WorksheetsTrauma, Mass Casualty, and HIV/AIDS Worksheet (Grade 13)
Total questions: 25
Worksheet time: 13mins
Avery, a patient who was involved in a motor vehicle accident, arrives at the emergency department with blunt abdominal trauma. Avery is hypotensive, tachycardic, and has a distended abdomen. What is the priority nursing action?
Establish two large-bore IVs and begin rapid isotonic fluid and blood product resuscitation
Administer opioid analgesics and reassess in 30 minutes
Insert a nasogastric tube for gastric decompression
Place the patient in Trendelenburg position to improve perfusion
Anika, a nurse in the emergency department, is caring for a patient who has just arrived after a motor vehicle accident and is suspected to have a spinal cord injury. What is Anika's immediate nursing priority?
Perform a full neurologic assessment before any other intervention
Maintain cervical spine immobilization while ensuring airway and breathing
Start prophylactic anticoagulation to prevent deep vein thrombosis
Ambulate the patient with assistance to assess motor function
Emma, a patient who recently experienced a spinal trauma, is being assessed in the emergency department. Which assessment finding would indicate neurogenic shock in Emma?
Hypertension with tachycardia and cool, clammy skin
Hypotension with bradycardia and warm, dry skin
Hypotension with tachycardia and narrow pulse pressure
Fever, leukocytosis, and hypotension
Jackson, a trauma patient in the emergency room, suddenly develops tachycardia, hypotension, and altered mental status. What condition should the nurse suspect?
Septic shock
Cardiogenic shock
Hemorrhagic shock
Anaphylactic shock
At the scene of a multi-vehicle accident, emergency responders must quickly triage patients. Which patient should be classified as “red” (immediate)?
Adult with an open femur fracture and controlled bleeding, respirations 24/min, capillary refill <2 seconds
Teen with minor lacerations and able to ambulate, respirations 22/min
Child with severe respiratory distress, respirations 8/min, weak radial pulse, unable to follow commands
Elderly patient apneic after airway repositioning
During a mass casualty incident, Ethan is part of the triage team. He encounters several patients and must decide which one should be classified as “black” (expectant). Which patient should Ethan classify as “black”?
Adult apneic after airway repositioning with no spontaneous respirations
Adult with closed tibia fracture and strong radial pulse
Adult with chest pain, respirations 28/min, able to follow commands
Adult with facial lacerations, ambulatory
During a large-scale disaster where many people are injured, which principle guides the allocation of limited medical resources?
Respect for autonomy
Greatest good for the greatest number
Nonmaleficence over beneficence
Strict first-come, first-served
Benjamin is brought to the emergency department after a car accident. He has an open femur fracture, but his bleeding is controlled. How should Benjamin be triaged?
Red (immediate)
Yellow (delayed)
Green (minimal)
Black (expectant)
During a mass casualty event at the hospital, Mason is a nurse assigned to the emergency department. What is Mason’s role in the hospital incident command system?
Operate independently of supervisors to speed decision-making
Communicate with the media to provide timely updates
Work within the incident command structure and report through the established chain of command
Create a new triage protocol for the unit without approval
Arjun is volunteering at a disaster site when he encounters a patient showing signs of tension pneumothorax. Which intervention is most appropriate for Arjun to perform?
Apply an occlusive dressing to the chest wound
Provide high-flow oxygen and wait for transport
Perform immediate needle decompression followed by chest tube placement
Intubate and provide mechanical ventilation without decompression
Benjamin is a physician treating a patient with advanced HIV/AIDS. He is considering the most common opportunistic infection that could affect his patient. Which infection should Benjamin be most concerned about?
Cytomegalovirus retinitis
Pneumocystis jirovecii pneumonia (PCP)
Toxoplasma gondii encephalitis
Esophageal candidiasis
James, a patient with HIV, visits his doctor for a routine check-up. His latest lab results show a CD4 count of 150 cells/mm 3 . What does this indicate?
