ATCN Exam Review – Questions And Answers
The approach to trauma care typically begins with what? ✔️Ans -
notification that a trauma patient is arriving
When preparing to receive a trauma patient, what should you keep in mind?
✔️Ans -safe practice, safe care
What does "Safe practice" mean when receiving trauma patients? ✔️Ans -
take into consideration the protection of the team (universal
precautions/PPE/preparing equipment prior to patient arrival)
What does "Safe care" mean when receiving trauma patients? ✔️Ans -that
the patient is going to the right hospital, in the right time, for the right care
Trauma primary survey for "A"? ✔️Ans -airway and alertness with
simultaneous cervical spinal stabilization
Trauma primary survey for "B"? ✔️Ans -breathing and ventilation
Trauma primary survey for "C"? ✔️Ans -circulation and hemorrhage control
Trauma primary survey for "D"? ✔️Ans -disability (neurological status:
AVPU/GCS)
Trauma primary survey for "E"? ✔️Ans -exposure and environmental
control
Trauma primary survey for "F"? ✔️Ans -full set of vital signs and family
presence
Trauma primary survey for "G"? ✔️Ans -get resuscitation adjuncts (LMNOP)
Which resuscitation adjunct under the "G" primary assessment is this?
-"L" ✔️Ans -laboratory studies (ABG's/Type and cross)
Which resuscitation adjunct under the "G" primary assessment is this?
-"M" ✔️Ans -monitor for continuous cardiac rhythm and rate assessment
, Which resuscitation adjunct under the "G" primary assessment is this?
-"N" ✔️Ans -naso/orogastric tube consideration
Which resuscitation adjunct under the "G" primary assessment is this?
-"O" ✔️Ans -oxygenation and ventilation analysis (pulse
oximetry/ETCO2/capnography)
Which resuscitation adjunct under the "G" primary assessment is this?
-"P" ✔️Ans -pain assessment and management
Trauma primary survey for "H"? ✔️Ans -history and head to toe assessment
Trauma primary survey for "I"? ✔️Ans -inspect posterior surfaces
1.chest pain
2.air hunger
3.respiratory distress
4.tachycardia
5.hypotension
6.tracheal deviation away from injury
7.unilateral absence of breath sounds
8.elevated hemithorax w/out respiratory movement
9.neck vein distention
10.cyanosis (late sign) ✔️Ans -10 Signs and sx of tension pneumothorax
1. Becks Triad= increased venous pressure(distended neck veins), decreased
arterial pressure(hypotension), muffled heart tones
2. PEA
3. JVD &/or Kussmauls sign
4. Use FAST to dx ✔️Ans -Signs and sx of cardiac tamponade
Careful assessment of the pt's breath sounds is paramount to differentiate the
two ✔️Ans -tension pneumothorax can often be confused with cardiac
tamponade, how do you differentiate?
1. Needle decompression- large bore needle 2nd intercostal space
midclavicular line 2. chest tube 4 or 5th intercostal space mid axillary ✔️Ans
-Tx of tension pneumothorax
The approach to trauma care typically begins with what? ✔️Ans -
notification that a trauma patient is arriving
When preparing to receive a trauma patient, what should you keep in mind?
✔️Ans -safe practice, safe care
What does "Safe practice" mean when receiving trauma patients? ✔️Ans -
take into consideration the protection of the team (universal
precautions/PPE/preparing equipment prior to patient arrival)
What does "Safe care" mean when receiving trauma patients? ✔️Ans -that
the patient is going to the right hospital, in the right time, for the right care
Trauma primary survey for "A"? ✔️Ans -airway and alertness with
simultaneous cervical spinal stabilization
Trauma primary survey for "B"? ✔️Ans -breathing and ventilation
Trauma primary survey for "C"? ✔️Ans -circulation and hemorrhage control
Trauma primary survey for "D"? ✔️Ans -disability (neurological status:
AVPU/GCS)
Trauma primary survey for "E"? ✔️Ans -exposure and environmental
control
Trauma primary survey for "F"? ✔️Ans -full set of vital signs and family
presence
Trauma primary survey for "G"? ✔️Ans -get resuscitation adjuncts (LMNOP)
Which resuscitation adjunct under the "G" primary assessment is this?
-"L" ✔️Ans -laboratory studies (ABG's/Type and cross)
Which resuscitation adjunct under the "G" primary assessment is this?
-"M" ✔️Ans -monitor for continuous cardiac rhythm and rate assessment
, Which resuscitation adjunct under the "G" primary assessment is this?
-"N" ✔️Ans -naso/orogastric tube consideration
Which resuscitation adjunct under the "G" primary assessment is this?
-"O" ✔️Ans -oxygenation and ventilation analysis (pulse
oximetry/ETCO2/capnography)
Which resuscitation adjunct under the "G" primary assessment is this?
-"P" ✔️Ans -pain assessment and management
Trauma primary survey for "H"? ✔️Ans -history and head to toe assessment
Trauma primary survey for "I"? ✔️Ans -inspect posterior surfaces
1.chest pain
2.air hunger
3.respiratory distress
4.tachycardia
5.hypotension
6.tracheal deviation away from injury
7.unilateral absence of breath sounds
8.elevated hemithorax w/out respiratory movement
9.neck vein distention
10.cyanosis (late sign) ✔️Ans -10 Signs and sx of tension pneumothorax
1. Becks Triad= increased venous pressure(distended neck veins), decreased
arterial pressure(hypotension), muffled heart tones
2. PEA
3. JVD &/or Kussmauls sign
4. Use FAST to dx ✔️Ans -Signs and sx of cardiac tamponade
Careful assessment of the pt's breath sounds is paramount to differentiate the
two ✔️Ans -tension pneumothorax can often be confused with cardiac
tamponade, how do you differentiate?
1. Needle decompression- large bore needle 2nd intercostal space
midclavicular line 2. chest tube 4 or 5th intercostal space mid axillary ✔️Ans
-Tx of tension pneumothorax
