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Certification-Board TCRN : Trauma Certified Registered Nurse test Exam

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Test Number : TCRN
Test Name : Trauma Certified Registered Nurse Exam
Vendor Name : Certification-Board
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TCRN test Format | TCRN Course Contents | TCRN Course Outline | TCRN test Syllabus | TCRN test Objectives

About the TCRN Exam
Clinical Practice: Head and Neck
A. Neurologic trauma
1. Traumatic brain injuries
2. Spinal injuries
B. Maxillofacial and neck traum
1. Facial fractures
2. Ocular trauma
3. Neck trauma
Clinical Practice: Trunk
A. Thoracic trauma
1. Chest wall injuries
2. Pulmonary injuries
B. Cardiac injuries
1. Great vessel injuries
C. Abdominal trauma
1. Hollow organ injuries
2. Solid organ injuries
3. Diaphragmatic injuries
4. Retroperitoneal injuries
D. Genitourinary trauma
E. Obstetrical trauma (pregnant patients)
Clinical Practice: Extremity and Wound
25 A. Musculoskeletal trauma
1. Vertebral injuries
2. Pelvic injuries
3. Compartment syndrome
4. Amputations
5. Extremity fractures
6. Soft- tissue injuries
B. Surface and burn trauma
1. Chemical burns
2. Electrical burns
3. Thermal burns
4. Inhalation injuries
Clinical Practice: Special Considerations
A. Psychosocial issues related to trauma
B. Shock
1. Hypovolemic
2. Obstructive (e.g., tamponade, tension, pneumothorax)
3. Distributive (e.g., neurogenic, septic)
4. Cardiogenic
Continuum of Care
A. Injury prevention
B. Prehospital care
C. Patient safety (e.g., fall prevention)
D. Patient transfer
1. Intrafacility (within a facility, across departments)
2. Interfacility (from one facility to another
E. Forensic issues
1. Evidence collection
2. Chain of custody
F. End- of- life issues
1. Organ/ tissue donation
2. Advance directives
3. Family presence
4. Palliative care
G. Rehabilitation (discharge planning)
Professional Issues 17 A. Trauma quality management
1. Performance improvement
2. Outcomes follow- up and feedback (e.g., referring facilities, EMS)
3. Evidence- based practice
4. Research
5. Mortality/ morbidity reviews
B. Staff safety (e.g., standard precautions, workplace violence)
C. Disaster management (i.e., preparedness, mitigation, response, and recovery)
D. Critical incident stress management
E. Regulations and standards
3. Designation/ verifi cation (e.g., trauma center/ trauma systems)
F. Education and outreach for interprofessional trauma teams and the public
G. Trauma registry (e.g., data collection)
H. Ethical issues
D. Critical incident stress management
E. Regulations and standards
3. Designation/ verifi cation (e.g., trauma center/ trauma systems)
F. Education and outreach for interprofessional trauma teams and the public
G. Trauma registry (e.g., data collection)
H. Ethical issues

