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Trauma Nursing Flashcards

6 cards from real CEN practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 6 Trauma Nursing flashcards as text

  1. Which assessment finding indicates a class III hemorrhagic shock (estimated blood loss 1500–2000 mL)?

    Answer: Heart rate 120–140, decreased BP, confused, decreased urine output

    Class III shock presents with HR 120–140, decreased BP, confusion, and urine output <5–15 mL/hr from significant volume loss.

  2. A patient with a traumatic amputation of the right forearm has uncontrolled arterial bleeding. A tourniquet is applied. Which documentation is mandatory?

    Answer: Time of tourniquet application

    The time of tourniquet application must be documented because prolonged application beyond 2 hours increases the risk of limb loss.

  3. A patient with multiple rib fractures (ribs 4–8) on the right side splints their breathing and has SpO2 of 91%. What is the most effective initial pain management strategy to restore ventilation?

    Answer: Thoracic epidural or regional nerve block

    Thoracic epidural or intercostal nerve blocks provide superior pain control for rib fractures, allowing deep breathing and preventing atelectasis.

  4. A patient sustains an impalement injury to the right chest with the object still in place. What is the correct field management of the impaled object?

    Answer: Stabilize the object in place and do not remove it

    Impaled objects should never be removed in the field as they may be tamponading hemorrhage; stabilize and transport for OR removal.

  5. Which trauma patient is most likely to benefit from permissive hypotension strategy (target MAP 50 mmHg) during resuscitation?

    Answer: 25-year-old with penetrating abdominal trauma, no TBI

    Permissive hypotension is used in penetrating trauma without TBI to prevent coagulopathy worsening while limiting crystalloid dilution.

  6. A patient in hemorrhagic shock receives a 1:1:1 ratio of packed red blood cells, fresh frozen plasma, and platelets. What does this ratio represent?

    Answer: Damage control resuscitation to prevent trauma-induced coagulopathy

    1:1:1 (PRBCs:FFP:platelets) is the damage control resuscitation strategy to replace all coagulation factors and prevent lethal trauma triad.