1. What is the key to a high-performance trauma team?
a. Individual goals
Rationale: Effective teams are dynamic and interdependent (p. 5).
b. Use of TeamSTEPPS
Rationale: Team performance is supported by the applica
...
1. What is the key to a high-performance trauma team?
a. Individual goals
Rationale: Effective teams are dynamic and interdependent (p. 5).
b. Use of TeamSTEPPS
Rationale: Team performance is supported by the application of standardized, evidence-based communication
tools and practices. TeamSTEPPS addresses one of the key elements for effective team performance (p. 5).
c. Identification of a single decision maker
Rationale: Effective trauma teams are dynamic, interdependent, and move toward a common goal (p. 5).
d. Effective communication
Rationale: Skilled communication, cooperation, and coordination are the cornerstones of high-performance
teams and high-quality trauma care (p. 5).
2. When obtaining a history for an injured patient, understanding the kinematic concepts associated with the
mechanism of injury and energy transfer can initially assist the trauma provider in:
a. Evaluating and anticipating the types of injury that may be present
Rationale: Mechanism of injury and energy transfer can assist the provider in evaluating and anticipating
damage (p. 23).
b. Deciding whether law enforcement should be notified
Rationale: Various aspects of the history of the traumatic event may help determine the need for law
enforcement, but mechanism of injury and energy transfer assist the provider in evaluating and anticipating
damage (p. 23).
c. Determining needed laboratory tests
Rationale: Mechanism of injury and energy transfer can assist the provider in evaluating and anticipating
damage, which in turn help direct the need for laboratory tests (p. 23).
d. Predicting the need for a surgical procedure
Rationale: Mechanism of injury and energy transfer can assist the provider in evaluating and anticipating
damage, which in turn help direct the need for surgical procedures (p. 23).
3. The major preventable cause of death in the trauma patient is:
a. Airway compromise
Rationale: Uncontrolled hemorrhage is the major cause of preventable death after injury, not airway
compromise (p. 29).
b. Ineffective ventilation
Rationale: Uncontrolled hemorrhage is the major cause of preventable death after injury, not ineffective
ventilation (p. 29).
c. Secondary head injury
Rationale: Uncontrolled hemorrhage is the major cause of preventable death after injury, not secondary head
injury (p. 29).
d. Uncontrolled hemorrhage
Rationale: Uncontrolled hemorrhage is the major cause of preventable death after injury, so assessment to
identify uncontrolled hemorrhage is key to the initial assessment process (p. 29).
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Emergency Nurses Association 930 E. Woodfield Road, Schaumburg, IL 60173 Course Operations: 800.942.0011 Email:
[email protected] Revision Date: February 2020
8th Edition Provider Course
Practice Exam with Rationale
4. The across-the-room observation step in the initial assessment provides the opportunity to:
a. Assess for uncontrolled internal hemorrhage
Rationale: The across-the-room observation is done to identify uncontrolled external hemorrhage, not internal
hemorrhage (p. 28).
b. Accurately triage the patient
Rationale: The across-the-room observation is done to identify uncontrolled external hemorrhage. It does not
affect triage (p. 28).
c. Reprioritize circulation before airway or breathing.
Rationale: The across-the-room observation is done at the beginning of the primary survey to rapidly assess
the need to reprioritize circulation before airway or breathing. This is done if uncontrolled external
hemorrhage is identified (p. 28).
d. Activate the trauma team
Rationale: The trauma team is activated before arrival of the patient (p. 26).
5. Which of the following accurately describes ventilation principles associated with a bag-mask device?
a. Ventilate at a rate of 10 to 12 breaths/minute
Rationale: If ventilation is ineffective, assist ventilations at 10 to 12 breaths/minute or one every 5 to 6
seconds (p. 32).
b. Deliver 100% oxygen
Rationale: Delivery of oxygen is helpful for improving oxygenation, not for ventilation (p. 44).
c. Compress the bag-mask device completely
Rationale: Squeeze the bag just enough to produce visible chest rise every 5 to 6 seconds (10 to 12 breaths per
minute, p. 54).
d. Maintain the oxygen saturation level between 92% and 94%
Rationale: Delivery of oxygen is helpful for improving oxygenation, not for ventilation. Additionally, oxygen
saturation of 94% or higher is associated with effective, adequate oxygenation (p. 32).
6. Which of the following is the best measure of the adequacy of cellular perfusion and helps to predict the outcome
of resuscitation?
a. End-tidal carbon dioxide
Rationale: Carbon dioxide measurement is the end-product of ventilation and a reflection of metabolism and
pulmonary function. In order to measure cellular perfusion, base deficit in conjunction with serum lactate is the
best measure (p. 59).
b. Hypoxia
Rationale: Hypoxia is associated with poor cellular perfusion, and the best method of determining cellular
hypoxia is with a base deficit in conjunction with serum lactate (pp. 51 and 58).
c. Base deficit
Rationale: Base deficit serves as an endpoint measurement of the adequacy of cellular perfusion and when
used in conjunction with serum lactate helps predict the success of the resuscitation (p. 57).
d. Oxygen saturation
Rationale: Oxygen saturation is valuable for measuring the trend in oxygenation within the bloodstream but
does not reflect cellular perfusion (pp. 51 and 58).
