SSM TCAR FINAL EXAM TEST 2025/2026
BANK ACTUAL EXAM COMPLETE STUDY
GUIDE ACCURATE REAL EXAM
QUESTIONS AND A STUDY GUIDE |
EXPERTLY VERIFIED FOR
GUARANTEED PASS
What are isotonic fluids? - ....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? - ....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?
- ....ANSWER...3 or 4 : 1
What is the magic pressure numbers? (ICP, ACS) -
....ANSWER...Approximately 20mm Hg is the pressure
1
,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? -
....ANSWER...Widenend pulse pressure (dropping
diastolic pressure)
Decrease U/O, decreased pulse ox, increase resp rate,
restlessness
What are SIRS criteria? - ....ANSWER...When 2 or more
are met:
Temp >38.3 or <36
RR >20,
HR>90,
PaCO2< 32
What is muscle compartment syndrome? -
....ANSWER...Elevated fascial compartment pressure,
higher than arterial pressure. MOST prominent
symptom is unrelieved pain
What is the ankle-brachial pressure index? -
2
,....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? - ....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? - ....ANSWER...Global,
generalized. Directly affects consciousness, such as
diffuse axonal injury or concussion
What is a focal brain injury? - ....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? -
....ANSWER...Following the injury, there is a transient
loss of consciousness, then the brain re-boots
What are clinical findings suggestive of TBI? -
3
, ....ANSWER...Somatic-H/A, N&V, blurred vision,
fatigue Cognitive-confusion, impaired judgement
Emotional-depression, irritability, sleep disturbances
Why is auto transfused blood better than banked blood? -
....ANSWER...It is fresher, warmer, releases O2 better, and
costs less
Banked blood causes what electrolyte abnormalities? -
....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? - ....ANSWER...Carpal spasm (Trousseau Sign)
while checking BP
4
BANK ACTUAL EXAM COMPLETE STUDY
GUIDE ACCURATE REAL EXAM
QUESTIONS AND A STUDY GUIDE |
EXPERTLY VERIFIED FOR
GUARANTEED PASS
What are isotonic fluids? - ....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? - ....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?
- ....ANSWER...3 or 4 : 1
What is the magic pressure numbers? (ICP, ACS) -
....ANSWER...Approximately 20mm Hg is the pressure
1
,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? -
....ANSWER...Widenend pulse pressure (dropping
diastolic pressure)
Decrease U/O, decreased pulse ox, increase resp rate,
restlessness
What are SIRS criteria? - ....ANSWER...When 2 or more
are met:
Temp >38.3 or <36
RR >20,
HR>90,
PaCO2< 32
What is muscle compartment syndrome? -
....ANSWER...Elevated fascial compartment pressure,
higher than arterial pressure. MOST prominent
symptom is unrelieved pain
What is the ankle-brachial pressure index? -
2
,....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? - ....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? - ....ANSWER...Global,
generalized. Directly affects consciousness, such as
diffuse axonal injury or concussion
What is a focal brain injury? - ....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? -
....ANSWER...Following the injury, there is a transient
loss of consciousness, then the brain re-boots
What are clinical findings suggestive of TBI? -
3
, ....ANSWER...Somatic-H/A, N&V, blurred vision,
fatigue Cognitive-confusion, impaired judgement
Emotional-depression, irritability, sleep disturbances
Why is auto transfused blood better than banked blood? -
....ANSWER...It is fresher, warmer, releases O2 better, and
costs less
Banked blood causes what electrolyte abnormalities? -
....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? - ....ANSWER...Carpal spasm (Trousseau Sign)
while checking BP
4
