Advanced Trauma Care for Nurses (ATCN) Practice Exam

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• In pediatrics, bradycardia is often a sign of what?
• Which statement best describes the indications for chest tube drainage?
• In the trauma primary survey, the component labeled 'H' requires which action?
• Which measure is used to monitor core temperature during resuscitation if possible?
• Which LMNOP letter is associated with oxygenation and ventilation analysis?
• Which sequence best describes the ATCN secondary survey?
• What is the formula for Central Perfusion Pressure (CPP)?
• What is a primary benefit of using a staged approach to trauma care?
• To select an appropriate C-collar size, measurement is taken from the bottom of the chin to the top of which landmark?
• Which statement is true regarding third-degree burns?
• In trauma care, when should tranexamic acid (TXA) be administered for maximum effectiveness?
• Lactate levels help determine organ perfusion. What is the target lactate level to correct to?
• Which finding is a component of Beck's triad in cardiac tamponade?
• How can a clinician differentiate hemorrhagic shock from neurogenic shock in a patient with suspected spinal injury?
• What are early signs of airway compromise in facial trauma that require urgent intervention?
• Which symptom is a classic sign of compartment syndrome, indicating high severity?
• Loss of pulses in injured limbs is a late sign of which condition?
• Urine output and hypovolemic shock: What is the target urine output for pediatric patients?
• What is the universal plasma type mentioned in the material?
• Which scenario is an indication for thoracotomy after traumatic injury?
• In the Secondary Survey, the letter L stands for which item?
• Which is the most important initial step in nursing care of the head-injured patient?
• Which of the following is NOT a sign of tension pneumothorax?
• Which anatomical feature is NOT considered an anatomical difference of children?
• Which of the following is a sign of possible uterine rupture?
• Hypoxia is the most common cause of which events in children?
• Cushing's triad is a late sign of increased intracranial pressure and includes which combination of changes?
• What is the primary objective in treating hemorrhagic shock?
• Which resuscitation adjunct under the G primary assessment corresponds to naso/orogastric tube consideration?
• Which airway management technique minimizes cervical spine movement during intubation in a trauma patient?
• Which sign is a late indicator of tension pneumothorax?
• Which LMNOP adjunct corresponds to history and head-to-toe assessment?
• The DCAP-BTLS mnemonic is used to guide assessment of what?
• During resuscitation, which intervention specifically involves warming the inhaled gas?
• In a mass casualty incident with multiple head-injured victims, what is the highest priority?
• In pregnant trauma patient with vena cava compression, what is the expected sign?
• What does Safe care mean when receiving trauma patients?
• What is the purpose of a pelvic binder in traumatic pelvic fracture, and when should it be reassessed?
• What does AMPLE history stand for and why is it important in trauma assessment?
• In the trauma primary survey, what does 'D' involve?
• How are solid abdominal organ injuries in stable patients typically managed?
• In the adult Rule of Nines, what percentage is assigned to the groin?
• Which finding is a sign of cardiac tamponade?
• The AMPLE mnemonic for history includes which elements?
• What is permissive hypotension, and what SBP target is commonly used during uncontrolled hemorrhage?
• Define flail chest and outline its main management approach.
• In muscle function testing, what does grade 5 indicate?
• What is the normal base deficit range?
• After applying a pelvic binder, what is the recommended next step in management?
• Which option is NOT part of the LMNOP resuscitation adjuncts?
• Which statement correctly describes tourniquet use in extremity trauma?
• In the trauma primary survey, what does 'C' assess?
• Which statement best describes Safe Practice in trauma reception?
• Which finding is most consistent with blunt cardiac injury?
• What is the normal intracranial pressure (ICP) at rest?
• Which statement best describes Safe Care in trauma reception?
• In muscle function testing, what does grade 1 indicate?
• Patients with traumatic brain injury are particularly prone to what abnormality?
• An intracranial pressure reading that warrants physician notification is what sustained level?
• A previously healthy 70-kg man suffers an estimated blood loss of 1 liter. Which statements apply?
• Which of the following is a potential indication for nasal intubation?
• Which is a key component in crush injury management?
• Which of the following is an early sign of increased intracranial pressure in a head-injured patient?
• Which statement best explains why lactate is measured in trauma patients?
• Which secondary survey finding would prompt urgent surgical consultation for suspected hollow viscus injury?
• Most common underlying cause of a subdural hematoma?
• What strategies are used to prevent hypothermia in trauma patients?
• How should analgesia be balanced during resuscitation to avoid masking neuro assessment?
• Which statement best describes initial resuscitation?
• The correct method to determine C-collar size is to measure from the bottom of the chin to the top of which anatomical site?
• Where is a chest tube typically inserted in adults?
• Which dressing approach is recommended for an open bubbling chest wound?
