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TNCC 9th Edition TNP exam with correct answers
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TNCC 9th Edition TNP exam with correct answers
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TNCC 9th Edition TNP exam with correctanswers
—What |does |the |J |stand |for |at |the |end |of |the |secondary |survery? |- |ANSWERS✔✔ |just |keep
|evaluating |- |vipp
—What |does |VIPP |stand |for? |- |ANSWERS✔✔ |vital |signs, |injuries/interventions, |primary
|survey, |pain
—During |the |head-to-toe, |where |would |you |find |Grey-Turner's |sign? |- |ANSWERS✔✔ |flank
—During |the |head-to-toe, |where |would |you |find |Cullen's |sign? |- |ANSWERS✔✔ |umbilicus
-What |is |sometimes |deferred |at |the |end |of |the |head-to-toe? |- |ANSWERS✔✔ |inspecting
|posterior
-Antibiotics, |consults, |head |CT, |imaging, |law |enforcement, |mandatory |reporting,
|psychosocial |support, |social |services, |splinting, |tetanus, |and |wound |care |are |all
|interventions |that |you |do |AFTER |and |before |WHAT? |- |ANSWERS✔✔ |AFTER |head-to-toe,
|BEFORE |J |(VIPP)
-What |three |items |are |obtained |during |the |pertinent |history |assessment? |- |ANSWERS✔✔
|Medical |records, |prehospital |report, |SAMPLE
-What |are |examples |of |nonpharmacologic |measures? |(must |identify |at |least |one |during
|testing) |- |ANSWERS✔✔ |Distraction, |family |presence, |padding |bony |prominences,
|repositioning, |splinting, |verbal |reassurance
-For |whom |is |capnography |highly |recommended? |- |ANSWERS✔✔ |all |patients
,-In |step |M |of |"Get |Adjuncts", |what |else |might |be |indicated |besides |cardiac |monitor? |-
|ANSWERS✔✔ |EKG
-In |Step |16 |of |"Exposure |and |Environment", |you |must |name |at |least |one |of |these
|interventions: |- |ANSWERS✔✔ |blankets, |room |temp |increase, |warmed |fluids, |warming
|lights
-To |assess |circulation, |you |must |do |these |two |main |tasks: |- |ANSWERS✔✔ |1. |inspect |AND
|palpate |skin |color, |temp, |moisture |and |2. |palpate |a |pulse
-What |do |you |do |when |alterations |are |identified |in |any |of |the |steps |in |the |primary |survery?
|- |ANSWERS✔✔ |intervene |as |appropriate |and |reassess
-What |three |assessments |must |be |done |if |the |patient |is |intubated? |- |ANSWERS✔✔ |1. |attach
|CO2 |detector |and |assess |for |evidence |of |exhaled |CO2; |2. |observe |for |rise |and |fall |of |the
|chest |w/ |assisted |ventilations; |3. |auscultate |over |epigastrium |for |gurgling |AND |lungs |for
|bilateral |breath |sounds
-Four |of |these |must |be |identified |to |assess |breathing |effectiveness: |- |ANSWERS✔✔ |Breath
|sounds, |depth/pattern/rate, |spontaneous |breathing, |subcutaneous |emphysema, |increased
|work |of |breathing, |symmetrical |chest |rise |and |fall, |tracheal |deviation/JVD, |open
|wounds/deformities, |skin |color
-What |can |be |applied |in |step |12 |of |"Circulation |and |Control |of |Hemorrhage" |for |which
|credit |is |given |in |the |LMNOP |section? |- |ANSWERS✔✔ |cardiac |monitor
-When |should |2 |IV |sites |be |established? |- |ANSWERS✔✔ |During |"Circulation" |assessment
-If |the |patient |is |intubated |and |you've |already |assessed |ETT |placement, |what |else |needs |to
|be |done |with |the |ETT? |(step |10) |- |ANSWERS✔✔ |assess |ETT |position |by |noting |the |number
|at |teeth/gums |AND |secure |ETT
,-What |should |you |verbalize |after |completing |all |ETT |assessments? |- |ANSWERS✔✔ |moving
|patient |from |assisted |ventilation |to |mechanical
-During |which |part |of |the |primary |survey |would |you |anticipate |the |need |for |a |chest |tube,
|intubation, |decompression |of |pneumothorax, |oxygen, |or |BVMs? |- |ANSWERS✔✔ |"Breathing
|and |Ventilation"
-Four |of |these |must |be |identified |to |assess |patency |and |protection |of |the |airway: |-
|ANSWERS✔✔ |bony |deformity, |loose |teeth, |edema, |inhalation |injury, |sounds, |tongue
|obstruction, |burns, |fluids, |foreign |objects, |vocalization
-During |which |part |of |the |primary |survey |would |there |be |anticipation |for |intubation,
|insertion |of |OPA/NPA, |removal |of |any |loose |teeth |or |foreign |objects, |or |suctioning? |-
|ANSWERS✔✔ |Assessing |patency |and |protection |of |the |airway, |Step |7 |of |
"Alertness |and |Airway |with |Simultaneous |Cervical |Spinal |Stabilization"
If |c-spine |stabilization |is |necessary, |what |need |should |be |stated? |- |ANSWERS✔✔ |the |need
|for |a |second |person |to |provide |manual |c-spine |stabilization
*An |adult |patient |who |sustained |a |severe |head |trauma |has |been |intubated |and |is |being
|manually |ventilated |via |a |bag-mask |device |at |a |rate |of |18 |breaths/minute. |The |patient |has
|received |one |intravenous |fluid |bolus |of |500 |mL |of |warmed |isotonic |crystalloid |solution.
