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TNCC Test prep 9th Edition
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TNCC Test prep 9th Edition
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TNCC Test prep 9th EditionExpedite transfer to the closest trauma center - ANSWER A 56 y/o M involved in a
MVC is brought to the ED. He complains of neck pain, SOB, and diffuse abdominal
pain. His GCS is 15, VS: BP 98/71, HR 125, RR 26, SpO2 94% on high-flow O2 via
NRB mask. Which is the priority intervention for this patient?
a pertinent medical hx is crucial - ANSWER Which of the following considerations is
the most important when caring for a geriatric trauma pt?
Mitigation - ANSWER Following 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?
smell of alcohol on breath - ANSWER EMS 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 - ANSWER What is
the effect of hypothermia on the oxyhemoglobin dissociation curve?
acidosis - ANSWER Which of the following is a component of the trauma triad of
death?
Complete - ANSWER EMS 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 - ANSWER Which of the following is an
expected finding in a pt with a tube thoracstomy connected to a chest drainage
system?
insert an oropharyngeal airway if there is no gag reflex - ANSWER During 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 - ANSWER A 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 - ANSWER A 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 - ANSWER An 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 - ANSWER When is the tertiary survey completed fora
trauma pt?
pressure - ANSWER An 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 - ANSWER Which of the following is possible complication
of positive-pressure ventilation?
pelvic stability - ANSWER the most reassuring finding for a male pt with hip pain
after a fall is which of the following?
narrowed - ANSWER Which of the following pulse pressures indicate early
hypovolemic shock?
dysrhythmias - ANSWER Patients with a crush injury should be monitored for which
of the following conditions?
subdural hematoma - ANSWER Tearing of the bridging veins is most frequently
associated with which brain injury?
straight cath for urine sample - ANSWER A 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 - ANSWER You 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 - ANSWER Which of the
following is true about the log-roll?
defusings - ANSWER All of these are considered a critical communication point in
trauma care EXCEPT which of the following?
pulse oximetry and capnography - ANSWER What bedside monitoring parameters
are used to assess for adequacy of O2 and effectiveness of ventilation?
padding the upper back while stabilizing the cervical spine - ANSWER Caregivers
carry in a 2 y/o into the ED who fell out of a second-story window. The pt is awake
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