TCRN Practice Questions With 100% Correct Answers | Latest Version Expert Verified, Exams of Advanced Education

Download TCRN Practice Questions With 100% Correct Answers | Latest Version Expert Verified and more Exams Advanced Education in PDF only on Docsity! TCRN Practice Questions With 100% Correct Answers | Latest Version Expert Verified Which of the following are the most appropriate clinical use of opioids? Analgesic, anti-tussive, anti-diarrheal Analgesic, anti-tussive, emetic Analgesic, sedatives, adjunct to psychotic therapy Analgesic, hypnotic, anti-diarrheal - Correct Answer-Analgesic, anti- tussive, anti-diarrheal What is the drug of choice for the treatment of anaphylaxis? Corticosteroids Antihistamines Epinephrine Bronchodilators - Correct Answer-Epinephrine Which is not associated with epidural hematoma (EDH)? Skull fracture Mostly seen in the elderly Severe mechanism of trauma Lucid interval after initial loss of consciousness - Correct Answer- Mostly seen in the elderly Which of the following is false about open chest wounds? A chest tube may be inserted The wound can be closed with adhesive gauze There may be a mediastinal shift to the ipsilateral aspect of the wound Open chest wounds may be used to treat empyema - Correct Answer- There may be a mediastinal shift to the ipsilateral aspect of the wound What skull injury is consistent with Battle sign? Frontal bone Basilar skull Occipital Temporal - Correct Answer-Basilar skull Which of these must be adhered to according to the Affordable Care Act? Cover recommended preventive services without charging out of pocket costs Provide an opportunity to appeal coverage decisions Guarantee enrollees their choice of primary care provider Call hospital administration - Correct Answer-Ask the patient for a written authorization In which situation is an urgent brain CT scan not indicated? Acute closed head injury with right homonymous hemianopsia Acute closed head injury Acute closed head injury with nausea, vomiting, and lethargy A supraorbital, throbbing headache of acute onset, which is exacerbated by light and attempts at visual accommodation - Correct Answer-A supraorbital, throbbing headache of acute onset, which is exacerbated by light and attempts at visual accommodation Fat embolism is generally associated with which of the following? Mark one answer: Early tachycardia Fever Non palpable petechiae All of the above - Correct Answer-All of the above Which of the following is the age group who are the largest consumers of prescription and nonprescription medications in the US? Mark one answer: Patients 20-59 years of age Patients 14 to 19 years of age Patients 65-years-old and older Patients under the age of 14. - Correct Answer-Patients 65-years-old and older Which of the following is false about inhalation burn injury? Mark one answer: Often associated with elevated levels of carboxyhemoglobin Can be difficult to diagnose in early stages Can be rapidly lead to respiratory failure Best treated by hyperbaric oxygenation - Correct Answer-Best treated by hyperbaric oxygenation Which is not included in continuing neurological checks following a concussion? Mark one answer: Memory of injury Movement of arms and legs Level of consciousness Orientation - Correct Answer-Memory of injury What ECG tracing represents the atrial contraction? Mark one answer: P wave R wave T wave U wave - Correct Answer-P wave What is the initial treatment for hyperkalemia with ECG changes of widened QRS? Mark one answer: Magnesium Insulin Propranolol Calcium - Correct Answer-Calcium What is the most common cause of fat embolism? Mark one answer: Burns Bone fractures Liver trauma Severe infection - Correct Answer-Bone fractures Which of the following is a false statement about pulmonary contusion? Mark one answer: Staphylococcus Escherichia coli Streptococcus Peptostreptococcus - Correct Answer-Escherichia coli What part of the gluteal region is the safest place to give an intramuscular injection? Mark one answer: Inferolateral quadrant Inferomedial quadrant Superolateral quadrant Superomedial quadrant - Correct Answer-Superolateral quadrant Which of the following is a component of the simple triage and rapid treatment (START) method? Mark one answer: Respiration Pulse Mental status All of the above - Correct Answer-All of the above An 18 year old male complains of left shoulder pain and decreased ability to move the arm after a fall at home and on exam the arm is abducted and externally rotated with sensation intact to light touch but resisting any range of motion--his diagnosis? Mark one answer: Anterior glenohumeral dislocation Posterior glenohumeral dislocation Inferior glenohumeral dislocation Acromioclavicular separation - Correct Answer-Anterior glenohumeral dislocation Which of the following does not affect the efficacy of a neurolytic block? Mark one answer: Concentration of the neurolytic agent Needle size Nerve type Nerve thickness - Correct Answer-Needle size Which is true of aspiration pneumonia? Mark one answer: Rare