Solheim TCRN Practice Test Exam
QUESTIONS AND ANSWERS 100%
RATED CORRECT WITH 100% SURE
PASS|GRADED A+
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 ANSWERS D
50% polyethylene glycol will be used as part of the treatment for
A. Pancreatic trauma
B. Phenol contamination
C. Carbon monoxide poisoning
D. ARDS - CORRECT ANSWERS B
,50% polyethylene glycol increases solubility of phenols in water
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 ANSWERS C
CSF is rich in glucose
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 ANSWERS B
,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 ANSWERS A
Return of base deficit indicates adequate fluid resuscitation
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 ANSWERS C
, Ibuprofen may increase risk of bleeding; avoiding things that may cause n/v; maintain head 30-45
degrees
A Kleihauer-Betke test may be used to determine
A. A possible placental abruption
B. The presence of pancreatic trauma
C. Pain levels in non-responsive patients
D. Severity of ARDS - CORRECT ANSWERS A
KB test detects fetal blood in maternal circulation
Adoption of a mass transfusion protocol should help reduce the incidence of
A. Fat embolism
B. Post-renal failure
C. Abdominal-compartment syndrome
D. The systemic inflammatory response syndrome - CORRECT ANSWERS D
SIRS is r/t tissue trauma and prolonged tissue hypoxia
QUESTIONS AND ANSWERS 100%
RATED CORRECT WITH 100% SURE
PASS|GRADED A+
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 ANSWERS D
50% polyethylene glycol will be used as part of the treatment for
A. Pancreatic trauma
B. Phenol contamination
C. Carbon monoxide poisoning
D. ARDS - CORRECT ANSWERS B
,50% polyethylene glycol increases solubility of phenols in water
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 ANSWERS C
CSF is rich in glucose
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 ANSWERS B
,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 ANSWERS A
Return of base deficit indicates adequate fluid resuscitation
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 ANSWERS C
, Ibuprofen may increase risk of bleeding; avoiding things that may cause n/v; maintain head 30-45
degrees
A Kleihauer-Betke test may be used to determine
A. A possible placental abruption
B. The presence of pancreatic trauma
C. Pain levels in non-responsive patients
D. Severity of ARDS - CORRECT ANSWERS A
KB test detects fetal blood in maternal circulation
Adoption of a mass transfusion protocol should help reduce the incidence of
A. Fat embolism
B. Post-renal failure
C. Abdominal-compartment syndrome
D. The systemic inflammatory response syndrome - CORRECT ANSWERS D
SIRS is r/t tissue trauma and prolonged tissue hypoxia
