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TNCC test prepA Questions & answers with Complete solutions | Latest edition
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TNCC test prepA Questions & answers with Complete solutions | Latest edition
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TNCC test prepAExpedite transfer to the closest trauma center - ANS-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 - ANS-Which of the following considerations is the most
important when caring for a geriatric trauma pt?
Mitigation - ANS-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 - ANS-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 - ANS-What is the effect
of hypothermia on the oxyhemoglobin dissociation curve?
acidosis - ANS-Which of the following is a component of the trauma triad of death?
Complete - ANS-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 - ANS-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 - ANS-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 - ANS-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 - ANS-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 - ANS-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 - ANS-When is the tertiary survey completed fora trauma pt?
pressure - ANS-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 - ANS-Which of the following is possible complication of
positive-pressure ventilation?
pelvic stability - ANS-the most reassuring finding for a male pt with hip pain after a fall is
which of the following?
narrowed - ANS-Which of the following pulse pressures indicate early hypovolemic
shock?
dysrhythmias - ANS-Patients with a crush injury should be monitored for which of the
following conditions?
subdural hematoma - ANS-Tearing of the bridging veins is most frequently associated
with which brain injury?
straight cath for urine sample - ANS-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 - ANS-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?
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