|The |PaCO2 |is |30 |mm |Hg |(4.0 |kPa), |and |the |pulse |oximetry |is |92%. |BP |is |142/70 |mm |Hg.
|What |is |the |most |important |intervention |to |manage |the |cerebral |blood |flow? |-
|ANSWERS✔✔ |A.Decrease |the |rate |of |manual |ventilation.
An |older |adult |presents |to |the |emergency |department |with |complaints |of |dizziness,
|headache, |and |nausea. |The |patient |was |involved |in |a |motor |vehicle |collision |10 |days |ago.
|There |was |no |loss |of |consciousness |and |a |hematoma |is |noted |to |the |forehead. |The |patient |is
|currently |on |anticoagulant |therapy. |What |is |most |likely |the |cause |of |their |symptoms?
A.Intracerebral |hemorrhage
, B.Epidural |hematoma
C.Diffuse |axonal |injury
D.Post-concussive |syndrome |- |ANSWERS✔✔ |post-concussive |syndrome
A |patient |with |a |lower |extremity |fracture |complains |of |severe |pain |and |tightness |in |his |calf,
|minimally |relieved |by |pain |medications. |Which |of |the |following |is |the |priority |nursing
|intervention?
A.Elevating |the |leg |above |the |level |of |the |heart
B.Repositioning |the |leg |and |applying |ice
C.Elevating |the |leg |to |the |level |of |the |heart
D.Preparing |the |patient |for |ultrasound |of |the |leg |- |ANSWERS✔✔ |C.Elevating |the |leg |to |the
|level |of |the |heart
A |patient |involved |in |a |high-speed |rollover |is |complaining |of |increased |difficulty |breathing.
|There |is |a |small |penetrating |wound |to |the |sixth |intercostal |space |in |the |left |lateral |chest.
|Which |finding |is |most |consistent |with |an |injury |to |the |diaphragm? |- |ANSWERS✔✔ |Bowel
|sounds |heard |in |the |left |lower |chest
A |ruptured |diaphragm |is |a |potentially |life-threatening |injury. |The |patient |will |most |likely
|have |decreased |breath |sounds |on |the |affected |side |along |with |pain, |which |may |radiate |to
|the |left |shoulder. |However, |these |signs |do |not |specifically |implicate |an |injury |to |the
|diaphragm. |Auscultation |of |bowel |sounds |in |the |chest |indicates |that |abdominal |contents
|have |herniated |up |into |the |chest |through |a |defect |in |the |diaphragm.
*A |patient |has |been |in |the |emergency |department |for |several |hours |waiting |to |be |admitted.
|They |sustained |multiple |rib |fractures |and |a |femur |fracture |after |a |fall. |The |patient |has |been
|awake, |alert, |and |complaining |of |leg |pain. |Their |spouse |reported |that |the |patient |suddenly
|became |anxious |and |confused. |Upon |reassessment, |the |patient |is |restless, |with |respiratory
|distress |and |petechiae |to |his |neck. |The |patient |is |exhibiting |signs |and |symptoms |most
|commonly |associated |with |which |of |the |following |conditions?
A. |Acute |lung |injury
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