TCRN (Trauma Certified Registered Nurse) TESTS COMPILATION BUNDLE

Which of the cranial bones is most susceptible to injury due to it being the thinnest correct answer: Temporal Which layer of meninges attaches to the brain and spinal cord correct answer: PIA What is the name for the portion of the midbrain that is responsible for wakefulness and consciousn...

What are the 6 goals of resuscitation of the head injured patient? correct answer: 1. Rapidly diagnose/identify TBI 2. Prevent secondary brain injury due to hypoxia, hypotension, and hypo- or hyper-capnea. 3. Optimize oxygenation, ventilation, and hemodynamics. 4. Prevent ICP. 5. Maintain thera...

What are the three main constituents in the brain? correct answer: CSF, Brain Tissue (mostly water), Blood The brain makes up approximately _____% of the volume of the skull and is _____% water. correct answer: 80% 75% CSF makes up about _____% of the volume of the skull. correct answer: 1...

You're at increased risk of an SCI in adults if you fall? correct answer: >20 feet You're at increased risk of an SCI in children if you fall? correct answer: >3 times height in child What is the preferred method to move someone with a potential SCI/ correct answer: Lift and slide ...

What is the mechanism of injury that can result in nasalorbitalethmoidal or NOE injury? correct answer: A direct below to the nasal region May be associated with cribiform fracture and orbital roof fracture Commonly associated with a loss of smell due to direct injury of the olfactory nerve W...

Organs commonly injured by blunt trauma? correct answer: Solid organs Spleen Liver Pancreas Sudden deceleration in a blunt trauma caused movement of abdominal organs and most commonly tears which organ? correct answer: Duodenum (shearing forces may cause tearing at attachment points of lig...

Suicide correct answer: death caused by self-directed, potentionally injurious behavior with an intent to die as a result of the behavior many suicides occur with little planing during a short term crisis risk factor of suicide correct answer: access to firearms Leading cause of maternal de...

Shock (basic definition) correct answer: Lack of oxygen to cells Anaerobic respiration in shock correct answer: Shock --> anaerobic respiration --> lactic acid production --> weakens cell wall --> cellular destruction --> tissue destruction --> organ destruction Hypovolemic...

Kehr's sign correct answer: Referred left shoulder pain, usually indicates a splenic injury Base deficit correct answer: Base deficit more than -6 indicates the need for agressive resuscitation and determination of the etiology CXR correct answer: Most important tool providing useful infor...

A transcranial doppler is obtained for a patient with a traumatic subarachnoid hemorrhage. The doppler is positive for vasospasm. The trauma nurse would expect which of the following medications to be prescribed? correct answer: A vasospasm is a known complication of subarachnoid hemorrhages. Calci...

Circumfrential burns correct answer: Full-thickness burns result in the formation of an eschar that is tough and unyielding. Can cause a burn compartment syndrome, and often requires escharotomy Shock correct answer: Systemic reaction to insult that causes decreased oxygen delivery to the c...

Fluid resuscitation is administered to a traumatically injured patient. After resuscitation, the trauma nurse evaluates the patient's response to that resuscitation to determine whether additional fluids should be administered. Which of the following factors is most likely to impact this evaluation...

When should impaled objects be removed? correct answer: Preferably in the OR, under controlled circumstances. True or false: Bullet wounds follow a predictable pattern of injury? correct answer: False: A bullet wound is an example of a "blast" wound which has an unpredictable trajectory and m...

Fluid resuscitation is undertaken for the patient in late, decompensatory hypovolemic shock. Which of the following findings indicates that this treatment is having its intended effect? An elevation in the: A. Pulse pressure B. Urinary output C. Respiratory rate D. Serum lactate levels correct a...