TNS 2025 QUESTIONS WITH 100%
VERIFIED SOLUTIONS, SCORED A+
Write .out .Parkland .formula .- .CORRECT .ANSWER-2-4 .ml .x .Wt .in .Kg .x .%TBSA
.(1/2 .over .first .8 .hours, .1/2 .over .next .16 .hours)
Dry .charred .areas .of .thermal .burn .are .characterized .as:
a. .Superficial .
b. .Partial .thickness
c. .Full .thickness
d. .Electrical .- .CORRECT .ANSWER-c. .Full .thickness
Dry .charred .areas .of .thermal .burn .are .characterized .as:
a. .Superficial .
b. .Partial .thickness
c. .Full .thickness
d. .Electrical .- .CORRECT .ANSWER-c. .Full .thickness
A .patient .presents .with .circumferential .burns .to .his .forearm. .His .fingers .are
.dusky .and .the .radial .pulse .is .present .but .very .weak. .The .TNS .should
.anticipate: .
a. .Escharotomy .through .SQ .tissue .to .reestablish .tissue .perfusion
b. .Fasciotomy .to .relieve .Volman's .contracture
c. .Arteriogram .to .define .the .degree .of .circulation .compromise
d. .Silvadene .ointment .and .an .occlusive, .transparent .dressing .to .limit .infection .-
.CORRECT .ANSWER-a. .Escharotomy .through .SQ .tissue .to .reestablish .tissue
.perfusion
In .a .burn .patient, .what .is .the .most .important .indicator .for .adequate .fluid
.resuscitation? .
a. .CVP .
b. .Hematocrit
c. .Hourly .urine .output
d. .Hourly .vital .signs .- .CORRECT .ANSWER-c. .Hourly .urine .output
A .23 .y/o .traumatic .burn .patient .has .developed .peripheral .edema. .What .could
.the .TNS .attribute .this .shift .of .fluid .to .the .interstitial .space? .
a. .Congestive .heart .failure
,b. .Increased .permeability .of .capillaries
c. .Lymphatic .obstruction
d. .Cor .Pulmonale .- .CORRECT .ANSWER-b. .Increased .permeability .of .capillaries
In .Jackson's .thermal .wound .theory .which .zone .is .it .with .the .central .area .with
.the .most .intense .heat .contact .and .the .most .damage? .
a. .Zone .of .Coagulation .
b. .Zone .of .Stasis
c. .Zone .of .Hyperemia .- .CORRECT .ANSWER-a. .Zone .of .Coagulation
In .Jackson's .thermal .wound .theory .which .zone .is .it .that .extends .peripherally
.from .the .zone .of .coagulation .is .an .inflamed .area .where .blood .flow .decreases? .
a. .Zone .of .Coagulation .
b. .Zone .of .Stasis
c. .Zone .of .Hyperemia .- .CORRECT .ANSWER-b. .Zone .of .Stasis
In .Jackson's .thermal .wound .theory .which .zone .is .it .that .is .the .burn .perimeter? .
a. .Zone .of .Coagulation .
b. .Zone .of .Stasis
c. .Zone .of .Hyperemia .- .CORRECT .ANSWER-c. .Zone .of .Hyperemia
Type .of .burn .that .is .epidermis .only, .characterized .by .blanchable .redness, .warm
.(may .be .moist), .local .pain .(nerve .endings .exposed .to .air), .heals .spontaneously.
