A patient has a linear skull fracture with multisystem trauma.

The patient's vital signs (BP 80/50, HR 120, CVP 2 mm Hg) indicate hypovolemic shock, likely due to significant blood loss. Given the presence of multisystem trauma, it is reasonable to suspect that the blood loss is from a noncerebral source, such as abdominal or thoracic injuries, rather than intracranial hemorrhage. Intracranial hemorrhage typically does not result in such profound hypovolemia without other sources of blood loss. References: = CCRN Exam Handbook, AACN Adult CCRN Certification Review Course