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Certification-Board TCRN : Trauma Certified Registered Nurse exam Exam

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Test Number : TCRN
Test Name : Trauma Certified Registered Nurse Exam
Vendor Name : Certification-Board
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TCRN exam Format | TCRN Course Contents | TCRN Course Outline | TCRN exam Syllabus | TCRN exam 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 Excellerate 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 Excellerate patient outcomes
K. Assist in maintaining the performance improvement programs
L. Participate in multidisciplinary rounds
M. Professional issues not otherwise specified

The TCRN exam 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 exam 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 exam 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 exam 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 exam 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 exam committee.

Next, item writers create exam questions and the items are reviewed, revised, and approved by the exam construction and review committee. The items are also repeatedly reviewed throughout the exam 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 genuine 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 exam 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 Nurse genuine Questions

Milestones Your kid Is ready For, but You basically don't seem to be | TCRN Practice Questions and Free exam PDF

As all fogeys be aware of, your babies's milestones are a good and unique aspect. but when you've gotten skilled definite milestones, you are going to comprehend that there are some milestones your youngster is competent for, however you truly are not. Milestones akin to moving to a large-child bed, removing diapers (the accidents, oh, the accidents), and greater will also be a bit fraught with anxiousness. For some parents, it's the lovely little quirks that they leave out probably the most — like how they mispronounce words or when they now not want you to return battle the monsters hiding of their closets at evening.

expectantly, all children hit these milestones and extra in the future, but when it happens if you happen to least predict it, it can also be quite stunning and throw you for a loop. happily, my baby may be slumbering in his crib until he goes to college, so I may not ought to be anxious about him escaping his room and destroying the condominium. definitely it really is going to ensue. right? appropriate?

simply bear in mind, as traumatic as these milestones can be for you, they imply the world to your kid. And just about all neurotypical infants go in the course of the equal ones earlier than they head off to fundamental faculty. you're now not on my own. but it surely's totally adequate to shed a tear when your newborn decides they not desire snuggles or to be rocked at evening — no matter how a good deal sleep you might be getting now — or if they beginning saying words correctly. It may be an emotional moment the primary time they poop on the flooring sans diaper — notwithstanding you could be shedding a tear for a special purpose.

1 overnight Visits

"For us, it became in a single day visits," says Jennifer okay. "i used to be the one having separation anxiety and being concerned over every thing. My son well-nigh pushed us out the door and has even asked us to leave when he goes to visit his grandparents!"

This freedom can be so, so, candy, but additionally extremely nervousness-inducing. They can't win, y'all.

2 shedding A Nap

When americans would tell me to sleep when the baby slept, I at all times scoffed and laughed internally. Yeah, so should still I clear my residence when the child cleans the condo and do laundry when the child does laundry, too? Nap time is my time to get stuff completed, together with house chores and my profession work. mother Caroline tells Romper, "in my view I wasn’t ready for my daughter to drop to 1 nap. I vital my two breaks a day! however she changed into just sitting in her crib speaking to herself in the dead of night so I knew it needed to turn up. I shudder to think of the day she drops naps absolutely."

Me, too, Caroline. Me, too.

3 Transitioning From bed Sharing

mother Tiffany bed shared along with her daughter for a few years, and she or he simply wasn't able to provide it up. "when they moved into their new residence, they obtained her a bunk bed. She become so excited to sleep in her personal room — but I wasn’t," Tiffany says. "She turned into on the 2nd floor on the different aspect of the condo and my mom anxiousness just knew something dangerous become going to turn up. FYI, nothing unhealthy happened. I sleep so a good deal stronger now."

four possession & responsibility With Chores

whereas this milestone truly has its personal perks, it could even be daunting.

"I taught my baby a way to make eggs and waffles and prepare dinner accepted stuff only recently," Natalia tells Romper. "And now she makes my husband and i breakfast in bed on weekends."

I imply, this feels like a win, but Natalia adds, "She is 9 and an only baby and i’m simply not equipped. Is it weird that I miss her waking us up with the intention to help her with breakfast? but some weekends I’m like, girl, thanks for these waffles and eggs. I simply wasn’t equipped."

5 Transitioning From Bassinet to Crib

Hannah wasn't competent for her daughter to transition from her bassinet to her crib. "although my daughter changed into ready and historical adequate, I really wasn't ready for her to movement to her own crib in her personal room," she tells Romper. "I nonetheless pass over rolling over every nighttime and having her correct there."

"All of my children went into their crib at 6 weeks ancient and slept lots greater devoid of me than in my room within the bassinet," says mother Jennie. "I most actually became no longer equipped for that transition, but they have been so restless all evening, I knew it become time."

6 Dressing Themselves, vogue Autonomy, & growing to be Out Of clothing

This can also be a bit too a great deal of a fine issue, y'all. "My boy or girl at 2 started dressing herself and determining her personal outfits out," says DeAri. "Low and behold, she is almost 5 now and if I lay her out whatever thing to put on, she can come out donning whatever else. i am like wow, I best had truly 365 days of dressing her and its over."

