TNCC test prepA questions with verified
answers
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? -
correct answer-Expedite transfer to the closest trauma center
Which of the following considerations is the most important when caring for a geriatric trauma pt? -
correct answer-a pertinent medical hx is crucial
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? - correct answer-Mitigation
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? - correct answer-Multiple requests for water
What is the effect of hypothermia on the oxyhemoglobin dissociation curve? - correct answer-
hemoglobin does not readily release O2 for use by the tissues
Which of the following is a component of the trauma triad of death? - correct answer-acidosis
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? - correct answer-Complete
Which of the following is an expected finding in a pt with a tube thoracstomy connected to a chest
drainage system? - correct answer-flucuation in the water seal chamber
, 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? - correct answer-insert an
oropharyngeal airway if there is no gag reflex
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? - correct answer-globe rupture
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? - correct answer-compensated
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? - correct answer-
ventilate with a bag mask device
When is the tertiary survey completed fora trauma pt? - correct answer-within 24 hrs of trauma
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? - correct answer-pressure
Which of the following is possible complication of positive-pressure ventilation? - correct answer-
worsening pneumothorax
the most reassuring finding for a male pt with hip pain after a fall is which of the following? - correct
answer-pelvic stability
Which of the following pulse pressures indicate early hypovolemic shock? - correct answer-narrowed
Patients with a crush injury should be monitored for which of the following conditions? - correct answer-
dysrhythmias
answers
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? -
correct answer-Expedite transfer to the closest trauma center
Which of the following considerations is the most important when caring for a geriatric trauma pt? -
correct answer-a pertinent medical hx is crucial
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? - correct answer-Mitigation
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? - correct answer-Multiple requests for water
What is the effect of hypothermia on the oxyhemoglobin dissociation curve? - correct answer-
hemoglobin does not readily release O2 for use by the tissues
Which of the following is a component of the trauma triad of death? - correct answer-acidosis
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? - correct answer-Complete
Which of the following is an expected finding in a pt with a tube thoracstomy connected to a chest
drainage system? - correct answer-flucuation in the water seal chamber
, 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? - correct answer-insert an
oropharyngeal airway if there is no gag reflex
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? - correct answer-globe rupture
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? - correct answer-compensated
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? - correct answer-
ventilate with a bag mask device
When is the tertiary survey completed fora trauma pt? - correct answer-within 24 hrs of trauma
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? - correct answer-pressure
Which of the following is possible complication of positive-pressure ventilation? - correct answer-
worsening pneumothorax
the most reassuring finding for a male pt with hip pain after a fall is which of the following? - correct
answer-pelvic stability
Which of the following pulse pressures indicate early hypovolemic shock? - correct answer-narrowed
Patients with a crush injury should be monitored for which of the following conditions? - correct answer-
dysrhythmias
