TNCC test prepA, TNCC Notes for Written Exam, TNCC
TNCC test prepA, TNCC Notes for Written Exam, TNCC
TNCC test prepA, TNCC Notes for Written Exam, TNCC
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TNCC test prepA, TNCC Notes for Written
Exam, TNCC Notes for Written Exam, TNCC
Prep, TNCC EXAM, TNCC 8th Edition
Expedite transfer to the closest trauma center - -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?
-a pertinent medical hx is crucial - -Which of the following considerations is
the most important when caring for a geriatric trauma pt?
-Mitigation - -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?
-Multiple requests for water - -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 - -What is
the effect of hypothermia on the oxyhemoglobin dissociation curve?
-acidosis - -Which of the following is a component of the trauma triad of
death?
-Complete - -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 - -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 - -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 - -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 - -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 - -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 - -When is the tertiary survey completed fora
trauma pt?
-pressure - -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 - -Which of the following is possible complication
of positive-pressure ventilation?
-pelvic stability - -the most reassuring finding for a male pt with hip pain
after a fall is which of the following?
-narrowed - -Which of the following pulse pressures indicate early
hypovolemic shock?
-dysrhythmias - -Patients with a crush injury should be monitored for which
of the following conditions?
-subdural hematoma - -Tearing of the bridging veins is most frequently
associated with which brain injury?
-straight cath for urine sample - -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 - -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 - -Which of the
following is true about the log-roll?
-defusings - -All of these are considered a critical communication point in
trauma care EXCEPT which of the following?
-pulse oximetry and capnography - -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 - -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?
-bowel - -Which of the following injuries is LEAST likely to be promptly
identified?
-Initiate transfer to a trauma center - -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?
-bardycardia and absent motor function below the level of injury - -A pt with
a complete spinal cord injury in neurogenic shock will demonstrate
hypotension and which other clinical signs?
-apply splint and elevate above the level of the heart - -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?
-the aorta is torn at its attachment with the ligamentum arteriosum - -which
of the following occurs during the third impact of a motor vehicle crash?
-Report your suspicion of maltreatment in accordance with local regulations
- -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?
-to guage end-organ perfusion and tissue hypoxia - -Why is a measure of
serum lactate obtained in the initial assessment of a trauma patient?
, -elevating the extremity to the level of the heart - -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?
-velocity - -What factor contributes most to the kinetic energy of a body in
motion?
-subdural hematoma - -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?
-fat embolism - -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 most commonly associated with which of the following
conditions?
-nausea and vomiting - -Which of the following is a late sign of increased
intracranial pressure?
-serial FAST exams - -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?
-pericardiocentesis - -Which of the following is NOT considered goal-
directed therapy for cardiogenic shock?
-endotracheal tube - -The trauma nurse knows that placing a bariatric
patient in a ramped position providers better visualization during the
insertion of which device?
-increased work of breathing? - -which of the following assessment findings
differentiates a tension pneumothorax from a simple pneumothorax?
-calcium - -if a pt has received multiple transfusions of banked blood
preserved with citrate, which electrolyte is most likely to drop and require
supplementation?
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