TCRN TC-Registered Nurse 2

Question 1

A trauma patient presents with a systolic BP of 70 mmHg, HR of 130 bpm, and distended neck veins after a stab wound to the chest. Which injury should the nurse suspect FIRST?

Accepted Answer

Cardiac tamponade

Answer

Cardiac tamponade classically presents with Beck's triad: hypotension, distended neck veins, and muffled heart sounds after penetrating chest trauma.

Question 2

Which fluid is the PREFERRED initial resuscitation fluid for hemorrhagic shock according to current ATLS guidelines?

Accepted Answer

Warm lactated Ringer's solution

Answer

Warm lactated Ringer's solution is preferred over normal saline for resuscitation due to its balanced electrolyte composition and reduced risk of hyperchloremic acidosis.

Question 3

A restrained driver involved in a high-speed MVC presents with GCS of 14 and a widened mediastinum on chest X-ray. Which injury must be immediately considered?

Accepted Answer

Traumatic aortic injury

Answer

A widened mediastinum on chest X-ray in a high-deceleration mechanism is a classic indicator of traumatic aortic injury until proven otherwise.

Question 4

When performing the secondary survey in a trauma patient, what does the acronym AMPLE stand for?

Accepted Answer

Allergies, Medications, Past illness, Last meal, Events

Answer

AMPLE stands for Allergies, Medications, Past illness/pregnancy, Last meal, and Events/environment related to the injury.

Question 5

A trauma patient with a suspected C-spine injury requires intubation. Which method is MOST appropriate for maintaining cervical spine stabilization?

Accepted Answer

Rapid sequence intubation with in-line stabilization

Answer

Rapid sequence intubation with manual in-line cervical spine stabilization is the preferred method for intubating trauma patients with suspected C-spine injuries.

TCRN Exam Practice Test

TCRN Exam Practice Test

TCRN TC-Registered Nurse 2