER: A 4. ANSWER: B 5. 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ANSWER: B 114. ANSWER: D 115. ANSWER: D 116. ANSWER: D 117. ANSWER: D 118. ANSWER: A 119. ANSWER: B