TCAR Trauma Care After Resuscitation
Final Practice Exam 2 Questions And
Correct Answers (Verified Answers) Plus
Rationales 2025 Q&A | Instant Download
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1. What is the priority during the primary survey in trauma care?
A. Determine the mechanism of injury
B. Control pain
C. Establish airway patency
D. Check for internal bleeding
Airway management is always the first priority in trauma to ensure
oxygenation and ventilation.
2. A patient with flail chest is best managed initially with:
A. Chest tube insertion
B. Positive pressure ventilation
C. Needle decompression
, D. Pericardiocentesis
Positive pressure ventilation helps stabilize the flail segment and
improves oxygenation.
3. Which of the following is a sign of neurogenic shock?
A. Tachycardia
B. Hypoglycemia
C. Hypotension with bradycardia
D. Warm, flushed extremities
Neurogenic shock presents with hypotension and bradycardia due to
loss of sympathetic tone.
4. What is the purpose of the secondary survey in trauma?
A. Resuscitation
B. Comprehensive head-to-toe assessment
C. Airway management
D. Cervical spine stabilization
The secondary survey identifies all injuries after the primary survey
and resuscitation are complete.
5. Beck’s triad is associated with:
A. Tension pneumothorax
B. Cardiac tamponade
C. Hemothorax
D. Flail chest
, Beck’s triad (hypotension, muffled heart sounds, JVD) is classic for
cardiac tamponade.
6. What is the best indicator of adequate tissue perfusion?
A. Blood pressure
B. Urine output
C. Heart rate
D. Respiratory rate
Urine output reflects renal perfusion and overall organ perfusion.
7. Which organ is most commonly injured in blunt abdominal trauma?
A. Kidney
B. Spleen
C. Liver
D. Pancreas
The spleen is the most frequently injured organ in blunt abdominal
trauma.
8. In a burn patient, the Parkland formula calculates:
A. Electrolyte replacement
B. Fluid resuscitation needs
C. Oxygen requirements
D. Wound healing time
The Parkland formula estimates fluid needs in the first 24 hours after
a burn.
, 9. What is a contraindication to nasopharyngeal airway placement?
A. Facial swelling
B. Trismus
C. Basilar skull fracture
D. Cervical spine injury
Basilar skull fractures pose a risk of intracranial placement of NPAs.
10. What sign is most indicative of increased intracranial pressure
(ICP)?
A. Hypotension
B. Cushing’s triad
C. Tachycardia
D. Pinpoint pupils
Cushing’s triad includes hypertension, bradycardia, and irregular
respirations.
11. The primary concern with long bone fractures is:
A. Pain
B. Infection
C. Fat embolism
D. Muscle atrophy
Fat embolism syndrome can occur with long bone fractures and is
life-threatening.
12. Which of the following injuries requires immediate surgery?
A. Femur fracture
Final Practice Exam 2 Questions And
Correct Answers (Verified Answers) Plus
Rationales 2025 Q&A | Instant Download
1. What is the priority during the primary survey in trauma care?
A. Determine the mechanism of injury
B. Control pain
C. Establish airway patency
D. Check for internal bleeding
Airway management is always the first priority in trauma to ensure
oxygenation and ventilation.
2. A patient with flail chest is best managed initially with:
A. Chest tube insertion
B. Positive pressure ventilation
C. Needle decompression
, D. Pericardiocentesis
Positive pressure ventilation helps stabilize the flail segment and
improves oxygenation.
3. Which of the following is a sign of neurogenic shock?
A. Tachycardia
B. Hypoglycemia
C. Hypotension with bradycardia
D. Warm, flushed extremities
Neurogenic shock presents with hypotension and bradycardia due to
loss of sympathetic tone.
4. What is the purpose of the secondary survey in trauma?
A. Resuscitation
B. Comprehensive head-to-toe assessment
C. Airway management
D. Cervical spine stabilization
The secondary survey identifies all injuries after the primary survey
and resuscitation are complete.
5. Beck’s triad is associated with:
A. Tension pneumothorax
B. Cardiac tamponade
C. Hemothorax
D. Flail chest
, Beck’s triad (hypotension, muffled heart sounds, JVD) is classic for
cardiac tamponade.
6. What is the best indicator of adequate tissue perfusion?
A. Blood pressure
B. Urine output
C. Heart rate
D. Respiratory rate
Urine output reflects renal perfusion and overall organ perfusion.
7. Which organ is most commonly injured in blunt abdominal trauma?
A. Kidney
B. Spleen
C. Liver
D. Pancreas
The spleen is the most frequently injured organ in blunt abdominal
trauma.
8. In a burn patient, the Parkland formula calculates:
A. Electrolyte replacement
B. Fluid resuscitation needs
C. Oxygen requirements
D. Wound healing time
The Parkland formula estimates fluid needs in the first 24 hours after
a burn.
, 9. What is a contraindication to nasopharyngeal airway placement?
A. Facial swelling
B. Trismus
C. Basilar skull fracture
D. Cervical spine injury
Basilar skull fractures pose a risk of intracranial placement of NPAs.
10. What sign is most indicative of increased intracranial pressure
(ICP)?
A. Hypotension
B. Cushing’s triad
C. Tachycardia
D. Pinpoint pupils
Cushing’s triad includes hypertension, bradycardia, and irregular
respirations.
11. The primary concern with long bone fractures is:
A. Pain
B. Infection
C. Fat embolism
D. Muscle atrophy
Fat embolism syndrome can occur with long bone fractures and is
life-threatening.
12. Which of the following injuries requires immediate surgery?
A. Femur fracture
