2025
Which of the following techniques is used for initial control of
hemorrhage to an extremity?
A. Apply direct pressure to the open wound
B. Apply pressure to the affected pulse point
C. Elevate the extremity above the heart
D. Apply a tourniquet 4 inches above the open wound - correct
answers ✅✅A
Injury prevention programs should NOT include which of the
following?
A. Non-measurable outcomes
B. Partnerships with communities
C. Monitoring and supporting
D. Intervention strategies - correct answers ✅✅A
Fluid coming from the nose or the ear after a traumatic injury to
the head should raise concern for:
A. LeFort I fracture
B. Occipital fracture
C. Perforated tympanic membrane
D. Basilar skull fracture - correct answers ✅✅D
A patient is coming to the ED following a high-speed MVC. EMS is
reporting a GCS of 3; vital signs: HR 65, BP 85/50, RR assisted at
,TCRN Review Questions And Answers
2025
12, O2 sats 94%. Which parameter increases the risk for long-
term disability?
A. Blood pressure 85/50
B. GCS 3
C. HR 65
D. O2 94% even with assistance - correct answers ✅✅A
When greeting the family of a 23 year old male being resuscitated
in the trauma bay, which approach is not an effective way of
delivering the patient's condition?
A. Inform at first possible opportunity once patient arrives to ED
either by phone or in person
B. Provide good news first
C. Outline the nature of injuries, what has been done so far, and
predict patient course
D. Immediately allow the family into the room during resuscitation
- correct answers ✅✅D
What is the development stage/goal for the preschool age child?
A. Industry vs. inferiority
B. Trust vs. mistrust
C. Initiative vs. guilt
D. Autonomy vs. shame - correct answers ✅✅C
,TCRN Review Questions And Answers
2025
Performance improvement and patient safety plans (PIPS) identify
loop closure to be an essential component to ensure that actions
and goals have been set in motion. Which of the following is not
an expected result?
A. Monitoring for effectiveness
B. Immediate improvement in patient care
C. Re-evaluation to ensure goals are met
D. Benchmarking to move away from individual blame - correct
answers ✅✅B
Which of the following are examples of performance improvement
issues?
A. Patient care issues
B. Trauma related death
C. Transfer to higher level of care
D. All of the above - correct answers ✅✅D
A 28 year old male is brought to the ED after a suspected assault.
Breath sounds are diminished on the right. Vitals are: HR 120, BP
122/88, RR 36 with shallow effort and O2 sats 88% on a non-
rebreather. What is the trauma team's most appropriate next step
in the management of this patient?
A. Prep for an emergent thoracotomy
B. Order stat chest xray
C. Place a chest tube
D. Perform a pericardiocentesis - correct answers ✅✅C
, TCRN Review Questions And Answers
2025
Fractures to the first and second ribs require a very large amount
of force to the trunk area. Remember- when a thoracic injury
occurs- we have to think of all the underlying structures to rule
out subsequent injuries. Which of the following would NOT be a
potential injury to consider?
A. Pulmonary contusion
B. Bronchial injury
C. Ruptured globe
D. Myocardial infarction - correct answers ✅✅C
Which of the following laboratory tests is the MOST useful in
identifying cardiac injury following blunt chest trauma in
CHILDREN?
A. Lactate dehydrogenase
B. Cardiac myoglobins
C. Creatinine phosphokinase
D. Cardiac troponins - correct answers ✅✅D
What diagnostic exam should be considered in patients with
fractures of the first rib?
A. Angiogram
B. Arteriogram
C. Chest CT without contrast
D. Doppler study - correct answers ✅✅B