Combine - of 4 TNCC test. TNCC test prepA, 8th Edition, TNCC Test prep 8th Edition, TNCC Written
Exam, TNCC final exam test open book OE COMPLETE QUESTIONS AND ANSWERS (VERIFIED)
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? - correct answer Expedite transfer to the closest trauma center
Which of the following considerations is the most important when caring for a geriatric trauma
pt? - correct answer a pertinent medical hx is crucial
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? - correct answer Mitigation
EMS brings a pt who fell while riding his bicycle. Using the American College of Surgeons
screening guidelines, which assessment finding would prompt the RN to prepare the pt for a
radiologic spine clearance? - correct answer Alcohol
All tools and guidelines require the patient to be awake, alert, not under the influence of any
substances, and without neurologic abnormalities
What is the effect of hypothermia on the oxyhemoglobin dissociation curve? - correct answer
hemoglobin does not readily release O2 for use by the tissues
Which of the following is a component of the trauma triad of death? - correct answer acidosis
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? - correct answer Complete
Which of the following is an expected finding in a pt with a tube thoracstomy connected to a
chest drainage system? - correct answer flucuation in the water seal chamber
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? - correct
answer insert an oropharyngeal airway if there is no gag reflex
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? - correct
answer globe rupture
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? - correct answer compensated
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
,Combine - of 4 TNCC test. TNCC test prepA, 8th Edition, TNCC Test prep 8th Edition, TNCC Written
Exam, TNCC final exam test open book OE COMPLETE QUESTIONS AND ANSWERS (VERIFIED)
intubation and attempted intubation but was unsuccessful. What is the most appropriate
immediate next step? - correct answer ventilate with a bag mask device
When is the tertiary survey completed fora trauma pt? - correct answer within 24 hrs of
trauma
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? - correct answer pressure
Which of the following is possible complication of positive-pressure ventilation? - correct
answer worsening pneumothorax
the most reassuring finding for a male pt with hip pain after a fall is which of the following? -
correct answer pelvic stability
Which of the following pulse pressures indicate early hypovolemic shock? - correct answer
narrowed
Patients with a crush injury should be monitored for which of the following conditions? -
correct answer dysrhythmias
Tearing of the bridging veins is most frequently associated with which brain injury? - correct
answer subdural hematoma
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? - correct answer straight cath for urine sample
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? - correct answer placental abruption
Which of the following is true about the log-roll? - correct answer it can worsen cord damage
from an unstable spinal injury
All of these are considered a critical communication point in trauma care EXCEPT which of the
following? - correct answer defusings
What bedside monitoring parameters are used to assess for adequacy of O2 and effectiveness
of ventilation? - correct answer pulse oximetry and capnography
Caregivers carry in a 2 y/o into the ED who fell out of a second-story window. The pt is awake
and crying with increased work of breathing and pale skin. Which of the following interventions
,Combine - of 4 TNCC test. TNCC test prepA, 8th Edition, TNCC Test prep 8th Edition, TNCC Written
Exam, TNCC final exam test open book OE COMPLETE QUESTIONS AND ANSWERS (VERIFIED)
has the highest priority? - correct answer padding the upper back while stabilizing the cervical
spine
Which of the following injuries is LEAST likely to be promptly identified? - correct answer
bowel
A pt is brought to the ED of a rural hospital following a high-speed MVC. When significant abd
and pelvic injuries are noted in the primary survey, which of the following is the priority
interventions? - correct answer Initiate transfer to a trauma center
A pt with a complete spinal cord injury in neurogenic shock will demonstrate hypotension and
which other clinical signs? - correct answer bardycardia and absent motor function below the
level of injury
a 37 y/o F has a deformity of the L wrist after a fall. She is reluctant to move her hand due to
pain. Which of the following is the most appropriate intervention? - correct answer apply splint
and elevate above the level of the heart
which of the following occurs during the third impact of a motor vehicle crash? - correct
answer the aorta is torn at its attachment with the ligamentum arteriosum
a 5 y/o child presents to the ED with bruises to the upper arm 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 survey. Which of the following is the priority nursing intervention? - correct answer
Report your suspicion of maltreatment in accordance with local regulations
Why is a measure of serum lactate obtained in the initial assessment of a trauma patient? -
correct answer to guage end-organ perfusion and tissue hypoxia
A pt with a lower extremity fracture complains of severe pain and tightness in his calf,
minimally by pain medications. Which of the following is the priority nursing intervention? -
correct answer elevating the extremity to the level of the heart
What factor contributes most to the kinetic energy of a body in motion? - correct answer
velocity
An elderly patient with a history of anticoagulant use presents after a fall at home today. She
denies any loss of consciousness. She has a hematoma to her forehead and complains of
headache, dizziness, and nausea. What is the most likely cause of her symptoms? - correct
answer subdural hematoma
a pt has been in the ED for several hrs waiting to be admitted. He sustained multiple rib
fractures and a femur fracture after a fall. He has been awake, alert, and complaining of leg
pain. His wife reported that he suddenly became anxious and confused. Upon reassessment,
the pt is restless with respiratory distress and petechiae to his neck. The pt is exhibiting s/sx
, Combine - of 4 TNCC test. TNCC test prepA, 8th Edition, TNCC Test prep 8th Edition, TNCC Written
Exam, TNCC final exam test open book OE COMPLETE QUESTIONS AND ANSWERS (VERIFIED)
most commonly associated with which of the following conditions? - correct answer fat
embolism
Which of the following is a late sign of increased intracranial pressure? - correct answer Late
signs of increased intracranial pressure include: dilated nonreactive pupils, unresponsive to
verbal or painful stimuli, abnormal motor posturing, and Cushing response (widening pulse
pressure, reflex bradycardia, decreased respiratory effort)
a 49 y/o restrained driver involved in a MVC presents to the trauma center complaining of abd,
pelvic, and bilateral lower extremity pain. VS are stable. The nurse can anticipate all of these
after a negative FAST exam EXCEPT which of the following? - correct answer serial FAST exams
Which of the following is NOT considered goal-directed therapy for cardiogenic shock? -
correct answer pericardiocentesis
The trauma nurse knows that placing a bariatric patient in a ramped position providers better
visualization during the insertion of which device? - correct answer endotracheal tube
which of the following assessment findings differentiates a tension pneumothorax from a
simple pneumothorax? - correct answer increased work of breathing
Assessment findings associated with tension pneumothorax include anxiety, severe
restlessness, severe respiratory distress, and absent breath sounds on the injured side
if a pt has received multiple transfusions of banked blood preserved with citrate, which
electrolyte is most likely to drop and require supplementation? - correct answer calcium
Which of the following is NOT considered a benefit of debriefings? - correct answer identifying
individuals who made mistakes during the traumatic event
You are treating a 27 y/o M in respiratory distress who was involved in a house fire. Calculating
TBSA burned is deferred due to the need for emergent intubation. At what rate should you
begin fluid resuscitation? - correct answer 500 mL/hr
Which of the following is most likely to contribute to inadequate oxygenation and ventilation? -
correct answer advanced age
Which of the following patients warrants referral to a burn center? - correct answer a 52 y/o
diabetic male with a partial thickness burn to the left lower leg
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. he 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? - correct answer dressing removal
