TNCC FINAL EXAM 4 LATEST VERSIONS 2023-2024 CONTAINS 500
QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)TEST
BANK |ALREADY GRADED A+
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 personnel states
a large amount of blood loss before hemostasiswas achieved. he presents to the ER
responding to painful stimuli with moaning. he is tachy 142 b/p 104/96 and RR 24 -
ANSdecompensated
A an unrestrained driver was involved in a frontal collision without airbag deployment.
he is hypotensive and tachycardic with shallow respirations, distended JVD and muffled
heart tones the nurse prepare for what - ANSpericardiocentesis
A during assessment of an extremety with suspected pulses are - ANScan be normal
A for a ptwho has undergone recent bariatric surgery, flouroscopy is recommended to
place - ANSNG tube
A identification of vulnerabilities is an example of what phase of disaster management -
ANSmitigation
A in mass casualty "doing the greatest good for the greatest number of people refers to
a situation where - ANSthere may be more patients than resources
A in neurogenic shock, alterations in vital signs include hypotension and which other
abnormal VS - ANSbradycardia
A In the primary survey AVPU is performed to determine if the patient can: - ANSProtect
their aiway
A prego trauma pt develops tachy, hypotension, a rigide board like uterus, and dark, red
vaginal bleeding. she reports constant back pain which is increasing. the most likely
cause of s/s is - ANSplacental abruption
A several groups of people are at higher risk for maltreatment including children, elderly,
prego, and ... - ANSpt's with disability
A the nurse is preparing to cleanse an extensive abrasion contaminated with dirt and
gravel. which of the following intervention is indicated - ANSus copious amounts of NS
A The systemic inflammatory response is a normal part of the body's response to shock
from traumatic injury. what best describes this response - ANSit is activated by tissue
hypoxia and sends neutrophils to injury site
,TNCC FINAL EXAM 4 LATEST VERSIONS 2023-2024 CONTAINS 500
QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)TEST
BANK |ALREADY GRADED A+
A what is an early assessment finding to increased ICP in pt with a brain injury -
ANSvomiting
A when providing care for the pedicatric pt with burns the post resuscitation care, how
are fluids delivered - ANSparkland formula with maintainence fluidss
A which of hte following nursing interventions would be best for traumitc __________ -
ANSHOB 30 degrees
A which of the following structures would be hte most affected by teh concept of
caviation - ANSLiver
A which of the following values is within the acceptable limits for trauma pt - ANSend
tidal CO2 of 40
B a pt father arrives in teh ER and needs to be told his son was severely injured in a
MVC and is in surgery, the father si agitated, yelling, and smells of alcohol. in planning
to talk with the father the trauma nurse will - ANSdeliver information regarding the son;s
care in a calm voice
B a pt involved in an MVC develops asymmetric pupillary reactivity, bilateral pupillary
dilation and abnormal motor posturing. what does the nurse suspect as the most likely
cause - ANSherniation syndrome
B a pt with injury to the middle meningeal artery is at risk for which of the following -
ANSepidural hematoma
B an occlusive dressing has been applied to a pt with a penetrating injury to the chest.
