TNCC TEST PREP 8TH EDITION ACTUAL EXAM
NEWEST VERSION 2024-2025 ACTUAL 120
QUESTION AND CORRECT DETAILED ANSWERS
WITH RATIONALES.
A 56 y/o M involved in a MVC is brought to the ED. He complains of
neck pain, SOB, and diffuse abdominal pain. His GCS is 15, VS: BP 98/71,
HR 125, RR 26, SpO2 94% on high-flow O2 via NRB mask. Which is the
priority intervention for this patient?✔✔ ANSWER✔✔Expedite transfer
to the closest trauma center
Which of the following considerations is the most important when
caring for a geriatric trauma pt?✔✔ ANSWER✔✔a pertinent medical hx
is crucial
Which of the following mnemonics can help the nurse prioritize care for
a trauma patient with massive uncontrolled hemorrhage?✔✔
ANSWER✔✔MARCH (The MARCH mnemonic stands for massive
hemorrhage, airway, respiration, circulation, and head
injury/hypothermia. The MARCH mnemonic recognizes uncontrolled
hemorrhage as the major cause of preventable death after injury.)
A patient is thrown against a car during a tornado and presents with
obvious bilateral femoral fractures. The patient is pale, alert,
disoriented, and has delayed capillary refill. Which of the following
interventions would be most appropriate for this patient based on the
,disaster triage principles?✔✔ ANSWER✔✔Initiate two large-caliber IVs
for LR administration
What finding raises suspicion of a complete spinal cord injury?✔✔
ANSWER✔✔Priapism
A trauma patient is en route to a rural emergency department.
Radiology notifies the charge nurse that the computerized tomography
(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?✔✔ ANSWER✔✔huddle?
An intubated trauma patient is being transferred to a tertiary care
center. After moving the patient to the stretcher for transport, a drop in
pulse oximetry to 85% is noted. Which of the following is the priority
intervention?✔✔ ANSWER✔✔Confirm ETT placement
The nurse is caring for a 120 kg male brought in after a warehouse fire
and is calculating the patients fluid resuscitation needs. He has painful
red blistering to the entire surface of both upper extremities and
superficial burns to the anterior chest. Using the modified Lund and
Browder chart to calculate the total body surface area burned, how
much IV fluid would be administered in the first 8 hours?✔✔
ANSWER✔✔2280 ml (Both upper arms = 8%, both lower arms = 6%,
and both hands = 5%, yielding 19 * 2 * 120 = 4560 mL. Half of the total
is equal to 2280 mL. Superficial burns are not included in the TBSA
calculation for fluid resuscitation.)
, Associated with significant geriatric morbidity and mortality.✔✔
ANSWER✔✔Which of is TRUE about rib fractures?
-Immediate treatment is 3-sided dressing
-Definitive treatment is Chest Tube✔✔ ANSWER✔✔For Open
Pneumothorax treatments are
- will cause obstructive shock
- If Chest Tube placement is not ready available, needs Needle
Decompression with 14-gauge needle, longer is better over the 2nd
Intercostal space, midclavicular line OR 5th intercostal space, anterior
axillary line✔✔ ANSWER✔✔During Tension Pneumothorax
-Decrease/Absent breath sounds ipsilaterally
-JVD
-Hypotension
-Hyper-resonance ipsilaterally
-Tracheal Deviation (late sign)
-Severe Respiratory distress, Anxiety, agitation
-Can lead to PEA✔✔ ANSWER✔✔S/S of Tension Pneumothorax
-Persistent Blood lost following chest tube insertion
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