During a trauma patient’s secondary survey, the patient becomes confused and tachycardic. True or false: The team should stop the secondary survey and repeat the primary survey.
7 Integrated Trauma Nursing Priorities Online Quiz Questions
Use this free practice quiz with 20 questions to review 7 Integrated Trauma Nursing Priorities, test your knowledge, and prepare for your next test or exam.
A patient with blunt abdominal trauma is unstable and may have internal bleeding. True or false: The team should obtain CT before escalating the patient’s care.
- A
True
- B
False
After blunt abdominal trauma, a patient is pale and restless, with falling blood pressure, rising heart rate, and abdominal tenderness. What type of shock should the nurse suspect?
A trauma patient has neck pain and tingling in both hands. What protective measure should be maintained while the symptoms are promptly reported?
A patient reports neck pain and tingling in both hands after a collision. The nurse should and promptly .
A patient with blunt chest trauma develops severe respiratory distress, markedly reduced breath sounds on one side, and worsening hypotension. The nurse should immediately escalate, support as directed, and prepare for .
Two trauma patients arrive at the same time. One is awake with a spurting forearm wound; the other has a closed lower-leg deformity and stable vital signs. What is the best immediate priority?
- A
Splint the lower-leg deformity before swelling increases.
- B
Apply firm direct pressure to the spurting wound and summon trauma-team support.
- C
Obtain a detailed history from both patients.
- D
Send the patient with the bleeding wound for radiography.
A confused patient who fell from a height has blood in the mouth and is making gurgling sounds. Which action best addresses the immediate threat while accounting for possible spinal injury?
- A
Complete a detailed motor and sensory examination before acting.
- B
Maintain cervical-spine motion restriction, address airway patency including suction as needed, and activate the airway response.
- C
Remove the cervical collar to inspect the neck.
- D
Obtain radiographs before intervening.
A patient with a head injury was initially following commands but is now increasingly drowsy, has vomited repeatedly, and has a newly unequal pupil. What should the nurse do next?
- A
Document the change and reassess in one hour.
- B
Escalate immediately, reassess airway and vital functions, and prepare for urgent evaluation.
- C
Give oral fluids and allow the patient to sleep.
- D
Complete the secondary survey before reporting the findings.
Three patients arrive together: one has an open fracture with controlled bleeding and normal breathing; one has a penetrating chest wound with rapidly worsening breathing; and one has a minor scalp laceration and is alert and walking. Who needs the most immediate attention?
- A
Patient 1, because the fracture is open.
- B
Patient 2, because worsening breathing may represent an immediate threat to life.
- C
Patient 3, because the injury is to the head.
- D
All three should wait until complete histories are obtained.
Which actions are consistent with an integrated xABCDE trauma response? Select all that apply.
- A
Control immediately life-threatening external hemorrhage early.
- B
Allow assessment and interventions to occur simultaneously when needed.
- C
Delay intervention until the entire primary survey is complete.
- D
Repeat the primary survey after a change in the patient’s condition.
After a collision, a patient reports neck pain and tingling in both hands. Which nursing actions are appropriate? Select all that apply.
- A
Minimize spinal movement.
- B
Encourage neck rotation to locate the painful area.
- C
Maintain appropriate spinal precautions.
- D
Promptly report the new neurologic symptoms.
A trauma patient becomes less stable during a detailed examination. Explain how the xABCDE approach should guide the team’s priorities, including what the team should do before resuming the detailed examination.
During the initial trauma response, team members may assess the patient and begin interventions at the same time.
- A
True
- B
False
A patient who seemed stable becomes confused and tachycardic during a head-to-toe examination. Which survey should the nurse repeat before continuing the detailed examination?
For severe extremity bleeding, name one method that may be used when indicated and the responder is trained to use it.
A confused patient who fell from a height has blood in the mouth and is making gurgling sounds. What should the nurse prioritize?
- A
Complete a detailed motor and sensory examination before addressing the gurgling.
- B
Maintain cervical-spine motion restriction, address airway patency including suction as needed, and activate the airway response.
- C
Remove the cervical collar to inspect the neck before intervening.
- D
Obtain radiographs before attempting to clear the airway.
After a collision, a patient reports neck pain and tingling in both hands. Which response is most appropriate?
- A
Ask the patient to sit upright to test balance.
- B
Minimize spinal movement, maintain appropriate spinal precautions, and promptly report the tingling.
- C
Encourage neck rotation to locate the painful area.
- D
Remove all supports before completing the examination.
After blunt abdominal trauma, a patient becomes pale and restless, with falling blood pressure, rising heart rate, and abdominal tenderness. What is the best response?
- A
Arrange CT before notifying the trauma team.
- B
Recognize possible hemorrhagic shock, escalate immediately, and support resuscitation while the team evaluates for a bleeding source.
- C
Reassure the patient because there is no visible blood.
- D
Wait for laboratory results before reassessing the patient.
A patient with a head injury becomes increasingly drowsy, vomits repeatedly, and develops a newly unequal pupil. What is the best next step?
- A
Document the change and reassess in one hour.
- B
Escalate immediately, reassess airway and vital functions, and prepare for urgent evaluation.
- C
Give oral fluids and allow the patient to sleep.
- D
Complete the secondary survey before reporting the findings.
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