.Example: .sunburn
a. .Superficial
b. .Partial .Thickness
c. .Full .thickness
d. .Fourth .degree .- .CORRECT .ANSWER-a. .Superficial
Type .of .burn .that .is .epidermis .and .varying .degree .of .dermal .involvement .with
.basement .membrane .still .intact; .characterized .by .blanchable .redness,
.edematous .tissue, .moist .(blisters), .extreme .local .pain, .minimal .scarring .if
.wound .closure .happens .within .2-3 .weeks, .grafting .indicated .with .longer
.closure .time. .
a. .Superficial
b. .Partial .Thickness
c. .Full .thickness
d. .Fourth .degree .- .CORRECT .ANSWER-b. .Partial .Thickness
Type .of .burn .that .destroys .both .layers .of .skin .including .basement .membrane;
.characterized .by .white, .pale, .brown, .leathery, .charring, .dry, .non-blanchable, .NO
.pain, .coagulated .dead .skin .forms .tough, .leathery .eschar. .Requires .skin
.grafting. .
a. .Superficial
b. .Partial .Thickness
c. .Full .thickness
d. .Fourth .degree .- .CORRECT .ANSWER-c. .Full .thickness
,Type .of .burn .that .destroys .down .to .muscle .and .bone, .usually .requiring
.excision .of .tissue .and .grafting. .Seen .with .electrical .and .deep .chemical .burns.
a. .Superficial
b. .Partial .Thickness
c. .Full .thickness
d. .Fourth .degree .- .CORRECT .ANSWER-d. .Fourth .degree
Indications .for .escharotomy. .- .CORRECT .ANSWER-Circumferential .burns .and
.loss .of .distal .pulses
You .should .suspect .inhalation .injury .in .a .patient .with .facial .burns. .
True/False .- .CORRECT .ANSWER-True
Rule .of .nines:
Entire .head
Chest .
Abdomen
Each .arm
Anterior .of .each .leg
Posterior .of .each .leg .
Upper .back .
Lower .back .and .buttocks
Perineum .- .CORRECT .ANSWER-Entire .head .9% .(Front .4.5%, .Back .4.5%)
Chest .9%
Abdomen .9%
Each .arm .9%
Anterior .of .each .leg .9%
Posterior .of .each .leg .9%
Upper .back .9%
Lower .back .and .buttocks .9%
Perineum .1%
Potential .complications .seen .in .burn .patient .in .ICU. .- .CORRECT .ANSWER-
Hypothermia, .hypovolemia, .dysrhythmias, .ileus, .SIRS, .infection
Using .a .bair .hugger .and .warm .blankets .is .classified .as:
a. .Passive .rewarming
b. .Active .internal .rewarming .- .CORRECT .ANSWER-a. .Passive .rewarming
Warmed .fluids, .humidified .O2, .and .warmed .peritoneal .lavage .are .used .in: .
a. .Passive .rewarming
b. .Active .internal .rewarming .- .CORRECT .ANSWER-b. .Active .internal .rewarming
Danger .of .rewarming .shock. .- .CORRECT .ANSWER-Inability .to .correct
Vasodilation .- .acidosis, .clinical .deterioration, .refractory .V-fib, .increased .ICP
Based .on .the .Illinois .Trauma .Center .regulations, .the .RN .completing .the .Trauma
.Flow .Record .must .include .which .component? .
a. .Trauma .category .classification
, b. .Vital .signs .q5 .minutes
c. .Pre-hospital .care .provided
d. .Serial .GCS .- .CORRECT .ANSWER-a. .Trauma .category .classification
Documentation .of .a .Trauma .Flow .Sheet .of .all .Category .1 .& .2 .trauma .patients
.include .all .of .the .following .EXCEPT: .
a. .Trauma .category .classification .with .time .and .place .of .classification
b. .Time .of .arrival .of .patient .to .Trauma .Center
c. .Notification .of .surgical .specialty .and .time .of .arrival .to .see .patient
d. .Consent .for .treatment .- .CORRECT .ANSWER-d. .Consent .for .treatment
What .are .the .following .response .times .required .at .a .Level .1 .Trauma .center: .
Trauma .Surgeon
Cardiothoracic .Surgeon
Orthopedic .Surgeon
Neurosurgeon .in .OR .
Opthalmologic, .oral-dental, .ENT .- .CORRECT .ANSWER-Trauma .Surgeon:
.immediate
Cardiothoracic .Surgeon: .30 .minutes
Orthopedic .Surgeon: .60 .minutes .
