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Exam (elaborations)

TCRN EXAM QUESTIONS AND ANSWERS

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TCRN EXAM QUESTIONS AND ANSWERS

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  • September 23, 2024
  • 7
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • TCRN
  • TCRN
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GEEKA
TCRN EXAM QUESTIONS AND ANSWERS
List three effects of inflammatory mediators - Answers -Diaphoresis, glycogeonolysis,
bronchodilation, increased: HR, contractility, automasticity, RR

Describe the technique for inserting IO into distal femur - Answers -Anterior midline
above the external epicondyles, 1 - 3cm above the femoral plateau; the knee slightly
flexed and the hip externally rotated and flexed

Describe the technique for inserting IO into distal tibia - Answers -just proximal to the
medial malleolus

Describe the technique for inserting IO into humerus - Answers -Directly above the
greater tuberosity

Describe the technique for inserting IO into proximal tibia - Answers -2cm distal and
slightly medial to the tibial tuberosity

Recognize adequate fluid resuscitation using four end points to resuscitation - Answers
-Traditional - Vital signs, urinary output (>0.5mg/kg/hr), Mental status

Treatment goals for patients with PTSD - Answers -Restore sense of control
Diminish power of the traumatic event
Reduce chronic hyperarousal
Reduce feelings of guilt/self-blame
Restore sense of equilibrium

List three patient dispositions allowed by COBA/EMTALA legislation - Answers -
Admission to the facility
Stabilizing care, followed by transfer to qualified facility
Treated and discharged

What is the performance improvement loop? - Answers -Identify the outcomes
Determine plan
Measure progress

Describe quantitative research - Answers -A deductive process that utilizes numeric
findings examples: randomized controlled trials, cohort studies

Describe qualitative research - Answers -an inductive process where words are used to
give meaning to data, involves interactions between researcher and the subject.
examples: data collected by observation, questionnaires, or interviews, data is reported
using words as opposed to numbers

Five ethical principals utilized in trauma care - Answers -Autonomy
Beneficence

, Non-malficence
Veracity (honesty)
Justice

List three complications associated with a contusion and/or hematoma - Answers -
Compartment syndrome
Risk for infection
Risk of hypovolemia

The four interventions used to control hemorrhage in amputations - Answers -Direct
pressure
Pressure point
Elevation
Tourniquet

Describe primary wound closure - Answers -Immediate wound closure

Describe secondary wound closure - Answers -Allowed to close on own over time (for
clean wounds with significant tissue loss)

Describe tertiary wound closure - Answers -Closure is delayed for a period of time
(wounds with significant bacterial contamination)

The Rule of Nines - adult - Answers -Head 9%
Chest 9%
Abdomen 9%
upper back 9%
lower back 9%
Arm 9%
upper leg 9%
lower leg and foot 9%
Genitals 1%

Rule of Nines - pediatric - Answers -Head 18%
Chest 9%
Abdomen 9%
upper back 9%
lower back 9%
arm 9%
upper leg 7%
lower leg and foot 7%

Invasive hemodynamic monitoring - Central Venous Pressure (normal 2-6mmHg),
Pulmonary wedge pressure (8-10mmHg), Cardiac Index (2.5 - 4.0L/minute/m^2),
Delivery of oxygen (DO2) (500-600mL O2/min/m^2)

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