TCRN Practice Exam 2026 – Complete Prep for Your Test

CT angiography for vascular assessment is the recommended intervention for managing neck injuries with vascular compromise because it provides detailed images of blood vessels and can help identify any vascular injuries, such as arterial dissection or occlusion. This non-invasive imaging technique is crucial in evaluating the severity and extent of the vascular compromise while guiding further management decisions. Early identification of vascular injuries allows for appropriate intervention, which may prevent complications such as stroke or hemorrhage.

In this context, relying solely on a CT scan may not offer the necessary insights into vascular status, as it primarily focuses on the bony and soft tissue structures. Immediate surgical exploration may be warranted in certain emergency situations but is typically reserved for cases where there is clear evidence of an ongoing hemorrhage or life-threatening conditions that require immediate intervention. Monitoring for neurological deficits is important; however, it does not directly address the immediate need for vascular assessment and could delay necessary interventions. Overall, CT angiography uniquely combines the need for rapid assessment with the capacity for diagnostic guidance in managing these critical injuries.