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Exam (elaborations)

TNCC Final Exam UPDATED ACTUAL Questions and CORRECT Answers

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

TNCC Final Exam UPDATED ACTUAL Questions and CORRECT Answers Why is a measure of serum lactate obtained in the initial assessment of the trauma patient? Answer: c - CORRECT ANSWER- a) to measure oxygenation and ventilation b) to quantify the base deficit for the adequacy of cellular perfusion ...

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  • November 5, 2024
  • 15
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • TNCC-Trauma Nursing Core Course
  • TNCC-Trauma Nursing Core Course
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MGRADES
TNCC Final Exam UPDATED ACTUAL
Questions and CORRECT Answers

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


Answer: c - CORRECT ANSWER✔✔- 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 ANSWER✔✔- 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 complains of
headache, dizziness, and nausea. Which is a most likely cause of her symptoms?


Answer: D - CORRECT ANSWER✔✔- 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 ANSWER✔✔- 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 ANSWER✔✔- 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 ***


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 ANSWER✔✔- 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 ANSWER✔✔- A) spleen
B) lung
C) bowel ***
D) brain


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

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