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TCRN Exam Review Questions with 100% Correct Answers
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TCRN Exam Review Questions with 100% Correct Answers
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TCRN Review QuestionsWhich of the following techniques is used for initial control of hemorrhage to an extremity?
A. Apply direct pressure to the open wound
B. Apply pressure to the affected pulse point
C. Elevate the extremity above the heart
D. Apply a tourniquet 4 inches above the open wound - Answer -A
Injury prevention programs should NOT include which of the following?
A. Non-measurable outcomes
B. Partnerships with communities
C. Monitoring and supporting
D. Intervention strategies - Answer -A
Fluid coming from the nose or the ear after a traumatic injury to the head should raise concern for:
A. LeFort I fracture
B. Occipital fracture
C. Perforated tympanic membrane
D. Basilar skull fracture - Answer -D
A patient is coming to the ED following a high-speed MVC. EMS is reporting a GCS of 3; vital signs: HR 65,
BP 85/50, RR assisted at 12, O2 sats 94%. Which parameter increases the risk for long-term disability?
A. Blood pressure 85/50
,B. GCS 3
C. HR 65
D. O2 94% even with assistance - Answer -A
When greeting the family of a 23 year old male being resuscitated in the trauma bay, which approach is
not an effective way of delivering the patient's condition?
A. Inform at first possible opportunity once patient arrives to ED either by phone or in person
B. Provide good news first
C. Outline the nature of injuries, what has been done so far, and predict patient course
D. Immediately allow the family into the room during resuscitation - Answer -D
What is the development stage/goal for the preschool age child?
A. Industry vs. inferiority
B. Trust vs. mistrust
C. Initiative vs. guilt
D. Autonomy vs. shame - Answer -C
Performance improvement and patient safety plans (PIPS) identify loop closure to be an essential
component to ensure that actions and goals have been set in motion. Which of the following is not an
expected result?
A. Monitoring for effectiveness
B. Immediate improvement in patient care
C. Re-evaluation to ensure goals are met
D. Benchmarking to move away from individual blame - Answer -B
Which of the following are examples of performance improvement issues?
A. Patient care issues
B. Trauma related death
C. Transfer to higher level of care
D. All of the above - Answer -D
, A 28 year old male is brought to the ED after a suspected assault. Breath sounds are diminished on the
right. Vitals are: HR 120, BP 122/88, RR 36 with shallow effort and O2 sats 88% on a non-rebreather.
What is the trauma team's most appropriate next step in the management of this patient?
A. Prep for an emergent thoracotomy
B. Order stat chest xray
C. Place a chest tube
D. Perform a pericardiocentesis - Answer -C
Fractures to the first and second ribs require a very large amount of force to the trunk area. Remember-
when a thoracic injury occurs- we have to think of all the underlying structures to rule out subsequent
injuries. Which of the following would NOT be a potential injury to consider?
A. Pulmonary contusion
B. Bronchial injury
C. Ruptured globe
D. Myocardial infarction - Answer -C
Which of the following laboratory tests is the MOST useful in identifying cardiac injury following blunt
chest trauma in CHILDREN?
A. Lactate dehydrogenase
B. Cardiac myoglobins
C. Creatinine phosphokinase
D. Cardiac troponins - Answer -D
What diagnostic exam should be considered in patients with fractures of the first rib?
A. Angiogram
B. Arteriogram
C. Chest CT without contrast
D. Doppler study - Answer -B
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