TNCC test prep A (Latest 2022/2023) TNCC test prepA
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Course
TNCC
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TNCC
TNCC test prep A (Latest 2022/2023) TNCC test prepA
Expedite transfer to the closest trauma center
A 56 y/o M pt involved in a motor vehicle crash is brought to the ED of a rural critical access facility. He complains of neck pain, SOB, and diffuse abd pain. His GCS is 15. His VS: BP 98/71, HR 1...
tncc test prep a latest 20222023 tncc test prepa expedite transfer to the closest trauma center a 56 yo m pt involved in a motor vehicle crash is brought to the ed of a rural critical access faci
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TNCC test prepA
A 56 y/o M pt involved in a motor vehicle crash is brought to the ED of a rural critical access
facility. He complains of neck pain, SOB, and diffuse abd pain. His GCS is 15. His VS: BP
98/71, HR 125, RR 26, SpO2 94% on high-flow O2 via NRB mask. Which of the following is
the priority intervention for this patient?
Expedite transfer to the closest trauma center - CORRECT ANSWER:
Which of the following considerations is the most important when caring for a geriatric trauma
pt?
a pertinent medical hx is crucial - CORRECT 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?
Mitigation - CORRECT 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?
Multiple requests for water - CORRECT ANSWER
What is the effect of hypothermia on the oxyhemoglobin dissociation curve?
hemoglobin does not readily release O2 for use by the tissues - CORRECT ANSWER:
Which of the following is a component of the trauma triad of death?
acidosis - CORRECT 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?
Complete - CORRECT ANSWER:
Which of the following is an expected finding in a pt with a tube thoracstomy connected to a
chest drainage system?
flucuation in the water seal chamber - CORRECT 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?
insert an oropharyngeal airway if there is no gag reflex - CORRECT ANSWER:
, globe rupture - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT ANSWER: When is the tertiary survey completed fora
trauma pt?
pressure - CORRECT 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 - CORRECT ANSWER: Which of the following is possible
complication of positive-pressure ventilation?
pelvic stability - CORRECT ANSWER: the most reassuring finding for a male pt with hip pain
after a fall is which of the following?
narrowed - CORRECT ANSWER: Which of the following pulse pressures indicate early
hypovolemic shock?
dysrhythmias - CORRECT ANSWER: Patients with a crush injury should be monitored for
which of the following conditions?
subdural hematoma - CORRECT ANSWER: Tearing of the bridging veins is most frequently
associated with which brain injury?
straight cath for urine sample - CORRECT 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 - CORRECT 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 - CORRECT ANSWER: Which of the
following is true about the log-roll?
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