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TNCC Final Exam Test 2022 Open Book Latest Solutions
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TNCC Final Exam Test 2022 Open BookLatest Solutions
Why is a measure of serum lactate obtained in the initial assessment of the traumapatient?
Answer: c - a) to measure oxygenation and ventilation
b) to quantify the base deficit for the adequacy of cellular perfusionc) *to
gauge end-organ perfusion and tissue hypoxia **
d) to determine the underlying cause of shock
A trauma patient is restless and repeatedly asking "where am I?" vital signs upon arrivalwere BP
100/60 mm Hg, HR 96 beats/min, and RR 24 breaths/min. Her skin is cool anddry. Current vital
signs are BP 104/84mm Hg, HR 108, RR 28 breaths/min. The patient is demonstrating signs and
symptoms of which stage of shock?
Answer: A - A) compensated **
B) Progressive
C) irreversible
D) decompensated
An elderly patient with a history of anticoagulant use presents after a fall at home thatday. she
denies any loss of consciousness. She has a hematoma to her forehead andcomplains of headache,
dizziness, and nausea. Which is a most likely cause of her symptoms?
Answer: D - A) epidural hematomaB)
diffuse axonal injury
C) post-concussive syndromeD)
subdural hematoma ***
EMS brings a patient who fell riding his bicycle. Using the American College of Surgeons
screening guidelines, which assessment finding would prompt the nurse toprepare the patient
for radiologic spine clearance?
Answer: D - A) Alert with no neurologic deficitsB)
Multiple abrasions to the extremities
C) Multiple requests of water
D) Smell of alcohol on breath ***
Which of the following occurs during the third impact of a motor vehicle crash?
Answer: C - A) The driver of the vehicle collides with the steering wheelB) the
vehicle collides with a tree
C) the aorta is torn at its attachment with the ligamentum arteriosum
, D) the airbag deploys and strikes the front seat passenger ***
A passenger is brought to the emergency department of a rural hospital following ahigh-
speed MVC. When significant abdominal and pelvic injuries are noted in the primary
survey, which of the following is the priority interventions?
Answer: A - A) initiate transfer to a trauma center **B)
provide report to the operating room nurse
C) Obtained imaging studiesD)
Place a gastric tube
Which of the following injuries is LEAST likely to be promptly identified?
Answer: C - A) spleen
B) lung
C) bowel ***
D) brain
Patients with a crush injury should be monitored for which of the following conditions?
Answer: C - A) Hypernatremia
B) Hypercalcemia
C) Dysrhthmias **
D) polyuria
What finding raises suspicion of complete spinal cord injury?
Answer: B - A) Weakness in the lower extremitiesB)
Priapism ***
C) voluntary anal sphincter tone
D) intact reflexes distal to the injury
A patient with a complete spinal cord injury in neurogenic shock will demonstrate
hypotension and which other clinical signs?
Answer: D - A) Bradycardia and ipsilateral absences of motor functionB)
Tachycardia and respiratory depression
C) Tachycardia and absent motor function below the level of injury
D) Bradycardia and absent motor function below the level of the injury ***
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 areno abnormalities
found based on the pediatric assessment triangle or primary survey. Which of the following is
the priority nursing intervention?
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