Wendy is of the same opinion, adding that she wasn't able for her infant's fashion autonomy. "An strange issue i do know, because of route I’m very encouraging of this and recommend for it invariably, but that also skill ponytail holders come correct out of cautious styling and historic T-shirts with clashing leggings are of the moment and not using a questions allowed. every now and then it really works, and that i consider she’s a genius in style, different instances I chase after her with a comb."

and then there's the total "becoming" element children like to do. "every time my oldest grew out of some dimension of apparel for the first few years of her existence, i'd choke returned tears while weeding out her old outfits thinking of how time was simply slipping by," Laura tells Romper.

7 Sending Them Off To Day Care/Preschool

"This hasn’t happened yet as a result of COVID, me being pregnant, and different components, but I’m no longer in a position for my daughter to go to school devoid of me," says Kathryn. "As a preschool teacher, i used to be able to deliver her in type with me closing year and that become wonderful. next fall, we're planning to sign up her in college without me for the first time. i do know she’ll adore it, however i'm so not ready to spend much less time together with her and to miss out on so many moments i do know her lecturers and classmates will share with her."

eight Leaving An Older newborn domestic by myself for short intervals Of Time

"we have all started leaving my oldest domestic on my own for short durations of time. I have let him stay domestic when I take his little brother to tennis instructions, and taking his other brother to or from a friend's condominium, or so i can go for a stroll," mother Lisa says. "I’ve never left the nearby or for greater than 20 minutes, however’s a large deal to him. He feels so grown and unbiased. It’s terrifying to me, however it’s a part of allowing them to develop."

9 Weaning From Nursing

Weaning your baby from nursing can be both exciting and devastating.


"some thing that i will’t wait to end, however want to closing perpetually, is nursing. I consider gigantic joy once I nurse, however I’m also continually exhausted and am now not in a position to accept as an awful lot help as i would if they switched to system," says mom Frankie.

And Mary wasn't able to stop nursing her oldest child so unexpectedly. "I did not basically try to wean her; my supply dried up when she was eleven months because i was pregnant with their 2d. i used to be giving her bottles all through the day, however at nighttime i might let her nurse for comfort if she still wanted. One nighttime, I do not feel she bought any milk in any respect. That became the remaining nighttime she woke up always. She would wake once in a while from a nightmare, however she certainly not asked for milk once more. I wasn't able."

10 Their Language construction

"I omit the toddler language sprinkled with incorrect grammar, Ws for Rs, and all verbs — irregular or not — conjugated with 'ed' on the end. My daughter would say, 'I wunned outside' lots," Frankie says. "My oldest has begun announcing phrases that make her sound more like a 13-year-ancient and make me leave out her broad-eyed baby years. They nevertheless have two under the age of four, but it surely received’t be long before they outgrow this stage, too."

Rebecca consents. "It breaks my heart after they start announcing words appropriately. My son called grasshoppers 'grasspoppers,' and i couldn’t bring myself to suitable him. My daughter referred to as my best friend 'Mrs. Embily' always. Now with speech, she all started calling her 'Mrs. Emily.' I are aware of it’s a natural progression, however’s nevertheless a punch in your mama coronary heart when it happens."

11 loss of middle-of-the-evening Comforting

and a few moms interestingly even miss getting up within the middle of the nighttime with their toddlers! well, the intimacy and super-hero feelings at the least. Mary tells Romper, "in opposition t the conclusion of my pregnancy with my son, my husband took over getting up when my daughter cried at nighttime, and i neglected going to get her when she cried. I neglected these intimate moments the place I could vanquish all of the monsters and make her think safe to move returned to sleep. As she's stopped waking within the center of the night, I basically miss that point after I might simply dangle her in the nighttime."

12 Transitioning To a huge-youngster bed

For me, individually, i am so no longer competent for this. even though my 2.5-12 months-historical has begun trying to break out, i know the end is close for his crib. They comply with Montessori for the most half — which requires babies to make use of a ground mattress at 18 months ancient — but that ground bed is the one factor they simply won't compromise on.

Our son changed into and nonetheless variety of is a nasty sleeper, and that i comprehend as soon as he can have free rein of the condominium constantly, he will certainly not sleep once again, and their condominium should be destroyed.

13 now not the usage of Bottles

even though all through the time, it could seem daunting and time consuming, some mothers basically pass over this stage and they weren't organized for it to be over. "My child is now 2.5, but I miss the bottle part so an awful lot," says Katie. "i assumed that i might be celebrating being accomplished with washing all of those constituents, but nothing compares to the intimate silence of a baby with a bottle. these silent moments are very rare in toddlerhood."

14 Mobility

When babies learn to walk, all bets are off.


"My last son walked at 9 months ancient and that i most definitely became now not ready to have him cell —peculiarly as the third child," says Jennie. "however once he obtained the grasp of it, there became no stopping him."

15 losing The Pacifier/Thumb

"For me, it hit me so randomly. My daughter had her pacifier longer than they suggest, but she is my ultimate baby, and to me it just signified her not being a child anymore," says Rebecca.

sixteen Potty practising

And whereas diapers can also be gross and expensive, there is only whatever thing daunting about your child's transition to the use of an precise toilet. It looks like freedom — no extra altering desk! — however also ability consistently asking a child, "Do you ought to pee? Do you now? What about now?" and prepping for the inevitable accidents. Even when they're able to ditch the diapers, it be a bit, "Please, now not right now" for fogeys.

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