TNCC test prepA, TNCC Notes for Written Exam, TNCC Notes for Written Exam, TNCC Prep, TNCC EXAM, TNCC 8th Edition
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TNCC test prepA, TNCC Notes for Written Exam, TNCC Notes for Written Exam, TNCC Prep, TNCC EXAM, TNCC 8th Edition
Expedite transfer to the closest trauma center - answerA 56 y/o M pt involved in a motor vehicle crash is brought to the ED of a rural critical access facility. He complains of nec...
TNCC test prepA, TNCC Notes for
Written Exam, TNCC Notes for Written
Exam, TNCC Prep, TNCC EXAM, TNCC
8th Edition
TNCC test prepA, TNCC Notes for Written Exam, TNCC
Notes for Written Exam, TNCC Prep, TNCC EXAM,
TNCC 8th Edition
Expedite transfer to the closest trauma center - answerA 56 y/o M pt involved in a motor
vehicle crash is brought to the ED of a rural critical access facility. He complains of neck
pain, SOB, and diffuse abd pain. His GCS is 15. His VS: BP 98/71, HR 125, RR 26,
SpO2 94% on high-flow O2 via NRB mask. Which of the following is the priority
intervention for this patient?
a pertinent medical hx is crucial - answerWhich of the following considerations is the
most important when caring for a geriatric trauma pt?
Mitigation - answerFollowing 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?
Multiple requests for water - answerEMS brings 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 the tissues - answerWhat is the
effect of hypothermia on the oxyhemoglobin dissociation curve?
acidosis - answerWhich of the following is a component of the trauma triad of death?
Complete - answerEMS 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?
flucuation in the water seal chamber - answerWhich 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 - answerDuring the primary
survey of an unconscious pt with multi-system trauma, the nurse notes snoring
respirations. What priority nursing interventions should be preformed next?
,TNCC test prepA, TNCC Notes for
Written Exam, TNCC Notes for Written
Exam, TNCC Prep, TNCC EXAM, TNCC
8th Edition
globe rupture - answerA 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 - answerA 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 - answerAn unresponsive trauma pt has an
oropharygeal airway in place, shallow and labored respirations, and dusky skin. The
trauma team has administered medications for drug-assisted intubation and attempted
intubation but was unsuccessful. What is the most appropriate immediate next step?
within 24 hrs of trauma - answerWhen is the tertiary survey completed fora trauma pt?
pressure - answerAn intubated 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 - answerWhich of the following is possible complication of
positive-pressure ventilation?
pelvic stability - answerthe most reassuring finding for a male pt with hip pain after a fall
is which of the following?
narrowed - answerWhich of the following pulse pressures indicate early hypovolemic
shock?
dysrhythmias - answerPatients with a crush injury should be monitored for which of the
following conditions?
subdural hematoma - answerTearing of the bridging veins is most frequently associated
with which brain injury?
straight cath for urine sample - answerA 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?
,TNCC test prepA, TNCC Notes for
Written Exam, TNCC Notes for Written
Exam, TNCC Prep, TNCC EXAM, TNCC
8th Edition
placental abruption - answerYou 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 - answerWhich of the
following is true about the log-roll?
defusings - answerAll of these are considered a critical communication point in trauma
care EXCEPT which of the following?
pulse oximetry and capnography - answerWhat bedside monitoring parameters are
used to assess for adequacy of O2 and effectiveness of ventilation?
padding the upper back while stabilizing the cervical spine - answerCaregivers carry in
a 2 y/o into the ED who fell out of a second-story window. The pt is awake and crying
with increased work of breathing and pale skin. Which of the following interventions has
the highest priority?
bowel - answerWhich of the following injuries is LEAST likely to be promptly identified?
Initiate transfer to a trauma center - answerA pt is brought to the ED of a rural hospital
following a high-speed MVC. When significant abd and pelvic injuries are noted in the
primary survey, which of the following is the priority interventions?
bardycardia and absent motor function below the level of injury - answerA pt with a
complete spinal cord injury in neurogenic shock will demonstrate hypotension and which
other clinical signs?
apply splint and elevate above the level of the heart - answera 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?
the aorta is torn at its attachment with the ligamentum arteriosum - answerwhich of the
following occurs during the third impact of a motor vehicle crash?
Report your suspicion of maltreatment in accordance with local regulations - answera 5
y/o child presents to the ED with bruises to the upper arm and buttocks in various
stages of healing and multiple small, clean, round burns to the back. There are no
, TNCC test prepA, TNCC Notes for
Written Exam, TNCC Notes for Written
Exam, TNCC Prep, TNCC EXAM, TNCC
8th Edition
abnormalities found based on the pediatric assessment triangle or primary survey.
Which of the following is the priority survey. Which of the following is the priority nursing
intervention?
to guage end-organ perfusion and tissue hypoxia - answerWhy is a measure of serum
lactate obtained in the initial assessment of a trauma patient?
elevating the extremity to the level of the heart - answerA pt with a lower extremity
fracture complains of severe pain and tightness in his calf, minimally by pain
medications. Which of the following is the priority nursing intervention?
velocity - answerWhat factor contributes most to the kinetic energy of a body in motion?
subdural hematoma - answerAn elderly patient with a history of anticoagulant use
presents after a fall at home today. She denies any loss of consciousness. She has a
hematoma to her forehead and complains of headache, dizziness, and nausea. What is
the most likely cause of her symptoms?
fat embolism - answera pt has been in the ED for several hrs waiting to be admitted. He
sustained multiple rib fractures and a femur fracture after a fall. He has been awake,
alert, and complaining of leg pain. His wife reported that he suddenly became anxious
and confused. Upon reassessment, the pt is restless with respiratory distress and
petechiae to his neck. The pt is exhibiting s/sx most commonly associated with which of
the following conditions?
nausea and vomiting - answerWhich of the following is a late sign of increased
intracranial pressure?
serial FAST exams - answera 49 y/o restrained driver involved in a MVC presents to the
trauma center complaining of abd, pelvic, and bilateral lower extremity pain. VS are
stable. The nurse can anticipate all of these after a negative FAST exam EXCEPT
which of the following?
pericardiocentesis - answerWhich of the following is NOT considered goal-directed
therapy for cardiogenic shock?
endotracheal tube - answerThe trauma nurse knows that placing a bariatric patient in a
ramped position providers better visualization during the insertion of which device?
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