Page 1 of 52
SSM TCAR-Trauma Care after Resuscitation
(TCAR) EXAM TEST BANK LATEST UPDATE
2026-2027 QUESTIONS AND DETAILED
SOLUTIONS
Question: What is permissive hypotension? - CORRECT ANSWER✔✔Keeping SBP 80-90
Aggressvie fluid resuscitation disrupts new clots, dilutes blood, promotes coagulopathies, and
aggravates endothelial leakage
NOT APPRORIATE FOR TBI
Question: What are the 2 types of bleeding in a trauma patient? - CORRECT
ANSWER✔✔Mechanical & Coagulopathic
Mechanical requires surgery to fix hole
Coagulopathic- later in ICU,
TIC-trauma induced coagulopathy
, Page 2 of 52
Question: What are the suggested lab studies for someone in Trauma induced cogulaopthy? -
CORRECT ANSWER✔✔Thromboelastography (TEG)
Rotational Thromobelastometry (ROTEM)
both testes provide real-time visual representation of clot formation and clot lysis
Question: Why is autotransfused blood better than banked blood? - CORRECT ANSWER✔✔It is
fresher, warmer, releases O2 better, and costs less
Question: Banked blood causes what electrolyte abnormalities? - CORRECT
ANSWER✔✔Elevated K-released from old or damaged blood cells
Decreased Ca-citrate in blood binds with calcium so the ionized Ca level is low
Question: What nursing assessment would make you suspet low calcium? - CORRECT
ANSWER✔✔Carpal spasm (Trousseau Sign) while checking BP
Question: What does SBP estimate for you? - CORRECT ANSWER✔✔SBP= CO--they go up &
down together
, Page 3 of 52
It is an indication of volume (preload) and contractility
Question: What does DBP estimate for you? - CORRECT ANSWER✔✔DBP is a measure of
vascular resistance-afterload
DBP reflects vasoconstriction due to sympathetic compensation
Question: What is pulse pressure? - CORRECT ANSWER✔✔The relationship between CO & the
body's compensatory vasoconstrictive response
Pulse Pressure= SBP-DBP
Minimal acceptable number is 30-40 or
25% of SBP
Question: What is MAP, and how is it calculated? - CORRECT ANSWER✔✔It is the organ &
tissue perfusion pressure, the pressure the organs actually receive.
Normal is >65.
SBP+DBPx2/3
, Page 4 of 52
Q:What are the definitive options for pelvic fracture stabilization and hemorrhage control? -
CORRECT ANSWER✔✔External Fixation
Interventional Radiology
Open reduction & Internal fixation
Question: How are closed mid-shaft femur fractures managed? - CORRECT
ANSWER✔✔Intramedullary nail fixation
Question: What makes a fracture comminuted? - CORRECT ANSWER✔✔The bone is in multiple
pieces
Question: Physiologic criteria for trauma center care? - CORRECT ANSWER✔✔SBP<90
Resp rate <10 or >29
GCS <14
Question: What is Kinematics? - CORRECT ANSWER✔✔The process of predicting potential
injuries based on analysis of the forces involved
SSM TCAR-Trauma Care after Resuscitation
(TCAR) EXAM TEST BANK LATEST UPDATE
2026-2027 QUESTIONS AND DETAILED
SOLUTIONS
Question: What is permissive hypotension? - CORRECT ANSWER✔✔Keeping SBP 80-90
Aggressvie fluid resuscitation disrupts new clots, dilutes blood, promotes coagulopathies, and
aggravates endothelial leakage
NOT APPRORIATE FOR TBI
Question: What are the 2 types of bleeding in a trauma patient? - CORRECT
ANSWER✔✔Mechanical & Coagulopathic
Mechanical requires surgery to fix hole
Coagulopathic- later in ICU,
TIC-trauma induced coagulopathy
, Page 2 of 52
Question: What are the suggested lab studies for someone in Trauma induced cogulaopthy? -
CORRECT ANSWER✔✔Thromboelastography (TEG)
Rotational Thromobelastometry (ROTEM)
both testes provide real-time visual representation of clot formation and clot lysis
Question: Why is autotransfused blood better than banked blood? - CORRECT ANSWER✔✔It is
fresher, warmer, releases O2 better, and costs less
Question: Banked blood causes what electrolyte abnormalities? - CORRECT
ANSWER✔✔Elevated K-released from old or damaged blood cells
Decreased Ca-citrate in blood binds with calcium so the ionized Ca level is low
Question: What nursing assessment would make you suspet low calcium? - CORRECT
ANSWER✔✔Carpal spasm (Trousseau Sign) while checking BP
Question: What does SBP estimate for you? - CORRECT ANSWER✔✔SBP= CO--they go up &
down together
, Page 3 of 52
It is an indication of volume (preload) and contractility
Question: What does DBP estimate for you? - CORRECT ANSWER✔✔DBP is a measure of
vascular resistance-afterload
DBP reflects vasoconstriction due to sympathetic compensation
Question: What is pulse pressure? - CORRECT ANSWER✔✔The relationship between CO & the
body's compensatory vasoconstrictive response
Pulse Pressure= SBP-DBP
Minimal acceptable number is 30-40 or
25% of SBP
Question: What is MAP, and how is it calculated? - CORRECT ANSWER✔✔It is the organ &
tissue perfusion pressure, the pressure the organs actually receive.
Normal is >65.
SBP+DBPx2/3
, Page 4 of 52
Q:What are the definitive options for pelvic fracture stabilization and hemorrhage control? -
CORRECT ANSWER✔✔External Fixation
Interventional Radiology
Open reduction & Internal fixation
Question: How are closed mid-shaft femur fractures managed? - CORRECT
ANSWER✔✔Intramedullary nail fixation
Question: What makes a fracture comminuted? - CORRECT ANSWER✔✔The bone is in multiple
pieces
Question: Physiologic criteria for trauma center care? - CORRECT ANSWER✔✔SBP<90
Resp rate <10 or >29
GCS <14
Question: What is Kinematics? - CORRECT ANSWER✔✔The process of predicting potential
injuries based on analysis of the forces involved
