TNCC test prepA, 8th Edition Questions
with 100% Correct Answers | Verified
Expedite transfer to the closest trauma center - ANSWERS 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?
Alcohol
All tools and guidelines require the patient to be awake, alert, not under the
influence of any substances, and without neurologic abnormalities -
ANSWEREMS brings a pt who fell while riding his bicycle. Using the American
College of Surgeons 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?
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?
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 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?
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