Exam (elaborations)
TNCC final exam test 2024 open book Questions With Complete Solutions
- Course
- Institution
TNCC final exam test 2024 open book Questions With Complete Solutions
[Show more]
Content preview
TNCC final exam test 2024 open book Questions WithComplete Solutions
A 20-year old male presents to the ED c/o severe lower abd pain
after landing hard on the bicycle cross bars which performing an
aerial BMX maneuver. Secondary assessment reveals lower abd
tenderness and scrotal ecchymosis. Which of the following
orders would the nurse questions?
A) Fast exam
B) CT scan
C) straight cath for urine sample
D) ice and elevation of the scrotum Correct Answers Answer:
C
A 35-year old male presents with facial trauma after bring struck
inthe face with a baseball. a tear-drop shaped left pupil is noted
on exam. What type of injury is suspected?
A) oculomotor nerve palsy
B) globe rupture
C) uncal herniation
D) retinal detachment Correct Answers Answer: B
A 36-year old female has a deformity of the left wrist after a fall.
She is reluctant to move her hand due to pain. Which of the
following is the most appropriate intervention?
A) apply a sling and elevate the extremity to the level of the
heart.
B) apply a splint and elevate above the level of the heart
C) Apply a sling and elevate the extremity above the level of the
heart
,D) apply a splint and elevate the extremity to the level of the
heart. Correct Answers Answer: B
A 49-year old restrained driver involved in a MVC presents to
the trauma center c/o abd, pelvic, and bil lower extremity pain
Vitals signs are stable. The nurse can anticipate all of these
negative fast exam except which of the following?
A) diagnostic peritoneal lavage
B) serial fast exams
C) abdominal and pelvic CT scans
D) serial abdominal assessments Correct Answers Answer: A
The FAST exam is done at the bedside to identify pathological
fluid in the abdominal and pelvic cavities. FAST exams reduce
the use of more invasive diagnostic peritoneal lavage and can be
repeated if clinical changes or hemodynamic changes occur. A
negative FAST study does not rule out injury and may warrant a
follow-up computed tomography scan. Serial FAST exams can
identify increasing abdominal fluid collections from
hemorrhage. Diagnostic peritoneal lavage/diagnostic peritoneal
aspiration is performed by the surgical team to rapidly identify
the presence of hemorrhage in patients who are
hemodynamically unstable after trauma.
A 5-year old child presents to the ED with bruises to the upper
arms and buttocks in various stages of healing and multiple
small, clean, round burns to the back. There are no abnormalities
found based on the pediatric assessment triangle or primary
survey. Which of the following is the priority nursing
intervention?
, A) report your suspicion of the maltreatment in accordance with
local regulations
B) apply ice to the bruises and consult wound care
C) engage in therapeutic communication to determine the MOI
D) provide the family with injury prevention resourse Correct
Answers Answer: A
A 56-year- male patient involved in a MVC is brought to the ED
of a rural critical access facility. He c/o neck pain, SOB, and
diffuse abd pain. His GCS is 15. His vitals are as follows:
BP 98/71
HR 125 beats/min
RR 26 breaths/min
SpO2 94% on high flow O2 via NRB mask
which of the following is the priority intervention for this
patient?
A) Expedite transport to the CT scanner
B) prepare the patient for spinal radiographs
C) expedite transfer to the closest trauma center
D) notify the patients family Correct Answers Answer: C
A passenger is brought to the emergency department of a rural
hospital following a high-speed MVC. When significant
abdominal and pelvic injuries are noted in the primary survey,
which of the following is the priority interventions?
A) initiate transfer to a trauma center
B) provide report to the operating room nurse
C) Obtained imaging studies
D) Place a gastric tube Correct Answers Answer: A
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 Classroom. 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)
72042 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now