TCRN PRACTICE QUESTIONS
Which of the following are the most appropriate clinical use of opioids?
Analgesic, anti-tussive, anti-diarrheal
Analgesic, anti-tussive, emetic
Analgesic, sedatives, adjunct to psychotic therapy
Analgesic, hypnotic, anti-diarrheal - Answer -Analgesic, anti-tussive, anti-diarrheal
What is the drug of choice for the treatment of anaphylaxis?
Corticosteroids
Antihistamines
Epinephrine
Bronchodilators - Answer -Epinephrine
Which is not associated with epidural hematoma (EDH)?
Skull fracture
Mostly seen in the elderly
Severe mechanism of trauma
Lucid interval after initial loss of consciousness - Answer -Mostly seen in the elderly
,Which of the following is false about open chest wounds?
A chest tube may be inserted
The wound can be closed with adhesive gauze
There may be a mediastinal shift to the ipsilateral aspect of the wound
Open chest wounds may be used to treat empyema - Answer -There may be a mediastinal shift to the
ipsilateral aspect of the wound
What skull injury is consistent with Battle sign?
Frontal bone
Basilar skull
Occipital
Temporal - Answer -Basilar skull
Which of these must be adhered to according to the Affordable Care Act?
Cover recommended preventive services without charging out of pocket costs
Provide an opportunity to appeal coverage decisions
Guarantee enrollees their choice of primary care provider
All of the above - Answer -All of the above
In which patient is insertion of nasal airways contraindicated?
Pneumothorax
Pleural effusion
Ecchymosis behind the ear
Perforated stomach - Answer -Ecchymosis behind the ear
Which of the following is the least preferred method of administering IV fluids?
Cubital veins
Cephalic veins
Subclavian veins
, Saphenous vein - Answer -Subclavian veins
After a house fire, what is the most important aspect of clinical evaluation?
Depth of burn
Surface area of burn
Inhalation injury
Fluid status - Answer -Inhalation injury
Which one of the following oculomotor muscles is not innervated by the third cranial nerve?
Medial rectus
Lateral rectus
Inferior oblique
Superior rectus - Answer -Lateral rectus
A child has an isolated closed femur fracture. His hematocrit drops 8 points. Which of the following is
the best course of action?
A child with a closed femur fracture typically drops 8 points, so do nothing
A child with a closed femur fracture typically drops 4 points, so search for other sources
Blood loss in long bone and pelvic fractures is proportionately less in children, so do nothing
None of the above - Answer -A child with a closed femur fracture typically drops 4 points, so search for
other sources
The brother of a patient says he is a physician and wants to see the chart. What should be done?
Give them the chart
Ask the patient for a written authorization
Ask the patient for a verbal authorization
Call hospital administration - Answer -Ask the patient for a written authorization
In which situation is an urgent brain CT scan not indicated?
Which of the following are the most appropriate clinical use of opioids?
Analgesic, anti-tussive, anti-diarrheal
Analgesic, anti-tussive, emetic
Analgesic, sedatives, adjunct to psychotic therapy
Analgesic, hypnotic, anti-diarrheal - Answer -Analgesic, anti-tussive, anti-diarrheal
What is the drug of choice for the treatment of anaphylaxis?
Corticosteroids
Antihistamines
Epinephrine
Bronchodilators - Answer -Epinephrine
Which is not associated with epidural hematoma (EDH)?
Skull fracture
Mostly seen in the elderly
Severe mechanism of trauma
Lucid interval after initial loss of consciousness - Answer -Mostly seen in the elderly
,Which of the following is false about open chest wounds?
A chest tube may be inserted
The wound can be closed with adhesive gauze
There may be a mediastinal shift to the ipsilateral aspect of the wound
Open chest wounds may be used to treat empyema - Answer -There may be a mediastinal shift to the
ipsilateral aspect of the wound
What skull injury is consistent with Battle sign?
Frontal bone
Basilar skull
Occipital
Temporal - Answer -Basilar skull
Which of these must be adhered to according to the Affordable Care Act?
Cover recommended preventive services without charging out of pocket costs
Provide an opportunity to appeal coverage decisions
Guarantee enrollees their choice of primary care provider
All of the above - Answer -All of the above
In which patient is insertion of nasal airways contraindicated?
Pneumothorax
Pleural effusion
Ecchymosis behind the ear
Perforated stomach - Answer -Ecchymosis behind the ear
Which of the following is the least preferred method of administering IV fluids?
Cubital veins
Cephalic veins
Subclavian veins
, Saphenous vein - Answer -Subclavian veins
After a house fire, what is the most important aspect of clinical evaluation?
Depth of burn
Surface area of burn
Inhalation injury
Fluid status - Answer -Inhalation injury
Which one of the following oculomotor muscles is not innervated by the third cranial nerve?
Medial rectus
Lateral rectus
Inferior oblique
Superior rectus - Answer -Lateral rectus
A child has an isolated closed femur fracture. His hematocrit drops 8 points. Which of the following is
the best course of action?
A child with a closed femur fracture typically drops 8 points, so do nothing
A child with a closed femur fracture typically drops 4 points, so search for other sources
Blood loss in long bone and pelvic fractures is proportionately less in children, so do nothing
None of the above - Answer -A child with a closed femur fracture typically drops 4 points, so search for
other sources
The brother of a patient says he is a physician and wants to see the chart. What should be done?
Give them the chart
Ask the patient for a written authorization
Ask the patient for a verbal authorization
Call hospital administration - Answer -Ask the patient for a written authorization
In which situation is an urgent brain CT scan not indicated?
