TNCC 2023 Test Exam (9th Edition)
Expedite transfer to the closest trauma center - CORRECT ANSWER-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. ...
TNCC 2023 Test Exam (9th Edition ) Expedite transfer to the closest trauma center - CORRECT ANSWER -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 . Which is the priority intervention for this patient? a pertinent medical hx is crucial - CORRECT ANSWER -Which of the following considerations is the most important when caring for a geriatric trauma pt? Mitigation - CORRECT ANSWER -Following a review of recent drills and a real disaster event, a hospital has identified deficiencies and is taking steps to minimize the impact of a future disaster . Which phase of the disaster life cycle does this describe? smell of alcohol on breath - CORRECT ANSWER -EMS b rings a pt who fell while riding his bicycle. Using the American College of Surgeobs screening guidelines, which assessment finding would prompt the RN to prepare the pt for a radiologic spine clearance? hemoglobin does not readily release O2 for use by t he tissues - CORRECT ANSWER -
What is the effect of hypothermia on the oxyhemoglobin dissociation curve? acidosis - CORRECT ANSWER -Which of the following is a component of the trauma triad of death? Complete - CORRECT ANSWER -EMS brings a pt from MVC. VS: B P 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? flucuation in the water seal chamber - CORRECT ANSWER -Which of the following is an expected finding in a pt with a tube thoracstomy connected to a chest drainage system? insert an oropharyngeal airway if there is no gag reflex - CORRECT ANSWER -During the primary survey of an unconscious pt with multi -system tra uma, the nurse notes snoring respirations. What priority nursing interventions should be preformed next? globe rupture - CORRECT ANSWER -A 35 y/o M presents with facial trauma after being struck in the face with a baseball. A teardrop -shaped left pupil is noted on exam. What type of injury is suspected? compensated - 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? ventilate with a bag mask device - CORRECT ANSWER -An unresponsive trauma pt has an oropharygeal airway in place, shallow and labored respirations, and dusky skin. The trauma team has administered medications fo r drug -assisted intubation and attempted intubation but was unsuccessful. What is the most appropriate immediate next step? within 24 hrs of trauma - CORRECT ANSWER -When is the tertiary survey completed fora trauma pt? pressure - CORRECT ANSWER -An intuba ted and sedated pt in the ED has multiple extremity injuries with the potential for causing compartment syndrome. What is the most reliable indication of compartment syndrome in a patient who is unconscious? worsening pneumothorax - CORRECT ANSWER -Which o f the following is possible complication of positive -pressure ventilation? pelvic stability - CORRECT ANSWER -the most reassuring finding for a male pt with hip pain after a fall is which of the following? narrowed - CORRECT ANSWER -Which of the following pulse pressures indicate early hypovolemic shock? dysrhythmias - CORRECT AN SWER -Patients with a crush injury should be monitored for which of the following conditions? subdural hematoma - CORRECT ANSWER -Tearing of the bridging veins is most frequently associated with which brain injury? straight cath for urine sample - CORRECT ANSWER -A 20 y/o M presents to the ED complaining of severe lower abd pain after landing hard on the bicycle cross bars while preforming an aerial BMX maneuver. Secondary assessment reveals lower abd tenderness and scrotal ecchymosis. Which of the following orders would the RN question? placental abruption - CORRECT ANSWER -You are caring for a pt who was involved in a MVC and is 32 weeks pregnant. Findings of your secondary survey include abd pain on palpation, fundal ht at the costal margin, and some dark bloody show. Varying accelerations and decelerations are noted on cariocgraphy. These findings are most consistent with which of the following? it can worsen cord damage from an unstable spinal injury - CORRECT ANSWER -Which of the following is true about the log -roll?
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