TCRN TC-Registered Nurse 3

Question 1

A trauma patient has blood at the urethral meatus, perineal bruising, and a high-riding prostate on rectal exam. Which intervention should the nurse AVOID?

Accepted Answer

Foley catheter insertion

Answer

Foley catheter insertion is contraindicated when urethral injury is suspected; a urethrogram must be performed first to rule out urethral disruption.

Question 2

In damage control resuscitation for massive hemorrhage, what ratio of packed red blood cells to fresh frozen plasma to platelets is recommended?

Accepted Answer

1:1:1

Answer

A 1:1:1 ratio of pRBC:FFP:platelets approximates whole blood and is recommended in damage control resuscitation to prevent coagulopathy.

Question 3

A patient with blunt abdominal trauma undergoes a FAST exam. A positive FAST exam showing free fluid in the hepatorenal space (Morison's pouch) MOST likely indicates:

Accepted Answer

Hemoperitoneum

Answer

Free fluid in Morison's pouch on FAST exam indicates hemoperitoneum, which is the most common finding in solid organ injury after blunt abdominal trauma.

Question 4

A trauma patient develops acute agitation, tachycardia, diaphoresis, and hypertension 6 hours after admission. The nurse should FIRST consider:

Accepted Answer

Alcohol withdrawal

Answer

Alcohol withdrawal typically begins 6–24 hours after the last drink and presents with autonomic hyperactivity including agitation, tachycardia, diaphoresis, and hypertension.

Question 5

Which sign is associated with basilar skull fracture indicating blood tracking into the mastoid area?

Accepted Answer

Battle's sign

Answer

Battle's sign is ecchymosis over the mastoid process (behind the ear) and is a delayed clinical sign of basilar skull fracture.

TCRN Exam Practice Test

TCRN Exam Practice Test

TCRN TC-Registered Nurse 3