Exam (elaborations)
TNCC Exam 8th edition study With complete solution Newest
- Course
- Institution
TNCC Exam 8th edition study With complete solution Newest
[Show more]
Content preview
TNCC Exam 8th edition study Withcomplete solution Newest
1.What is the effect of hypothermia on the oxyhemoglobin dissociation curve -
II II II II II II II II II II II II II
Hemoglobin does not readily release oxygen for use by the tissues A shift to the left
II II II II II II II II II II II II II II II II
occurs in an environment of low metabolic demand (hypothermia, hypocapnia, alkalosis),
II II II II II II II II II II II
increasing hemoglobin's affinity for oxygen.
II II II II II
EMS arrives with the intoxicated driver of a car involved in a motor vehicle crash. EMS
II II II II II II II II II II II II II II II II
reports significant damage to the driver's side of the car. The patient is asking to have the
II II II II II II II II II II II II II II II II II
cervical collar removed. When it is appropriate to remove the cervical collar? - After a
II II II II II II II II II II II II II II II II II
physical examination if the patient has no radiologic abnormalities on CT A CT is
II II II II II II II II II II II II II II
recommended for spinal clearance in an impaired patient.
II II II II II II II II
The nurse is caring for a 120 kg male brought in after a warehouse fire and is calculating
II II II II II II II II II II II II II II II II II II
the patient's fluid resuscitation needs. He has painful red blistering to the entire surface of
II II II II II II II II II II II II II II II
both upper extremities and superficial burns to the anterior chest. Using the modified
II II II II II II II II II II II II II
Lund and Browder chart to calculate the total body surface area burned, how much IV
II II II II II II II II II II II II II II II
fluid would be administered in the first 8 hours? - 2280 mL Both upper arms = 8%, both
II II II II II II II II II II II II II II II II II II II II
lower arms = 6%, and both hands = 5%, yielding 19 * 2 * 120 = 4560 mL. Half of the total is
II II II II II II II II II II II II II II II II II II II II II II II
equal to 2280 mL. Superficial burns are not included in the TBSA calculation for fluid
II II II II II II II II II II II II II II II
resuscitation.
II
Which of the following is an expected finding in a patient with a tube thoracostomy
II II II II II II II II II II II II II II II
connected to a chest drainage system - Fluctuation in the water seal chamber
II II II II II II II II II II II II II II II
Fluctuation in the water seal chamber indicates the tube is placed correctly in the pleural
II II II II II II II II II II II II II II II
space.
II
.A 35-year-old male presents with facial trauma after being struck in the face with a
II II II II II II II II II II II II II II II
baseball. A teardrop-shaped left pupil is noted on exam. What type of injury is suspected?
II II II II II II II II II II II II II II II
- Globe rupture A teardrop-shaped pupil suggests a globe rupture.
II II II II II II II II II II II II
.A patient with a complete spinal cord injury in neurogenic shock will demonstrate
II II II II II II II II II II II II II
hypotension and which other clinical signs? - Bradycardia and absent motor function
II II II II II II II II II II II II II II
below the level of injury Patients with a complete spinal cord injury will have absent motor
II II II II II II II II II II II II II II II II
function below the level of the lesion. They become hypotensive and bradycardic due to
II II II II II II II II II II II II II II
loss of autonomic nervous system function.
II II II II II II
Which of the following patients warrants referral to a burn center? - A 52-year-old
II II II II II II II II II II II II II II II II
diabetic male with a partial-thickness burn to the left lower leg This patient has a 7%
II II II II II II II II II II II II II II II II
TBSA burn with a preexisting medical history that could complicate management, prolong
II II II II II II II II II II II II
recovery, or affect mortality.
II II II II
, You are caring for a patient who was involved in a motor vehicle crash and is 32 weeks
II II II II II II II II II II II II II II II II II II
pregnant. Findings of your secondary survey include abdominal pain on palpation, fundal
II II II II II II II II II II II II
height at the costal margin, and some dark bloody show. Varying accelerations and
II II II II II II II II II II II II II
decelerations are noted on cardiotocography. These findings are most consistent with
II II II II II II II II II II II
which of the following? - Placental abruption The findings of abdominal pain, elevated
II II II II II II II II II II II II II II II
fundal height, dark bloody show, and fetal distress are most consistent with placental
II II II II II II II II II II II II II
abruption.
II
A 20-year-old male presents to the ED complaining of severe lower abdominal pain after
II II II II II II II II II II II II II II
landing hard on the bicycle cross bars while performing an aerial BMX maneuver.
II II II II II II II II II II II II II
Secondary assessment reveals lower abdominal tenderness and scrotal ecchymosis.
II II II II II II II II II
Which of the following orders would the nurse question? - Straight catheter for urine
II II II II II II II II II II II II II II II II
sample Insertion of a urinary catheter is contraindicated if urethral transection is
II II II II II II II II II II II II
suspected. Signs and symptoms of urethral injury include blood at the meatus, perineal
II II II II II II II II II II II II II
ecchymosis, scrotal ecchymosis, and a high-riding or non-palpable prostate.
II II II II II II II II II
Which of the following occurs during the third impact of a motor vehicle crash? - The
II II II II II II II II II II II II II II II II II II
aorta is torn at its attachment with the ligamentum arteriosum This occurs during the third
II II II II II II II II II II II II II II II
impact.
II
All of these are considered a critical communication point in trauma care EXCEPT which
II II II II II II II II II II II II II II
of the following? - Defusings A defusing is part of critical incident stress management but
II II II II II II II II II II II II II II II II II
is not considered a critical communication point in trauma care.
II II II II II II II II II II
Which of the following mnemonics can help the nurse prioritize care for a trauma patient
II II II II II II II II II II II II II II II
with massive uncontrolled hemorrhage? - MARCH The MARCH mnemonic stands for
II II II II II II II II II II II II II
massive hemorrhage, airway, respiration, circulation, and head injury/hypothermia. The
II II II II II II II II II
MARCH mnemonic recognizes uncontrolled hemorrhage as the major cause of
II II II II II II II II II II
preventable death after injury.
II II II II
You are treating a 27-year-old male in respiratory distress who was involved in a house
II II II II II II II II II II II II II II II
fire. Calculating total body surface area (TBSA) burned is deferred due to the need for
II II II II II II II II II II II II II II II
emergent intubation. At what rate should you begin fluid resuscitation? - 500 mL/hour
II II II II II II II II II II II II II II II
Prior to calculating TBSA, this is the recommended starting point for fluid resuscitation for
II II II II II II II II II II II II II II
patients 14 years of age and older
II II II II II II II
A 49-year-old restrained driver involved in a motor vehicle collision presents to the trauma
II II II II II II II II II II II II II II
center complaining of abdominal, pelvic, and bilateral lower extremity pain. Vital signs are
II II II II II II II II II II II II II
stable. The nurse can anticipate all of these after a negative FAST exam EXCEPT which
II II II II II II II II II II II II II II II
of the following? - Diagnostic peritoneal lavage Diagnostic peritoneal lavage is indicated
II II II II II II II II II II II II II II
for hemodynamically unstable patients or if FAST and CT are not available.
II II II II II II II II II II II II
An elderly patient with a history of anticoagulant use presents after a fall at home today.
II II II II II II II II II II II II II II II II
She denies any loss of consciousness. She has a hematoma to her forehead and
II II II II II II II II II II II II II II
complains of headache, dizziness, and nausea. What is the most likely cause of her
II II II II II II II II II II II II II II
symptoms? - Subdural hematoma Subdural hematomas are characterized by nausea,
II II II II II II II II II II II II
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller ScholarSuccess. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
78075 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now