TNP TNCC 9TH Edition
Trauma Nursing Process
Exam Questions And
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TNP TNCC 9TH Edition TRAUMA NURSING PROCESS EXAM
An adult patient was brought to the emergency department following a motorcycle crash. On arrival, the
patient is only responsive to pain, has bleeding from the nose, and multiple abrasions and contusions to the
face. What is the priority intervention?
A.Use a bulb syringe to suction out secretions from the mouth.
B.Insert a nasopharyngeal airway to maintain an open airway.
C.Use a jaw thrust to open the airway and look for signs of obstruction.
D.Ask the patient to open their mouth to inspect the airway. - CORRECT ANSWERS >> C.Use a jaw thrust to
open the airway and look for signs of obstruction.
An adult pedestrian was struck on the right side by a sport utility vehicle traveling at 40 mph. The patient is
awake and alert and the right leg is shortened. Following initial resuscitation with fluids, the patient remains
hypotensive. What would be the priority intervention?
A.Send blood for type and crossmatch
B.Apply a pelvic binder
C.Prepare the patient for surgery
D.Insert a urinary catheter - CORRECT ANSWERS >> Apply a pelvic binder
A severely injured patient has been intubated and is being mechanically ventilated. The patient has received a
balanced resuscitation including multiple blood products. Under which circumstance will it be harder for the
hemoglobin to release oxygen to the tissues?
A.Decreased pH
B.Elevated carbon dioxide level
C.Decreased body temperature
D.Increased metabolic demand - CORRECT ANSWERS >> C.Decreased body temperature
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A patient is thrown against a car during a tornado and presents with obvious bilateral femur fractures. The
patient is pale, alert, disoriented, and has delayed capillary refill. Which of the following interventions would
be most appropriate for this patient based on the disaster triage principles?
A.Initiate two large-caliber intravenous lines for isotonic crystalloid administration.
B.Administer intravenous medications for pain.
C.Place the patient in an observation area for care within the next few hours.
D.Contact the command center for personnel to notify next of kin. - CORRECT ANSWERS >> Initiate two
large-caliber intravenous lines for isotonic crystalloid administration.
A patient arrives with a large open chest wound after being assaulted with a machete. Prehospital providers
placed a nonporous dressing over the chest wound and taped it on three sides. The patient is now showing
signs of anxiety, restlessness, severe respiratory distress, cyanosis, and decreasing blood pressure. Which of
the following is the MOST appropriate immediate intervention?
A driver involved in a high-speed motor vehicle collision arrives in the emergency department. The vehicle's
air-bag failed to deploy. The patient is drowsy but arousable and complaining of chest pain with ecchymosis
noted to the chest. The patient is tachycardic and hypotensive with no evidence of uncontrolled bleeding.
Cardiac monitor shows premature ventricular contractions. Which of the following is the most appropriate
intervention for this patient?
A.Rapid fluid boluses
B.Tranexamic acid administration
C.Inotropic support
D.Hemostatic resuscitation - CORRECT ANSWERS >> C.Inotropic support
A patient is diagnosed with a T12 spinal cord injury following a 20-foot fall. Which finding is consistent with
spinal shock?
A.Bradycardia
B.Loss of reflexes
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