• A child can lose what percent of their blood before systolic blood pressure decreases?
• What is the normal CPP range for adults?
• Which sign is least reliable for diagnosing compartment syndrome in children?
• Urine output and hypovolemic shock: What is the target urine output for infants (babies)?
• Which resuscitation adjunct corresponds to history and head-to-toe assessment?
• In the adult Rule of Nines, what percentage is attributed to one arm (including both anterior and posterior surfaces)?
• In distinguishing tension pneumothorax from cardiac tamponade, what assessment finding is paramount?
• Which finding is most consistent with blunt cardiac injury?
• Which finding is NOT part of Beck's Triad in cardiac tamponade?
• In muscle function testing, what does grade 3 indicate?
• Which of the following statements best describes the pediatric compensatory response to decreased intravascular volume?
• Fluids and blood should be administered through devices with which capabilities?
• In hemorrhagic shock, the best way to restore cellular and organ perfusion is to
• Which intervention specifically involves warming intravenous fluids or blood during resuscitation?
• What is the recommended approach to penetrating abdominal injuries in unstable patients?
• Which option correctly matches the ATCN primary survey letters to their topics?
• What is the recommended management for a penetrating abdominal injury in an unstable patient?
• Which statement best describes the documentation approach in trauma resuscitation?
• For pelvic fractures NEVER
• C02 detector readings may be inaccurate in which patient group?
• Which nursing roles are essential during a massive transfusion protocol?
• Which statement accurately describes the timing and imaging of primary and secondary surveys in trauma?
• Which bedside imaging modality rapidly detects intraperitoneal bleeding in trauma patients?
• The anticipated intervention for a patient with severe crush injury to the chest who is short of breath is
• Which criteria indicate the need for emergent laparotomy due to intra-abdominal bleeding?
• In burn resuscitation, what best indicates effectiveness of fluid resuscitation?
• In the trauma primary assessment, which resuscitation adjunct corresponds to continuous cardiac rhythm and rate monitoring?
• Which is the approximate urine output target for a 70-kg adult per hour?
• How should trauma resuscitation events be documented to ensure clear communication?
• Which imaging modality is considered the bedside rapid assessment for intraperitoneal bleeding in unstable trauma patients?
• What are the key components of the ATCN secondary survey, and which mnemonics are commonly used?
• Initial management of external life-threatening hemorrhagic shock includes
• Which of the following is NOT part of the AMPLE history?
• What are common thoracic trauma complications and their nursing implications?
• How should external limb bleeding be controlled in the ED?
• For an open bubbling chest wound
• What special considerations apply when resuscitating pregnant trauma patients?
• Which base deficit range defines severe injury?
• What radiographic procedure is used to rule out urethral injury?
• What are the components of the lethal triad in trauma resuscitation, and how should they be addressed?
• Which of the following is a late sign of compartment syndrome?
• Which imaging finding would prompt urgent surgical consultation for hollow viscus injury?
• Which item is considered a standard precaution for eye protection?
• During the primary survey, which component focuses on preventing hypothermia and exposing the patient safely?
• Which statement best describes why crystalloids are restricted early and balanced blood products are used in ATCN resuscitation?
• Which statement about lactate and shock is most accurate?
• Which protective measure is recommended when imaging is performed on a pregnant trauma patient?
• What is the preferred management for a hemodynamically unstable patient with suspected splenic injury?
• In a trauma patient with suspected tension pneumothorax and no immediate chest tube access, what is the emergent intervention?
• What are the indications and proper technique for applying a tourniquet in extremity trauma?
• What infusion rate is commonly used in initial fluid resuscitation for burn patients?
• What is the recommended first intervention for suspected tension pneumothorax in an unstable patient?
• In a head-injured patient with signs of cerebral edema, hyperventilation should be used only cautiously to achieve which goal?
• Which finding is the earliest sign of compartment syndrome?
• Urine output and hypovolemic shock: What is the target urine output for adults?
• What is the recommended rewarming temperature for frostbite management?
• In children, what is the compensatory mechanism available to maintain perfusion during injury?
• How should a nurse monitor for progression of spinal cord injury after initial stabilization?
• Which component of the ATCN primary survey evaluates neurological status?
• How should clinicians approach ethical considerations when aggressive interventions may not align with patient goals in trauma?
• Which statement best describes the reliability of distal pulses and capillary refill in diagnosing compartment syndrome in children?
• What is the benefit of a staged approach to trauma intervention?
• How should an open sucking chest wound be managed to prevent air entry and progression to tension pneumothorax?
• Which triad constitutes the triad of death in trauma patients?
• In the trauma primary survey, what does 'E' include?
• In a hemodynamically stable patient with suspected spine injury, under what circumstances is MRI considered?
• During resuscitation of a pregnant trauma patient, why is left lateral tilt used?