occurrence during anesthesia Can occur after head injuries Due to gram-negative organisms Most occur in the left lung - Correct Answer-Can occur after head injuries Which of the following trauma scenarios will not compromise the airway after endotracheal intubation? Mark one answer: Unrecognized pneumothorax Massive bronchopleural fistula Placement of endotracheal tube in right mainstem bronchus Placement of endotracheal tube 2 cm above the carina - Correct Answer-Placement of endotracheal tube 2 cm above the carina Which injury is produced by a force that drives the trunk forward while the head lags behind? Mark one answer: Herniated disk Epidural hemorrhage Whiplash Humeral fracture - Correct Answer-Whiplash Ventricular fibrillation (VF) is treated the same as which rhythm? Mark one answer: Nonperfusing ventricular tachycardia Battle sign is due to what type of skull injury? Mark one answer: Frontal bone Basilar skull Occipital Temporal wing - Correct Answer- How is frostbite treated? Mark one answer: Rewarming the area with a heating blanket Place affected part in tepid water Allowing the extremity to warm on it's own Wrapping the part and exposing to a heat source - Correct Answer- Place affected part in tepid water Heat stroke is a serious condition that can have end-organ damage. Which of the following are not considered possible complications of heat stroke? Mark one answer: Rhabdomyolysis Disseminated intravascular coagulation Permanent neurologic defects All of the above are possible complications of heat stroke - Correct Answer-All of the above are possible complications of heat stroke Which of the following is true regarding a medical provider passing a motor vehicle accident? Mark one answer: No moral obligation to render assistance Legal obligation to assist and malpractice can result if duty neglected No legal obligation to assist None of the above - Correct Answer-No legal obligation to assist What is being assessed when urine specific gravity is measured? Mark one answer: Concentration pH Urine sodium Urine albumin - Correct Answer-Concentration When resuscitating a patient with hemorrhagic shock following penetrating trauma, what is the goal? Mark one answer: Keep blood pressure on the low side Restore blood pressure to normal Restore blood pressure to just 40 mmHg above normal Restore blood pressure so that there is urine output - Correct Answer-Restore blood pressure to normal What is the minimal score on the Glasgow coma scale? Mark one answer: 0 3 8 15 - Correct Answer-3 A 4-month-old child is dropped and hits her head. What ist the best indicator of serious brain injury? Mark one answer: The parent says that the child was pale and diaphoretic for a few seconds after the fall Child has one episode of emesis The child has incessant crying The child has hypotension - Correct Answer-The child has hypotension How is exhalation achieved in a patient undergoing cardiopulmonary resuscitation? Erythromycin - Correct Answer-Ceftriaxone In which patient is bag mask ventilation LEAST difficult? Mark one answer: Facial hair Lack of teeth History of sleep apnea BMI of less than 17 - Correct Answer-BMI of less than 17 A 18-year-old male sustains a right femur fracture and a cerebral concussion in a motor vehicle accident. His initial blood pressure is 75/50 mmHg with a pulse of 90 beats per minute. After giving him 2 liters of Ringer lactate he stabilizes, but the blood pressure falls when he is seen in the emergency room. Which of the following would be the cause of suspected hypotension in this patient? Mark one answer: Subdural hematoma Undiagnosed facial fracture Ruptured spleen 10% pneumothorax - Correct Answer-Ruptured spleen Which of the following is the best example of documenting a chain of evidence? Mark one answer: Properly labeling an observed urine sample of a suspected impaired driver for the police, personally handing it to the arresting officer, and getting a receipt Properly documenting in a medical record including dates, signatures, and making sure mistakes are lined out, initialed, and dated Documenting vaginal fluids in a rape case where obtained, labeled, initialed, and sent to the lab Properly recording all medications and treatments in the medical record - Correct Answer-Properly labeling an observed urine sample of a suspected impaired driver for the police, personally handing it to the arresting officer, and getting a receipt Which ECG wave represents the depolarization of the right and left ventricles? Mark one answer: P wave QRS complex T wave Q wave - Correct Answer-QRS complex A patient is on droplet precaution. What personal protective equipment is needed if working within 3 feet of the patients? Mark one answer: Mask Mask and eye protection Mask, eye protection, and gloves Mask, eye protection, gloves, and gown - Correct Answer-Mask and eye protection In a patient with a suspected cervical injury, what maneuver can protect the airway? Mark one answer: Head tilt Jaw thrust Chin lift Neck extension - Correct Answer-Jaw thrust