I. Assessment
A. Establish mechanism of injury
B. Assess, intervene, and stabilize patients with immediate life- threatening conditions
C. Assess pain
D. Assess for adverse drug and blood reactions
E. Obtain complete patient history
F. Obtain a complete physical evaluation
G. Use Glasgow Coma Scale (GCS) to evaluate patient status
H. Assist with focused abdominal sonography for trauma (FAST) examination
I. Calculate burn surface area
J. Assessment not otherwise specified
II. Analysis
A. Provide appropriate response to diagnostic test results
B. Prepare equipment that might be needed by the team
C. Identify the need for diagnostic tests
D. Determine the plan of care
E. Identify desired patient outcomes
F. Determine the need to transfer to a higher level of care
G. Determine the need for emotional or psychosocial support
H. Analysis not otherwise specified
III. Implementation
A. Incorporate age- specific needs for the patient population served
B. Respond with decisiveness and clarity to unexpected events
C. Demonstrate knowledge of pharmacology
D. Assist with or perform the following procedures:
1. Chest tube insertion
2. Arterial line insertion
3. Central line insertion
4. Compartment syndrome monitoring devices:
a. Abdominal
b. Extremity
5. Doppler
6. End- tidal CO 2
7. Temperature- control devices (e.g., warming and cooling)
8. Pelvic stabilizer
9. Immobilization devices
10. Tourniquets
11. Surgical airway insertion
12. Intraosseous needles
13. Intracranial pressure (ICP) monitoring devices
14. Infusers:
a. Autotransfusion
b. Fluid
c. Blood and blood products
15. Needle decompression
16. Fluid resuscitation:
a. Burn fluid resuscitation
b. Hypertonic solution
c. Permissive hypotension
d. Massive transfusion protocol (MTP)
17. Pericardiocentesis
18. Bedside open thoracotomy
E. Manage patients who have had the following procedures:
1. Chest tube insertion
2. Arterial line insertion
3. Central line insertion
4. Compartment syndrome monitoring devices:
a. Abdominal
b. Extremity
5. End- tidal CO 2
6. Temperature control devices (e.g., warming and cooling)
7. Pelvic stabilizer
8. Immobilization devices
9. Tourniquets
10. Surgical airway
11. Intraosseous needles
12. ICP monitoring devices
13. Infusers:
a. Fluid
b. Blood and blood products
14. Needle decompression
15. Fluid resuscitation:
a. Burn fluid resuscitation
b. Hypertonic solution
c. Permissive hypotension
d. MTP
16. Pericardiocentesis
F. Manage patients pain relief by providing:
1. Pharmacologic interventions
2. Non pharmacologic interventions
G. Manage patient sedation and analgesia
H. Manage tension pneumothorax
I. Manage burn resuscitation
J. Manage increased abdominal pressure
K. Provide complex wound management (e.g., ostomies, drains, wound vacuumassisted closure [VAC], open abdomen)
L. Implementation not otherwise specified
IV. Evaluation
A. Evaluate patients response to interventions
B. Monitor patient status and report findings to the team
C. Adapt the plan of care as indicated
D. Evaluation not otherwise specified
V. Continuum of care
A. Monitor or evaluate for opportunities for program or system improvement
B. Ensure proper placement of patients
C. Restore patient to optimal health
D. Collect, analyze, and use data:
1. To Strengthen patient outcomes
2. For benchmarking
3. To decrease incidence of trauma
E. Coordinate the multidisciplinary plan of care
F. Continuum of care not otherwise specified
VI. Professional issues
A. Adhere to regulatory requirements related to:
1. Infectious diseases
2. Hazardous materials
3. Verification/ designation
4. Confidentiality
B. Follow standards of practice
C. Involve family in:
1. Patient care
2. Teaching/ discharging planning
D. Recognize need for social/ protective service consults
E. Provide information to patient and family regarding community resources
F. Address language and cultural barriers
G. Participate in and promote lifelong learning related to new developments and clinical advances
H. Act as an advocate (e.g., for patients, families, and colleagues) related to ethical, legal, and psychosocial issues
I. Provide trauma patients and their families with psychosocial support
J. Assess methods continuously to Strengthen patient outcomes
K. Assist in maintaining the performance improvement programs
L. Participate in multidisciplinary rounds
M. Professional issues not otherwise specified

The TCRN test is for nurses practicing across the continuum of trauma care who want to demonstrate their expertise and knowledge in trauma nursing. BCEN is the only source for trauma care nurses and their employers to gain recognized certification for greater knowledge and performance. Advance your trauma nursing care and career at every critical point in the continuum.

BCENs certification exams are developed by an test committee of nurses who practice in the specific exams specialty area and represent diverse geography. BCEN partners with a test development company to ensure the test is psychometrically sound and questions are written in best practice format. Earning a BCEN certification is a national recognition and allows the holder to display the credential as part of their signature.

BCEN exams are based on specialty nursing role delineation studies (RDS). These research studies also known as a practice analysis or job analysis are conducted by test committees of subject matter experts.

As part of the RDS, survey instruments are distributed to nurses practicing in each specialty area throughout the United States. The survey responses guide the test committee in determining knowledge relevant to practice. The integrated concepts, cognitive level distribution, and the number of items (questions) specified within each content area are developed by an iterative process resulting in unanimous agreement from the test committee.

Next, item writers create test questions and the items are reviewed, revised, and approved by the test construction and review committee. The items are also repeatedly reviewed throughout the test development process.

