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TNCC 8th Edition Provider Exam With complete solution 2024/25
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TNCC 8th Edition Provider Exam With complete solution 2024/25
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TNCC 8th Edition Provider Exam Withcomplete solution 2024/25
EMS brings a patient who fell while riding his bicycle. Using the American College of
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Surgeons screening guidelines, which assessment finding would prompt the nurse to
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prepare the patient for radiologic spine clearance? - Alert with no neurological deficits
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The trauma nurse knows that placing a bariatric patient in a "ramped position" provides
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better visualization during the insertion of which device? - Endotracheal tube
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A 35-year-old male presents with facial trauma after being struck in the face with a
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baseball. A teardrop-shaped left pupil is noted on exam. What type of injury is suspected?
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- Globe rupture
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Caregivers carry a 2-year-old into the emergency department who fell out of a second-
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story window. The patient is awake and crying with increased work of breathing and pale
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skin. Which of the following interventions has the highest priority? - Padding the upper
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back while stabilizing the cervical spine
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II IIWhich of the following injuries is LEAST likely to be promptly identified? - Bowel
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A 49-year-old restrained driver involved in a motor vehicle collision presents to the
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trauma center complaining of abdominal, pelvic, and bilateral lower extremity pain. Vital
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signs are stable. The nurse can anticipate all of these after a negative FAST exam
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EXCEPT which of the following? - Diagnostic peritoneal lavage
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Why is a measure of serum lactate obtained in the initial assessment of a trauma patient?
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- To gauge end-organ perfusion and tissue hypoxia
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During the primary survey of an unconscious patient with multi-system trauma, the nurse
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notes snoring respirations. Which priority nursing intervention should be performed next?
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- Insert an oropharyngeal airway if there is no gag reflex
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Which of the following assessment findings differentiates a tension pneumothorax from a
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simple pneumothorax? - Hypotension that worsens with inspiration (pulsus paradoxus)
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What is the effect of hypothermia on the oxyhemoglobin dissociation curve? -
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Hemoglobin does not readily release oxygen for use by the tissues (Left shift)
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A trauma patient is en route to a rural emergency department. Radiology notifies the
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charge nurse that the computed tomography (CT) scanner will be out of service for
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several hours. The team gathers to plan accordingly. Which of the following terms best
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describes this trauma team's communication? - Huddle
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, II IIWhat finding raises suspicion of a complete spinal cord injury? - Priapism
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A patient is thrown against a car during a tornado and presents with obvious bilateral
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femoral fractures. The patient is pale, alert, disoriented, and has delayed capillary refill.
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Which of the following interventions would be most appropriate for this patient based on
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the disaster triage principles? - Initiate two large-caliber intravenous lines for Ringer's
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lactate solution administration.
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A 36-year-old female has a deformity of the left wrist after a fall. She is reluctant to move
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her hand due to pain. Which of the following is the most appropriate intervention? - Apply
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a splint and elevate the extremity above the level of the heart
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Which of the following is a late sign of increased intracranial pressure? - Decreased
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respiratory effort
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Tearing of the bridging veins is most frequently associated with which brain injury? -
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Subdural hematoma
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You are caring for a patient who was involved in a motor vehicle crash and is 32 weeks
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pregnant. Findings of your secondary survey include abdominal pain on palpation, fundal
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height at the costal margin, and some dark bloody show. Varying accelerations and
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decelerations are noted on cardiotocography. These findings are most consistent with
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which of the following? - Placental abruption
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A patient with a complete spinal cord injury in neurogenic shock will demonstrate
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hypotension and which other clinical signs? - Bradycardia and absent motor function
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below the level of injury
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Following a review of recent drills and a real disaster event, a hospital has identified
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deficiencies and is taking steps to minimize the impact of a future disaster. Which phase
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of the disaster life cycle does this describe? - Mitigation
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Which of the following considerations is most important when caring for a geriatric
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trauma patient? - Medical history
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The nurse is caring for a 120 kg male brought in after a warehouse fire and is calculating
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the patient's fluid resuscitation needs. He has painful red blistering to the entire surface of
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both upper extremities and superficial burns to the anterior chest. Using the modified
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Lund and Browder chart to calculate the total body surface area burned, how much
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intravenous fluid would be administered in the first 8 hours? - 2280 mL
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An intubated trauma patient is being transferred to a tertiary care center. After moving the
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patient to the stretcher for transport, a drop in pulse oximetry to 85% is noted. Which of
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the following is the priority intervention? - Confirm endotracheal tube placement
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