TCRN EXAM AND PRACTICE EXAM NEWEST 2026 TEST
BANK| COMPLETE 400 REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
GRADED A+| TCRN EXAM PREP 2026 (BRAND NEW!!)
1. A restrained driver in a head-on motor vehicle crash
presents with steering wheel deformity. Which injury pattern
is most likely?
A) Head injury and lower extremity fractures
B) Aortic injury, sternal fracture, and myocardial contusion
C) Pelvic fracture and liver laceration
D) Clavicle fracture and pneumothorax
Correct Answer: B
Rationale: Steering wheel deformity indicates significant force
transmission to the chest. This causes “steering wheel injury
complex”: aortic injury (deceleration), sternal fracture,
1
,myocardial contusion, rib fractures. Lap belt injuries cause
bowel/lumbar spine injuries.
2. A pedestrian struck by a car at high speed is thrown onto
the hood and then to the ground. The “third impact” in this
mechanism refers to:
A) Bumper hit to legs
B) Hood/grille hit to torso
C) Head hitting the hood
D) Body hitting the ground
Correct Answer: D
Rationale: Three impacts in pedestrian vs. car: (1) bumper →
lower extremities; (2) hood/grille → torso/head; (3) ground →
any body part (secondary impact). Ground impact causes head
injuries, solid organ injuries.
3. A fall from 25 feet onto a concrete surface. Which injury is
most likely due to deceleration?
2
,A) Calcaneus fracture
B) Aortic tear at ligamentum arteriosum
C) Femur fracture
D) Scapula fracture
Correct Answer: B
Rationale: Deceleration injuries: aortic tear (fixed vs. mobile
interface at ligamentum arteriosum), renal pedicle injury,
liver/spleen laceration, head injury. Calcaneus/femur fractures
are direct impact (“axial loading”).
4. A patient falls from standing height onto an outstretched
hand. Which fracture pattern is most likely?
A) Scaphoid fracture or Colles’ fracture
B) Femoral neck fracture
C) Pelvic rami fracture
D) Lumbar vertebral compression fracture
3
, Correct Answer: A
Rationale: FOOSH (Fall On OutStretched Hand) causes distal
radius fracture (Colles’ or Smith’s) and scaphoid fracture.
Hip/pelvis fractures from falls onto side/buttocks in older adults.
5. A motorcyclist strikes a fixed object and is thrown over the
handlebars. The cervical spine injury most likely results from:
A) Axial loading + flexion
B) Hyperextension only
C) Rotation only
D) Lateral bending only
Correct Answer: A
Rationale: “Striking helmet” or diving-type mechanism: axial
loading + flexion → burst fracture, teardrop fracture, or
bilateral facet dislocation. Hyperextension causes “hangman’s”
fracture (C2 pars).
4
BANK| COMPLETE 400 REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
GRADED A+| TCRN EXAM PREP 2026 (BRAND NEW!!)
1. A restrained driver in a head-on motor vehicle crash
presents with steering wheel deformity. Which injury pattern
is most likely?
A) Head injury and lower extremity fractures
B) Aortic injury, sternal fracture, and myocardial contusion
C) Pelvic fracture and liver laceration
D) Clavicle fracture and pneumothorax
Correct Answer: B
Rationale: Steering wheel deformity indicates significant force
transmission to the chest. This causes “steering wheel injury
complex”: aortic injury (deceleration), sternal fracture,
1
,myocardial contusion, rib fractures. Lap belt injuries cause
bowel/lumbar spine injuries.
2. A pedestrian struck by a car at high speed is thrown onto
the hood and then to the ground. The “third impact” in this
mechanism refers to:
A) Bumper hit to legs
B) Hood/grille hit to torso
C) Head hitting the hood
D) Body hitting the ground
Correct Answer: D
Rationale: Three impacts in pedestrian vs. car: (1) bumper →
lower extremities; (2) hood/grille → torso/head; (3) ground →
any body part (secondary impact). Ground impact causes head
injuries, solid organ injuries.
3. A fall from 25 feet onto a concrete surface. Which injury is
most likely due to deceleration?
2
,A) Calcaneus fracture
B) Aortic tear at ligamentum arteriosum
C) Femur fracture
D) Scapula fracture
Correct Answer: B
Rationale: Deceleration injuries: aortic tear (fixed vs. mobile
interface at ligamentum arteriosum), renal pedicle injury,
liver/spleen laceration, head injury. Calcaneus/femur fractures
are direct impact (“axial loading”).
4. A patient falls from standing height onto an outstretched
hand. Which fracture pattern is most likely?
A) Scaphoid fracture or Colles’ fracture
B) Femoral neck fracture
C) Pelvic rami fracture
D) Lumbar vertebral compression fracture
3
, Correct Answer: A
Rationale: FOOSH (Fall On OutStretched Hand) causes distal
radius fracture (Colles’ or Smith’s) and scaphoid fracture.
Hip/pelvis fractures from falls onto side/buttocks in older adults.
5. A motorcyclist strikes a fixed object and is thrown over the
handlebars. The cervical spine injury most likely results from:
A) Axial loading + flexion
B) Hyperextension only
C) Rotation only
D) Lateral bending only
Correct Answer: A
Rationale: “Striking helmet” or diving-type mechanism: axial
loading + flexion → burst fracture, teardrop fracture, or
bilateral facet dislocation. Hyperextension causes “hangman’s”
fracture (C2 pars).
4
