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Basic Trauma Course Evaluation Test Directions: Circle the best answer. 1. The most likely reason for absent breath sounds in a motor vehicle crash victim with closed chest trauma is: a) Shallow breathing due to pain b) Head injury c) Development of pneumothorax d) Obstructive pulmonary disease 2. A moderately burned trauma patient is brought to the ED. The most important treatment related to the burns in the first 12 hours after injury is: a) Wound cultures b) Antibiotic prophylaxis c) Pain relief measures d) Fluid replacement 3. The most important nursing activity for a patient with the likely diagnoses of cervical spinal cord injury is: a) Keeping the patient flat b) Immobilizing the head and neck c) Assessing for papillary response to light d) Monitoring the level of consciousness 4. In a patient with a cervical spinal cord injury, the most important observations the nurse makes concerns which of the following physiological parameters? a) Heart rate b) Respirations c) Urinary output d) Pupillary response to light 5. A tree cutter walks into the ED with his finger wrapped in a paper towel. As his nurse you would: a) Put the amputated part in a red bag and place it where it would not get lost. b) Immerse the part directly in a bath of ice water c) Discard the part if it has been severed more than 45 minutes d) Wrap the part in gauze moistened with normal saline and place in a plastic bag, place in basin, then place basin in washtub filled with ice. Basic Trauma Course Evaluation Test 6. The earliest sign of increased intracranial pressure generally involves changes in: a) Response to pain b) Level of consciousness c) Equality of pupillary response d) Respiratory rate 7. Increased intracranial pressure is characterized by all of the following EXCEPT: a) Decrease in briskness of pupillary reaction b) Increase in systolic blood pressure c) Decrease in pulse pressure d) Decrease in level of consciousness 8. The Glasgow Coma Scale measure all of the following EXCEPT: a) Best Eye Opening b) Pupil Equality c) Best Verbal Response d) Best Motor Response. 9. A trauma patient in shock receiving which of the following medications will not display an expected tachycardic response: a) Osmotic Diuretics b) Beta Blockers c) Neuromuscular Blockers d) Narcotics 10. Which of the following proteins are released in a crush injury that causes concern for renal impairment? a) Troponin b) Myoglobin c) Myosin d) Actin Basic Trauma Course Evaluation Test Answer Sheet Name:__________________________________ Date:___________________ 1) a b c d 2) a b c d 3) a b c d 4) a b c d 5) a b c d 6) a b c d 7) a b c d 8) a b c d 9) a b c d 10) a b c d Basic Trauma Course Evaluation Test Answer Key 1) a b c d 2) a b c d 3) a b c d 4) a b c d 5) a b c d 6) a b c d 7) a b c d 8) a b c d 9) a b c d 10) a b c d