NURSING
2022 NEW EXAM FOR TCRN QUESTIONS AND ANSWERS: TRUNK PART 1 (THORACIC & ABDOMINAL
TRAUMA)
When should impaled objects be removed? - CORRECT ANSWER Preferably in the OR, under controlled
circumstances.
True or false: Bullet wounds follow a predictable pattern of injury? - CORRECT ANSWER False: A bullet
wound is an example of a "blast" wound which has an unpredictable trajectory and must consider path
of tissue injury related to shock/stress waves.
Name six life-threatning chest injuries: - CORRECT ANSWER 1. Laryngeotracheal Injury/Airway
Obstruction
2. Tension Pneumothorax
3. Open Pneumothorax
4.Flail chest and pulmonary contusion
5. Massive hemothorax
6. Cardiac tamponade
What are the four pathophysiological consequenses of life-threatning chest injuries? - CORRECT
ANSWER 1. Hypoxia
2. Hypoventilation
3. Respiratory/metabolic acidosis
4. Inadequate tissue perfusion
What alternative should you consider with an abusive and/or belligerant patient? - CORRECT ANSWER
Hypoxia (beyond intoxication of alcohol and drugs)
Is cyanosis an early or late finding of hypoxemia? - CORRECT ANSWER Late
During a tension pneumothorax the mediastinal structures shift where? - CORRECT ANSWER Opposite
the affected side
2022 NEW EXAM FOR TCRN QUESTIONS AND ANSWERS: TRUNK PART 1 (THORACIC & ABDOMINAL
TRAUMA)
When should impaled objects be removed? - CORRECT ANSWER Preferably in the OR, under controlled
circumstances.
True or false: Bullet wounds follow a predictable pattern of injury? - CORRECT ANSWER False: A bullet
wound is an example of a "blast" wound which has an unpredictable trajectory and must consider path
of tissue injury related to shock/stress waves.
Name six life-threatning chest injuries: - CORRECT ANSWER 1. Laryngeotracheal Injury/Airway
Obstruction
2. Tension Pneumothorax
3. Open Pneumothorax
4.Flail chest and pulmonary contusion
5. Massive hemothorax
6. Cardiac tamponade
What are the four pathophysiological consequenses of life-threatning chest injuries? - CORRECT
ANSWER 1. Hypoxia
2. Hypoventilation
3. Respiratory/metabolic acidosis
4. Inadequate tissue perfusion
What alternative should you consider with an abusive and/or belligerant patient? - CORRECT ANSWER
Hypoxia (beyond intoxication of alcohol and drugs)
Is cyanosis an early or late finding of hypoxemia? - CORRECT ANSWER Late
During a tension pneumothorax the mediastinal structures shift where? - CORRECT ANSWER Opposite
the affected side
