ATCN Exam Review | Questions
and right answers only| Latest
version 2024/2025
The approach to trauma care typically begins with what? - ANSWER -notification that a trauma
patient is arriving
When preparing to receive a trauma patient, what should you keep in mind? - ANSWER -safe
practice, safe care
What does "Safe practice" mean when receiving trauma patients? - ANSWER -take into consideration
the protection of the team (universal precautions/PPE/preparing equipment prior to patient arrival)
What does "Safe care" mean when receiving trauma patients? - ANSWER -that the patient is going to
the right hospital, in the right time, for the right care
Trauma primary survey for "A"? - ANSWER -airway and alertness with simultaneous cervical spinal
stabilization
Trauma primary survey for "B"? - ANSWER -breathing and ventilation
Trauma primary survey for "C"? - ANSWER -circulation and hemorrhage control
Trauma primary survey for "D"? - ANSWER -disability (neurological status: AVPU/GCS)
Trauma primary survey for "E"? - ANSWER -exposure and environmental control
Trauma primary survey for "F"? - ANSWER -full set of vital signs and family presence
Trauma primary survey for "G"? - ANSWER -get resuscitation adjuncts (LMNOP)
Which resuscitation adjunct under the "G" primary assessment is this?
-"L" - ANSWER -laboratory studies (ABG's/Type and cross)
Which resuscitation adjunct under the "G" primary assessment is this?
-"M" - ANSWER -monitor for continuous cardiac rhythm and rate assessment
Which resuscitation adjunct under the "G" primary assessment is this?
-"N" - ANSWER -naso/orogastric tube consideration
Which resuscitation adjunct under the "G" primary assessment is this?
-"O" - ANSWER -oxygenation and ventilation analysis (pulse oximetry/ETCO2/capnography)
Which resuscitation adjunct under the "G" primary assessment is this?
-"P" - ANSWER -pain assessment and management
Trauma primary survey for "H"? - ANSWER -history and head to toe assessment
, Trauma primary survey for "I"? - ANSWER -inspect posterior surfaces
1.chest pain
2.air hunger
3.respiratory distress
4.tachycardia
5.hypotension
6.tracheal deviation away from injury
7.unilateral absence of breath sounds
8.elevated hemithorax w/out respiratory movement
9.neck vein distention
10.cyanosis (late sign) - ANSWER -10 Signs and sx of tension pneumothorax
1. Becks Triad= increased venous pressure(distended neck veins), decreased arterial
pressure(hypotension), muffled heart tones
2. PEA
3. JVD &/or Kussmauls sign
4. Use FAST to dx - ANSWER -Signs and sx of cardiac tamponade
Careful assessment of the pt's breath sounds is paramount to differentiate the two - ANSWER -
tension pneumothorax can often be confused with cardiac tamponade, how do you differentiate?
1. Needle decompression- large bore needle 2nd intercostal space midclavicular line 2. chest tube 4
or 5th intercostal space mid axillary - ANSWER -Tx of tension pneumothorax
-Acidosis
- Hypothermia
- Coagulopathy (blood can't clot resulting in continued bleeding) - ANSWER -triad of death
Head = 9%
Chest (front) = 9%
Abdomen (front) = 9%
Upper/mid/low back and buttocks = 18%
Each arm = 9% (front = 4.5%, back = 4.5%)
Groin = 1%
Each leg = 18% total (front = 9%, back = 9%) - ANSWER -rule of 9's adult
Anterior/Posterior Head - 9% Each
Anterior/Posterior Torson - 18% Each
and right answers only| Latest
version 2024/2025
The approach to trauma care typically begins with what? - ANSWER -notification that a trauma
patient is arriving
When preparing to receive a trauma patient, what should you keep in mind? - ANSWER -safe
practice, safe care
What does "Safe practice" mean when receiving trauma patients? - ANSWER -take into consideration
the protection of the team (universal precautions/PPE/preparing equipment prior to patient arrival)
What does "Safe care" mean when receiving trauma patients? - ANSWER -that the patient is going to
the right hospital, in the right time, for the right care
Trauma primary survey for "A"? - ANSWER -airway and alertness with simultaneous cervical spinal
stabilization
Trauma primary survey for "B"? - ANSWER -breathing and ventilation
Trauma primary survey for "C"? - ANSWER -circulation and hemorrhage control
Trauma primary survey for "D"? - ANSWER -disability (neurological status: AVPU/GCS)
Trauma primary survey for "E"? - ANSWER -exposure and environmental control
Trauma primary survey for "F"? - ANSWER -full set of vital signs and family presence
Trauma primary survey for "G"? - ANSWER -get resuscitation adjuncts (LMNOP)
Which resuscitation adjunct under the "G" primary assessment is this?
-"L" - ANSWER -laboratory studies (ABG's/Type and cross)
Which resuscitation adjunct under the "G" primary assessment is this?
-"M" - ANSWER -monitor for continuous cardiac rhythm and rate assessment
Which resuscitation adjunct under the "G" primary assessment is this?
-"N" - ANSWER -naso/orogastric tube consideration
Which resuscitation adjunct under the "G" primary assessment is this?
-"O" - ANSWER -oxygenation and ventilation analysis (pulse oximetry/ETCO2/capnography)
Which resuscitation adjunct under the "G" primary assessment is this?
-"P" - ANSWER -pain assessment and management
Trauma primary survey for "H"? - ANSWER -history and head to toe assessment
, Trauma primary survey for "I"? - ANSWER -inspect posterior surfaces
1.chest pain
2.air hunger
3.respiratory distress
4.tachycardia
5.hypotension
6.tracheal deviation away from injury
7.unilateral absence of breath sounds
8.elevated hemithorax w/out respiratory movement
9.neck vein distention
10.cyanosis (late sign) - ANSWER -10 Signs and sx of tension pneumothorax
1. Becks Triad= increased venous pressure(distended neck veins), decreased arterial
pressure(hypotension), muffled heart tones
2. PEA
3. JVD &/or Kussmauls sign
4. Use FAST to dx - ANSWER -Signs and sx of cardiac tamponade
Careful assessment of the pt's breath sounds is paramount to differentiate the two - ANSWER -
tension pneumothorax can often be confused with cardiac tamponade, how do you differentiate?
1. Needle decompression- large bore needle 2nd intercostal space midclavicular line 2. chest tube 4
or 5th intercostal space mid axillary - ANSWER -Tx of tension pneumothorax
-Acidosis
- Hypothermia
- Coagulopathy (blood can't clot resulting in continued bleeding) - ANSWER -triad of death
Head = 9%
Chest (front) = 9%
Abdomen (front) = 9%
Upper/mid/low back and buttocks = 18%
Each arm = 9% (front = 4.5%, back = 4.5%)
Groin = 1%
Each leg = 18% total (front = 9%, back = 9%) - ANSWER -rule of 9's adult
Anterior/Posterior Head - 9% Each
Anterior/Posterior Torson - 18% Each
