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2024 TNCC 9TH EDITION TNP ACTUAL EXAM QUESTIONS ANDVERIFIED ANSWERS ALREADY GRADED A+
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2024 TNCC 9TH EDITION TNP ACTUAL EXAM QUESTIONS ANDVERIFIED ANSWERS ALREADY GRADED A+
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2024 TNCC 9TH EDITION TNP ACTUAL EXAMQUESTIONS ANDVERIFIED ANSWERS ALREADY
GRADED A+
A patient arrives at the emergency department by private vehicle after sustaining an injury to the right
lower extremity while using a saw. There is a large gaping wound to the right thigh area with significant
bleeding. What is the priority intervention?
A. Elevate the extremity to the level of the heart
B. Initiate direct pressure
C. Apply a tourniquet
D. Cover the ope wound with sterile saline dressings
B. Initiate direct pressure
The first step in controlling any bleeding is application of direct pressure.
A patient involved in a MVC has sustained a fracture to the second rib of the anterior left chest. Which
concurrent injury is most commonly associated with this fracture?
A. Blunt Cardiac Injury
B. Brachial plexus injury
C. Pneumothorax
D. Hemothorax
B. Brachial plexus injury
First and second rib fractures are most commonly associated with great vessel, head and spinal cord,
and brachial plexus injuries.
,A patient with a spinal cord injury at C5 is being cared for in the emergency department while awaiting
transport to a trauma center. Which of the following represents the highest priority for ongoing
assessment and management for this patients?
A. Maintain adequate respiratory status
B. Administer balanced resuscitation fluid
C. Perform serial assessments of neurologic function
D. Maintain core temperature
A. Maintain adequate respiratory status
Spinal cord injuries at C3 to C5 can cause the loss of phrenic nerve function, resulting in paralyzed
diaphragm and inability to breathe. Maintenance of respiratory function is the highest priority.
What is the lead cause of preventable death for the trauma patient in the prehospital environment?
A. Airway compromise
B. Ineffective ventilation
C. Secondary head injury
D. Uncontrolled external hemorrhage
D. Uncontrolled external hemorrhage
Uncontrolled external hemorrhage is the leading cause of preventable death after injury in the
prehospital environment; assessment to identify uncontrolled external hemorrhage is key to the initial
assessment process, beginning with the general impression.
Understanding the kinematic concepts associated with the mechanism of injury and energy transfer can
initially assist the trauma care provider in which of the following?
,A. Anticipating the types of injuries the may be present
B. Deciding whether law enforcement should be notified
C. Determining needed laboratory tests
D. Predicting the need for a surgical procedure
A. Anticipating the types of injuries the may be present
Mechanism of injury and energy transfer can assist the provider in anticipating and evaluation the types
of injuries that may be present and their severity.
A trauma nurse cared for a child with devastating burns two weeks ago. The nurse called in sick for a
couple of days and is now back working on the team. Which of the following behaviors would indicate
this nurse is coping well?
A. They are talking about taking the emergency nursing certification examination
B. They keep requesting to be assigned to the walk-in/ambulatory area
C. They are impatient and snap at their coworkers
D. They are thinking about transferring out of the emergency department
A. They are talking about taking the emergency nursing certification examination
This is an indication the nurse is taking positive steps to advance their own practice, a sign of resilience.
What is the appropriate technique for palpating the pelvis for stability?
B. Apply gentle pressure over the iliac crests, downward and medially
The vital signs of a pregnant trauma patient at 30 weeks include a blood pressure of 94/62 mm Hg and a
heart rate of 108 beats/minute. Fetal heart tones are 124 beats/minute. The emergency nurse
interprets the patient's hemodynamic findings as an indication of which of the following?
, a. Decompensated shock
b. Normal vital signs in pregnancy
c. Compensated shock
d. Supine hypotension syndrome
b. Normal vital signs in pregnancy
In pregnancy, the resting heart rate increases by 10 to 20 beats/minute. This is also a small decrease in
systolic blood pressure and a larger decrease in diastolic blood pressure due to a decrease in peripheral
resistance. Normal fetal heart rate is between 120 and 160 beats/minute
Which of the following accurately describes ventilation principles associated with use of a bag-mask
device for an adult?
A. Compress the bag-mask device at a rate of one breath every 6 seconds
B. Delivers 100% oxygen
C. Squeeze the bag-mask device completely for each breath
D. Maintain the oxygen saturation levels between 92% and 94%
A. Compress the bag-mask device at a rate of one breath every 6 seconds
The general impression step in the initial assessment provides the opportunity to do which of the
following?
A. Assess for uncontrolled internal hemorrhage
B. Accurately triage the patient
C. Reprioritize circulation before airway or breathing
D. Activate the trauma team
C. Reprioritize circulation before airway or breathing
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