TCRNLatest Exam Question 2025
List three effects of inflammatory mediators - correct answers
✅✅Diaphoresis, glycogeonolysis, bronchodilation, increased: HR,
contractility, automasticity, RR
Describe the technique for inserting IO into distal femur - correct
answers ✅✅Anterior midline above the external epicondyles, 1 -
3cm above the femoral plateau; the knee slightly flexed and the
hip externally rotated and flexed
Describe the technique for inserting IO into distal tibia - correct
answers ✅✅just proximal to the medial malleolus
Describe the technique for inserting IO into humerus - correct
answers ✅✅Directly above the greater tuberosity
Describe the technique for inserting IO into proximal tibia - correct
answers ✅✅2cm distal and slightly medial to the tibial tuberosity
Recognize adequate fluid resuscitation using four end points to
resuscitation - correct answers ✅✅Traditional - Vital signs,
urinary output (>0.5mg/kg/hr), Mental status
Invasive hemodynamic monitoring - Central Venous Pressure
(normal 2-6mmHg), Pulmonary wedge pressure (8-10mmHg),
Cardiac Index (2.5 - 4.0L/minute/m^2), Delivery of oxygen (DO2)
(500-600mL O2/min/m^2)
, TCRNLatest Exam Question 2025
Metabolic parameters - Lactate (>4 is severe), Base Deficit
(>6mmol/L indicates severe injury)
Treatment for neurogenic shock - correct answers ✅✅1 -2 L
bolus (often insufficient and may cause pulmonary edema)
Vasopressors (Epi, Norepi, dopamine, phenylephrine, or
vasopressin)
MAP 85-90mmHg
Atropine
respiratory support as needed
List 6 effects that a state of crisis may have on a trauma patient -
correct answers ✅✅Disruption of family
Depression
Failure to return to pre-event life
Economic problems
Social isolation
Decreased pleasure in activities
PTSD
Treatment goals for patients with PTSD - correct answers
✅✅Restore sense of control
Diminish power of the traumatic event
Reduce chronic hyperarousal
Reduce feelings of guilt/self-blame
Restore sense of equilibrium
List three effects of inflammatory mediators - correct answers
✅✅Diaphoresis, glycogeonolysis, bronchodilation, increased: HR,
contractility, automasticity, RR
Describe the technique for inserting IO into distal femur - correct
answers ✅✅Anterior midline above the external epicondyles, 1 -
3cm above the femoral plateau; the knee slightly flexed and the
hip externally rotated and flexed
Describe the technique for inserting IO into distal tibia - correct
answers ✅✅just proximal to the medial malleolus
Describe the technique for inserting IO into humerus - correct
answers ✅✅Directly above the greater tuberosity
Describe the technique for inserting IO into proximal tibia - correct
answers ✅✅2cm distal and slightly medial to the tibial tuberosity
Recognize adequate fluid resuscitation using four end points to
resuscitation - correct answers ✅✅Traditional - Vital signs,
urinary output (>0.5mg/kg/hr), Mental status
Invasive hemodynamic monitoring - Central Venous Pressure
(normal 2-6mmHg), Pulmonary wedge pressure (8-10mmHg),
Cardiac Index (2.5 - 4.0L/minute/m^2), Delivery of oxygen (DO2)
(500-600mL O2/min/m^2)
, TCRNLatest Exam Question 2025
Metabolic parameters - Lactate (>4 is severe), Base Deficit
(>6mmol/L indicates severe injury)
Treatment for neurogenic shock - correct answers ✅✅1 -2 L
bolus (often insufficient and may cause pulmonary edema)
Vasopressors (Epi, Norepi, dopamine, phenylephrine, or
vasopressin)
MAP 85-90mmHg
Atropine
respiratory support as needed
List 6 effects that a state of crisis may have on a trauma patient -
correct answers ✅✅Disruption of family
Depression
Failure to return to pre-event life
Economic problems
Social isolation
Decreased pleasure in activities
PTSD
Treatment goals for patients with PTSD - correct answers
✅✅Restore sense of control
Diminish power of the traumatic event
Reduce chronic hyperarousal
Reduce feelings of guilt/self-blame
Restore sense of equilibrium