Neurosurgeon .in .OR: .60 .minutes
Opthalmologic, .oral-dental, .ENT: .60 .minutes
A .category .1 .trauma .patient .includes: .
a. .Blunt .or .penetrating .trauma .with .unstable .VS
b. .Hemodynamic .compromise .(SBP .<90 .[adult] .or .SBP .<80 .[peds]; .respiratory
.compromise; .AMS .with .GCS .<10)
c. .Anatomical .injuries .such .as .penetrating .injury .of .head, .neck, .torso, .or .groin;
.2 .or .more .body .regions .with .threat .of .loss .of .limb .or .life; .trauma .combined
.with .over .20% .TBSA .burn; .amputation .or .paralysis/sensory .deficit .above .wrist
.or .ankle; .flail .chest; .fracture .of .2 .or .more .proximal .long .bones
d. .ED .physician's .discretion
e. .All .of .the .above
f. .None .of .the .above .- .CORRECT .ANSWER-e. .All .of .the .above
A .hypotensive .patient .with .a .GSW .to .the .chest .arrive .at .a .Level .1 .TC. .The
.entire .trauma .team .is .activated. .The .trauma .surgeon .and .anesthesia .arrive .30
.minutes .post-arrival .to .assess .the .patient. .He .notifies .the .CV .surgeon .who
.arrives .15 .minutes .later .and .the .patient .is .taken .to .the .OR. .What .violation
.occurred .based .on .the .IDPH .Trauma .Center .Regulations. .- .CORRECT
.ANSWER-Trauma .and .anesthesia .arrive .time.
A .patient .with .a .GSW .to .the .chest .resulting .in .a .hemothorax .and .placement .of
.a .CT .and .blood .transfusion .along .with .Ancef .is .being .transported .to .a .Level .1
.TC .from .a .regional .hospital. .Who .should .transport? .
a. .BLS .ambulance
b. .BLS .ambulance .with .EMT-I .on .board
c. .ALS .ambulance .with .EMT-P
VERIFIED SOLUTIONS, SCORED A+
Write .out .Parkland .formula .- .CORRECT .ANSWER-2-4 .ml .x .Wt .in .Kg .x .%TBSA
.(1/2 .over .first .8 .hours, .1/2 .over .next .16 .hours)
Dry .charred .areas .of .thermal .burn .are .characterized .as:
a. .Superficial .
b. .Partial .thickness
c. .Full .thickness
d. .Electrical .- .CORRECT .ANSWER-c. .Full .thickness
Dry .charred .areas .of .thermal .burn .are .characterized .as:
a. .Superficial .
b. .Partial .thickness
c. .Full .thickness
d. .Electrical .- .CORRECT .ANSWER-c. .Full .thickness
A .patient .presents .with .circumferential .burns .to .his .forearm. .His .fingers .are
.dusky .and .the .radial .pulse .is .present .but .very .weak. .The .TNS .should
.anticipate: .
a. .Escharotomy .through .SQ .tissue .to .reestablish .tissue .perfusion
b. .Fasciotomy .to .relieve .Volman's .contracture
c. .Arteriogram .to .define .the .degree .of .circulation .compromise
d. .Silvadene .ointment .and .an .occlusive, .transparent .dressing .to .limit .infection .-
.CORRECT .ANSWER-a. .Escharotomy .through .SQ .tissue .to .reestablish .tissue
.perfusion
In .a .burn .patient, .what .is .the .most .important .indicator .for .adequate .fluid
.resuscitation? .
a. .CVP .
b. .Hematocrit
c. .Hourly .urine .output
d. .Hourly .vital .signs .- .CORRECT .ANSWER-c. .Hourly .urine .output
A .23 .y/o .traumatic .burn .patient .has .developed .peripheral .edema. .What .could
.the .TNS .attribute .this .shift .of .fluid .to .the .interstitial .space? .
