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TNCC Test prep 8th Edition Questions and answers | With complete solution Newest
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TNCC Test prep 8th Edition Questionsand answers | With complete solution
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Expedite transfer to the closest trauma center - A 56 y/o M involved in a MVC is brought
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to the ED. He complains of neck pain, SOB, and diffuse abdominal pain. His GCS is 15,
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VS: BP 98/71, HR 125, RR 26, SpO2 94% on high-flow O2 via NRB mask. Which is the
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priority intervention for this patient?
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a pertinent medical hx is crucial - Which of the following considerations is the most
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important when caring for a geriatric trauma pt?
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Mitigation - Following a review of recent drills and a real disaster event, a hospital has
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identified deficiencies and is taking steps to minimize the impact of a future disaster .
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Which phase of the disaster life cycle does this describe?
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smell of alcohol on breath - EMS brings a pt who fell while riding his bicycle. Using the
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American College of Surgeobs screening guidelines, which assessment finding would
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prompt the RN to prepare the pt for a radiologic spine clearance?
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hemoglobin does not readily release O2 for use by the tissues - What is the effect of
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hypothermia on the oxyhemoglobin dissociation curve?
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II acidosis - Which of the following is a component of the trauma triad of death?
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Complete - EMS brings a pt from MVC. VS: BP 90/49, HR 48, RR 12, temp 97.2F (36.2
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C). The pt exhibits urinary incontinence and priapism. These assessment findings are
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most consistent with which of the following types of spinal cord injury?
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flucuation in the water seal chamber - Which of the following is an expected finding in a
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pt with a tube thoracstomy connected to a chest drainage system?
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insert an oropharyngeal airway if there is no gag reflex - During the primary survey of an
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unconscious pt with multi-system trauma, the nurse notes snoring respirations. What
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priority nursing interventions should be preformed next?
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globe rupture - A 35 y/o M presents with facial trauma after being struck in the face with a
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baseball. A teardrop-shaped left pupil is noted on exam. What type of injury is suspected?
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compensated - A trauma pt is restless and repeatedly asking "where am i?" VS upon
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arrival: BP 110/60, HR96, RR 24. Her skin is cool and dry. Current VS are BP 104/84, HR
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108, RR 28. The pt is demonstrating s/sx of which stage of shock?
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, ventilate with a bag mask device - An unresponsive trauma pt has an oropharygeal
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airway in place, shallow and labored respirations, and dusky skin. The trauma team has
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administered medications for drug-assisted intubation and attempted intubation but was
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unsuccessful. What is the most appropriate immediate next step?
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II within 24 hrs of trauma - When is the tertiary survey completed fora trauma pt?
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pressure - An intubated and sedated pt in the ED has multiple extremity injuries with the
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potential for causing compartment syndrome. What is the most reliable indication of
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compartment syndrome in a patient who is unconscious?
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worsening pneumothorax - Which of the following is possible complication of positive-
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pressure ventilation? II
pelvic stability - the most reassuring finding for a male pt with hip pain after a fall is which
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of the following?
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II narrowed - Which of the following pulse pressures indicate early hypovolemic shock?
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dysrhythmias - Patients with a crush injury should be monitored for which of the following
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conditions?
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subdural hematoma - Tearing of the bridging veins is most frequently associated with
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which brain injury?
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straight cath for urine sample - A 20 y/o M presents to the ED complaining of severe
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lower abd pain after landing hard on the bicycle cross bars while preforming an aerial
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BMX maneuver. Secondary assessment reveals lower abd tenderness and scrotal
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ecchymosis. Which of the following orders would the RN question?
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placental abruption - You are caring for a pt who was involved in a MVC and is 32 weeks
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pregnant. Findings of your secondary survey include abd pain on palpation, fundal ht at
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the costal margin, and some dark bloody show. Varying accelerations and decelerations
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are noted on cariocgraphy. These findings are most consistent with which of the
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following?
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it can worsen cord damage from an unstable spinal injury - Which of the following is true
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about the log-roll?
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defusings - All of these are considered a critical communication point in trauma care
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EXCEPT which of the following?
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pulse oximetry and capnography - What bedside monitoring parameters are used to
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assess for adequacy of O2 and effectiveness of ventilation?
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