Finally, examinations are delivered by computer at Pearson VUE testing centers. The examinations are administered daily Monday through Friday at the test takers convenience.

Only their practice exams are created by the same organization designing the real exams (thats us). We have a committee of nurses and emergency professionals who build their practice exams with the goal of helping you succeed. A BCEN practice test will help you familiarize yourself with the computer-based format of the real exam. You will be able to answer questions, then have immediate access to the correct answers, backed up with rationale and references.

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Certification-Board Registered PDF Questions

Do you really want to take a diet? 5 things to understand before you buy | TCRN test Questions and Latest Questions


supplements: To take them or no longer? 

Getty pictures

It appears like every corner of the internet is overstuffed with ads for nutrients, natural cures, fats-loss supplements, muscle-building shakes and slumbering tablets. 

As a person who's worked in the fitness health trade for years, i do know that a whole lot, if now not most, of it is simply clutter. it be charlatans and hustlers trying to make a brief buck off of your pain features. or not it's extremely good entrepreneurs who know that phrases like "lightning quickly weight reduction" and "banish cellulite continuously" promote items that may or may also not be straight-up flimflam. 

in the generally unregulated supplement trade, many items are ineffective, filled with fillers or undisclosed constituents. Some are downright bad. Who are you able to trust? How were you aware which dietary supplements are choicest for you? What items are actually advantageous -- and protected to take? 

Our health & wellness e-newsletter places the most useful items, updates and information on your inbox.

I want to preface the leisure of this text with two very important disclaimers:

First, it's unattainable to cowl everything you should know about choosing secure and positive dietary supplements in one article. in case you wish to learn greater, make sure to examine authentic counsel from the meals and Drug Administration (FDA), the office of Dietary supplements (ODS) and the USA country wide Library of medication. whereas I cite many simple studies in this article, that you would be able to browse the PubMed database for greater suggestions on specific dietary supplements, their makes use of, advantages and hazards. 

second, however I actually have practising in food, anatomy and physiology, i'm not a registered dietitian nor a doctor of any model. in case you are interested in taking dietary supplements for a specific symptom or clinical circumstance, please, please, please check with a registered dietitian or your medical professional earlier than doing so. 

Now onto what you should learn about dietary supplements earlier than you waste your cash. 

Now playing: Watch this: Amazon's Halo takes health tracking to new and uncomfortable...


1. supplements aren't strictly regulated through the FDA or the USDA 

currently, the complement industry is essentially unregulated, specifically in comparison to the food and drug industries. The FDA still uses an act passed nearly 20 years ago -- the Dietary complement health and schooling Act of 1994 (DSHEA) -- that best has one precise stipulation: "producers and distributors of dietary dietary supplements and dietary parts are prohibited from advertising and marketing products that are adulterated or misbranded."

This skill the manufacturers themselves are liable for checking out the safeguard and efficacy of their products, in addition to for labeling their personal items. The FDA can crack down on a complement after it hits the market if it's incorrectly labeled or risky, however via that time, harm may already be done. 

that you may gain knowledge of extra about what's required of complement producers via studying the FDA's FAQ on dietary supplements. besides the fact that children, FDA Commissioner Scott Gottlieb did announce in a February 2019 commentary that he plans to put in force stricter rules, so things are really searching up for the supplement industry. 

on the other hand, listed below are a number of examples of what has came about in the past because of the low-degree law:

  • companies have sold highly concentrated caffeine powder and liquid in bulk to patrons. The FDA has on the grounds that ruled that an unlawful and hazardous follow.
  • A supplement brand bought items with bad hidden elements. The FDA has announced warnings to each consumers and the company.
  • supplement companies illegally claimed to treat opioid use disease. The FDA posted warning letters to the companies.
  • well-nigh 20 complement brands bought products with illegal claims about treating Alzheimer's disorder. The FDA sent warning letters to all the agencies.
  • 2. You should not take the equal dietary supplements as everybody elserootine-vitamins-1rootine-vitamins-1

    customized nutrition are stronger than taking whatever thing you find on the shelf, but make sure you nevertheless check with a doctor or dietitian about dietary supplements for particular considerations. 


    if your food plan, way of life, health routine, sleep habits and health popularity are not the same as anybody else's, why would it not make experience to take the equal supplements as everybody else? 

