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?
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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?
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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?
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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?
velocity - answerWhat factor contributes most to the kinetic energy of a body in motion?
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