SOLHEIM TCRN EXAM |ACTUAL QUESTIONS AND
VERIFIED ANSWERS|BRAND NEW 2026-2027
UPDATE|GRADED A+
Question 1
Fluid resuscitation is administered to a traumatically injured patient. After resuscitation,
the trauma nurse evaluates the patient's response to that resuscitation to determine
whether additional fluids should be administered. Which of the following is most likely to
impact this evaluation?
A. The patient has dark colored skin tone
B. The patient has lower extremity trauma
C. The patient's BMI is 21
D. The patient regularly takes beta-blockers for a cardiac condition
CORRECT ANSWER
D
Question 2
50% polyethylene glycol will be used as part of the treatment for
A. Pancreatic trauma
B. Phenol contamination
1
,C. Carbon monoxide poisoning
D. ARDS
CORRECT ANSWER
B
50% polyethylene glycol increases solubility of phenols in water
Question 3
A reagent strip that tests for glucose is used in the assessment of a trauma patient. What
injury is likely suspected?
A. Bladder rupture
B. Diffuse axonal injury
C. Basilar skull fracture
D. Ruptured amniotic sac
CORRECT ANSWER
C
CSF is rich in glucose
Question 4
2
,When administering large volumes of blood products, the trauma nurse should monitor
for which of the following findings which could indicate hypocalcemia?
A. ST elevation
B. QT prolongation
C. Tall peaked T waves
D. Flattening of the P waves
CORRECT ANSWER
B
Question 5
The trauma nurse knows that treatment for a patient with non-operative abdominal
trauma has been effective if
A. The base deficit returns to normal within 24 hrs of admission
B. Serum amylase levels remain stable during the first 24 hrs after admission
C. The patients intra-abdominal pressure is 18 mmHg 24 hrs after admission
D. Hyperresonnance to percussion is noted to all quadrants of the abdomen within 24 hrs of
admission
CORRECT ANSWER
A
3
, Return of base deficit indicates adequate fluid resuscitation
Question 6
Which of the following statements, made by a patient being discharged home with the dx
of hyphema, indicates further teaching is warranted?
A. I will keep my head elevated on pillows at all times, even at night
B. I will refrain from watching tv or reading over the next week
C. I will take Ibuprofen instead of Acetaminophen to manage my pain
D. I will seek medical treatment if I develop n/v over the next week
CORRECT ANSWER
C
Ibuprofen may increase risk of bleeding; avoiding things that may cause n/v; maintain
head 30-45 degrees
Question 7
A Kleihauer-Betke test may be used to determine
A. A possible placental abruption
B. The presence of pancreatic trauma
4
VERIFIED ANSWERS|BRAND NEW 2026-2027
UPDATE|GRADED A+
Question 1
Fluid resuscitation is administered to a traumatically injured patient. After resuscitation,
the trauma nurse evaluates the patient's response to that resuscitation to determine
whether additional fluids should be administered. Which of the following is most likely to
impact this evaluation?
A. The patient has dark colored skin tone
B. The patient has lower extremity trauma
C. The patient's BMI is 21
D. The patient regularly takes beta-blockers for a cardiac condition
CORRECT ANSWER
D
Question 2
50% polyethylene glycol will be used as part of the treatment for
A. Pancreatic trauma
B. Phenol contamination
1
,C. Carbon monoxide poisoning
D. ARDS
CORRECT ANSWER
B
50% polyethylene glycol increases solubility of phenols in water
Question 3
A reagent strip that tests for glucose is used in the assessment of a trauma patient. What
injury is likely suspected?
A. Bladder rupture
B. Diffuse axonal injury
C. Basilar skull fracture
D. Ruptured amniotic sac
CORRECT ANSWER
C
CSF is rich in glucose
Question 4
2
,When administering large volumes of blood products, the trauma nurse should monitor
for which of the following findings which could indicate hypocalcemia?
A. ST elevation
B. QT prolongation
C. Tall peaked T waves
D. Flattening of the P waves
CORRECT ANSWER
B
Question 5
The trauma nurse knows that treatment for a patient with non-operative abdominal
trauma has been effective if
A. The base deficit returns to normal within 24 hrs of admission
B. Serum amylase levels remain stable during the first 24 hrs after admission
C. The patients intra-abdominal pressure is 18 mmHg 24 hrs after admission
D. Hyperresonnance to percussion is noted to all quadrants of the abdomen within 24 hrs of
admission
CORRECT ANSWER
A
3
, Return of base deficit indicates adequate fluid resuscitation
Question 6
Which of the following statements, made by a patient being discharged home with the dx
of hyphema, indicates further teaching is warranted?
A. I will keep my head elevated on pillows at all times, even at night
B. I will refrain from watching tv or reading over the next week
C. I will take Ibuprofen instead of Acetaminophen to manage my pain
D. I will seek medical treatment if I develop n/v over the next week
CORRECT ANSWER
C
Ibuprofen may increase risk of bleeding; avoiding things that may cause n/v; maintain
head 30-45 degrees
Question 7
A Kleihauer-Betke test may be used to determine
A. A possible placental abruption
B. The presence of pancreatic trauma
4
