PDF download · TCRN Trauma Nurse Practice 202

Free TCRN Trauma Nurse Practice 202 Practice Test PDF

Download a free TCRN Trauma Nurse Practice 202 practice test PDF with 30 questions, answers and explanations, then continue with online mock exams.

Free sample · TCRN Trauma Nurse Practice 202Q1
Which of the following patients are at the lowest risk for complications after a compound fracture?
Correct — D. Answer: Patients with a history of diabetes Several factors increase a patient's risk of complications after a compound fracture. These include poor nutritional status, a compromised immune system, and taking medications like corticosteroids. Patients with diabetes may face challenges in healing but are at the lowest risk compared to those with the other conditions described.
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The PDF includes 30 TCRN Trauma Nurse Practice 202 questions with answers and explanations.

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  1. Q1Which of the following patients are at the lowest risk for complications after a compound fracture?

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    ✓ Correct answer: Patients with a history of diabetes

    Answer: Patients with a history of diabetes Several factors increase a patient's risk of complications after a compound fracture. These include poor nutritional status, a compromised immune system, and taking medications like corticosteroids. Patients with diabetes may face challenges in healing but are at the lowest risk compared to those with the other conditions described.

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  2. Q2Which of the following is not a factor that increases the risk of infection in a burn wound?

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    ✓ Correct answer: The presence of superficial burns

    Answer: The presence of superficial burns Superficial burns, while painful, generally do not significantly increase the risk of infection. They affect only the outermost layer of skin and typically heal without complications. The presence of eschar can create an environment conducive to bacterial growth. Poor nutritional status of the patient and prolonged hospitalization also increases the risk of infection developing.

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  3. Q3Which of the following statements is accurate regarding patients with electrical burns?

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    ✓ Correct answer: Electrical burns can cause internal injuries without significant external damage

    Answer: Electrical burns can cause internal injuries without significant external damage Electrical burns can lead to significant internal injuries such as muscle damage, nerve damage, and organ injuries without obvious external signs on the skin. It is crucial to monitor patients with electrical burns for potential cardiac arrhythmias and other internal complications.

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  4. Q4A patient is brought to the ER with a segmental fracture of the right femur. What type of force is most likely to cause this type of fracture?

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    ✓ Correct answer: Axial compression

    Answer: Axial compression Axial compression forces are applied along the axis of the bone, often resulting in segmental fractures when the bone is compressed internally. Shear forces involve sliding actions that occur in parallel planes, causing different fracture patterns. Torsion forces involve twisting, potentially leading to spiral fractures. Bending forces refer to an application that causes compression on one side and tension on the other, producing transverse or oblique fractures.

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  5. Q5An elderly patient presents with a severe tibial fracture following a motor vehicle collision. For how many days after the injury should the trauma nurse remain vigilant for signs of developing compartment syndrome?

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    ✓ Correct answer: 3 days

    Answer: 3 days The risk of compartment syndrome is highest within the first 72 hours (3 days) following the injury due to the potential for swelling and increased pressure within the muscle compartments. After this period, the likelihood of compartment syndrome decreases significantly.

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  6. Q6A 52-year-old male construction worker fell from a height and was pinned under heavy machinery for an extended period, sustaining a crush injury to his right arm. Upon examination, the right arm has extensive soft tissue damage and compromised circulation. What is the most likely necessary treatment for this type of injury?

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    ✓ Correct answer: Amputation of the extremity

    Answer: Amputation of the extremity Crush injuries that lead to extensive soft tissue damage, compromised circulation, and potential nerve involvement often necessitate amputation due to the severity of the damage and limited efficacy of grafts in such cases. While amputation might be necessary, it is not likely to be fatal if treated with amputation, as opposed to attempting skin and/or muscle grafts, which are generally ineffective for extensive crush injuries.

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