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TNCC TRAUMA NURSING CORE COURSE final_exam_test_2023_2024 $14.99   Add to cart

Exam (elaborations)

TNCC TRAUMA NURSING CORE COURSE final_exam_test_2023_2024

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TNCC_final_exam_test_2023_2024

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  • September 1, 2024
  • 17
  • 2024/2025
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TNCC final exam test 2023-2024 open
book
TNCCfinalexamtest2023openbook




Whyisameasureofserumlactateobtainedintheinitialassessmentofthetraumapatient?



Answer:ccorrectanswera)tomeasureoxygenationandventilation

b) toquantifythebasedeficitfortheadequacyofcellularperfusion

c) *togaugeend-organperfusionandtissuehypoxia**

d) todeterminetheunderlyingcauseofshock



Atraumapatientisrestlessandrepeatedlyasking"whereamI?"vitalsignsuponarrivalwereBP100/60 mm Hg,
HR 96 beats/min, and RR 24 breaths/min. Her skin is cool and dry. Current vital signs are BP 104/84mm
Hg, HR 108, RR 28 breaths/min. The patient is demonstrating signs and symptoms of which stage of
shock?



Answer:AcorrectanswerA)compensated**

B) Progressive

C) irreversible

D) decompensated



Anelderlypatientwithahistoryofanticoagulantusepresentsafterafallathomethatday.shedenies
anylossofconsciousness.Shehasahematomatoherforeheadandcomplainsofheadache,dizziness, and
nausea. Which is a most likely cause of her symptoms?



Answer:DcorrectanswerA)epiduralhematoma

B) diffuseaxonalinjury

C) post-concussivesyndrome

,TNCC final exam test 2023-2024 open
book
D) subduralhematoma***



EMS brings a patient who fell riding his bicycle. Using the American College of Surgeons screening
guidelines,whichassessmentfindingwouldpromptthenursetopreparethepatientforradiologicspine
clearance?



Answer:DcorrectanswerA)Alertwithnoneurologicdeficits

B) Multipleabrasionstotheextremities

C) Multiplerequestsofwater

D) Smellofalcoholonbreath ***



Whichofthefollowingoccursduringthethirdimpactofamotorvehiclecrash?



Answer:CcorrectanswerA)Thedriverofthevehiclecollideswiththesteeringwheel

B) thevehiclecollideswithatree

C) theaortaistornatitsattachmentwiththeligamentumarteriosum

D) theairbagdeploysandstrikesthefrontseatpassenger***



A passenger is brought to the emergency department of a rural hospital following a high-speed MVC.
Whensignificantabdominalandpelvicinjuriesarenotedintheprimarysurvey,whichofthefollowingis the
priority interventions?



Answer:AcorrectanswerA)initiatetransfertoatraumacenter**

B) providereporttotheoperatingroomnurse

C) Obtainedimagingstudies

D) Placeagastrictube

, TNCC final exam test 2023-2024 open
book
WhichofthefollowinginjuriesisLEASTlikelytobepromptlyidentified?



Answer:CcorrectanswerA)spleen

B) lung

C) bowel***

D) brain



Patientswithacrushinjuryshouldbemonitoredforwhichofthefollowingconditions?



Answer:CcorrectanswerA)Hypernatremia

B) Hypercalcemia

C) Dysrhthmias**

D) polyuria



Whatfindingraisessuspicionofcompletespinalcordinjury?



Answer:BcorrectanswerA)Weaknessinthelowerextremities

B) Priapism ***

C) voluntaryanalsphinctertone

D) intactreflexesdistaltotheinjury



Apatientwithacompletespinalcordinjuryinneurogenicshockwilldemonstratehypotensionand which
other clinical signs?



Answer:DcorrectanswerA)Bradycardiaandipsilateralabsencesofmotorfunction

B) Tachycardiaandrespiratorydepression

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