TCRN trauma certified RN EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS LATEST UPDATE!!!!

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Exam Solution
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TCRN : Trunk Part 1 (Thoracic & Abdominal Trauma) 2
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026 A+ GRADE ASSURED COMPLETE SOLUTIONS AND V
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ERIFIED ANSWERS (0E8C8) zm zm




QUESTION 1 zm




When should impaled objects be removed?
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ANSWER

Preferably in the OR, under controlled circumstances.
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QUESTION 2 zm




True or false: Bullet wounds follow a predictable pattern of injury?
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ANSWER

False: A bullet wound is an example of a "blast" wound which has an unpredictable trajectory and
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must consider path of tissue injury related to shock/stress waves.
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QUESTION 3 zm




Name six life-threatning chest injuries:
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ANSWER

1. Laryngeotracheal Injury/Airway Obstruction 2. Tension Pneumothorax 3. Open Pneumothorax 4.Fl
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ail chest and pulmonary contusion 5. Massive hemothorax 6. Cardiac tamponade
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QUESTION 4 zm




What are the four pathophysiological consequenses of life-threatning chest injuries?
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ANSWER

1. Hypoxia 2. Hypoventilation 3. Respiratory/metabolic acidosis 4. Inadequate tissue perfusion
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, QUESTION 5 zm




What alternative should you consider with an abusive and/or belligerant patient?
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ANSWER

Hypoxia (beyond intoxication of alcohol and drugs)
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QUESTION 6 zm




Is cyanosis an early or late finding of hypoxemia?
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ANSWER

Late



QUESTION 7 zm




During a tension pneumothorax the mediastinal structures shift where?
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ANSWER

Opposite the affected side
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QUESTION 8 zm




A needle thoracentesis is performed where anatomically?
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ANSWER

2nd-3rd intercostal space, mid-clavicular line
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QUESTION 9 zm




A tube thoracostomy (chest tube insertion) is performed where anatomically?
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ANSWER

4th-5th intercostal space, mid-axillary line
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QUESTION 10 zm




How should an open pneumothorax initally be managed? What should you be cautious
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of?
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ANSWER