    For some dietary supplements, here is obtrusive: You probably wouldn't think inclined to take a calorie-dense, excessive-protein and high-carb submit-workout shake in case you weren't making an attempt to construct muscle. You also likely wouldn't reach for sleep aids if you will not have obstacle slumbering at night. 

    For different supplements, the disconnect is never so conspicuous. all and sundry needs vitamins, appropriate? 

    yes, all and sundry does want vitamins and minerals and other definite nutrients (here's a really constructive PDF chart from the FDA on the main nutrients, their features and RDAs), however not all and sundry needs the equal volume of the same nutrient. 

    Take diet B12 for example: americans who consume a vegan or vegetarian weight loss plan might also improvement from supplementing with B12 as a result of this diet is discovered primarily in animal products or fortified items. if you consume eggs, dairy items, hen, seafood or steak, you likely don't want additional nutrition B12. 

    if you're drawn to gaining knowledge of extra about which nutrients you really need, I extremely recommend analyzing The vitamin answer via Dr. Romy Block and Dr. Arielle Levitan, two doctors who founded Vous diet, a personalised multivitamin enterprise. 

    I discovered this booklet to  lay out all of the standard skills on nutrients, minerals and other supplements in a way it is handy to take into account and can support you check which dietary supplements are gold standard suited to you -- or as a minimum open up a constructive dialogue together with your medical professional.

    three. dietary supplements do not replace total foodsgettyimages-1134700579gettyimages-1134700579

    supplements will in no way be pretty much as good as ingesting entire, nutrient-dense foods like fruit and veggies.

    Getty photos

    it's unluckily a myth that taking nutrition and dietary supplements can replicate a healthy weight-reduction plan. just like you can not "out-recreation" a terrible eating regimen, you cannot "out-supplement" one both. vitamins can actually help bridge the hole between what you get out of your diet and what you don't, but the use of dietary supplements as a method to "repair" your diet may not work. 

    there are so many nuances at play right here. as an instance:

    That list is far from comprehensive, however that you could see that nutrition and dietary supplements don't just magically undo negative consuming habits. Scientific conclusions differ drastically -- from "we don't need nutrients at all" to "the merits outweigh the risks" -- however the accepted consensus looks to be that vitamins and dietary supplements can assist keep away from nutrient deficiencies in certain populations and when taken accurately and aid health at the side of a nutritious diet.

    four. sure, that you would be able to overdose nutrition and dietary supplementscare-of-vitamins-2care-of-vitamins-2

    Taking too many nutrients may end up in unhealthy facet effects, so be cautious to check the informed daily Allowance (RDA) for every nutrition you are taking. 


    One normal nutrition myth is this: "If I take too many vitamins, it's quality, as a result of my physique will most effective maintain what it wants and put off the relaxation as waste." 

    here is a pervasive mind-set but a perilous one. that you would be able to, definitely, overdose on nutrition. The term is "nutrition toxicity" and it could possibly happen with any nutrition. For essentially each diet, there is an established suggested every day Allowance (RDA) or satisfactory consumption (AI), as well as a Tolerable higher consumption stage (UL). 

    The RDA or AI signifies an ideal day by day intake whereas the UL suggests the excessive end of what is secure to devour. RDAs, AIs and u.s.are all values under Dietary Reference Intakes (DRIs), the set of reference values assigned to meals and supplements for consumption.

    lately, experts have viewed a rise in nutrition D toxicity, seemingly involving the touting of diet D's merits on immune function, bone health and temper. 

    or not it's now not simply vitamins that can also be toxic both: Minerals taken in excessive doses may also be poisonous, as can electrolytes, herbs and activities dietary supplements. Zinc, as an example, a mineral familiar and loved for its immune-boosting homes, can really cause immunosuppression in extremely excessive doses.

    Pre-workout dietary supplements high in caffeine can cause irregular heart rhythms and severe overdoses may also be deadly. Potassium, a well-recognized electrolyte present in meals reminiscent of bananas and spinach and in activities drinks, can additionally trigger toxicity. called hyperkalemia, this condition can result in muscle weak spot, fatigue, nausea and, in severe cases, existence-threatening heart arrhythmias. 

