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TNCC Test prep 8th Edition
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TNCC Test prep 8th Edition QUESTIONS WITH COMPLETE ANSWERS
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TNCC Test prep 8th EditionExpedite transfer to the closest trauma center Correct Answer: 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 this patient?
a pertinent medical hx is crucial Correct Answer: Which of the following considerations is the most
important when caring for a geriatric trauma pt?
Mitigation 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?
smell of alcohol on breath 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?
hemoglobin does not readily release O2 for use by the tissues Correct Answer: What is the effect of
hypothermia on the oxyhemoglobin dissociation curve?
acidosis Correct Answer: Which of the following is a component of the trauma triad of death?
Complete 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?
flucuation in the water seal chamber Correct Answer: Which of the following is an expected finding in a
pt with a tube thoracstomy connected to a chest drainage system?
insert an oropharyngeal airway if there is no gag reflex 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?
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?
defusings Correct Answer: All of these are considered a critical communication point in trauma care
EXCEPT which of the following?
pulse oximetry and capnography Correct Answer: What bedside monitoring parameters are used to
assess for adequacy of O2 and effectiveness of ventilation?
padding the upper back while stabilizing the cervical spine Correct Answer: 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 has the highest priority?
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