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Exam (elaborations)

TNCC final exam Questions and Answers | 100% Pass

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  • Course
  • TNCC-Trauma Nursing Core Course
  • Institution
  • TNCC-Trauma Nursing Core Course

TNCC final exam Questions and Answers | 100% Pass Why is a measure of serum lactate obtained in the initial assessment of the trauma patient? Answer: c - ️️ Correct-a) to measure oxygenation and ventilation b) to quantify the base deficit for the adequacy of cellular perfusion c) *to gaug...

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  • September 25, 2024
  • 21
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • TNCC-Trauma Nursing Core Course
  • TNCC-Trauma Nursing Core Course
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EmillyCharlotte
TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISHED: SEPTEMBER 2024

TNCC final exam Questions and
Answers | 100% Pass

Why is a measure of serum lactate obtained in the initial assessment of the trauma

patient?




Answer: c - ✔️✔️Correct-a) to measure oxygenation and ventilation

b) to quantify the base deficit for the adequacy of cellular perfusion

c) *to gauge end-organ perfusion and tissue hypoxia **

d) to determine the underlying cause of shock

A trauma patient is restless and repeatedly asking "where am I?" vital signs upon arrival

were BP 100/60 mm Hg, HR 96 beats/min, and RR 24 breaths/min. Her skin is cool and

dry. Current vital signs are BP 104/84mm Hg, HR 108, RR 28 breaths/min. The patient

is demonstrating signs and symptoms of which stage of shock?



Answer: A - ✔️✔️Correct-A) compensated **

B) Progressive

C) irreversible

D) decompensated

An elderly patient with a history of anticoagulant use presents after a fall at home that

day. she denies any loss of consciousness. She has a hematoma to her forehead and

1/21

,TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISHED: SEPTEMBER 2024
complains of headache, dizziness, and nausea. Which is a most likely cause of her

symptoms?



Answer: D - ✔️✔️Correct-A) epidural hematoma

B) diffuse axonal injury

C) post-concussive syndrome

D) subdural hematoma ***

EMS brings a patient who fell riding his bicycle. Using the American College of

Surgeons screening guidelines, which assessment finding would prompt the nurse to

prepare the patient for radiologic spine clearance?



Answer: D - ✔️✔️Correct-A) Alert with no neurologic deficits

B) Multiple abrasions to the extremities

C) Multiple requests of water

D) Smell of alcohol on breath ***

Which of the following occurs during the third impact of a motor vehicle crash?



Answer: C - ✔️✔️Correct-A) The driver of the vehicle collides with the steering wheel

B) the vehicle collides with a tree

C) the aorta is torn at its attachment with the ligamentum arteriosum

D) the airbag deploys and strikes the front seat passenger ***


2/21

, TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISHED: SEPTEMBER 2024
A passenger is brought to the emergency department of a rural hospital following a

high-speed MVC. When significant abdominal and pelvic injuries are noted in the

primary survey, which of the following is the priority interventions?



Answer: A - ✔️✔️Correct-A) initiate transfer to a trauma center **

B) provide report to the operating room nurse

C) Obtained imaging studies

D) Place a gastric tube

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



Answer: C - ✔️✔️Correct-A) spleen

B) lung

C) bowel ***

D) brain

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



Answer: C - ✔️✔️Correct-A) Hypernatremia

B) Hypercalcemia

C) Dysrhthmias **

D) polyuria

What finding raises suspicion of complete spinal cord injury?


3/21

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