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TNCC ACTUAL EXAM QUESTIONS & ANSWERS 2024 LATEST VERSIONS
TNCC ACTUAL EXAM QUESTIONS & ANSWERS 2024 LATEST VERSIONS
[Show more]TNCC ACTUAL EXAM QUESTIONS & ANSWERS 2024 LATEST VERSIONS
[Show more]Breathing and Ventilation" - ansDuring which part of the primary survey would you anticipate the need for a chest tube, intubation, decompression of pneumothorax, oxygen, or BVMs? 
 
1. attach CO2 detector and assess for evidence of exhaled CO2; 2. observe for rise and fall of the chest w/ assisted...
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Add to cartBreathing and Ventilation" - ansDuring which part of the primary survey would you anticipate the need for a chest tube, intubation, decompression of pneumothorax, oxygen, or BVMs? 
 
1. attach CO2 detector and assess for evidence of exhaled CO2; 2. observe for rise and fall of the chest w/ assisted...
1.What is the effect of hypothermia on the oxyhemoglobin dissociation curve - CORRECT ANSWERS Hemoglobin does not readily release oxygen for use by the tissues A shift to the left occurs in an environment of low metabolic demand (hypothermia, hypocapnia, alkalosis), increasing hemoglobin's affinit...
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Add to cart1.What is the effect of hypothermia on the oxyhemoglobin dissociation curve - CORRECT ANSWERS Hemoglobin does not readily release oxygen for use by the tissues A shift to the left occurs in an environment of low metabolic demand (hypothermia, hypocapnia, alkalosis), increasing hemoglobin's affinit...
What are the greatest risks for transport? 
Loss of airway patency, displaced obstructive tubes lines or catheters, dislodge splinting devices, need to replace or reinforce dressings, deterioration in patient status change in vital signs or level of consciousness, injury to the patient and/or team m...
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Add to cartWhat are the greatest risks for transport? 
Loss of airway patency, displaced obstructive tubes lines or catheters, dislodge splinting devices, need to replace or reinforce dressings, deterioration in patient status change in vital signs or level of consciousness, injury to the patient and/or team m...
The trauma nurse knows that placing a bariatric patient in a "ramped position" provides better visualization during the insertion of which device? - CORRECT ANSWERS endotracheal tube 
 
Tearing of the bridging veins is most frequently associated with which brain injury? - CORRECT ANSWERS subdura...
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Add to cartThe trauma nurse knows that placing a bariatric patient in a "ramped position" provides better visualization during the insertion of which device? - CORRECT ANSWERS endotracheal tube 
 
Tearing of the bridging veins is most frequently associated with which brain injury? - CORRECT ANSWERS subdura...
A 5-year-old child presents to the ED with bruises to the upper arms 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 nur...
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Add to cartA 5-year-old child presents to the ED with bruises to the upper arms 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 nur...
The nurse is caring for a 120 kg male brought in after a warehouse fire and is calculating the patients fluid resuscitation needs. He has painful red blistering to the entire surface of both upper extremities and superficial burns to the anterior chest. Using the modified Lund and Browder chart to c...
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Add to cartThe nurse is caring for a 120 kg male brought in after a warehouse fire and is calculating the patients fluid resuscitation needs. He has painful red blistering to the entire surface of both upper extremities and superficial burns to the anterior chest. Using the modified Lund and Browder chart to c...
A 5-year old child presents to the ED with bruises to the upper arms 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 nur...
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Add to cartA 5-year old child presents to the ED with bruises to the upper arms 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 nur...
A adult patient with a knife injury to the neck has an intact airway and is hemodynamically stable. They complain of difficulty swallowing and speaking. In the primary survey, further assessment is indicated next for which of the following conditions? 
a. Damage to the cervical spine 
b. An expandin...
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Add to cartA adult patient with a knife injury to the neck has an intact airway and is hemodynamically stable. They complain of difficulty swallowing and speaking. In the primary survey, further assessment is indicated next for which of the following conditions? 
a. Damage to the cervical spine 
b. An expandin...
Initial Assessment 1. Preparation and Triage 2. Primary Survery (ABCDE) with resuscitation adjuncts (F,G) 3. Reevaluation (consideration of transfer) 4. Secondary Survey (HI) with reevaluation adjuncts 5. Reevaluation and post resuscitation care 6. Definitive care of transfer to an appropriate traum...
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Add to cartInitial Assessment 1. Preparation and Triage 2. Primary Survery (ABCDE) with resuscitation adjuncts (F,G) 3. Reevaluation (consideration of transfer) 4. Secondary Survey (HI) with reevaluation adjuncts 5. Reevaluation and post resuscitation care 6. Definitive care of transfer to an appropriate traum...
A 5-year old child presents to the ED with bruises to the upper arms 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 nur...
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Add to cartA 5-year old child presents to the ED with bruises to the upper arms 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 nur...
500 mL/hr - ansYou 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? 
a 52 y/o diabetic male with a partial thickness burn to the left lower...
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Add to cart500 mL/hr - ansYou 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? 
a 52 y/o diabetic male with a partial thickness burn to the left lower...
A a 22 yr old was struck by a vehicle while crossing the street, sustaining multiple fx she is alert and answering qestions and crying what is the best method for initial pain assessment for this pt - ANSself report scale 
 
