TCAR (Trauma Care After Resuscitation)
Post-Test Exam Questions And Correct
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1. What is the most appropriate nursing action during the primary survey
of a trauma patient?
A. Assess pupil size and reactivity
B. Assess airway patency and cervical spine stability
C. Establish IV access
D. Measure urinary output
Airway and cervical spine stability are top priorities in trauma care
during the primary survey (A-B-C-D-E approach).
2. A patient with a chest injury presents with absent breath sounds on
one side and tracheal deviation. What should be suspected?
, A. Flail chest
B. Pulmonary contusion
C. Tension pneumothorax
D. Hemothorax
Tension pneumothorax causes a shift in mediastinal structures and
must be immediately decompressed.
3. What is the primary goal of damage control surgery?
A. Achieve full wound closure
B. Perform definitive organ repair
C. Control bleeding and contamination
D. Repair all fractures
The goal is rapid hemorrhage and contamination control, not
definitive repair.
4. Which organ is most susceptible to injury from blunt abdominal
trauma?
A. Kidney
B. Spleen
C. Pancreas
D. Stomach
The spleen is the most frequently injured organ in blunt trauma due
to its location and vascularity.
5. In a trauma patient with GCS 6, what is the priority?
A. Start IV fluids
, B. Secure the airway
C. Monitor vitals
D. Insert a Foley catheter
A low GCS indicates impaired consciousness and inability to protect
the airway.
6. What is the most reliable sign of shock in the trauma patient?
A. Tachypnea
B. Cool extremities
C. Altered mental status
D. Diaphoresis
Altered mentation is an early and sensitive indicator of decreased
cerebral perfusion.
7. What intervention is used to prevent secondary brain injury?
A. Administer opioids
B. Maintain adequate oxygenation and perfusion
C. Restrict fluids
D. Hyperventilate the patient
Preventing hypoxia and hypotension is critical to avoiding further
neurological damage.
8. Which blood product is best for restoring clotting factors in a trauma
patient with massive bleeding?
A. Packed RBCs
B. Fresh frozen plasma
, C. Platelets
D. Albumin
FFP replenishes clotting factors lost during hemorrhage.
9. A patient has muffled heart tones and distended neck veins after a
stab wound. What should be suspected?
A. Cardiac tamponade
B. Tension pneumothorax
C. Myocardial infarction
D. Pulmonary embolism
Beck’s triad (hypotension, JVD, muffled heart sounds) indicates
cardiac tamponade.
10. What is the appropriate fluid for initial resuscitation in trauma?
A. Lactated Ringer’s
B. D5W
C. Albumin
D. Normal saline with dextrose
Isotonic crystalloids like LR are first-line for volume resuscitation in
trauma.
11. A trauma patient shows signs of hypoperfusion but has normal
blood pressure. What condition is this?
A. Septic shock
B. Compensated shock
C. Neurogenic shock
Post-Test Exam Questions And Correct
Answers (Verified Answers) Plus
Rationales 2025 Q&A | Instant
Download PDF
1. What is the most appropriate nursing action during the primary survey
of a trauma patient?
A. Assess pupil size and reactivity
B. Assess airway patency and cervical spine stability
C. Establish IV access
D. Measure urinary output
Airway and cervical spine stability are top priorities in trauma care
during the primary survey (A-B-C-D-E approach).
2. A patient with a chest injury presents with absent breath sounds on
one side and tracheal deviation. What should be suspected?
, A. Flail chest
B. Pulmonary contusion
C. Tension pneumothorax
D. Hemothorax
Tension pneumothorax causes a shift in mediastinal structures and
must be immediately decompressed.
3. What is the primary goal of damage control surgery?
A. Achieve full wound closure
B. Perform definitive organ repair
C. Control bleeding and contamination
D. Repair all fractures
The goal is rapid hemorrhage and contamination control, not
definitive repair.
4. Which organ is most susceptible to injury from blunt abdominal
trauma?
A. Kidney
B. Spleen
C. Pancreas
D. Stomach
The spleen is the most frequently injured organ in blunt trauma due
to its location and vascularity.
5. In a trauma patient with GCS 6, what is the priority?
A. Start IV fluids
, B. Secure the airway
C. Monitor vitals
D. Insert a Foley catheter
A low GCS indicates impaired consciousness and inability to protect
the airway.
6. What is the most reliable sign of shock in the trauma patient?
A. Tachypnea
B. Cool extremities
C. Altered mental status
D. Diaphoresis
Altered mentation is an early and sensitive indicator of decreased
cerebral perfusion.
7. What intervention is used to prevent secondary brain injury?
A. Administer opioids
B. Maintain adequate oxygenation and perfusion
C. Restrict fluids
D. Hyperventilate the patient
Preventing hypoxia and hypotension is critical to avoiding further
neurological damage.
8. Which blood product is best for restoring clotting factors in a trauma
patient with massive bleeding?
A. Packed RBCs
B. Fresh frozen plasma
, C. Platelets
D. Albumin
FFP replenishes clotting factors lost during hemorrhage.
9. A patient has muffled heart tones and distended neck veins after a
stab wound. What should be suspected?
A. Cardiac tamponade
B. Tension pneumothorax
C. Myocardial infarction
D. Pulmonary embolism
Beck’s triad (hypotension, JVD, muffled heart sounds) indicates
cardiac tamponade.
10. What is the appropriate fluid for initial resuscitation in trauma?
A. Lactated Ringer’s
B. D5W
C. Albumin
D. Normal saline with dextrose
Isotonic crystalloids like LR are first-line for volume resuscitation in
trauma.
11. A trauma patient shows signs of hypoperfusion but has normal
blood pressure. What condition is this?
A. Septic shock
B. Compensated shock
C. Neurogenic shock
