1|Page
SSM TCAR Exam Newest 2026/2027 Complete 200
Questions And Correct Detailed Answers (Verified
Answers)|Already Graded A+||Newest Exam!!!
What is the hallmark of an epidural hematoma? -
ANSWER-A lucid interval after the injury, the as the
bleeding puts more pressure on the brain-fixed & dilated
pupils on the injured side, motor and sensory changes on
the CONTRALATERAL side
What is the cause of a Subdural hematoma? - ANSWER-
Bleeding bridging vein is cause
More common than epidural
Blood on brain causes mechanical & chemical damage
Will have same sided (ipsilateral) pupil dilation,
contralateral weakness and sensory dysfunction
What diagnostic study best identifies intracranial bleeds? -
ANSWER-CT, fractures and bleeds are readily apparent
on CT, concussions and diffuse injuries are not
What is a cerebral contusion? - ANSWER-It is bruising of
gray or white matter, that "blossom" over time
,2|Page
What is the chief nursing concern with a cerebral
contusion? - ANSWER-Neurological deterioration,
reassess frequently
Early findings include confusion, drowsiness, irritability,
Disorientation, H/A, N&V
What is a intraparenchymal hemorrhage? - ANSWER-It is
bleeding within the brain tissue, cerebrum, cerebellum or
brainstem. They are NOT routinely or easily evacuated.
What is a subarachnoid hemorrhage? - ANSWER-Usually
a medical problem, not traumatic. Commonly caused by
aneurysm rupture of AVM, often at circle of Willis
What are the earliest signs of neurological deterioration? -
ANSWER-Altered LOC, drowsiness, confusion,
disorientation, H/A, agitation, N&V
What is Secondary Brain injury? - ANSWER-Hypoxemia -
SpO2 <90%
Hypotension-SBP<90
What are the classic symptoms of brain herniation? -
ANSWER-Cushing's Triad-irregular respirations,
,3|Page
bradycardia, systolic hypertension (widened pulse
pressure)
What are cervial spine patients at greatest risk for? -
ANSWER-Risk of respiratory comprimise
C3, 4, 5- Keep diaphragm alive
C3 function is not adequate to support ventilaton
C4-can move diaphragm, minimally adequate
C5-have diaphragm, lack intercostals
What is muscle compartment syndrome? - ANSWER-
Elevated fascial compartment pressure, higher than
arterial pressure. MOST prominent symptom is unrelieved
pain
What is the ankle-brachial pressure index? - ANSWER-
SBP of ankle (lower leg) divided by
SBP of brachial (upper arm), normal is 1,
<0.8 means decreased flow
What are symptoms of fat embolism syndrome and when
do they occur? - ANSWER-Respiratory (tachypnea), neuro
(agitation, anxiety) and dermal (petechial rash on chest),
occur 12-72 hours after pelvic or long bone fractures
, 4|Page
What is a diffuse brain injury? - ANSWER-Global,
generalized. Directly affects consciousness, such as
diffuse axonal injury or concussion
What is a focal brain injury? - ANSWER-Local, indirectly
affects consciousness. Focal injuries are something you
could point to like a skull fracture or bleed
What events are typical of diffuse brain injuries? -
ANSWER-Following the injury, there is a transient loss of
consciousness, then the brain re-boots
What are clinical findings suggestive of TBI? - ANSWER-
Somatic-H/A, N&V, blurred vision, fatigue
Cognitive-confusion, impaired judgement
Emotional-depression, irritability, sleep disturbances
What is the treatment for TBI? - ANSWER-REST
What is TBI and second impact syndrome? - ANSWER-
Occurs when an injured brain receives a SECOND blow in
anywhere from minutes to weeks after the initial impact.
This condition is often fatal
SSM TCAR Exam Newest 2026/2027 Complete 200
Questions And Correct Detailed Answers (Verified
Answers)|Already Graded A+||Newest Exam!!!
What is the hallmark of an epidural hematoma? -
ANSWER-A lucid interval after the injury, the as the
bleeding puts more pressure on the brain-fixed & dilated
pupils on the injured side, motor and sensory changes on
the CONTRALATERAL side
What is the cause of a Subdural hematoma? - ANSWER-
Bleeding bridging vein is cause
More common than epidural
Blood on brain causes mechanical & chemical damage
Will have same sided (ipsilateral) pupil dilation,
contralateral weakness and sensory dysfunction
What diagnostic study best identifies intracranial bleeds? -
ANSWER-CT, fractures and bleeds are readily apparent
on CT, concussions and diffuse injuries are not
What is a cerebral contusion? - ANSWER-It is bruising of
gray or white matter, that "blossom" over time
,2|Page
What is the chief nursing concern with a cerebral
contusion? - ANSWER-Neurological deterioration,
reassess frequently
Early findings include confusion, drowsiness, irritability,
Disorientation, H/A, N&V
What is a intraparenchymal hemorrhage? - ANSWER-It is
bleeding within the brain tissue, cerebrum, cerebellum or
brainstem. They are NOT routinely or easily evacuated.
What is a subarachnoid hemorrhage? - ANSWER-Usually
a medical problem, not traumatic. Commonly caused by
aneurysm rupture of AVM, often at circle of Willis
What are the earliest signs of neurological deterioration? -
ANSWER-Altered LOC, drowsiness, confusion,
disorientation, H/A, agitation, N&V
What is Secondary Brain injury? - ANSWER-Hypoxemia -
SpO2 <90%
Hypotension-SBP<90
What are the classic symptoms of brain herniation? -
ANSWER-Cushing's Triad-irregular respirations,
,3|Page
bradycardia, systolic hypertension (widened pulse
pressure)
What are cervial spine patients at greatest risk for? -
ANSWER-Risk of respiratory comprimise
C3, 4, 5- Keep diaphragm alive
C3 function is not adequate to support ventilaton
C4-can move diaphragm, minimally adequate
C5-have diaphragm, lack intercostals
What is muscle compartment syndrome? - ANSWER-
Elevated fascial compartment pressure, higher than
arterial pressure. MOST prominent symptom is unrelieved
pain
What is the ankle-brachial pressure index? - ANSWER-
SBP of ankle (lower leg) divided by
SBP of brachial (upper arm), normal is 1,
<0.8 means decreased flow
What are symptoms of fat embolism syndrome and when
do they occur? - ANSWER-Respiratory (tachypnea), neuro
(agitation, anxiety) and dermal (petechial rash on chest),
occur 12-72 hours after pelvic or long bone fractures
, 4|Page
What is a diffuse brain injury? - ANSWER-Global,
generalized. Directly affects consciousness, such as
diffuse axonal injury or concussion
What is a focal brain injury? - ANSWER-Local, indirectly
affects consciousness. Focal injuries are something you
could point to like a skull fracture or bleed
What events are typical of diffuse brain injuries? -
ANSWER-Following the injury, there is a transient loss of
consciousness, then the brain re-boots
What are clinical findings suggestive of TBI? - ANSWER-
Somatic-H/A, N&V, blurred vision, fatigue
Cognitive-confusion, impaired judgement
Emotional-depression, irritability, sleep disturbances
What is the treatment for TBI? - ANSWER-REST
What is TBI and second impact syndrome? - ANSWER-
Occurs when an injured brain receives a SECOND blow in
anywhere from minutes to weeks after the initial impact.
This condition is often fatal