Well-controlled disease with low risk of opportunistic infection
Meets criteria for AIDS with high risk for opportunistic infections
Transient laboratory variation without clinical significance
Early HIV infection prior to seroconversion
Noah is a patient diagnosed with both HIV and tuberculosis. Which infection control measure is essential for Noah's care?
Standard precautions only
Contact precautions with gown and gloves
Droplet precautions with surgical mask
Airborne precautions with N95 respirator and negative-pressure room
Daniel is a patient with HIV who recently had some lab tests done. Which of the following lab results is most concerning for him?
CD4 count 450 cells/mm 3
HIV viral load 200 copies/mL
Hemoglobin 11 g/dL
CD4 count 50 cells/mm 3
Benjamin has recently been diagnosed with HIV. During his clinic visit, the nurse discusses ways to prevent opportunistic infections. Which teaching is most important for Benjamin to follow?
Strict adherence to antiretroviral therapy as prescribed
Avoid all outdoor activities to reduce exposure
Take antibiotics daily regardless of symptoms
Use over-the-counter multivitamins instead of prescribed medications
Sophia is undergoing cancer treatment. After her latest chemotherapy session, she experiences several side effects. Which of the following side effects requires immediate intervention?
Mild nausea after chemotherapy
Alopecia developing over several weeks
Febrile neutropenia
Fatigue with decreased appetite
Liam is a patient receiving chemotherapy who develops neutropenia. What is the most appropriate nursing intervention?
Encourage fresh flowers and visitors to improve mood
Discontinue all medications until laboratory values normalize
Implement neutropenic precautions and promptly notify the provider for possible empiric therapy
Start a high-fiber diet to prevent constipation
Nora, a patient undergoing chemotherapy, develops tumor lysis syndrome. Which nursing intervention is most important for Nora?
Encourage weight-bearing exercise to prevent bone loss
Aggressive IV hydration with close monitoring of electrolytes, renal function, and cardiac rhythm
Restrict fluids to reduce edema
Withhold antiemetics to assess baseline nausea
Ava, a cancer patient with a central line, is being monitored in the hospital. Which finding in Ava would suggest sepsis?
Mild alopecia near the scalp
Pruritus at the IV site without fever
Fever, chills, hypotension with erythema or tenderness at the line site
Slight bruising near the port without systemic symptoms
Aria is undergoing chemotherapy for cancer. During her treatment, which patient education is most important for preventing infection?
Avoid handwashing to protect dry skin
Receive live-virus vaccines during neutropenia
Strict hand hygiene; avoid crowds and sick contacts; follow food safety (avoid raw or undercooked foods)
Increase outdoor group activities to maintain social support
Aiden recently received a kidney transplant. During a follow-up visit, which sign would indicate that Aiden is experiencing acute transplant rejection?
Gradual, painless decline in graft function over years
Sudden graft dysfunction with tenderness and fever (e.g., rising creatinine in a kidney transplant)
Improved graft performance after tapering immunosuppression
Isolated mild anemia without graft symptoms
Samuel recently received a kidney transplant. Which medication is commonly used to prevent organ transplant rejection?
Amoxicillin
Calcineurin inhibitors (tacrolimus or cyclosporine)
Acetaminophen
Metformin
Jackson is undergoing a transplant procedure. Which type of transplant puts him at the highest risk for developing graft-versus-host disease (GVHD)?
Autologous bone marrow transplant recipient
Allogeneic hematopoietic stem cell transplant recipient
Kidney transplant from a living related donor
Corneal transplant recipient
William received a kidney transplant two years ago. Recently, he has been experiencing a progressive, insidious loss of graft function. Which symptom suggests chronic transplant rejection?
Progressive, insidious loss of graft function (e.g., chronic allograft nephropathy)
Acute onset of fever and tenderness at the graft site
Transient rash that resolves without treatment
Immediate improvement in function after steroid taper
Samuel, a recent kidney transplant recipient, presents with signs of acute rejection. Which intervention is most important when acute rejection is suspected?
Administer high-dose diuretics without consultation
Schedule routine follow-up next month
Notify the transplant team immediately and increase immunosuppression per protocol after ruling out infection
Remove the graft urgently without diagnostic evaluation
