After exposing a trauma patient enough to identify injuries, the team should cover the patient and actively protect against heat loss.
6 Multisystem Trauma Integration Online Quiz Questions
Use this free practice quiz with 20 questions to review 6 Multisystem Trauma Integration, test your knowledge, and prepare for your next test or exam.
A leader directs a task to a named team member, who repeats the task, completes it, and reports the result. What is this communication method called?
Repeat the primary survey after interventions and whenever the patient’s condition . Record vital-sign rather than relying on one set of findings.
Routine hyperventilation is recommended for every patient with suspected severe traumatic brain injury.
- A
True
- B
False
What three-letter scale should be recorded when feasible to track a trauma patient’s level of consciousness?
After a high-speed crash, a patient is pale and confused, has a deep thigh wound, and has unequal chest movement. Which initial team approach best addresses the immediate threats?
- A
Control the major external bleed and address the immediate breathing threat, supporting oxygenation and circulation while reassessing.
- B
Complete a detailed limb examination before treating either the bleeding or breathing problem.
- C
Finish the entire secondary survey before deciding whether the chest finding needs attention.
- D
Focus only on the thigh wound because an external bleed rules out another immediate threat.
A trauma patient initially has a normal blood pressure but later becomes more confused, with weak peripheral pulses, cool clammy skin, and rapid breathing. What is the most appropriate interpretation?
- A
Shock is ruled out because the first blood-pressure reading was normal.
- B
Evolving shock is possible, so reassess perfusion and look for bleeding, including concealed sources.
- C
The findings are not concerning unless the patient loses consciousness.
- D
The patient’s confusion alone establishes a primary neurologic cause, so a search for bleeding is unnecessary.
When shock remains unexplained or persists, suspect . For suspected unstable pelvic injury, a may be indicated under local protocol.
Which items belong in a concise prearrival report to the receiving hospital? Select all that apply.
- A
Mechanism and time of injury, along with suspected injuries.
- B
Initial and current vital signs and trends, plus mental status or GCS.
- C
A complete list of every procedure that might be considered after hospital arrival, whether performed or not.
- D
Bleeding and interventions, the response to treatment, and relevant medical history or medications.
- E
Estimated arrival time and resources likely to be needed.
- F
An update if the patient deteriorates or the plan changes.
When planning destination and transport for an injured patient, which factors should the team consider? Select all that apply.
- A
The patient’s physiology and injury pattern.
- B
The mechanism of injury and any special patient factors.
- C
Travel time and the capabilities of the regional trauma system.
- D
Whether the destination can provide resources needed for definitive care.
- E
A rule that the nearest facility is always appropriate, regardless of patient needs.
- F
A transport mode and route that can minimize total prehospital time for a time-critical injury.
A patient has major hemorrhage and suspected significant traumatic brain injury. Which resuscitation principle is most appropriate?
- A
Use permissive hypotension to reduce bleeding, even when significant traumatic brain injury is suspected.
- B
Prioritize hemorrhage control and defer attention to oxygenation until bleeding has stopped.
- C
Control hemorrhage while also preventing hypoxemia and hypotension, following the applicable resuscitation protocol.
- D
Avoid monitoring blood pressure because a single reading cannot establish the cause of shock.
The national field-triage guideline is intended to guide destination decisions for injured patients, not mass-casualty triage or hospital trauma-team activation.
- A
True
- B
False
While performing a secondary survey, the team identifies a new life-threatening problem. What should they do?
- A
Continue the secondary survey so that all injuries are documented before treatment begins.
- B
Stop the secondary survey and treat the life-threatening problem.
- C
Complete the head-to-toe examination, then repeat the primary survey at the hospital.
- D
Ask the recorder to manage the problem while the rest of the team continues the survey.
A patient has suspected severe traumatic brain injury, major external bleeding, and signs of poor perfusion. Describe a coordinated prehospital plan that addresses immediate treatment priorities, reassessment, destination, and communication with the receiving facility.
At a multisystem trauma scene, one clinician is managing a threatened airway while another team member is available. Which action best applies the coordinated approach to care?
- A
Wait until the airway clinician finishes before starting any other care.
- B
Have another clinician control bleeding and prepare transport while the airway clinician manages the airway.
- C
Complete the entire secondary survey before assigning team members to interventions.
During the primary survey, a patient must be examined for hidden injuries in a cold environment. Which approach best addresses both assessment and the risk of hypothermia?
- A
Keep the patient fully covered throughout the assessment, even if injuries may be missed.
- B
Leave the patient uncovered until all treatment and transport preparations are complete.
- C
Expose enough to assess for injuries, then cover and actively protect the patient from heat loss.
A trauma patient remains poorly perfused, but no major external bleeding is apparent. Which response best fits the recommended approach?
- A
Suspect internal hemorrhage and continue searching for a source while supporting oxygenation and perfusion.
- B
Assume bleeding is controlled if no major external wound is visible.
- C
Stop reassessment if the initial blood pressure was within a normal range.
A trauma patient’s vital signs have worsened after an intervention. Which prearrival report best communicates the patient’s course to the receiving facility?
- A
Report only the most recent vital signs, because earlier measurements are no longer relevant.
- B
Include initial and current vital signs and trends, mental status, interventions, and the response to treatment.
- C
Wait until arrival to tell the receiving facility about changes that occurred during transport.
A patient with suspected spinal injury has an obstructed airway. What must not be delayed while the team protects against avoidable spinal movement?
During handoff, after summarizing the patient's status, findings, trends, and treatments, what responsibility detail should the clinicians clarify?