TNCC 9th Edition Pre Test with
correct answers
TNCC 9th Edition Pre Test with
correct answers
TNCC 9th Edition Pre Test with
correct answers
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ENA T...
A patient arrives at the emergency department by private v
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ehicle after sustaining an injury to the right lower extremity
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while using a saw. There is a large gaping wound to the right
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thigh area with significant bleeding. What is the priority inte
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rvention?
A. Elevate the extremity to the level of the hear
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tB. Initiate direct pressure
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C. Apply a tourniquet
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D. Cover the open wound with sterile saline dressings
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-CORRECT ANSWER-B. Initiate direct pressure
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Rationale: The first step inn controlling any bleeding T T T T T T T T
isapplication of direct pressure.
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A patient fell two weeks ago, striking their head. Today, the p
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atient presented with a persistent headache and nausea and
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was diagnosed with a small subdural hematoma. The patient h
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as been in the ED for 24 hours awaiting an inpatient bed. Then
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ight shift nurse reports the patient has been anxious, restless,
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shaky, and vomited twice during the night. The patient states t
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hey couldn't sleep because a young child kept coming into th
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eroom. What is the most likely cause for these signs and symp
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toms?
A. Increased intracranial pressur
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eB. Alcohol withdrawal
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C. Rhabdomyolysis
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D. Pulmonary embolus - CORRECT ANSWER-
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B. Alcoholwithdrawal
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, Rationale: Alcohol withdrawal is a common delayed conditio
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nbecause symptoms are difficult to identify early. Signs incl
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udeautonomic hyperactivity, hand tremors, nausea or vomit
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ing, psychomotor agitation, anxiety, insomnia, transient hall
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ucinations, or seizures. T T
A patient involved in a MVC has sustained a fracture to the se
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cond rib of the anterior left chest. Which concurrent injury is
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most commonly associated with this fracture?
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A. Blunt cardiac injury
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B. Brachial plexus injur
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yC. Pneumothorax
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D. Hemothorax - CORRECT ANSWER-
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B. Brachial plexusinjury
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Rationale: First and second rib fractures are most commonl
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yassociated with great vessel, head and spinal cord, and br
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achial plexus injuries. T T
A patient with a spinal cord injury at C5 is being cared for in th
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eemergency department while awaiting transport to a trauma
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center. Which of the following represents the highest priority f
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orongoing assessment and management for this patient?
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A. Maintain adequate respiratory status
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B. Administer balanced resuscitation flui
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d
C. Perform serial assessments of neurologic function
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D. Maintain core temperature - CORRECT ANSWER-
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A.Maintain adequate respiratory status
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Rationale: Spinal cord injuries at C3 to C5 can cause the loss
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of phrenic nerve function, resulting in a paralyzed diaphrag
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m and inability to breathe. Maintenance of respiratory functi
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on isthe highest priority.
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