a. .Congestive .heart .failure
,b. .Increased .permeability .of .capillaries
c. .Lymphatic .obstruction
d. .Cor .Pulmonale .- .CORRECT .ANSWER-b. .Increased .permeability .of .capillaries
In .Jackson's .thermal .wound .theory .which .zone .is .it .with .the .central .area .with
.the .most .intense .heat .contact .and .the .most .damage? .
a. .Zone .of .Coagulation .
b. .Zone .of .Stasis
c. .Zone .of .Hyperemia .- .CORRECT .ANSWER-a. .Zone .of .Coagulation
In .Jackson's .thermal .wound .theory .which .zone .is .it .that .extends .peripherally
.from .the .zone .of .coagulation .is .an .inflamed .area .where .blood .flow .decreases? .
a. .Zone .of .Coagulation .
b. .Zone .of .Stasis
c. .Zone .of .Hyperemia .- .CORRECT .ANSWER-b. .Zone .of .Stasis
In .Jackson's .thermal .wound .theory .which .zone .is .it .that .is .the .burn .perimeter? .
a. .Zone .of .Coagulation .
b. .Zone .of .Stasis
c. .Zone .of .Hyperemia .- .CORRECT .ANSWER-c. .Zone .of .Hyperemia
Type .of .burn .that .is .epidermis .only, .characterized .by .blanchable .redness, .warm
.(may .be .moist), .local .pain .(nerve .endings .exposed .to .air), .heals .spontaneously.
.Example: .sunburn
a. .Superficial
b. .Partial .Thickness
c. .Full .thickness
d. .Fourth .degree .- .CORRECT .ANSWER-a. .Superficial
Type .of .burn .that .is .epidermis .and .varying .degree .of .dermal .involvement .with
.basement .membrane .still .intact; .characterized .by .blanchable .redness,
.edematous .tissue, .moist .(blisters), .extreme .local .pain, .minimal .scarring .if
.wound .closure .happens .within .2-3 .weeks, .grafting .indicated .with .longer
.closure .time. .
a. .Superficial
b. .Partial .Thickness
c. .Full .thickness
d. .Fourth .degree .- .CORRECT .ANSWER-b. .Partial .Thickness
Type .of .burn .that .destroys .both .layers .of .skin .including .basement .membrane;
.characterized .by .white, .pale, .brown, .leathery, .charring, .dry, .non-blanchable, .NO
.pain, .coagulated .dead .skin .forms .tough, .leathery .eschar. .Requires .skin
.grafting. .
a. .Superficial
b. .Partial .Thickness
c. .Full .thickness
d. .Fourth .degree .- .CORRECT .ANSWER-c. .Full .thickness
,Type .of .burn .that .destroys .down .to .muscle .and .bone, .usually .requiring
.excision .of .tissue .and .grafting. .Seen .with .electrical .and .deep .chemical .burns.
a. .Superficial
b. .Partial .Thickness
c. .Full .thickness
d. .Fourth .degree .- .CORRECT .ANSWER-d. .Fourth .degree
Indications .for .escharotomy. .- .CORRECT .ANSWER-Circumferential .burns .and
.loss .of .distal .pulses
You .should .suspect .inhalation .injury .in .a .patient .with .facial .burns. .
True/False .- .CORRECT .ANSWER-True
Rule .of .nines:
Entire .head
Chest .
Abdomen
Each .arm
Anterior .of .each .leg
Posterior .of .each .leg .
Upper .back .
