TNCC 9th Edition TNP Exam Verified 2024
A 35-year-old male 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?
A.Oculomotor nerve palsy
B.Globe rupture
C.Retrobulbar hematoma
D.Retinal detachment - ANSWER-Globe rupture
A 5-year-old child presents to the emergency department with bruises to the upper arms
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 nursing intervention?
A.Report your suspicion of maltreatment in accordance with local regulations
B.Apply ice to the bruises and provide wound care
C.Engage in therapeutic communicati - ANSWER-A.Report your suspicion of
maltreatment in accordance with local regulations
A driver involved in a high-speed motor vehicle collision arrives in the emergency
department. The vehicle's air-bag failed to deploy. The patient is drowsy but arousable
and complaining of chest pain with ecchymosis noted to the chest. The patient is
tachycardic and hypotensive with no evidence of uncontrolled bleeding. Cardiac monitor
shows premature ventricular contractions. Which of the following is the most appropriate
intervention for this patient?
A.Rapid fluid boluses
B.Tranexamic acid - ANSWER-C.Inotropic support
A nurse verbalizes guilt and remorse after caring for multiple severely injured patients
during a staffing crisis. The nurse expresses anger stating that the patients did not
receive quality care and begins exhibiting aggression toward colleagues. This is most
consistent with which condition?
A.Compassion fatigue
B.Vicarious trauma
C.Secondary traumatic stress
D.Moral injury - ANSWER-D.Moral injury
A patient arrives following prolonged exposure of their left hand to the cold. The patient
is awake and alert and complains of a tingling sensation to the fingers. Assessment
reveals swelling and bright red skin to the left hand and a 1-inch round clear blister to
the dorsum of that hand. Which of the following nursing interventions is most
appropriate for this patient?
, A.Massage the injured areas to promote circulation
B.Drain and debride the blister on the hand
C.Immerse in water between 37.5 - ANSWER-D.Gently rewarm over 15 to 30 minutes
A patient arrives with a large metal rod embedded in their left thigh and no active
bleeding. Which intervention is most appropriate for this patient?
A.Remove the rod immediately to facilitate cleansing.
B.Apply a tourniquet to the leg above the metal rod.
C.Hold antibiotics until after the rod is removed.
D.Prepare the patient for surgery to remove the rod. - ANSWER-D.Prepare the patient
for surgery to remove the rod.
A patient arrives with a large open chest wound after being assaulted with a machete.
Prehospital providers placed a nonporous dressing over the chest wound and taped it
on three sides. The patient is now showing signs of anxiety, restlessness, severe
respiratory distress, cyanosis, and decreasing blood pressure. Which of the following is
the MOST appropriate immediate intervention?
A.Needle decompression
B.Tube thoracostomy
C.Dressing removal
D.Surgical repair - ANSWER-C.Dressing removal
A patient has been diagnosed with an incomplete spinal cord injury at L1. Which finding
would indicate sacral sparing?
A.Involuntary flexion of the great toe
B.Priapism
C.Voluntary anal sphincter tone
D.Numbness to the perianal area - ANSWER-Voluntary anal sphincter tone
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 co -
ANSWER-fat embolism
A patient has uncontrolled bleeding from a wound to his right upper extremity. What is
the priority intervention?
A.Initiate two intravenous access sites
B.Place the patient on supplemental oxygen
A 35-year-old male 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?
A.Oculomotor nerve palsy
B.Globe rupture
C.Retrobulbar hematoma
D.Retinal detachment - ANSWER-Globe rupture
A 5-year-old child presents to the emergency department with bruises to the upper arms
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 nursing intervention?
A.Report your suspicion of maltreatment in accordance with local regulations
B.Apply ice to the bruises and provide wound care
C.Engage in therapeutic communicati - ANSWER-A.Report your suspicion of
maltreatment in accordance with local regulations
A driver involved in a high-speed motor vehicle collision arrives in the emergency
department. The vehicle's air-bag failed to deploy. The patient is drowsy but arousable
and complaining of chest pain with ecchymosis noted to the chest. The patient is
tachycardic and hypotensive with no evidence of uncontrolled bleeding. Cardiac monitor
shows premature ventricular contractions. Which of the following is the most appropriate
intervention for this patient?
A.Rapid fluid boluses
B.Tranexamic acid - ANSWER-C.Inotropic support
A nurse verbalizes guilt and remorse after caring for multiple severely injured patients
during a staffing crisis. The nurse expresses anger stating that the patients did not
receive quality care and begins exhibiting aggression toward colleagues. This is most
consistent with which condition?
A.Compassion fatigue
B.Vicarious trauma
C.Secondary traumatic stress
D.Moral injury - ANSWER-D.Moral injury
A patient arrives following prolonged exposure of their left hand to the cold. The patient
is awake and alert and complains of a tingling sensation to the fingers. Assessment
reveals swelling and bright red skin to the left hand and a 1-inch round clear blister to
the dorsum of that hand. Which of the following nursing interventions is most
appropriate for this patient?
, A.Massage the injured areas to promote circulation
B.Drain and debride the blister on the hand
C.Immerse in water between 37.5 - ANSWER-D.Gently rewarm over 15 to 30 minutes
A patient arrives with a large metal rod embedded in their left thigh and no active
bleeding. Which intervention is most appropriate for this patient?
A.Remove the rod immediately to facilitate cleansing.
B.Apply a tourniquet to the leg above the metal rod.
C.Hold antibiotics until after the rod is removed.
D.Prepare the patient for surgery to remove the rod. - ANSWER-D.Prepare the patient
for surgery to remove the rod.
A patient arrives with a large open chest wound after being assaulted with a machete.
Prehospital providers placed a nonporous dressing over the chest wound and taped it
on three sides. The patient is now showing signs of anxiety, restlessness, severe
respiratory distress, cyanosis, and decreasing blood pressure. Which of the following is
the MOST appropriate immediate intervention?
A.Needle decompression
B.Tube thoracostomy
C.Dressing removal
D.Surgical repair - ANSWER-C.Dressing removal
A patient has been diagnosed with an incomplete spinal cord injury at L1. Which finding
would indicate sacral sparing?
A.Involuntary flexion of the great toe
B.Priapism
C.Voluntary anal sphincter tone
D.Numbness to the perianal area - ANSWER-Voluntary anal sphincter tone
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 co -
ANSWER-fat embolism
A patient has uncontrolled bleeding from a wound to his right upper extremity. What is
the priority intervention?
A.Initiate two intravenous access sites
B.Place the patient on supplemental oxygen
