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TNCC ENA 9TH EDITION PRE TEST WITH CORRECT ANSWERS
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TNCC ENA 9TH EDITION PRE TESTWITH CORRECT ANSWERS
A patient arrives at the emergency department by private vehicle
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after sustaining an injury to the right lower extremity while using a
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saw. There is a large gaping wound to the right thigh area with sig
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nificant bleeding. What is the priority intervention?
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A. Elevate the extremity to the level of the heart
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B. Initiate direct pressure
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C. Apply a tourniquet
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D. Cover the open wound with sterile saline dressings -
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CORRECT ANSWER-B. Initiate direct pressure
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Rationale: The first step inn controlling any bleeding is application
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of direct pressure.
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What technique is most appropriate when obtaining a history fro
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m a patient who has experienced a sexual assault?
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A. Sitting next to the patient
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B. Ensuring the patient answers all the questions
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C. Asking for information only related to the assault
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D. Applying active listening - CORRECT ANSWER-
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D. Applying active listening
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Rationale: Therapeutic communication techniques such as activ
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e listening decrease unintentional distress during the interaction.
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What is the appropriate technique for palpating the pelvis for stabi
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lity?
A. Apply gentle pressure over the iliac crests, downward and later
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ally
, B. Apply gentle pressure over the iliac crests, downward and med
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ially
C. Apply firm pressure over the iliac crests, downward and laterall
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y
D. Apply firm pressure over the iliac crests, downward and medial
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ly - CORRECT ANSWER-
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B. Apply gentle pressure over the iliac crests, downward and med
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ially
Rationale: To assess for pelvic instability, gentle pressure is appli
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ed over the iliac crests, downward and medially.
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A trauma nurse cared for a child with devastating burns two week
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s ago. The nurse called in sick for a couple of days and is now bac
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k working on the team. Which of the following would indicate this
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nurse is coping well? k k k
A. They are talking about taking the emergency nursing certificati
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on exam k
B. They keep requesting to be assigned to the walk-
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in/ambulatory area k
C. They are impatient and snap at their coworkers
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D. They are thinking about transferring out of the emergency dep
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artment - CORRECT ANSWER- k k k
A. They are talking about taking the emergency nursing certificati
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on exam k
Rationale: This is an indication the nurse is taking positive steps t
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o advance their own practice, a sign of resilience. B indicates the
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nurse is still not ready to return to their previous level of engagem
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ent in their job. C shows signs of burnout, irritability and frustratio
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n. D shows decreased satisfaction with the job, a sign of burnout.
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The vital signs of a pregnant trauma patient at 30 weeks include a
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blood pressure of 94/62 mmHg and a heart rate of 108 beats/min
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ute. Fetal heart tones are 124 beats/minute. The emergency nurs
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