Page 1 of 42
ATCN EXAM REVIEW EXAM FINAL
UPDATED QUESTIONS AND 100% CORRECT
ANSWERS
The approach to trauma care typically begins with what? - ANSWER- notification
that a trauma patient is arriving
When preparing to receive a trauma patient, what should you keep in mind? -
ANSWER- safe practice, safe care
What does "Safe practice" mean when receiving trauma patients? - ANSWER-
take into consideration the protection of the team (universal
precautions/PPE/preparing equipment prior to patient arrival)
,Page 2 of 42
What does "Safe care" mean when receiving trauma patients? - ANSWER- that
the patient is going to the right hospital, in the right time, for the right care
Trauma primary survey for "A"? - ANSWER- airway and alertness with
simultaneous cervical spinal stabilization
Trauma primary survey for "B"? - ANSWER- breathing and ventilation
Trauma primary survey for "C"? - ANSWER- circulation and hemorrhage control
Trauma primary survey for "D"? - ANSWER- disability (neurological status:
AVPU/GCS)
Trauma primary survey for "E"? - ANSWER- exposure and environmental control
Trauma primary survey for "F"? - ANSWER- full set of vital signs and family
presence
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Trauma primary survey for "G"? - ANSWER- get resuscitation adjuncts
(LMNOP)
Which resuscitation adjunct under the "G" primary assessment is this?
-"L" - ANSWER- laboratory studies (ABG's/Type and cross)
Which resuscitation adjunct under the "G" primary assessment is this?
-"M" - ANSWER- monitor for continuous cardiac rhythm and rate
assessment
Which resuscitation adjunct under the "G" primary assessment is this? -"N"
- ANSWER- naso/orogastric tube consideration
Which resuscitation adjunct under the "G" primary assessment is this?
-"O" - ANSWER- oxygenation and ventilation analysis (pulse
oximetry/ETCO2/capnography)
Which resuscitation adjunct under the "G" primary assessment is this? -"P"
- ANSWER- pain assessment and management
, Page 4 of 42
Trauma primary survey for "H"? - ANSWER- history and head to toe assessment
Trauma primary survey for "I"? - ANSWER- inspect posterior surfaces
1. chest pain
2. air hunger
3. respiratory distress
4. tachycardia
5. hypotension
6. tracheal deviation away from injury
7. unilateral absence of breath sounds
8. elevated hemithorax w/out respiratory movement
9. neck vein distention
10. cyanosis (late sign) - ANSWER- 10 Signs and sx of tension pneumothorax
1. Becks Triad= increased venous pressure(distended neck veins), decreased
arterial pressure(hypotension), muffled heart tones
2. PEA
3. JVD &/or Kussmauls sign
4. Use FAST to dx - ANSWER- Signs and sx of cardiac tamponade
ATCN EXAM REVIEW EXAM FINAL
UPDATED QUESTIONS AND 100% CORRECT
ANSWERS
The approach to trauma care typically begins with what? - ANSWER- notification
that a trauma patient is arriving
When preparing to receive a trauma patient, what should you keep in mind? -
ANSWER- safe practice, safe care
What does "Safe practice" mean when receiving trauma patients? - ANSWER-
take into consideration the protection of the team (universal
precautions/PPE/preparing equipment prior to patient arrival)
,Page 2 of 42
What does "Safe care" mean when receiving trauma patients? - ANSWER- that
the patient is going to the right hospital, in the right time, for the right care
Trauma primary survey for "A"? - ANSWER- airway and alertness with
simultaneous cervical spinal stabilization
Trauma primary survey for "B"? - ANSWER- breathing and ventilation
Trauma primary survey for "C"? - ANSWER- circulation and hemorrhage control
Trauma primary survey for "D"? - ANSWER- disability (neurological status:
AVPU/GCS)
Trauma primary survey for "E"? - ANSWER- exposure and environmental control
Trauma primary survey for "F"? - ANSWER- full set of vital signs and family
presence
,Page 3 of 42
Trauma primary survey for "G"? - ANSWER- get resuscitation adjuncts
(LMNOP)
Which resuscitation adjunct under the "G" primary assessment is this?
-"L" - ANSWER- laboratory studies (ABG's/Type and cross)
Which resuscitation adjunct under the "G" primary assessment is this?
-"M" - ANSWER- monitor for continuous cardiac rhythm and rate
assessment
Which resuscitation adjunct under the "G" primary assessment is this? -"N"
- ANSWER- naso/orogastric tube consideration
Which resuscitation adjunct under the "G" primary assessment is this?
-"O" - ANSWER- oxygenation and ventilation analysis (pulse
oximetry/ETCO2/capnography)
Which resuscitation adjunct under the "G" primary assessment is this? -"P"
- ANSWER- pain assessment and management
, Page 4 of 42
Trauma primary survey for "H"? - ANSWER- history and head to toe assessment
Trauma primary survey for "I"? - ANSWER- inspect posterior surfaces
1. chest pain
2. air hunger
3. respiratory distress
4. tachycardia
5. hypotension
6. tracheal deviation away from injury
7. unilateral absence of breath sounds
8. elevated hemithorax w/out respiratory movement
9. neck vein distention
10. cyanosis (late sign) - ANSWER- 10 Signs and sx of tension pneumothorax
1. Becks Triad= increased venous pressure(distended neck veins), decreased
arterial pressure(hypotension), muffled heart tones
2. PEA
3. JVD &/or Kussmauls sign
4. Use FAST to dx - ANSWER- Signs and sx of cardiac tamponade
