These TCRN practice questions target procedures — including Le Fort. The complete TCRN deck holds 1050 flashcards, 90 of them dedicated to this topic. Study the free samples below, then unlock the whole collection for a one-time $7.
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22yo male, MVC, GCS 15, no focal neuro deficits, but complains of localized neck pain. He has an obvious distal radius fracture. Can the C-spine be cleared clinically using NEXUS criteria?
Show answer →No. NEXUS criteria require: 1) No midline tenderness, 2) No focal neuro deficits, 3) Normal alertness (GCS 15), 4) No intoxication, AND 5) No painful distracting injuries. The radius fracture is a distracting injury. Exam Tip: BCEN emphasizes distracting injury as a contraindication to clinical clearance. Even if the patient is alert, the presence of another severe injury mandates radiographic clearance.
A patient with suspected Le Fort II fractures is obtunded (GCS 7). Which airway adjunct is safest to maintain patency while preparing for definitive intubation?
Show answer →Oropharyngeal Airway (OPA). Because of the risk of the cribriform plate violation in midface trauma, Nasopharyngeal airways (NPA) are strictly avoided. BCEN Strategy: Remember that an OPA can only be used in patients WITHOUT a gag reflex. If the patient has a gag reflex and midface trauma, skip the adjuncts and use manual jaw-thrust maneuvers until the patient is ready for RSI/Intubation.
Following a pelvic fracture, a male patient is diagnosed with a partial urethral tear. What is the current consensus on the initial management of a partial vs. complete urethral transection?
Show answer →PARTIAL TEAR: Often managed with a single, gentle attempt at placing a Foley catheter by a urologist; if successful, it acts as a stent to allow healing. COMPLETE TEAR: Requires a suprapubic catheter (SPC) for urinary diversion. Primary repair may be delayed (weeks/months) to allow hematoma resolution and decrease the risk of impotence/incontinence. BCEN Focus: The TCRN exam focuses on the nurse's role in preventing further injury (i.e., not forcing a catheter) and assisting with diversion.
When performing a lower extremity escharotomy, where should the incisions be placed to avoid major neurovascular structures?
Show answer →Incisions should be made along the mid-medial and mid-lateral lines of the extremity. Specific danger zones to avoid include: 1. The common peroneal nerve at the fibular head (lateral knee). 2. The great saphenous vein and posterior tibial artery at the medial malleolus (medial ankle). 3. The ulnar nerve at the medial epicondyle (elbow). The incision must extend through the entire depth of the eschar into the subcutaneous fat to be effective. You should see the tissue gape open. If there is no gaping, the incision is too shallow.
A patient has a shrapnel wound and is contaminated with radioactive isotopes. What is the correct sequence for decontamination of the wound versus intact skin?
Show answer →Decontaminate the wound first, then intact skin. Rationale: Wounds provide a direct route for internal contamination (systemic absorption). Cover the decontaminated wound with a waterproof dressing before cleaning the rest of the body to prevent cross-contamination. BCEN Tip: Use lukewarm water; hot water causes vasodilation and increased absorption, while cold water causes shivering.
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Try 30 free TCRN cards firstThe full TCRN deck contains 1050 flashcards, and 90 of them focus on procedures. This page shows 5 free samples.
Our TCRN deck dedicates 90 of 1050 cards (9%) to procedures — always cross-check the official BCEN exam outline for the current blueprint weighting.
Yes — the samples on this page are free, and the TCRN preview page has 30 more free cards. Full access to all 1050 cards is a one-time $7.
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