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

TCRN EXAM zm




Exam Solution zm




TCRN 2026 A+ GRADE ASSURED COMPLETE SOLUTION zm zm zm zm zm zm




S AND VERIFIED ANSWERS (DD30D)
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QUESTION 1 zm




When monitoring ICP in an adult, the trauma nurse must be aware the normal range i
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s:
a. <5 zm



b. <10 zm



c. <15
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d. <20 zm




ANSWER

C. Less than or equal to 15 -7-15 supine in an adult -
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If bleeding occurs within the brain, the brain first attempts to compensate by decreasing the volume
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mof CSF through increased absorption and decreasing blood blow, but when the brain can no longer
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compensate, the ICP begins to rise very rapidly, resulting in compression of the tissue and sometime
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s brain shift and herniation syndromes. If the condition is not immediately reversed, it can result in
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mdeath within a very short period of time.
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QUESTION 2 zm




A patient with a gunshot wound to the abdomen, the trauma nurse should anticipate t
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hat the organ most likely to be injured is the
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a. colon zm



b. stomach
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c. liver
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d. Small intestine
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ANSWER

D: Small intestine With a GSW to the abdomen the trauma nurse should anticipate that the organ m
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ost likely to be injured is the small intestine (majority of the time)
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QUESTION 3 zm

, A 38 year old male receives mannitol to decrease ICP resulting from a TBI and exhibit
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s cardiac arrhythmias. Which of the following electrolyte abnormalities associated wit
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h mannitol administration is most likely the cause of arrhythmias?
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a. hyperkalemia
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b. hypokalemia
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c. hypernatremia
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d. hypermagnesemia
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ANSWER

A: hyperkalemia Mannitol is administered for treatment of cerebral edema, it may result in fluid and
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electrolyte imbalance with hyperkalemia which can cause cardiac arrhythmias.
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QUESTION 4 zm




What is mannitol? zm zm




ANSWER

treatment for cerebral edema Mannitol is an osmotic diuretic that increases excretion of both sodiu
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m and water, which will then cause increase in potassium levels, but will helped reduce intracranial
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mpressure and brain mass in TBI patients. Side effects: nausea, vomiting, hypotension, tachycardia, fe
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ver and urticaria
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QUESTION 5 zm




If a handgun is found in the pocket of a trauma victim, the first consideration when r
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emoving and securing the gun is to: zm zm zm zm zm zm



a. place it in a paper bag
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b. arrange for security personnel to remove the gun.
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c. avoid touching the trigger
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d. call the police
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ANSWER

C: avoid touching the trigger All guns should be considered loaded so avoiding touching the trigger i
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s the first consideration. The gun should be removed wearing gloves and handled carefully to avoid
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disturbing fingerprints or gun powder residue. It should be placed in a secure container, never a pa
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per bag. zm




QUESTION 6 zm




If a patient with facial fractures has dentoalveolar trauma with avulsion of permanent
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mteeth, reimplantation should ideally be carried out within:
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a. 15 minutes
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b. 30 minutes
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c. 60 minutes
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d. 120 minutes
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