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TCRN 2024 Exam Questions With Correct Answers.

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©SIRJOEL EXAM SOLUTIONS 10/11/2024 1:41 PM TCRN 2024 Exam Questions With Correct Answers. 1) The trauma nurse is caring for a 6-year-old child who sustained a tackle while participating in a youth football game. The patient's mother states, "He got the wind knocked out of him." Vital signs ...

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  • October 21, 2024
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©SIRJOEL EXAM SOLUTIONS
10/11/2024 1:41 PM



TCRN 2024 Exam Questions With Correct
Answers.


1)

The trauma nurse is caring for a 6-year-old child who sustained a tackle while participating in a

youth football game. The patient's mother states, "He got the wind knocked out of him." Vital

signs are:




HR 120 beats/min

BP 85/50 mmHg

RR 26 breaths/min

SpO2 92% (room air)




Based on the injury pattern, the nurse suspects which injury is MOST likely?




Possible answer(s):

, ©SIRJOEL EXAM SOLUTIONS
10/11/2024 1:41 PM


Cardiac contusion

Tension pneumothorax

Pulmonary contusion


Splenic rupture - answer✔Pulmonary contusion




The chest wall of a child allows for pulmonary contusions without rib fractures. The child is not

actively hypotensive or showing signs of a tension pneumothorax. Cardiac contusion can lead to

decreased cardiac output, tachycardia, and ventricular ectopy. Splenic rupture will cause

hypotension, which this child is not experiencing.

2)

An infant with a history of Trisomy 21 is being evaluated status post motor vehicle collision. The

nurse anticipates which of the following may be related to traumatic injury rather than a history

of Trisomy 21?




Possible answer(s):

atlantoaxial instability

limp extremities

tongue obstruction

, ©SIRJOEL EXAM SOLUTIONS
10/11/2024 1:41 PM


bulging fontanels - answer✔Bulging fontanels




Limp extremities, tongue obstruction and atlantoaxial instability may all be common in patients

with Down syndrome (Trisomy 21). Bulging fontanels are a sign of increased intracranial

pressure in the infant patient, and should be considered to be related to traumatic injury.

3)

An opportunity for improvement is identified following a patient delay transferring to the

operating room and a corrective action plan is implemented. Which of the following provides the

BEST example of loop closure?




Possible answers:




Communicating with the operating room staff on how to appropriately schedule cases

Measuring the time to the operating room for the next 10 patients.

Documenting an educational letter sent to the involved surgeon


Recording discussion of the issue in peer review minutes - answer✔Measuring the time to the

operating room for the next 10 patients.

, ©SIRJOEL EXAM SOLUTIONS
10/11/2024 1:41 PM


Comments:




Effective performance improvement demonstrates that corrective action has had the desired

effect as determined by continuous monitoring and evaluation. Demonstrating that the time to the

operating room is within limits is the best way to demonstrate effective loop closure of this

performance improvement event. The others are examples of actionable items but they don't

provide the best, complete loop closure that specific measurable time objectives would.

During a debrief of a trauma activation, the surgeon is concerned that the resuscitation effort was

very disorganized from pre-hospital report and throughout the initial trauma care. What is the

BEST example of an intervention to improve team communication in future resuscitations?




Possible answers:




Creating a standardized pre-hospital reporting tool

Initiating pre-arrival huddles

Identifying roles upon patient arrival


Allowing silence for pre-hospital providers report - answer✔Initiating pre-arrival huddles

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