ATCN EXAM 2024 QUESTIONS &
ANSWERS 100% UPDATED!
tension pneumothorax signs - ANSWER •respirstory distress •tachycardia, hypotension •absent
breath sounds on the affected side •neck vein distention •tracheal deviation, away from injured side
The predominant cause of preventable death - ANSWER Hemorrhage
Balanced fluid resuscitation/Permissive hypotension - ANSWER Maintains end organ perfusion.
Strategy used until definitive control of hemorrhage occurs. Raising blood pressure too quickly with
aggressive fluid resuscitation without control of hemorrhage can increase bleeding fluid
When can tranexamic acid (clot promoter) be considered? - ANSWER May be considered in severely
injured patient that presents within 3 hours of injury
GCS - ANSWER
What should be anticipated in penetrating neck traumas? – ANSWER
Why do you insert tubes (pharyngeal, endotracheal, or gastric) through mouth when facial fractures
are present - ANSWER This is because a cribriform plate fracture may be suspected. Insertion of
tubes through mouth prevents inadvertent insertion of the tube through the cribriform plate
Why insert gastric tubes in traumas? - ANSWER Decompress abdomen and reduce resistance to
diaphragmatic excursion and decrease risk of aspiration. Also to assess for blood with potential
upper gastro-intestinal injury
What does decreased level of consciousness indicate? - ANSWER Poor brain perfusion due to blood
loss with subsequent hypoxia
cardiac tamponade (Beck's Triad) - ANSWER •Venous pressure elevation (distended neck veins)
•decline in arterial pressure (hypotension) •muffled heart tones
secondary survey AMPLE - ANSWER i. Allergies
ii. Meds currently taking
ANSWERS 100% UPDATED!
tension pneumothorax signs - ANSWER •respirstory distress •tachycardia, hypotension •absent
breath sounds on the affected side •neck vein distention •tracheal deviation, away from injured side
The predominant cause of preventable death - ANSWER Hemorrhage
Balanced fluid resuscitation/Permissive hypotension - ANSWER Maintains end organ perfusion.
Strategy used until definitive control of hemorrhage occurs. Raising blood pressure too quickly with
aggressive fluid resuscitation without control of hemorrhage can increase bleeding fluid
When can tranexamic acid (clot promoter) be considered? - ANSWER May be considered in severely
injured patient that presents within 3 hours of injury
GCS - ANSWER
What should be anticipated in penetrating neck traumas? – ANSWER
Why do you insert tubes (pharyngeal, endotracheal, or gastric) through mouth when facial fractures
are present - ANSWER This is because a cribriform plate fracture may be suspected. Insertion of
tubes through mouth prevents inadvertent insertion of the tube through the cribriform plate
Why insert gastric tubes in traumas? - ANSWER Decompress abdomen and reduce resistance to
diaphragmatic excursion and decrease risk of aspiration. Also to assess for blood with potential
upper gastro-intestinal injury
What does decreased level of consciousness indicate? - ANSWER Poor brain perfusion due to blood
loss with subsequent hypoxia
cardiac tamponade (Beck's Triad) - ANSWER •Venous pressure elevation (distended neck veins)
•decline in arterial pressure (hypotension) •muffled heart tones
secondary survey AMPLE - ANSWER i. Allergies
ii. Meds currently taking
