TNCC Practice Exam with Rationale questions and answers
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TNCC
TNCC Practice Exam with Rationale
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TNCC Practice Exam with Rationale
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TNCC Practice Exam with Rationale
questions and answers
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TNCC Practice Exam with Rationale
questions and answers
A 30-
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week pregnant trauma patient's vital signs include a blood pres
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sure of 94/62 mm Hg and a heart rate of 108 beats/minute. Fetal
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heart tones are 124 beats/minute. The emergency nurse interp
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rets the patient's hemodynamic findings as an indication of whi
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ch of the following? - CORRECT ANSWER-
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normal vital signs in pregnancy L L L L
rationale: in pregnancy, the resting heart rate increases by 10 L L L L L L L L L L
to 20 bpm and a small decrease in systolic blood pressure and
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a larger decrease in diastolic blood pressure due to a decreas
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e in peripheral resistance. Normal fetal rate is between 120 an
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d 160 bpm
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A patient fell two weeks ago, striking his head. He came to the e
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mergency department with a persistent headache and nausea. L L L L L L L
LHe was diagnosed with a small subdural hematoma and has be
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en in the ED for 24 hours awaiting an inpatient bed. The night sh
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ift nurse reports he has been anxious, restless, and shaky. he v
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omited twice during the night. He tells the day shift nurse he co
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uldn't sleep because a young child kept coming into his room.
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What is a likely cause for these signs and symptoms?
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- CORRECT ANSWER-alcohol withdrawal
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rationale: alcohol withdrawal is a common delayed condition L L L L L L L L
because symptoms are difficult to identify early. Signs include L L L L L L L L L
autonomic hyperactivity, hand tremors, nausea or vomiting, p L L L L L L L
sychomotor agitation, anxiety, insomnia, hallucinations, or sei L L L L L L
zures.
, A patient with a knife injury to the neck has an intact airway and
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is hemodynamically stable. He complains of difficulty swallowi
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ng and speaking. Further assessment is indicated next for whic
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h of the following? - CORRECT ANSWER-
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damage to spinal cord L L L
rationale: penetrating neck trauma may include concurrent inj
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uries to the spinal cord, airway, or vascular neck structures. W
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ith an intact airway and hemodynamic stability, the other com
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mon concurrent injury is to the spinal cord
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a patient with a spinal cord injury at C5 is being cared for in the
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emergency department while awaiting transport to a trauma c
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enter. which of the following represents the highest priority fo
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r ongoing assessment and management? -
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CORRECT ANSWER-maintain adequate respiratory status
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rationale: spinal cord injuries at C3 to C5 can cause the loss of
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phrenic nerve function, resulting in a paralyzed diaphragm a
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nd inability to breathe
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A trauma nurse cared for a child with devasting burns 2 weeks
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ago. She called in sick for a couple of days and is now back wo
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rking on the team. Which of the following behaviors would ind
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icate this nurse is coping well? - CORRECT ANSWER-
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she is talking about taking the emergency nursing certificatio
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n examination
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rationale: this is an indication she is taking positive steps to ad
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vance her own practice, a sign of resilience
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Based on proper bleeding control techniques, what is the first
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step to stop the bleeding of a penetrating injury to the lower ex
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tremity? - CORRECT ANSWER-initiate direct pressure
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