TNCC 9TH EDITION TNP EXAM 2024-
2025 WITH ACTUAL CORRECT
QUESTIONS AND VERIFIED
DETAILED ANSWERS |FREQUENTLY
TESTED QUESTIONS AND SOLUTIONS
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A+|NEWEST|GUARANTEED
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An obese trauma patient requires intubation . Assuming there are no contraindications , which position
will provide the best visualization for insertion of the endotracheal tube ?
Ramped
Your patient is a pedestrian struck by a car and thrown 35 feet . They were unconscious at the scene but
became responsive with initial and subsequeni Glasgow Coma Scale ( GCS ) scores of 13 ( E - 3 , V - 4 , M
- 6 ) . The patient has bilateral subdural hematomas and is awaiting transfer to the ICU . Your next
assessment reveals a GCS of 9 ( E - 2 , V - 2 , M - 5 What is the priority nursing intervention ?
Notify the provider of the change
A severely injured patient has been intubated and is being mechanically ventilated . The patient has
received a balanced resuscitation including multiple blood producis . Under which circumstance will it be
harder for the hemoglobin to release oxygen to the tissues ?
Decreased body temperature
A patient is thrown against a car during a tornado and presents with obvious bilateral femur fractures .
The patient is paie , aleri , disoriented , and has delayed capillary refill . Which of the following
interventions would be most appropriate for this patient based on the disaster triage principles ?
Initiate two large caliber intravenous lines for isotonic crystalloid administration .
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,A patient arrives with a large open chest wound after being assaulted with a machete . Prehospital
providers placed nonporous dressing over the chest wound and taped it on three sides . The patient is
now showing signs of anxiety , restlessness , severe respiratory distress , cyanosis , and decreasing blood
pressure . Which of the following is the MOST appropriate immediate intervention ?
Dressing removal
A driver involved in a high - speed motor vehicle collision arrives in the emergency department . The
vehicle's air - bag failed to deploy . The patient is drowsy bui arousable and complaining of chest pain
wit ecchymosis noted to the chest . The patient is tachycardic and hypotensive with no evidence of
uncontrolled bleeding . Cardiac monitor shows premature ventricular contractions Which of the
following is the most appropriate intervention for this patient?
Inotropic support
Which of the following situations could cause functional grief ?
Amputation of a limb
Using the American College of Surgeons screening guidelines what assessment finding would prompt the
nurse to prepare a patient for cervical spine imaging ?
Alert with no neurologic deficits
An adult was thrown against a concrete wall during a factory explosion and sustained a femur fracture ,
liver laceration , and a small subdural hematoma These injuries most likely occurred during what level of
blast trauma ?
Tertiary
An adult patient was brought to the emergency department following a motorcycle crash . On arrival ,
the patient is only responsive to pain , has bleeding from the nose , and multiple abrasions and
contusions to the face . What is the priority intervention ?
Use a law thrust to open the air way and look for signs of obstruction
An adult pedestrian was struck on the right side by a sport utility vehicle traveling at 40 mph . The
patient is awake and alert and the right leg is shortened . Following initial resuscitation with fluids , the
patient remains hypotensive . What would be the priority intervention ?
Apply a pelvic binder
A patient has a closed fracture to the left lower leg. Which symptoms are consistent with compartment
syndrome
Pain, diminished pedal pulse, pressure
Which of the following characteristics is found in high performing teams
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, Interdisciplinary collaboration
An unresponsive patient has an oropharyngeal airway in place, shallow and labored respirations, and
dusky skin. Medication for drug-assisted intubation have been administered but intubation was
unsuccessful. What is the most appropriate next step?
Ventilate with a bag-mask device
An adult arrives at the emergency department with superficial burns to the extremities following a
house fire. The patient is reporting a headache with nausea and is drowsy and confused. What is most
likely cause of these symptoms?
CO2 poisoning
An adult patient was a restrained passenger involved in a high-speed motor vehicle collision. The patient
complained of generalized abdominal and left leg pain. A FAST exam was negative for fluid in the
abdominal cavity. While awaiting inpatient bed placement, the patient develops increased abdominal
pain w/rebound tenderness, fever and elevated WBC. These findings are most consistent w/ an injury to
which organ?
Small bowel
A patient has uncontrolled bleeding from a wound to his right upper extremity. What is the priority
intervention?
Apple direct pressure to the wound
A 36 year old patient has a deformity of left wrist after a fall. The patient is reluctant to move their hand
due to pain. Which of the following is the most appropriate intervention?
Apply a splint and elevate the extremity above the level of the heart
A trauma patient is being resuscitated in the emergency department when the radiology staff notifies
the charge nurse that the CT scanner will be out of service for several hours. The team gathers to plan
accordingly. Which of the following terms best describes this trauma teams communication?
Huddle
A seriously injured patient is noted to have a weak, thready pulse and cool, clammy skin. There is
instability of the pelvis on palpating and blood at the urinary meatus. A pelvic binder is appropriately
applied and balanced fluid resuscitation is being managed by the team. What would be the most
appropriate next intervention for this patient?
Insertion of a suprapubic catheter
A teenaged patient presents to the ED w/ left arm pain after a ground level fall. The patient identifies as
transgender and shares they are homeless. The ED staff are concerned the patient is experiencing
human trafficking. What is the most consistent w/ human trafficking
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