Trauma Certified Registered Nurse (TCRN) Examination Review: Think in Questions, Learn by Rationales

476 Pages·2017·4.105 MB·English

by  Kent, Kendra Menzies

Trauma Certified Registered Nurse
(TCRN® ) Examination Review
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Kendra Menzies Kent, MS, RN-BC, CCRN, CNRN, SCRN, TCRN, is the nursing director of the
Marcus Neuroscience Institute at Boca Raton Regional Hospital in south Florida. She is a highly
experienced critical care trauma nurse and an accomplished instructor, with multiple specialty
certifications in critical care and extensive clinical experience in a majority of critical care specialty
areas. Ms. Kent is also an educational consultant for Med- Ed Seminars in Charlotte, North Carolina,
and a speaker for Health and Sciences Television Network (HSTN) and HSTN videos. Ms. Kent has
edited or contributed to Decision-M aking in Medical Surgical Nursing, Evaluation Process: Competency-
Based Orientation, Expert 10- Minute Physical Examination Expert Rapid Response, AACN Neuroscience
Orientation PowerPoint for Traumatic Brain Injury, Critical Care Essentials, and CCRN Review Q&A . She
is the author of Adult CCRN Certification Review: Think in Questions, Learn by Rationale for Springer
Publishing Company.
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Trauma Certified Registered Nurse
(TCRN® ) Examination Review
Think in Questions, Learn by Rationales
Kendra Menzies Kent, MS, RN-B C, CCRN, CNRN, SCRN, TCRN
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information that is accurate and compatible with the standards generally accepted at the time of publication.
Because medical science is continually advancing, our knowledge base continues to expand. Therefore, as new
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The Board of Certification for Emergency Nursing (BCEN®) is the sole owner of the Trauma Certified Registered
Nurse (TCRN®) certification program.
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Library of Congress Cataloging- in-P ublication Data
Names: Menzies Kent, Kendra, author
Title: Trauma certified registered nurse examination review: think in questions, learn by
rationales / Kendra Menzies Kent.
Description: New York, NY: Springer Publishing Company, LLC, [2017] | Includes bibliographical
references.
Identifiers: LCCN 2016047717 | ISBN 9780826131942 (paper back) | ISBN 9780826131959 (e-book)
Subjects: | MESH: Wounds and Injuries—nursing | Emergency Nursing | Examination Questions
Classification: LCC RD93 | NLM WY 18.2 | DDC 617.10076–dc23
LC record available at https://lccn.loc.gov/2016047717
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To my wonderful husband, Robby, and to my parents,
Sid and Judy, for all the love and support they have given me.
I also gratefully acknowledge the work of Sarah Miller,
who contributed to the review questions and rationales.
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Contents
Introduction i x
®
Share Trauma Certified Registered Nurse ( TCRN ) Examination Review: Think in Questions,
Learn by Rationales
P ART I: Clinical Practice: Head and Neck
1. Neurological Trauma 3
Questions 33
2. Maxillofacial Trauma 43
Questions 54
3. Neck Trauma 63
Questions 68
PART II: Clinical Practice: Trunk
4. Thoracic Trauma 71
Questions 84
5. Abdominal Trauma 89
Questions 102
6. Genitourinary Trauma 109
Questions 117
7. Obstetrical Trauma 119
Questions 126
PART III: Clinical Practice: Extremity and Wound
8. Musculoskeletal Trauma 131
Questions 146
9. Surface and Burn Trauma 155
Questions 175
PART IV: Clinical Practice: Special Considerations
10. Psychosocial Issues of Trauma 185
Questions 193
11. Shock 197
Questions 207
12. Systemic Inflammatory Response Syndrome/Multiple Organ Dysfunction 209
Questions 221
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viii CONTENTS
PART V: Continuum of Care for Trauma
13. Injury Prevention and Public Education 225
Questions 230
14. Prehospital Care 233
Questions 239
15. Patient Safety and Patient Transfers 241
Questions 247
16. Forensic Issues 249
Questions 254
17. End- of- Life Issues 257
Questions 262
PART VI: Professional Issues
18. Trauma Quality Management 267
Questions 272
19. Staff Safety and Critical Incident Stress Management 273
Questions 281
20. Disaster Management 283
Questions 290
21. Regulations and Standards 295
Questions 298
22. Ethical Issues 299
Questions 305
PART VII: Questions, Answers, and Rationales
23. TCRN® Practice Test 309
24. Chapter Review Answers and Rationales 339
25. TCRN® Practice Test Answers and Rationales 401
Bibliography 429
Index 433
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Introduction
Welcome to the journey toward certification. This book was written to help guide the path-
way of the journey. It is written in a question/a nswer format to encourage you to think
in questions when studying for the examination. When you study, I encourage you to
ask yourself, “What questions about this particular topic could appear on the certification
exam? What would be a good question?” This prepares you for questions; you are not just
attempting to memorize content for the certification examination.
T he book provides multiple-c hoice questions similar to the questions that are found on
the Trauma Certified Registered Nurse (TCRN® ) examination. These questions allow the
nurse to practice taking an examination and will assist the nurse with determining areas
that require further study prior to taking the TCRN examination. The answers and ration-
ale, including some test-t aking skills, are provided for every question, further preparing
the nurse for the real examination.
WHY CERTIFICATION?
T he most important reason for becoming certified is to do it for yourself. Certification is
viewed as a mark of excellence in an area of specialty. It can be seen as an achievement and
qualification by peers, physicians, health care institutes, and patients/f amilies. Becoming
certified takes dedication to trauma nursing and demonstrates a level of competency. The
TCRN examination is developed to verify knowledge in trauma nursing.
Box I.1 Reasons to Become Certifi ed
Validate your knowledge of trauma to your hospital and peers
Validate your knowledge of trauma to the patients
Validate your knowledge of trauma to the physician
Promote continuing excellence in the nursing profession
Demonstrate competency
Promote self- confi dence
Encourage continuing education
Hospital credentialing
Monetary benefi t (from some hospitals)
TCRN EXAMINATION INFORMATION
T he TCRN examination was developed by the Board of Certification in Emergency
Nursing (BCEN) and incorporates care of a trauma patient, from prevention and injury to
rehabilitation. The examination covers all ages: pediatrics through geriatrics. The examina-
tion follows the test plan developed by the BCEN and the test is developed and reviewed
ix
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