Page 1 of 60
TCRN EXAM AND PRACTICE EXAM NEWEST 2025 TEST
BANK| COMPLETE 400 REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
GRADED A+| TCRN EXAM PREP 2025 (BRAND NEW!!)
Shock .....ANSWER..... Lack of oxygen to the cells
Hypovolemic Shock .....ANSWER..... Lack of volume
ex: hemorrhage, burns
Distributive Shock .....ANSWER..... Maldistribution of blood
(pooled in extremities)
Decreased preload
ex: neurogenic shock
Cardiogenic Shock .....ANSWER..... Inadequate cardiac output
ex: blunt cardiac trauma
,Page 2 of 60
Obstructive Shock .....ANSWER..... Inability of blood to enter or
exit heart properly
ex: tamponade, tension pneumothorax
Systemic Inflammatory Response Syndrome (SIRS) .....ANSWER.....
Severe tissue trauma activates an inflammatory response leading
to vasodilation, capillary permeability, and coagulation
Early (Compensated) Shock .....ANSWER..... Normal BP
Weak, thready pulse
Deep and rapid RR
Normal lactic levels
Anxious
Late (Decompensated) Shock .....ANSWER..... Decreased BP
Tachycardia
Shallow and rapid RR
,Page 3 of 60
Increased Lactic
Decreased LOC
Decreased urinary output
BUN to Creatinine Ratio .....ANSWER..... Normal - 10:1
Indicated effective renal function
Trauma Triad of Death .....ANSWER..... Hypothermia
Acidosis
Coagulopathies
Effects of Acidosis .....ANSWER..... Increased ICP
Exacerbates coagulopathies
Depressed myocardial contractility
DIC .....ANSWER..... Excessive clotting > all clotting factors used
> no more clotting > excessive bleeding
, Page 4 of 60
Effects of coagulopathies .....ANSWER..... Decreased platelet
count
Decreased fibrinogen
Decreased HnH
Increased PT, PTT
Increased Ddimer
Multi-Organ Dysfunction Syndrome (MODS) .....ANSWER.....
Irreversible Shock resulting from Triad of Death
Symptoms start within the first week after trauma
Steps to control hemorrhage .....ANSWER..... Tourniquet
TXA
REBOA
Permissive Hypotension
TCRN EXAM AND PRACTICE EXAM NEWEST 2025 TEST
BANK| COMPLETE 400 REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
GRADED A+| TCRN EXAM PREP 2025 (BRAND NEW!!)
Shock .....ANSWER..... Lack of oxygen to the cells
Hypovolemic Shock .....ANSWER..... Lack of volume
ex: hemorrhage, burns
Distributive Shock .....ANSWER..... Maldistribution of blood
(pooled in extremities)
Decreased preload
ex: neurogenic shock
Cardiogenic Shock .....ANSWER..... Inadequate cardiac output
ex: blunt cardiac trauma
,Page 2 of 60
Obstructive Shock .....ANSWER..... Inability of blood to enter or
exit heart properly
ex: tamponade, tension pneumothorax
Systemic Inflammatory Response Syndrome (SIRS) .....ANSWER.....
Severe tissue trauma activates an inflammatory response leading
to vasodilation, capillary permeability, and coagulation
Early (Compensated) Shock .....ANSWER..... Normal BP
Weak, thready pulse
Deep and rapid RR
Normal lactic levels
Anxious
Late (Decompensated) Shock .....ANSWER..... Decreased BP
Tachycardia
Shallow and rapid RR
,Page 3 of 60
Increased Lactic
Decreased LOC
Decreased urinary output
BUN to Creatinine Ratio .....ANSWER..... Normal - 10:1
Indicated effective renal function
Trauma Triad of Death .....ANSWER..... Hypothermia
Acidosis
Coagulopathies
Effects of Acidosis .....ANSWER..... Increased ICP
Exacerbates coagulopathies
Depressed myocardial contractility
DIC .....ANSWER..... Excessive clotting > all clotting factors used
> no more clotting > excessive bleeding
, Page 4 of 60
Effects of coagulopathies .....ANSWER..... Decreased platelet
count
Decreased fibrinogen
Decreased HnH
Increased PT, PTT
Increased Ddimer
Multi-Organ Dysfunction Syndrome (MODS) .....ANSWER.....
Irreversible Shock resulting from Triad of Death
Symptoms start within the first week after trauma
Steps to control hemorrhage .....ANSWER..... Tourniquet
TXA
REBOA
Permissive Hypotension
