TCRN Exam Preparation

TCRN Preparation and Resources

The Board of Certification for Emergency Nursing (BCEN) provides a list of recommended references to support candidates preparing for the Trauma Certified Registered Nurse (TCRN) Exam. These references include key textbooks and resources with comprehensive insights into trauma nursing care.

At BoardCerts, we integrate these recommended resources and the TCRN exam blueprint into the development of our question banks. Our goal is to ensure they align with the exam's core competencies, providing high-quality, relevant, and practical preparation materials for trauma nursing professionals.

Categories on TCRN Exam

Exam Categories: Percentage Distribution

TCRN Blueprint and Focus Areas

Area of FocusSubtopicsNumber of QuestionsPercent of Exam

Clinical Practice: Head and Neck

  • Neurologic trauma: Traumatic brain injuries, Spinal cord injuries, Secondary injury prevention
  • Maxillofacial and neck trauma: Facial fractures, Ocular trauma, Neck trauma

31

21%

Clinical Practice: Trunk and Pelvis

  • Thoracic trauma: Chest wall injuries, Pulmonary injuries, Cardiac injuries, Great vessel injuries
  • Abdominal trauma: Hollow organ injuries, Solid organ injuries, Diaphragmatic injuries, Retroperitoneal injuries
  • Pelvic and genitourinary trauma: Fracture patterns, Vascular injuries, Bladder and urethral injuries

38

25%

Clinical Practice: Musculoskeletal and Wound

  • Vertebral injuries- Extremity injuries: Compartment syndrome, Amputations, Extremity fractures, Soft-tissue injuries, Dislocations

13

9%

Special Populations

  • Geriatric, Pediatric, Pregnant, Burn, and Bariatric patients- Victims of violence: Intimate partner violence, Child abuse, Elder abuse, Human trafficking
  • Evidence collection and preservation, Chain of custody
  • Intentional self-inflicted injuries
  • Comorbidities and pre-existing conditions
  • Substance use disorder

22

15%

Continuum of Care for Trauma

  • Resuscitation: Primary and secondary survey, Blood administration/massive transfusion, Coagulant therapy, Damage control, Trauma diamond of death, Pre-intubation optimization
  • Shock: Hypovolemic, Obstructive, Distributive, Cardiogenic
  • Acute care: Reassessment, Consequences of resuscitation (TRALI, TACO), Tertiary exam
  • Complications and hospital events: ARDS, AKI, stroke, infections (CLABSI, CAUTI, VAP, sepsis), delirium, falls, withdrawal
  • Psychosocial issues related to trauma (Trauma-informed care)
  • Rehabilitation and multidisciplinary care (PT, OT, Speech, Dietary)
  • End-of-life: Organ/tissue donation, Advanced directives, Family presence, Palliative care, Brain death
  • Injury prevention, Pre-hospital care, Patient transfer (Intrafacility and Interfacility)
  • Discharge planning: Education, Barriers, Home readiness

36

24%

Professional Practice

  • Disaster management: Triage, MCI, Emergency preparedness, Decontamination
  • Trauma quality improvement: Performance improvement, Over/under triage, Missed injuries, Mortality/morbidity reviews, Trauma registry, Outcomes feedback
  • Evidence-based practice: Best practice guidelines, Debriefing, Team support
  • Patient safety: Handoff communication (SBAR), Event reporting
  • Regulations and standards: HIPAA, EMTALA, Workplace violence, Trauma system designation and verification, Community outreach, Injury prevention

10

7%

TCRN Resource and Study List

The Board of Certification for Emergency Nursing (BCEN) provides a list of resources as study materials to consider when preparing for the Trauma Certified Registered Nurse (TCRN) certification exam. This list is below and can be found on the BCEN website:

  • AACN Procedure Manual for High Acuity, Progressive and Critical Care
  • AACN Core Curriculum for Progressive and Critical Care Nursing
  • ACS TQIP Best Practice Guidelines
  • Advanced Burn Life Support Course Provider Manual
  • Advanced Cardiovascular Life Support Provider Manual
  • Advanced Trauma Care for Nurses Student Manual
  • Advanced Trauma Life Support Student Course Manual
  • Centers for Disease Control and Prevention
  • Critical Care Nursing: Diagnosis & Management
  • Disaster Nursing and Emergency Preparedness
  • Emergency Nursing Core Curriculum
  • Emergency Nursing Pediatric Course Provider Manual
  • Mosby’s 2024 Nursing Drug Reference
  • Mosby’s Diagnostic and Laboratory Test Reference
  • Optimal Trauma Center Organization & Management Course
  • Resources for the Optimal Care of the Injured Patient
  • Rural Trauma Team Development Course
  • Trauma Nursing Core Course Provider Manual
  • Trauma Nursing: From Resuscitation Through Rehabilitation
  • Trauma Outcomes and Performance Improvement Course (TOPIC)

BoardCerts Question Bank

The BoardCerts TCRN question bank is meticulously designed to align with the official exam blueprint, ensuring you focus on the most relevant material for success.

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