• Which findings in a trauma patient suggest ongoing intra-abdominal bleeding?
• Which of the following is NOT an early sign of increased intracranial pressure in a head-injured patient?
• Which option best defines the description of third-degree burns?
• In the pediatric Rule of Nines, what percentage is assigned to one arm?
• In a hypoxic child, which rhythm change is most commonly observed?
• Which component of the primary survey assesses neurological status?
• Which item is NOT part of the AMPLE Secondary Survey mnemonic?
• The approach to trauma care typically begins with what?
• In pediatric trauma, how should cervical immobilization be approached?
• What does Safe practice mean when receiving trauma patients?
• What does 'airway with cervical spine protection' imply in the ATCN primary survey?
• In the trauma primary survey, what does 'B' address?
• What is the recommended approach to penetrating abdominal injuries in unstable patients?
• Which of the following is a late sign of tension pneumothorax?
• What distinguishes damage control resuscitation from damage control surgery in trauma care?
• Which primary survey component addresses external bleeding and perfusion?
• Which intervention helps prevent hypothermia during massive transfusion?
• What is the standard TXA dosing regimen in trauma care?
• Why is early provision of balanced blood products important in massive hemorrhage, and what ratio is commonly used?
• Beck's triad is associated with which traumatic condition?
• Which finding is NOT reliable in diagnosing compartment syndrome?
• How is a traumatic hemothorax managed with a chest tube and when is removal considered?
• Which resuscitation adjunct corresponds to pain assessment and management?
• In the LEMON airway assessment, what does the 'Evaluate' component refer to?
• How is the appropriate C-collar size measured?
• For head trauma with cerebral edema, hyperventilation should be used cautiously for limited periods to
• In muscle function testing, what does grade 2 indicate?
• Which clinical pattern more strongly suggests hollow viscus injury compared with solid organ injury?
• When using Mannitol to elevate ICP, what must you anticipate?
• During resuscitation of a pregnant trauma patient, which actions are particularly important to preserve fetal well-being?
• In the ATCN trauma primary survey, what does element 'A' cover?
• Which statement best describes the Glasgow Coma Scale components?
• In frostbite management, which step is appropriate?
• Which statement best defines shock?
• In trauma, which bedside imaging modality is commonly used to diagnose tamponade?
• Which resuscitation adjunct corresponds to oxygenation and ventilation analysis (pulse oximetry/ETCO2/capnography)?
• When external limb bleeding cannot be controlled with direct pressure, what is the next recommended step?
• Which of the following is a sign of tension pneumothorax?
• Which statement best describes the relationship between shock and tissue oxygenation?
• A child can lose what percent of their blood before systolic blood pressure decreases?
• Initial fluid resuscitation may include which of the following?
• Which of the following findings is a sign that prompts immediate action in tension pneumothorax?
• Why is time-to-intervention critical in trauma, and how is it addressed in ATCN practice?
• Which Mallampati score indicates severe difficulty, with only the hard palate visible?
• Hypoxia is the most common cause of which events in children?
• In the AMPLE Secondary Survey mnemonic, what does the letter E represent?
• What signs indicate a chest tube is not functioning properly, and what steps should be taken?
• Which statement about early signs of compartment syndrome is true?
• Which statement about base deficit in trauma management is true?
• How do airway management needs differ in pediatric trauma compared with adults?
• Symptoms of vena cava compression in a pregnant trauma patient include
• Which statement is an essential principle when applying splints to an extremity fracture?
• Which of the following represents a sign of compartment syndrome involving neural symptoms?
• What is the Glasgow Coma Scale and what GCS score indicates severe traumatic brain injury?
• What is the evidence-based impact of tranexamic acid on trauma mortality when used early?
• Which lab pattern suggests ongoing intra-abdominal bleeding?
• After a primary survey, the stable patient who fell from a height and has bilateral calcaneal fractures should receive imaging of which spinal regions?
• In muscle function testing, what does grade 0 indicate?
• What is the primary management strategy for a patient with flail chest?
• In the adult Rule of Nines, what percentage is attributed to the chest (front) surface?
• Which of the following is NOT included among the ten signs of tension pneumothorax?
• When would diagnostic peritoneal lavage be considered in current ATCN practice?
• In a pediatric patient with hemorrhage, what is the primary compensatory response?
• In a hemodynamically stable patient with suspected spine injury, what imaging modality is typically used for assessment?
• Which GCS range corresponds to moderate head injury?
• Which radiographic test is used to evaluate urethral injury?
• Which finding is NOT considered an early sign of compartment syndrome?
• How should spinal immobilization be maintained during the initial assessment and transport of a trauma patient?
• Differentiating spinal and neurogenic shock and outlining management implications.
• What are the hallmark signs of a tension pneumothorax requiring immediate decompression?