A a pt sustrained a penetrating injury of his upper leg. the pre hospital p...
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Add to cartA a 22 yr old was struck by a vehicle while crossing the street, sustaining multiple fx she is alert and answering qestions and crying what is the best method for initial pain assessment for this pt - ANSself report scale 
 
A a pt sustrained a penetrating injury of his upper leg. the pre hospital p...
An elderly patient with a history of anticoagulant use presents after a fall at home that day. she denies any loss of consciousness. She has a hematoma to her forehead and complains of headache, dizziness, and nausea. Which is a most likely cause of her symptoms? 
 
 
Answer: D correct answerA) epid...
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Add to cartAn elderly patient with a history of anticoagulant use presents after a fall at home that day. she denies any loss of consciousness. She has a hematoma to her forehead and complains of headache, dizziness, and nausea. Which is a most likely cause of her symptoms? 
 
 
Answer: D correct answerA) epid...
Why is a measure of serum lactate obtained in the initial assessment of the trauma patient? 
 
Answer: c - a) to measure oxygenation and ventilation 
b) to quantify the base deficit for the adequacy of cellular perfusion 
c) *to gauge end-organ perfusion and tissue hypoxia ** 
d) to determine the u...
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Add to cartWhy is a measure of serum lactate obtained in the initial assessment of the trauma patient? 
 
