TCRN TCR-Nurse 2

Question 1

A trauma patient arrives with a GCS of 8. What is the PRIORITY nursing intervention?

Accepted Answer

Prepare for definitive airway management

Answer

A GCS ≤8 indicates inability to protect the airway, making definitive airway management (intubation) the priority intervention.

Question 2

Which assessment finding is MOST consistent with a tension pneumothorax?

Accepted Answer

Tracheal deviation away from the affected side with absent breath sounds

Answer

Tension pneumothorax causes tracheal deviation away from the affected (collapsed) side due to mediastinal shift, along with absent breath sounds.

Question 3

A patient with blunt abdominal trauma has a positive FAST exam. The patient is hemodynamically unstable. What is the appropriate next step?

Accepted Answer

Immediate surgical intervention

Answer

A hemodynamically unstable patient with free fluid on FAST requires immediate surgery; delaying for CT increases mortality risk.

Question 4

When calculating the Revised Trauma Score (RTS), which THREE parameters are used?

Accepted Answer

GCS, respiratory rate, and systolic BP

Answer

The Revised Trauma Score uses Glasgow Coma Scale, respiratory rate, and systolic blood pressure, each coded 0–4.

Question 5

A patient presents with paradoxical chest wall movement and severe respiratory distress after a motor vehicle crash. Which injury is MOST likely?

Accepted Answer

Flail chest

Answer

Paradoxical movement (segment moves inward on inspiration) is the hallmark of flail chest, caused by fractures of three or more consecutive ribs in two places.

TCRN Exam Practice Test

TCRN Exam Practice Test

TCRN TCR-Nurse 2