upon assessment the nurse notes that the patient is in respiratory distress nad has
absnet breath sounds on hte affected side. what is the priroruty intervention -
ANSremove the dressing to the wound
B an unrestrained driver inlvolved in a MVC in which alcohol was involed. he denies any
pain and numbness and tinlging. according to NEXUS critera which factors indicate
need for radiological - ANSsuspected alcohol abuse
B pt to ER after being pinned to brick retaining wall. knwoing crushing injuries can result
to significant damage to muslces the priority asessment for trauma nruse is for -
ANSmyoglobinemia nd renal failure
B the most common cause of shock in the trauma pt is - ANSloss of circ volume
B the unrestrained fron seat passenger in a MVC develops echymosis around
umbillicus. this assessment finding is most commonly associated with: - ANSbleeding in
the peritoneal cavity
,TNCC FINAL EXAM 4 LATEST VERSIONS 2023-2024 CONTAINS 500
QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)TEST
BANK |ALREADY GRADED A+
B thinning skin and diminished autonomic response in older adult can have what effect
on primary assessment - ANScompromised thermoregulation
B when assessing a pt following a MVC the nurses asks how fsat the car was going -
ANSwhen volocity is doubled speed is quadroupled
B WHich may lead to unreliable pulse ox reading - ANScarboxyhemoglobin
B which of hte following significant assessment findigns is frequently found in a patient
with complete cransiofacial separation involving the maxilla, zygoma, orbits, and bones
of the cranial base. - ANSdiplopia
B which of the following hemodynamic support strategies is the prioririty intervention for
a pt with traumatic pulmonary contusion - ANSjudicios use of IV fluids
Bduring the primary survery which of the following has the greatest priority -
ANScervical spine injury
C 32 wk pregnant lady arrives in er after trapped in a car that flipped. the initial
assessment reveals s/s of shock, vaginal bleeding, a palpable asymmetrical uterus, and
slowing fetal heart tones what is the most likely cause - ANSuterine rupture
C a college student presents to the er stating afterarriving at a party , she awoke in a
dorm rom. she didnt recognize with no memory of the previous evening the trauma
nurse prepare for what exam. - ANSsexual assult
C an adult pt involved in a brush fire arrives to the er. upon initial assessment in the er
the most concerning finding is - ANShoarse voice and repeatedly decides to clear
throat.
C an older adult pt fell in the bathtub 3 days ago. now she is exihibiting decreasd LOC
and difficulty with speaking and walking. which of the following injuries is most effective
- ANSsubdural hematoma
C effective pain management in hte pt iwth rib fxwill promote what - ANScough with
ability to clear secretions
C properly restrained 6 wk old kid was involved in a MVC. after the assessment and
stabilization the pt becomes more difficult to rouse. responding with a weak cry to
painful stimuli. the pupils remain brisk and reactive. the anterior fontanel is soft and flat.
what is the most likely cause and pririty interventions - ANShypoglycemia
C What are the primary benefits of a team approach to trauma care - ANSit provides a
systemic approach to care and organizes care
, TNCC FINAL EXAM 4 LATEST VERSIONS 2023-2024 CONTAINS 500
QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)TEST
BANK |ALREADY GRADED A+
C what organ might be injured in left lower rib fx - ANSspleen
C which of the following would be priority intervention for a pt with multiple rib fractures
and chest wall instability follwoing a mvc collision - ANSassist with endotracheal
intubation
C which of the follwoing is a risk factor for DVT in the trauma pt. - ANSpelvic fx
Cthe term worried well when refering to disaster preparedness planning refers to: -
ANSindividuals hwo think they have been affected by the event but are asymptomatic
Cthe trauma nurse would prepare for a definitive airwya for which of the following
condition. - ANSGCS of 8 or ls
D An unrestrained driver is brought into the emergency department following a frontal
impact MVC. she is pale, anxious, and c/o SOB. what is the potential injury -
ANSLumbar fx
D elevated comaprtment pressure can be the result of - ANShemorrhage from within the
muscle
D pt with amputation of an index finger with a knife. amputaiton is brought in with pt. it is
wrapped in sterile gauze with saline and sealed in a plastic bag. the next step
amputation care is - ANSplace the bag on ice
D restrained driver is involved in a severe head on MVC and presnts with a seatbelt
mark along the neck and upper chest area. bilateral decreased breath sounds,
hemoptysis and diffuse sub q emphysemato the neck and upper chest area -
ANStracheobronchial injury
D which of the following diagnostic intervention is most appropriate for the unstable pt
with a suspectedinternal hemorrhage - ANSfocused assessment with sonography for
trauma
D which physiological change in airway of an odler adult pt places the pt at risk for
difficult intubation - ANScervical arthritisA 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 personnel states
a large amount of blood loss before hemostasiswas achieved. he presents to the ER
responding to painful stimuli with moaning. he is tachy 142 b/p 104/96 and RR 24 -
ANSdecompensated
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