TCRN ACTUAL PAPER 2026 QUESTIONS AND SOLUTIONS GRADED A+ TRAUMA CERTIFIED REGISTERED NURSE REVIEW KIT

TCRN ACTUAL PAPER 2026 QUESTIONS
AND SOLUTIONS GRADED A+ TRAUMA
CERTIFIED REGISTERED NURSE REVIEW KIT


◉ Adult Parkland formula
Answer: (TBSA x 2mL x body weight (kg))/16


◉ Pediatric Parkland formula
Answer: (TBSA x 3mL x body weight (kg))/16


◉ Urine output goal for burn fluid resuscitation
Answer: Adult: 0.5mL/kg/hour
Pediatric: 1.0mL/kg/hour


◉ Cerebral Perfusion Pressure (CPP) formula
Answer: CPP = MAP - ICP


◉ Frontal impact MVC -> starring of the windshield may indicate
what injuries?
Answer: Head, neck, facial traumas

, ◉ Frontal impact MVC -> bent steering wheel may indicate what
injuries?
Answer: Chest or abdominal traumas


◉ Frontal impact MVC -> "down and under" mechanism may
indicate what injuries?
Answer: Patella or femur fractures, hip dislocation


◉ Lateral impact MVC -> may indicate what injuries?
Answer: Clavicle, ribs, pelvis, abdominal/chest injuries, head/c-
spine injuries


◉ Rear-end impact MVC -> increased risk of what injury?
Answer: Unstable c-spine fractures


◉ Rollover collision MVC -> may indicate what injuries?
Answer: Head/neck trauma with roof intrusion, extremity trauma
with other vehicle intrusion


◉ Seat belt injuries with MVCs
Answer: Sternal fractures, breast injuries, Chance fractures
(thoracic/lumbar spine fractures due to hyperextension)