Lower .back .and .buttocks
Perineum .- .CORRECT .ANSWER-Entire .head .9% .(Front .4.5%, .Back .4.5%)
Chest .9%
Abdomen .9%
Each .arm .9%
Anterior .of .each .leg .9%
Posterior .of .each .leg .9%
Upper .back .9%
Lower .back .and .buttocks .9%
Perineum .1%
Potential .complications .seen .in .burn .patient .in .ICU. .- .CORRECT .ANSWER-
Hypothermia, .hypovolemia, .dysrhythmias, .ileus, .SIRS, .infection
Using .a .bair .hugger .and .warm .blankets .is .classified .as:
a. .Passive .rewarming
b. .Active .internal .rewarming .- .CORRECT .ANSWER-a. .Passive .rewarming
Warmed .fluids, .humidified .O2, .and .warmed .peritoneal .lavage .are .used .in: .
a. .Passive .rewarming
b. .Active .internal .rewarming .- .CORRECT .ANSWER-b. .Active .internal .rewarming
Danger .of .rewarming .shock. .- .CORRECT .ANSWER-Inability .to .correct
Vasodilation .- .acidosis, .clinical .deterioration, .refractory .V-fib, .increased .ICP
Based .on .the .Illinois .Trauma .Center .regulations, .the .RN .completing .the .Trauma
.Flow .Record .must .include .which .component? .
a. .Trauma .category .classification
, b. .Vital .signs .q5 .minutes
c. .Pre-hospital .care .provided
d. .Serial .GCS .- .CORRECT .ANSWER-a. .Trauma .category .classification
Documentation .of .a .Trauma .Flow .Sheet .of .all .Category .1 .& .2 .trauma .patients
.include .all .of .the .following .EXCEPT: .
a. .Trauma .category .classification .with .time .and .place .of .classification
b. .Time .of .arrival .of .patient .to .Trauma .Center
c. .Notification .of .surgical .specialty .and .time .of .arrival .to .see .patient
d. .Consent .for .treatment .- .CORRECT .ANSWER-d. .Consent .for .treatment
What .are .the .following .response .times .required .at .a .Level .1 .Trauma .center: .
Trauma .Surgeon
Cardiothoracic .Surgeon
Orthopedic .Surgeon
Neurosurgeon .in .OR .
Opthalmologic, .oral-dental, .ENT .- .CORRECT .ANSWER-Trauma .Surgeon:
.immediate
Cardiothoracic .Surgeon: .30 .minutes
Orthopedic .Surgeon: .60 .minutes .
Neurosurgeon .in .OR: .60 .minutes
Opthalmologic, .oral-dental, .ENT: .60 .minutes
A .category .1 .trauma .patient .includes: .
a. .Blunt .or .penetrating .trauma .with .unstable .VS
b. .Hemodynamic .compromise .(SBP .<90 .[adult] .or .SBP .<80 .[peds]; .respiratory
.compromise; .AMS .with .GCS .<10)
c. .Anatomical .injuries .such .as .penetrating .injury .of .head, .neck, .torso, .or .groin;
.2 .or .more .body .regions .with .threat .of .loss .of .limb .or .life; .trauma .combined
.with .over .20% .TBSA .burn; .amputation .or .paralysis/sensory .deficit .above .wrist
.or .ankle; .flail .chest; .fracture .of .2 .or .more .proximal .long .bones
d. .ED .physician's .discretion
e. .All .of .the .above
f. .None .of .the .above .- .CORRECT .ANSWER-e. .All .of .the .above
A .hypotensive .patient .with .a .GSW .to .the .chest .arrive .at .a .Level .1 .TC. .The
.entire .trauma .team .is .activated. .The .trauma .surgeon .and .anesthesia .arrive .30
.minutes .post-arrival .to .assess .the .patient. .He .notifies .the .CV .surgeon .who
.arrives .15 .minutes .later .and .the .patient .is .taken .to .the .OR. .What .violation
.occurred .based .on .the .IDPH .Trauma .Center .Regulations. .- .CORRECT
.ANSWER-Trauma .and .anesthesia .arrive .time.
A .patient .with .a .GSW .to .the .chest .resulting .in .a .hemothorax .and .placement .of
.a .CT .and .blood .transfusion .along .with .Ancef .is .being .transported .to .a .Level .1
.TC .from .a .regional .hospital. .Who .should .transport? .
a. .BLS .ambulance
b. .BLS .ambulance .with .EMT-I .on .board
c. .ALS .ambulance .with .EMT-P
