TCRN ACTUAL UPDATED Exam
Questions and CORRECT Answers
hypovolemic shock - CORRECT ANSWER - lack of volume
distributive shock - CORRECT ANSWER - mal-distributuion of blood (vast- dilation)
carcinogenic shock - CORRECT ANSWER - inadequate cardiac output
obstructive shock - CORRECT ANSWER - inability of blood to enter or exit the heart
adequately
early (compensatory) shock - CORRECT ANSWER - sympathetic system versus
parasympathetic system
adrenergic system - CORRECT ANSWER - another name for sympathetic system
cholinergic system - CORRECT ANSWER - another name for parasympathetic system
adrenergic system - CORRECT ANSWER - active during the compensatory phase of
shock
cholinergic system - CORRECT ANSWER - active after the phase of shock has passed to
bring the body back to a state of homeostasis
glycogenolysis - CORRECT ANSWER - the process in which glycogen stores in the liver
are broken down into glucose
,glucogenesis - CORRECT ANSWER - the process in which glucose in the serum is
converted to glycogen for storage in the liver
heart - CORRECT ANSWER - where are beta 1 receptors found?
lungs - CORRECT ANSWER - where are beta 2 receptors found?
distributive shock - CORRECT ANSWER - anaphylaxis, sepsis, and neurogenic shock are
all forms of this kind of shock
late (decompensated shock) - CORRECT ANSWER - activations of the inflammatory
system (via infectious process or tissue damage) causing: vasodilation, increased capillary
permeability, and increased coagulation
irreversible shock - CORRECT ANSWER - multi-organ dysfunction syndrome
metabolic acidosis, mottling, gangrene, organ failure - CORRECT ANSWER - symptoms
of abnormal clotting
decrease - CORRECT ANSWER - what happens to platelet count when bleeding
increase - CORRECT ANSWER - what happens to Prothrombin and partial
thromboplastin times when bleeding?
decrease - CORRECT ANSWER - what happens to fibrinogen when bleeding
decrease - CORRECT ANSWER - what happens to hemoglobin when bleeding
decrease - CORRECT ANSWER - what happens to hematocrit when bleeding
, FFP - CORRECT ANSWER - what do you give to someone with increased PT/PTT
cryoprecipitate - CORRECT ANSWER - what do you give to someone with low
fibrinogen levels
crystalloids - CORRECT ANSWER - ex: normal saline, LR, normosol
crystalloids - CORRECT ANSWER - give 3mL of this kind of fluid for each 1mL of
known blood loss (3:1)
colloids - CORRECT ANSWER - ex: albumin, hetastarch, dextran
colloids - CORRECT ANSWER - given at a 1:1 replacement ratio (1mL/1mL of blood
loss)
cryoprecipitate - CORRECT ANSWER - when FFP in spun down; rich in factor VIII,
fibrinogen, von Willebrand's factor and Factor XIII
O negative - CORRECT ANSWER - universal donor for PRBCs
hypothermia - CORRECT ANSWER - inhibits efforts to reverse metabolic acidosis and
slows the clotting cascade
hyperkalemia - CORRECT ANSWER - may affect cardiac contractility and drive
arrhythmias
hypocalcemia - CORRECT ANSWER - if more that 10 units of blood or blood products
are given more than every 5 minutes, monitor for this...
Questions and CORRECT Answers
hypovolemic shock - CORRECT ANSWER - lack of volume
distributive shock - CORRECT ANSWER - mal-distributuion of blood (vast- dilation)
carcinogenic shock - CORRECT ANSWER - inadequate cardiac output
obstructive shock - CORRECT ANSWER - inability of blood to enter or exit the heart
adequately
early (compensatory) shock - CORRECT ANSWER - sympathetic system versus
parasympathetic system
adrenergic system - CORRECT ANSWER - another name for sympathetic system
cholinergic system - CORRECT ANSWER - another name for parasympathetic system
adrenergic system - CORRECT ANSWER - active during the compensatory phase of
shock
cholinergic system - CORRECT ANSWER - active after the phase of shock has passed to
bring the body back to a state of homeostasis
glycogenolysis - CORRECT ANSWER - the process in which glycogen stores in the liver
are broken down into glucose
,glucogenesis - CORRECT ANSWER - the process in which glucose in the serum is
converted to glycogen for storage in the liver
heart - CORRECT ANSWER - where are beta 1 receptors found?
lungs - CORRECT ANSWER - where are beta 2 receptors found?
distributive shock - CORRECT ANSWER - anaphylaxis, sepsis, and neurogenic shock are
all forms of this kind of shock
late (decompensated shock) - CORRECT ANSWER - activations of the inflammatory
system (via infectious process or tissue damage) causing: vasodilation, increased capillary
permeability, and increased coagulation
irreversible shock - CORRECT ANSWER - multi-organ dysfunction syndrome
metabolic acidosis, mottling, gangrene, organ failure - CORRECT ANSWER - symptoms
of abnormal clotting
decrease - CORRECT ANSWER - what happens to platelet count when bleeding
increase - CORRECT ANSWER - what happens to Prothrombin and partial
thromboplastin times when bleeding?
decrease - CORRECT ANSWER - what happens to fibrinogen when bleeding
decrease - CORRECT ANSWER - what happens to hemoglobin when bleeding
decrease - CORRECT ANSWER - what happens to hematocrit when bleeding
, FFP - CORRECT ANSWER - what do you give to someone with increased PT/PTT
cryoprecipitate - CORRECT ANSWER - what do you give to someone with low
fibrinogen levels
crystalloids - CORRECT ANSWER - ex: normal saline, LR, normosol
crystalloids - CORRECT ANSWER - give 3mL of this kind of fluid for each 1mL of
known blood loss (3:1)
colloids - CORRECT ANSWER - ex: albumin, hetastarch, dextran
colloids - CORRECT ANSWER - given at a 1:1 replacement ratio (1mL/1mL of blood
loss)
cryoprecipitate - CORRECT ANSWER - when FFP in spun down; rich in factor VIII,
fibrinogen, von Willebrand's factor and Factor XIII
O negative - CORRECT ANSWER - universal donor for PRBCs
hypothermia - CORRECT ANSWER - inhibits efforts to reverse metabolic acidosis and
slows the clotting cascade
hyperkalemia - CORRECT ANSWER - may affect cardiac contractility and drive
arrhythmias
hypocalcemia - CORRECT ANSWER - if more that 10 units of blood or blood products
are given more than every 5 minutes, monitor for this...
