TCRN Practice Questions: Trunk Part 1 (Thoracic & Abdominal Trauma) Latest 2025, Exams of Nursing

Download TCRN Practice Questions: Trunk Part 1 (Thoracic & Abdominal Trauma) Latest 2025 and more Exams Nursing in PDF only on Docsity! TCRN Practice Questions: Trunk Part 1 (Thoracic & Abdominal Trauma) Latest 2025 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 TCRN Practice Questions: Trunk Part 1 (Thoracic & Abdominal Trauma) Latest 2025 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 A needle thoracentesis is performed where anatomically? - Correct Answer ✅ 2nd-3rd intercostal space, mid-clavicular line TCRN Practice Questions: Trunk Part 1 (Thoracic & Abdominal Trauma) Latest 2025 What is the most common mechanism of abdominal trauma? - Correct Answer ✅ Blunt trauma via Motor vehicle crashes (75%) A positive seatbelt sign across the lower abdomen should raise suspicion for? - Correct Answer ✅ Small bowel injury *Seatbelt should be low and close-fitting to hips Blunt duodenal injuries are the result of? - Correct Answer ✅ Compression injuries *Commonly seen with Chance fracture, transverse process fractures, etc. Trauma to the stomach is most common in what group? - Correct Answer ✅ Rare, more common in children What is the most common cause of trauma to the large intestine? - Correct Answer ✅ Penetrating trauma TCRN Practice Questions: Trunk Part 1 (Thoracic & Abdominal Trauma) Latest 2025 Trauma to the liver places the patient at greatest risk for? - Correct Answer ✅ Severe hemorrhage True or false: Treatment of spleen injury requires splenectomy? - Correct Answer ✅ False, splenectomy is avoided if at all possible related to resulting immunocompetence. You are discharging a patient who had a splenectomy during this hospitalization. What must be done prior to discharge? - Correct Answer ✅ Administration of vaccinations: Pneumococcal, H. influenza, and meningococcal What percentage of the pancreas can be removed without concern for resulting diabetes? - Correct Answer ✅ 90% Retroperitoneal injuries are commonly seen with what other injury? - Correct Answer ✅ Pelvic fractures TCRN Practice Questions: Trunk Part 1 (Thoracic & Abdominal Trauma) Latest 2025 True or false: Abdominal vascular injury can lead to abdominal compartment syndrome? - Correct Answer ✅ True, the retroperitoneal space can hold up to 4L of blood