TNCC 10TH EDITION EXAM 3 LATEST VERSIONS (VERSION A & B) COMPLETE 200 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) TESTBANK
|ALREADY GRADED A+|100 % COMPLETE & verified
Initiate two large-caliber intravenous lines for isotonic crystalloid administration. - ansA patient is
thrown against a car during a tornado and presents with obvious bilateral femur 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?
A.Initiate two large-caliber intravenous lines for isotonic crystalloid administration.
B.Administer intravenous medications for pain.
C.Place the patient in an observation area for care within the next few hours.
D.Contact the command center for personnel to notify next of kin.
inspecting posterior - ansWhat is sometimes deferred at the end of the head-to-toe?
intervene as appropriate and reassess - ansWhat do you do when alterations are identified in any of the
steps in the primary survery?
It should be avoided with a suspected spine injury prior to imaging - ansWhich of the following is true
about the log-roll maneuver?
A.It causes less spinal motion than the lift-and-slide maneuver
B.It is recommended for patients with unstable pelvic fractures
C.It should be avoided with a suspected spine injury prior to imaging
D.It decreases the risk of hemorrhage from unstable pelvic injuries
just keep evaluating - vipp - ansWhat does the J stand for at the end of the secondary survery?
Medical records, prehospital report, SAMPLE - ansWhat three items are obtained during the pertinent
history assessment?
moving patient from assisted ventilation to mechanical - ansWhat should you verbalize after completing
all ETT assessments?
,TNCC 10TH EDITION EXAM 3 LATEST VERSIONS (VERSION A & B) COMPLETE 200 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) TESTBANK
|ALREADY GRADED A+|100 % COMPLETE & verified
post-concussive syndrome - ansAn 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
the need for a second person to provide manual c-spine stabilization - ansIf c-spine stabilization is
necessary, what need should be stated?
umbilicus - ansDuring the head-to-toe, where would you find Cullen's sign?
urinary incontinence - ansWhile caring for a trauma patient in the emergency department, what finding
raises suspicion of a complete spinal cord injury?
A.Weakness in the lower extremities
B.Urinary incontinence
C.Sacral sparing
D.Spastic paralysis of the legs
vital signs, injuries/interventions, primary survey, pain - ansWhat does VIPP stand for?
Voluntary anal sphincter tone - ansA 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
,TNCC 10TH EDITION EXAM 3 LATEST VERSIONS (VERSION A & B) COMPLETE 200 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) TESTBANK
|ALREADY GRADED A+|100 % COMPLETE & verified
C.Voluntary anal sphincter tone
D.Numbness to the perianal area
"Breathing and Ventilation" - ansDuring which part of the primary survey would you anticipate the need
for a chest tube, intubation, decompression of pneumothorax, oxygen, or BVMs?
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 - ansWhat three assessments must be done if the patient is intubated?
1. inspect AND palpate skin color, temp, moisture and 2. palpate a pulse - ansTo assess circulation, you
must do these two main tasks:
A.Alert with no neurologic deficits - ansUsing the American College of Surgeons screening guidelines,
what assessment finding would prompt the nurse to prepare a patient for cervical spine imaging?
A.Alert with no neurologic deficits
B.Multiple abrasions to the extremities
C.Ecchymosis to the flank
D.Responds to verbal stimulation
A.Cardiogenic - ansA patient is brought to the emergency department with chest pain and shortness of
breath following a high-speed motor vehicle collision in which they were the unrestrained driver. There
is crepitus to the left chest with clear and equal breath sounds. The vital signs are BP 80/40 mmHg, HR
140 beats/minute, and RR 40 breaths/minute. Cardiac monitor shows sinus tachycardia with premature
ventricular contractions. These findings are most consistent with which type of shock?
A.Cardiogenic
B.Neurogenic
C.Hypovolemic
D.Obstructive
, TNCC 10TH EDITION EXAM 3 LATEST VERSIONS (VERSION A & B) COMPLETE 200 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) TESTBANK
|ALREADY GRADED A+|100 % COMPLETE & verified
A.Decrease the rate of manual ventilation. - ansAn 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?
A.Decrease the rate of manual ventilation.
B.Initiate another fluid bolus.
C.Recheck endotracheal tube placement.
D.Increase the amount of oxygen delivered.
A.Initiate warming measures - ansA patient is brought to the emergency department following a
snowmobile crash with prolonged exposure time prior to transport. The patient is confused. Vital signs
are BP 96/54 mm Hg, HR 114 beats/minute, RR 24 breaths/minute, T 34.6oC (94.2oF) and an SpO2 of
90% on oxygen at 15L per non-rebreather mask. Other findings include ETCO2 24, serum lactate of 6
mmol/L, and a pH of 6.8. Based on these findings, what is the most appropriate intervention?
A.Initiate warming measures
B.Titrate oxygen to 6 L per nasal cannula
C.Bolus with 500 mL isotonic crystalloids
D.Vigorously massage the extremities
A.Report your suspicion of maltreatment in accordance with local regulations - ansA 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 communication to determine the mechanism of injury
D.Provide the family with injury prevention resources
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