    Surpassing the UL of any diet, mineral, electrolyte or other supplement can cause harm, so be careful to do your research on any supplements you plan to take. 

    5. dietary supplements may additionally dangerously interact with drugs you're takingvitamins-patrick-normanvitamins-patrick-norman

    Some supplements can in the reduction of the effectiveness of certain medications or outcomes in aspect effects -- confer with your doctor about dietary supplements if you take drugs. 

    Getty photographs

    if you currently take prescription or over-the-counter medicines constantly, make sure to talk together with your doctor about drug-nutrient interactions. 

    A drug-nutrient interplay is any reaction that happens between a diet, mineral, antioxidant, electrolyte or different nutrient and a medication. A drug-supplement interplay is any response that happens between a complement and a medicine. 

    first rate intentions to complement your food regimen with nutrition, minerals and herbs can backfire and trigger issues. Take these examples:

    how to select the correct dietary supplements for youProtein powderProtein powder

    Supplementing smartly can optimize your fitness and fitness, however supplementing poorly can potentially be unhealthy.

    Getty photos

    if you are commonly in shape and need to take dietary supplements for universal fitness, I think the surest bet is to use a personalized multivitamin carrier, equivalent to Vous nutrition, Baze or Persona nutrients. This is rarely pretty much as good as going to a doctor or dietitian, but it surely's nevertheless more desirable than simply swiping the first multivitamin bottle you see into your cart on the food market. 

    Some of these businesses have greater thorough personalization processes than others, however in familiar, with a personalised multivitamin, that you can feel assured that you're no longer getting too a lot of a specific vitamin or consuming a diet that may be critical or truly damaging to you. 

    in case you don't go that route (and besides the fact that you do), make sure to all the time (all the time!) search for signs that a supplement is legitimate. by way of official, I mean it be undergone third-party trying out and/or evaluation, and it is certified no longer to consist of any constituents apart from what's on the label (aka it doesn't have any shady fillers). these signs are: 

  • countrywide Sanitation foundation (NSF) certification. The NSF is a third-birthday celebration contrast company for meals and dietary dietary supplements. When a supplement activities the NSF-certified label, it means it has passed through a scrutinous security and risk assessment, and always undergoes "regular on-website inspections of manufacturing facilities and typical re-testing of items to make sure that they proceed to fulfill the same excessive requisites required to keep certification over time." 
  • US Pharmacopeia (USP) Tested Mark. The USP is a nonprofit, impartial organization that vets medications, foods and dietary supplements to determine their safety and efficacy. The USP established Mark on a supplement capability that complement meets 4 important accessories, which that you can read about on the USP necessities for supplements page.
  • good Manufacturing Practices (GMP) certification. this is the one FDA-linked certification for supplements. The FDA has established good Manufacturing Practices for supplement production, and dietary dietary supplements which have this certification meet the FDA's guidelines for creation.
  • Even enhanced yet, seek a food information label versus a supplement statistics label. A meals facts label means the product is offered as a meals product, now not a supplement, which skill it has been evaluated and accredited by way of the FDA for human consumption. an entire-food supplement with a food records label, an NSF certification, a USP confirmed Mark and GMP certification is the best of the greatest.

    To keep away from diet toxicity, examine the labels of each supplement you're taking. if you take varied supplements every day and additionally get vitamins from food, you could put your self in danger for nutrition toxicity -- for instance, if your protein shake is fortified with diet B12 and your multivitamin consists of 250% of the DRI for diet B12, you may additionally wish to alternate them or choose a special protein shake that is never fortified. 

    ultimately, i'll end with the identical sentiments I opened with: Please check with your medical professional or a registered dietitian when you are attracted to taking nutrients or supplements for a selected symptom or scientific situation. 

    now not handiest can supplements dangerously engage with medicinal drugs you can be taking already, it's important to rule out any medical situations that could need to be treated with prescription medication. 

    The suggestions contained in this article is for tutorial and informational applications simplest and isn't intended as health or clinical information. all the time consult a physician or other qualified health company involving any questions you can also have a few scientific circumstance or health pursuits.

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