TCRN TRAUMA CARE AND MANAGEMENT EXAM
VERIFIED FOR 2025 WITH ACCURATE ANSWERS
1. Why is it critical to address an elevated INR in a patient with a subdural
hematoma?
An elevated INR does not affect treatment options for subdural
hematomas.
An elevated INR is only a concern if the patient is experiencing
pain.
An elevated INR can delay clotting and lead to significant blood
loss, risking neurological impairment or death.
An elevated INR indicates a need for more Vitamin K in the diet.
2. In a trauma case, if a patient presents with a core body temperature of 34
C and a pulse pressure of 18 mm Hg, what might this indicate about their
fluid resuscitation status?
It indicates optimal fluid resuscitation.
It indicates inadequate fluid resuscitation.
It suggests the patient is in a hypervolemic state.
It suggests the patient is stable and does not require further
intervention.
3. A 34-year-old primigravida at 39 weeks gestation presents to the labor
and delivery unit in active labor. The nurse notes that the patient's blood
type is Rh- negative and the father's blood type is Rh-positive. The
healthcare provider has ordered a Kleihauer-Betke test. What is the
purpose of this test?
,To detect fetal heart rate abnormalities
To determine the patient's Rh factor
, To assess fetal lung maturity
To evaluate the amount of fetal blood in the maternal
circulation
4. In a scenario where a trauma nurse observes a patient exhibiting
respiratory distress and the 'death rattle', what should be the nurse's
immediate action regarding family communication?
The nurse should immediately call for a physician to reassess the
patient.
The nurse should ignore the symptoms as they are common in all
patients.
The nurse should prepare the family for a possible recovery.
The nurse should inform the family about the patient's
symptoms and the likelihood of approaching death.
5. What is the term used to describe the final stage of performance
improvement in trauma care?
clinical pathway
loop closure
performance evaluation
secondary review
6. Describe the significance of the trauma registry in relation to patient
outcomes.
The trauma registry is only useful for research on surgical
techniques.
The trauma registry is primarily used for billing purposes.
The trauma registry provides valuable data that can be used to
analyze patient outcomes, such as length of stay and treatment
, effectiveness.
The trauma registry focuses on outpatient care statistics.
7. What is a common symptom in the pulmonary system that may be
observed near death?
Conjunctival hemorrhages
Death rattle
Excessive flatus
Excitable reflexes
8. Why are Foley catheters contraindicated in patients with a high riding
prostate or perineal hematomas?
Foley catheters are safer than suprapubic catheters.
Foley catheters can worsen urethral injury.
Foley catheters help in diagnosing urethral injuries.
Foley catheters are necessary for bladder drainage.
9. What condition is indicated by declining oxygen levels and crackles upon
auscultation in a patient with rib fractures?
Pneumothorax
Pulmonary contusions
Hemothorax
Pericardial tamponade
10. After an athlete is diagnosed with a mild concussion, when can the
athlete be allowed to return to play or practice?
c. after getting medical clearance from their physician
VERIFIED FOR 2025 WITH ACCURATE ANSWERS
1. Why is it critical to address an elevated INR in a patient with a subdural
hematoma?
An elevated INR does not affect treatment options for subdural
hematomas.
An elevated INR is only a concern if the patient is experiencing
pain.
An elevated INR can delay clotting and lead to significant blood
loss, risking neurological impairment or death.
An elevated INR indicates a need for more Vitamin K in the diet.
2. In a trauma case, if a patient presents with a core body temperature of 34
C and a pulse pressure of 18 mm Hg, what might this indicate about their
fluid resuscitation status?
It indicates optimal fluid resuscitation.
It indicates inadequate fluid resuscitation.
It suggests the patient is in a hypervolemic state.
It suggests the patient is stable and does not require further
intervention.
3. A 34-year-old primigravida at 39 weeks gestation presents to the labor
and delivery unit in active labor. The nurse notes that the patient's blood
type is Rh- negative and the father's blood type is Rh-positive. The
healthcare provider has ordered a Kleihauer-Betke test. What is the
purpose of this test?
,To detect fetal heart rate abnormalities
To determine the patient's Rh factor
, To assess fetal lung maturity
To evaluate the amount of fetal blood in the maternal
circulation
4. In a scenario where a trauma nurse observes a patient exhibiting
respiratory distress and the 'death rattle', what should be the nurse's
immediate action regarding family communication?
The nurse should immediately call for a physician to reassess the
patient.
The nurse should ignore the symptoms as they are common in all
patients.
The nurse should prepare the family for a possible recovery.
The nurse should inform the family about the patient's
symptoms and the likelihood of approaching death.
5. What is the term used to describe the final stage of performance
improvement in trauma care?
clinical pathway
loop closure
performance evaluation
secondary review
6. Describe the significance of the trauma registry in relation to patient
outcomes.
The trauma registry is only useful for research on surgical
techniques.
The trauma registry is primarily used for billing purposes.
The trauma registry provides valuable data that can be used to
analyze patient outcomes, such as length of stay and treatment
, effectiveness.
The trauma registry focuses on outpatient care statistics.
7. What is a common symptom in the pulmonary system that may be
observed near death?
Conjunctival hemorrhages
Death rattle
Excessive flatus
Excitable reflexes
8. Why are Foley catheters contraindicated in patients with a high riding
prostate or perineal hematomas?
Foley catheters are safer than suprapubic catheters.
Foley catheters can worsen urethral injury.
Foley catheters help in diagnosing urethral injuries.
Foley catheters are necessary for bladder drainage.
9. What condition is indicated by declining oxygen levels and crackles upon
auscultation in a patient with rib fractures?
Pneumothorax
Pulmonary contusions
Hemothorax
Pericardial tamponade
10. After an athlete is diagnosed with a mild concussion, when can the
athlete be allowed to return to play or practice?
c. after getting medical clearance from their physician
