11 August 2026
SSM TCAR Test Exam 250 comprehensive questions
|RECENT AND FREQUENTLY MOST TESTED QUESTIONS AND
VERIFIED SOLUTIONS/GET IT 100% ACCURATE!!
2026!!
What are the definitive options for pelvic fracture stabilization and hemorrhage control? -
correct answer-External Fixation Interventional Radiology
Open reduction & Internal fixation
What are the suggested lab studies for someone in Trauma induced cogulaopthy ? - correct
answer-Thromboelastography (TEG) Rotational Thromobelastometry (ROTEM) both testes provide
real-time visual representation of clot formation and clot lysis
Why is autotransfused blood better than banked blood? - correct answer-It is fresher,
warmer, releases O2 better, and costs less
Banked blood causes what electrolyte abnormalities? - correct answer-Elevated K-released
from old or damaged blood cells
Decreased Ca-citrate in blood binds with calcium so the ionized Ca level is low
What nursing assessment would make you suspet low calcium? - correct answer-
Carpal spasm (Trousseau Sign) while checking BP
What does SBP estimate for you? - correct answer-SBP= CO--they go up & down together It
is an indication of volume (preload) and contractility
What does DBP estimate for you? - correct answer-DBP is a measure of vascular
resistanceafterload
DBP reflects vasoconstriction due to sympathetic compensation
What is pulse pressure? - correct answer-The relationship between CO & the body's
compensatory vasoconstrictive response
,11 August 2026
Pulse Pressure= SBP-DBP
Minimal acceptable number is 30-40 or
25% of SBP
What is MAP, and how is it calculated? - correct answer-It is the organ & tissue perfusion
pressure, the pressure the organs actually receive.
Normal is >65.
SBP+DBPx2/3
What is shock index? - correct answer-The relationship between SBP & heart rate required to
maintain it (tachycardic compensation). HR divided by SBP, normal is 0.5-0.7
What are markers of tissue ischemia? - correct answer-Lactate, pH, base deficit
What are markers of hemostasis? - correct answer-Clotting factors and H&H
What do patients need who drop their BP after opiod administration? - correct answer-They need
volume
What system is at greatest risk following initial stabilization? - correct answer-Pulmonary
What are hypotonic fluids? - correct answer-Fluids that distribute throughout the body. Beneficial
for dehydrated patients who need maintenance fluids.
What are isotonic fluids? - correct answer-Fluids that fill the vascular space, for those that need
circulating volume replacement. 3/4 of this fluid quickly moves to interstitial spaces
What are hypertonic fluids? - correct answer-Fluids that helps pull fluid into the vascular space. Not
good for patients at risk for fluid overload.
3% Saline
What is the ratio for crystalloid replacement to blood loss? - correct answer-3 or 4 : 1
, 11 August 2026
What is the magic pressure numbers? (ICP, ACS) - correct answer-Approximately 20mm Hg is the
pressure required to squeeze a capillary closed, regardless of where it is located, as soon as it closes,
flow is impeded.
What are early findings of end organ hypoperfusion? - correct answer-Widenend pulse pressure
(dropping diastolic pressure)
Decrease U/O, decreased pulse ox, increase resp rate, restlessness
What are SIRS criteria? - correct answer-When 2 or more are met:
Temp >38.3 or <36
RR >20,
HR>90,
PaCO2< 32
What is muscle compartment syndrome? - correct answer-Elevated fascial compartment pressure,
higher than arterial pressure. MOST prominent symptom is unrelieved pain
What is the ankle-brachial pressure index? - correct answer-SBP of ankle (lower leg) divided by
SBP of brachial (upper arm), normal is 1,
<0.8 means decreased flow
What are symptoms of fat embolism syndrome and when do they occur? - correct answer-
Respiratory (tachypnea), neuro (agitation, anxiety) and dermal (petechial rash on chest), occur 12-72
hours after pelvic or long bone fractures
What is a diffuse brain injury? - correct answer-Global, generalized. Directly affects consciousness,
such as diffuse axonal injury or concussion
What is a focal brain injury? - correct answer-Local, indirectly affects consciousness. Focal injuries
are something you could point to like a skull fracture or bleed
What events are typical of diffuse brain injuries? - correct answer-Following the injury, there is a
transient loss of consciousness, then the brain re-boots
SSM TCAR Test Exam 250 comprehensive questions
|RECENT AND FREQUENTLY MOST TESTED QUESTIONS AND
VERIFIED SOLUTIONS/GET IT 100% ACCURATE!!
