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 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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