TNCC Test prep 8th Edition (Latest 2022/2023) Graded A
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TNCC
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TNCC
TNCC Test prep 8th Edition (Latest 2022/2023) Graded A
Expedite transfer to the closest trauma center
A 56 y/o M involved in a MVC is brought to the ED. He complains of neck pain, SOB, and diffuse abdominal pain. His GCS is 15, VS: BP 98/71, HR 125, RR 26, SpO2 94% on high-flow O2 via NRB mask. W...
tncc test prep 8th edition latest 20222023 graded a expedite transfer to the closest trauma center a 56 yo m involved in a mvc is brought to the ed he complains of neck pain
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TNCC Test prep 8th Edition
You are treating a 27 y/o M in respiratory distress who was involved in a house fire. Calculating
TBSA burned is deferred due to the need for emergent intubation. At what rate should you begin
fluid resuscitation?
500 mL/hr - CORRECT ANSWER:
The nurse is caring for a 120 kg male brought in after a warehouse fire and is calculating the
patients fluid resuscitation needs. He has painful red blistering to the entire surface of both upper
extremities and superficial burns to the anterior chest. Using the modified Lund and Browder
chart to calculate the total body surface area burned, how much IV fluid would be administered
in the first 8 hours?
2280 ml (Both upper arms = 8%, both lower arms = 6%, and both hands = 5%, yielding 19 * 2 *
120 = 4560 mL. Half of the total is equal to 2280 mL. Superficial burns are not included in the
TBSA calculation for fluid resuscitation.) - CORRECT ANSWER:
Which of the following patients warrants referral to a burn center?
a 52 y/o diabetic male with a partial thickness burn to the left lower leg - CORRECT ANSWER:
Which of the following considerations is the most important when caring for a geriatric trauma
pt?
a pertinent medical hx is crucial - CORRECT ANSWER:
Which of the following is a component of the trauma triad of death?
acidosis - CORRECT ANSWER:
Which of the advanced age - CORRECT ANSWER: following is most likely to contribute to
inadequate oxygenation and ventilation?
EMS arrives with the intoxicated driver of a car involved in a MVC. EMS reports significant
damage to the drivers side of the car. The pt is asking to have the cervical collar removed. When
it is appropriate to remove the cervical collar?
after a physical examination if the pt has no radiologic abnormalities on CT - CORRECT
ANSWER:
a 37 y/o F has a deformity of the L wrist after a fall. She is reluctant to move her hand due to
pain. Which of the following is the most appropriate intervention?
apply splint and elevate above the level of the heart - CORRECT ANSWER:
pt with a complete spinal cord injury in neurogenic shock will demonstrate hypotension and
which other clinical signs? bardycardia and absent motor function below the level of injury -
CORRECT ANSWER: A
, Which of the following injuries is LEAST likely to be promptly identified?
bowel (Hollow organ injury signs and symptoms may be subtle and delayed but are associated
with a high mortality rate if not identified.) - CORRECT ANSWER:
if a pt has received multiple transfusions of banked blood preserved with citrate, which
electrolyte is most likely to drop and require supplementation?
calcium (Hypocalcemia is a concern with massive transfusion because citrate is added to banked
blood to prevent coagulation. Citrate chelates/binds with calcium, rendering it inactive.) -
CORRECT ANSWER:
A trauma pt is restless and repeatedly asking "where am i?" VS upon arrival: BP 110/60, HR96,
RR 24. Her skin is cool and dry. Current VS are BP 104/84, HR 108, RR 28. The pt is
demonstrating s/sx of which stage of shock?
compensated - CORRECT ANSWER:
EMS brings a pt from MVC. VS: BP 90/49, HR 48, RR 12, temp 97.2F (36.2 C). The pt exhibits
urinary incontinence and priapism. These assessment findings are most consistent with which of
the following types of spinal cord injury?
Complete - CORRECT ANSWER:
An intubated trauma patient is being transferred to a tertiary care center. After moving the patient
to the stretcher for transport, a drop in pulse oximetry to 85% is noted. Which of the following is
the priority intervention?
Confirm ETT placement - CORRECT ANSWER:
Which of the following is a late sign of increased intracranial pressure?
decreased respiratory effort (Early signs of increased intracranial pressure include headache,
nausea, vomiting, amnesia, and behavioral changes (impaired judgment, restlessness,
drowsiness). - CORRECT ANSWER:
All of these are considered a critical communication point in trauma care EXCEPT which of the
following?
defusings - CORRECT ANSWER:
A patient arrives with a large open chest wound after being assaulted with a machete. Prehospital
providers placed a nonporous dressing over the chest wound and taped it on three sides. he is
now showing signs of anxiety, restlessness, severe respiratory distress, cyanosis and decreasing
blood pressure. Which of the following is the MOST appropriate immediate intervention?
dressing removal (This is the fastest effective intervention for this decompensating patient. A
nonporous dressing taped on three sides is temporary and has variable effectiveness. If signs and
symptoms of tension pneumothorax develop after the application of the dressing) - CORRECT
ANSWER:
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