TNCC FINAL EXAM TEST
Terms in this set (50)
A 5-year old child presents
to the ED with bruises to the
upper arms and butt ocks in
various stages of heal ing
and mul tiple smal l, clean,
round burns to the b ack.
There are no abnormal ities
found b ased on the
pedia tric assessment
triangl e or primar y survey.
Which of the following is
the priority nursing
intervention?
Answer: AA) report your suspicion of the mal treatment in
accordance with l ocal regulations ***
B) apply ice to the bruises and consul t wound care
C) enga ge in therapeutic communica tion to determine
the MOI
D) provide the family with injur y prevention r esour se
A 20-year old mal e
presents to the ED c/o
severe lower abd pain after
landing har d on the bicy cle
cross bars which
performing an aerial BMX
maneuv er. Secondar y
assessment reveals lower
abd tenderness and scr otal
ecchymosis. Which of the
following orders would the
nurse ques tions?
Answer: CA) Fast exam
B) CT scan
C) straight cath for urine sampl e ***
D) ice and el evation of the scr otum A 35-year old mal e
presents with facial trauma
after bring s truck inthe face
with a baseb all. a tear-drop
shaped l eft pupil is noted
on exam. What type of
injury is suspect ed?
Answer: BA) oculomot or nerve palsy
B) globe ruptur e ***
C) uncal hernia tion
D) retinal detachment
A 36-year old femal e has a
deformity of the left wrist
after a fall. She is reluctant
to move her hand due to
pain. Which of the following
is the mos t appr opria te
intervention?
Answer: BA) apply a sling and el evate the e xtremity to the level of
the heart .
B) apply a splint and ELE VATE ABO VE THE LE VEL OF
THE HE ART ***
C) Apply a sling and el evate the e xtremity above the
level of the heart
D) apply a splint and el evate the e xtremity to the level of
the heart . A 49-year old restrained
driver involved in a MVC
presents to the trauma
center c/o abd, pel vic, and
bil lower extremity pain
Vitals signs are stable. The
nurse can anticip ate all of
these nega tive fast exam
except which of the
following ?
Answer: A
The F AST exam is done at
the bedside to identify
pathological fluid in the
abdominal and pel vic
cavities. F AST exams reduce
the use of more invasive
diagnos tic perit oneal
lavage and can be
repea ted if clinical changes
or hemo dynamic changes
occur . A nega tive FAST
study does not rule out
injury and ma y warrant a
follow-up comput ed
tomogr aphy scan. Serial
FAST exams can identify
increasing abdominal fluid
collections from
hemorrha ge. Diagnos tic
perit oneal
lavage/diagnos tic
perit oneal aspir ation isA) diagnos tic perit oneal lavage ***
B) serial fast exams
C) abdominal and pel vic CT scans
D) serial abdominal assessments
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