Question 1

The receiving level 1 trauma center receives a patient from a lower level trauma center. When reviewing the transfer documentation and medical records, it is obvious that the benefits of transferring the patient have been misrepresented. This is a violating which of the following?

Options :

A : Certification of Transfer

B : Trauma Transfer Guidelines

C : Consolidated Omnibus Budget Reconciliation Act (COBRA)

D : Emergency Medical Treatment and Labor Act (EMTALA)

Answer: A

Question 2

A patient comes into the emergency department after gunshot wounds to the lower left lateral chest. A chest tube has been placed and the patient is transferred to the intensive care unit. While a handoff report is being conducted, the patient’s heart rate increases to 134 beats per minute and the patient begins breathing at 43 breaths per minute. The nurse notes that the chest tube drainage system is beginning to rapidly fill with blood. The team begins to prepare for autotransfusion. Which of the following would be a contraindication to autotranfusion?

Options :

A : Chest tube output greater than 500 mL

B : Suspected tracheobronchial injury

C : Bright-red chest tube drainage

D : Suspected bowel injury

Answer: D

Question 3

A 23-year-old male patient comes in after a nuclear explosion. He is unresponsive and agonal breathing. What would be the caregiver’s first priority be in the care of this particular situation?

Options :

A : Place a waterproof drape over the patient and immediately begin resuscitation efforts.

B : The health care provider should rapidly place all contaminated objects, including clothing, into a double bag and then initiate immediate resuscitation efforts.

C : Decontaminate the patient to limit exposure to others and then initiate resuscitation efforts.

D : The health care provider should initiate resuscitation efforts.

Answer: D

Question 4

Which of the following is not a description of a designated level 1 trauma center?

Options :

A : Involves research and formal teaching

B : Comprehensive trauma center capable of providing total care for every aspect of trauma injury

C : Prompt availability of a trauma surgeon

D : Provides prevention through rehabilitation

Answer: C

Question 5

Which of the following is the 1986 federal law that requires anyone coming into an emergency department to be stabilized and treated, regardless of his or her insurance status or ability to pay?

Options :

A : Emergency Medical Treatment Act

B : Consolidated Omnibus Budget Reconciliation Act (COBRA)

C : Consolidated Origin of Budget Reconciliation Act

D : Emergency Medical Treatment and Labor Act (EMTALA)

Answer: D

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