2026!!
What are the definitive options for pelvic fracture stabilization and hemorrhage control? -
correct answer-External Fixation Interventional Radiology
Open reduction & Internal fixation
What are the suggested lab studies for someone in Trauma induced cogulaopthy ? - correct
answer-Thromboelastography (TEG) Rotational Thromobelastometry (ROTEM) both testes provide
real-time visual representation of clot formation and clot lysis
Why is autotransfused blood better than banked blood? - correct answer-It is fresher,
warmer, releases O2 better, and costs less
Banked blood causes what electrolyte abnormalities? - correct answer-Elevated K-released
from old or damaged blood cells
Decreased Ca-citrate in blood binds with calcium so the ionized Ca level is low
What nursing assessment would make you suspet low calcium? - correct answer-
Carpal spasm (Trousseau Sign) while checking BP
What does SBP estimate for you? - correct answer-SBP= CO--they go up & down together It
is an indication of volume (preload) and contractility
What does DBP estimate for you? - correct answer-DBP is a measure of vascular
resistanceafterload
DBP reflects vasoconstriction due to sympathetic compensation
What is pulse pressure? - correct answer-The relationship between CO & the body's
compensatory vasoconstrictive response
,11 August 2026
Pulse Pressure= SBP-DBP
Minimal acceptable number is 30-40 or
25% of SBP
What is MAP, and how is it calculated? - correct answer-It is the organ & tissue perfusion
pressure, the pressure the organs actually receive.
Normal is >65.
SBP+DBPx2/3
What is shock index? - correct answer-The relationship between SBP & heart rate required to
maintain it (tachycardic compensation). HR divided by SBP, normal is 0.5-0.7
What are markers of tissue ischemia? - correct answer-Lactate, pH, base deficit
What are markers of hemostasis? - correct answer-Clotting factors and H&H
What do patients need who drop their BP after opiod administration? - correct answer-They need
volume
What system is at greatest risk following initial stabilization? - correct answer-Pulmonary
What are hypotonic fluids? - correct answer-Fluids that distribute throughout the body. Beneficial
for dehydrated patients who need maintenance fluids.
What are isotonic fluids? - correct answer-Fluids that fill the vascular space, for those that need
circulating volume replacement. 3/4 of this fluid quickly moves to interstitial spaces
What are hypertonic fluids? - correct answer-Fluids that helps pull fluid into the vascular space. Not
good for patients at risk for fluid overload.
3% Saline
What is the ratio for crystalloid replacement to blood loss? - correct answer-3 or 4 : 1
, 11 August 2026
What is the magic pressure numbers? (ICP, ACS) - correct answer-Approximately 20mm Hg is the
pressure required to squeeze a capillary closed, regardless of where it is located, as soon as it closes,
flow is impeded.
What are early findings of end organ hypoperfusion? - correct answer-Widenend pulse pressure
(dropping diastolic pressure)
Decrease U/O, decreased pulse ox, increase resp rate, restlessness
What are SIRS criteria? - correct answer-When 2 or more are met:
Temp >38.3 or <36
RR >20,
HR>90,
PaCO2< 32
What is muscle compartment syndrome? - correct answer-Elevated fascial compartment pressure,
higher than arterial pressure. MOST prominent symptom is unrelieved pain
What is the ankle-brachial pressure index? - correct answer-SBP of ankle (lower leg) divided by
SBP of brachial (upper arm), normal is 1,
<0.8 means decreased flow
What are symptoms of fat embolism syndrome and when do they occur? - correct answer-
Respiratory (tachypnea), neuro (agitation, anxiety) and dermal (petechial rash on chest), occur 12-72
hours after pelvic or long bone fractures
What is a diffuse brain injury? - correct answer-Global, generalized. Directly affects consciousness,
such as diffuse axonal injury or concussion
What is a focal brain injury? - correct answer-Local, indirectly affects consciousness. Focal injuries
are something you could point to like a skull fracture or bleed
What events are typical of diffuse brain injuries? - correct answer-Following the injury, there is a
transient loss of consciousness, then the brain re-boots
