TCRN EXAM Questions with 100% Correct Answers

Hypovolemic Shock Correct Answer Lack of volume Distributive Shock Correct Answer Maldistribution of blood (pooled in extremities) Cardiogenic Shock Correct Answer Inadequate cardiac output Obstructive Shock Correct Answer Inability of blood to enter or exit heart properly Systemic Inflammatory Response Syndrome (SIRS) Correct Answer Inflammatory response (vasodilation, capillary permeability, and coagulation) become systemic due to severe tissue trauma Early (Compensated) Shock Correct Answer Normal BP Weak, thready pulse Deep and rapid RR Normal lactic levels Anxious Late (Decompensated) Shock Correct Answer Decreased BP Tachycardia Shallow and rapid RR Increased Lactic Decreased LOC Decreased urinary output BUN to Creatinine Ratio Correct Answer Normal - 10:1 Indicated effective renal function Trauma Triad of Death Correct Answer Hypothermia Acidosis Coagulopathies Effects of Acidosis Correct Answer Increased ICP Exacerbates coagulopathies Depressed myocardial contractility Multi-Organ Dysfunction Syndrome (MODS) Correct Answer Irreversible Shock resulting from Triad of Death Symptoms start within the first week after trauma