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TNCC test prep A 8th Edition, TNCC Test prep 8th Edition, TNCC Written Exam & TNCC Final Exam 2024. TNCC test prep A 8th Edition, TNCC Test prep 8th Edition, TNCC Written Exam & TNCC Final Exam 2024. TNCC test prep A 8th Edition, TNCC Test prep 8th Edition, TNCC Written Exam & TNCC Final Exam 202...

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  • September 16, 2024
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TNCC test prep A 8th Edition, TNCC Test
prep 8th Edition, TNCC Written Exam &
TNCC Final Exam 2024.
Expedite transfer to the closest trauma center - ANS 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?



a pertinent medical hx is crucial - ANS Which of the following considerations is the most important
when caring for a geriatric trauma pt?



Mitigation - ANS 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?



Alcohol



All tools and guidelines require the patient to be awake, alert, not under the influence of any
substances, and without neurologic abnormalities - ANS EMS brings a pt who fell while riding his
bicycle. Using the American College of Surgeons screening guidelines, which assessment finding
would prompt the RN to prepare the pt for a radiologic spine clearance?



hemoglobin does not readily release O2 for use by the tissues - ANS What is the effect of
hypothermia on the oxyhemoglobin dissociation curve?



acidosis - ANS Which of the following is a component of the trauma triad of death?



Complete - ANS 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?



flucuation in the water seal chamber - ANS Which of the following is an expected finding in a pt with
a tube thoracstomy connected to a chest drainage system?

,insert an oropharyngeal airway if there is no gag reflex - ANS 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?



globe rupture - ANS 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?



compensated - ANS 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?



ventilate with a bag mask device - ANS 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?



within 24 hrs of trauma - ANS When is the tertiary survey completed fora trauma pt?



pressure - ANS 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?



worsening pneumothorax - ANS Which of the following is possible complication of positive-pressure
ventilation?



pelvic stability - ANS the most reassuring finding for a male pt with hip pain after a fall is which of the
following?



narrowed - ANS Which of the following pulse pressures indicate early hypovolemic shock?



dysrhythmias - ANS Patients with a crush injury should be monitored for which of the following
conditions?



subdural hematoma - ANS Tearing of the bridging veins is most frequently associated with which
brain injury?

,straight cath for urine sample - ANS A 20 y/o M presents to the ED complaining of severe lower abd
pain after landing hard on the bicycle cross bars while preforming an aerial BMX maneuver.
Secondary assessment reveals lower abd tenderness and scrotal ecchymosis. Which of the following
orders would the RN question?



placental abruption - ANS You are caring for a pt who was involved in a MVC and is 32 weeks
pregnant. Findings of your secondary survey include abd pain on palpation, fundal ht at the costal
margin, and some dark bloody show. Varying accelerations and decelerations are noted on
cariocgraphy. These findings are most consistent with which of the following?



it can worsen cord damage from an unstable spinal injury - ANS Which of the following is true about
the log-roll?



defusings - ANS All of these are considered a critical communication point in trauma care EXCEPT
which of the following?



pulse oximetry and capnography - ANS What bedside monitoring parameters are used to assess for
adequacy of O2 and effectiveness of ventilation?



padding the upper back while stabilizing the cervical spine - ANS Caregivers carry in a 2 y/o into the
ED who fell out of a second-story window. The pt is awake and crying with increased work of
breathing and pale skin. Which of the following interventions has the highest priority?



bowel - ANS Which of the following injuries is LEAST likely to be promptly identified?



Initiate transfer to a trauma center - ANS A pt is brought to the ED of a rural hospital following a
high-speed MVC. When significant abd and pelvic injuries are noted in the primary survey, which of
the following is the priority interventions?



bardycardia and absent motor function below the level of injury - ANS A pt with a complete spinal
cord injury in neurogenic shock will demonstrate hypotension and which other clinical signs?



apply splint and elevate above the level of the heart - ANS a 37 y/o F has a deformity of the L wrist
after a fall. She is reluctant to move her hand due to pain. Which of the following is the most
appropriate intervention?

, the aorta is torn at its attachment with the ligamentum arteriosum - ANS which of the following
occurs during the third impact of a motor vehicle crash?



Report your suspicion of maltreatment in accordance with local regulations - ANS a 5 y/o child
presents to the ED with bruises to the upper arm and buttocks in various stages of healing and
multiple small, clean, round burns to the back. There are no abnormalities found based on the
pediatric assessment triangle or primary survey. Which of the following is the priority survey. Which
of the following is the priority nursing intervention?



to guage end-organ perfusion and tissue hypoxia - ANS Why is a measure of serum lactate obtained
in the initial assessment of a trauma patient?



elevating the extremity to the level of the heart - ANS A pt with a lower extremity fracture complains
of severe pain and tightness in his calf, minimally by pain medications. Which of the following is the
priority nursing intervention?



velocity - ANS What factor contributes most to the kinetic energy of a body in motion?



subdural hematoma - ANS An elderly patient with a history of anticoagulant use presents after a fall
at home today. She denies any loss of consciousness. She has a hematoma to her forehead and
complains of headache, dizziness, and nausea. What is the most likely cause of her symptoms?



fat embolism - ANS a pt has been in the ED for several hrs waiting to be admitted. He sustained
multiple rib fractures and a femur fracture after a fall. He has been awake, alert, and complaining of
leg pain. His wife reported that he suddenly became anxious and confused. Upon reassessment, the
pt is restless with respiratory distress and petechiae to his neck. The pt is exhibiting s/sx most
commonly associated with which of the following conditions?



Late signs of increased intracranial pressure include: dilated nonreactive pupils, unresponsive to
verbal or painful stimuli, abnormal motor posturing, and Cushing response (widening pulse pressure,
reflex bradycardia, decreased respiratory effort) - ANS Which of the following is a late sign of
increased intracranial pressure?



serial FAST exams - ANS a 49 y/o restrained driver involved in a MVC presents to the trauma center
complaining of abd, pelvic, and bilateral lower extremity pain. VS are stable. The nurse can
anticipate all of these after a negative FAST exam EXCEPT which of the following?

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