Answer: c - a) to measure oxygenation and ventilation 
b) to quantify the base deficit for the adequacy of cellular perfusion 
c) *to gauge end-organ perfusion and tissue hypoxia ** 
d) to determine the u...
What is the Trauma Assessment Mnemonic? - Correct answer A = Airway with simultaneous 
cervical spine stabilization/immobilization… 
B = Breathing 
C = Circulation 
D = Disability (neurologic status) 
E = Expose patient/Environmental Control 
F = Full set of VS/Focused Adjuncts/Facilitate Family P...
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Add to cartWhat is the Trauma Assessment Mnemonic? - Correct answer A = Airway with simultaneous 
cervical spine stabilization/immobilization… 
B = Breathing 
C = Circulation 
D = Disability (neurologic status) 
E = Expose patient/Environmental Control 
F = Full set of VS/Focused Adjuncts/Facilitate Family P...
What is the key to a high performing trauma team? - answerEffective communication 
When obtaining a history for an injured patient, determining energy transfer through biochemical 
data help the nurse to: - answerprepare for and anticipate injuries 
The major preventable cause of death in the trauma...
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Add to cartWhat is the key to a high performing trauma team? - answerEffective communication 
When obtaining a history for an injured patient, determining energy transfer through biochemical 
data help the nurse to: - answerprepare for and anticipate injuries 
The major preventable cause of death in the trauma...
Primary concern when a person cannot stop coughing/clearing their throat following house 
fire/smoke? - answerAirway/Intubate 
Lab evidence of cellular perfusion - answerBase Excess (Less than -6 is BAD) 
Multiple people are in the ER of different ages who all go to the same church. They all have th...
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Add to cartPrimary concern when a person cannot stop coughing/clearing their throat following house 
fire/smoke? - answerAirway/Intubate 
Lab evidence of cellular perfusion - answerBase Excess (Less than -6 is BAD) 
Multiple people are in the ER of different ages who all go to the same church. They all have th...
A adult patient with a knife injury to the neck has an intact airway and is hemodynamically stable. They complain of difficulty swallowing and speaking. In the primary survey, further assessment is indicated next for which of the following conditions? a. Damage to the cervical spine b. An expanding ...
Preview 4 out of 405 pages
Add to cartA adult patient with a knife injury to the neck has an intact airway and is hemodynamically stable. They complain of difficulty swallowing and speaking. In the primary survey, further assessment is indicated next for which of the following conditions? a. Damage to the cervical spine b. An expanding ...
Expedite transfer 
to the closest 
trauma center 
2. a pertinent medical 
hx is crucial 
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, ...
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Add to cartExpedite transfer 
to the closest 
trauma center 
2. a pertinent medical 
hx is crucial 
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, ...
1. Which of the following requires you to develop a plan of action, initiate the plan, reassess the plan as care for the patient moves forward, and adjust the plan as the patient's condition or circumstances change? 
A. Principles of PHTLS 
B. The Golden Period 
C. The XABCDE assessment 
D. Critica...
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Add to cart1. Which of the following requires you to develop a plan of action, initiate the plan, reassess the plan as care for the patient moves forward, and adjust the plan as the patient's condition or circumstances change? 
A. Principles of PHTLS 
B. The Golden Period 
C. The XABCDE assessment 
D. Critica...
What is the best measure of the adequacy of cellular perfusion and helps predict the outcome of resuscitation? - ANSWER-Base deficit used in conjunction with serum lactate 
	 
Will hypocapnia cause vasoconstriction or vasodilation, especially in the cerebral vasculature? - ANSWER-Vasoconstriction 
 ...
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Add to cartWhat is the best measure of the adequacy of cellular perfusion and helps predict the outcome of resuscitation? - ANSWER-Base deficit used in conjunction with serum lactate 
	 
Will hypocapnia cause vasoconstriction or vasodilation, especially in the cerebral vasculature? - ANSWER-Vasoconstriction 
 ...
Expedite transfer to the closest trauma center - CORRECT ANSWERS A 56 y/o M involved in a MVC is brought to the ED. He complains of neck pain, SOB, and diffuse abdominal pain. His GCS is 15, VS: BP 98/71, HR 125, RR 26, SpO2 94% on high-flow O2 via NRB mask. Which is the priority intervention for t...
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Add to cartExpedite transfer to the closest trauma center - CORRECT ANSWERS A 56 y/o M involved in a MVC is brought to the ED. He complains of neck pain, SOB, and diffuse abdominal pain. His GCS is 15, VS: BP 98/71, HR 125, RR 26, SpO2 94% on high-flow O2 via NRB mask. Which is the priority intervention for t...
A trauma patient is en route to a rural ED. Radiology notifies the charge nurse that the CT scanner will be out of service for several of hours. The team gathers to plan accordingly. Which of the following terms best describes this trauma teams communication? 
Answer: D - ANSWER-A) Brief B) loop C) ...
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Add to cartA trauma patient is en route to a rural ED. Radiology notifies the charge nurse that the CT scanner will be out of service for several of hours. The team gathers to plan accordingly. Which of the following terms best describes this trauma teams communication? 
Answer: D - ANSWER-A) Brief B) loop C) ...
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