TNCC TEST PREPA, TNCC NOTES FOR WRITTEN EXAM, TNCC NOTES FOR WRITTEN EXAM, TNCC PREP, TNCC EXAM, TNCC 8TH EDITION
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TNCC
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TNCC
TNCC TEST PREPA, TNCC NOTES FOR WRITTEN EXAM, TNCC NOTES FOR WRITTEN EXAM, TNCC PREP, TNCC EXAM, TNCC 8TH EDITIONTNCC TEST PREPA, TNCC NOTES FOR WRITTEN EXAM, TNCC NOTES FOR WRITTEN EXAM, TNCC PREP, TNCC EXAM, TNCC 8TH EDITIONTNCC TEST PREPA, TNCC NOTES FOR WRITTEN EXAM, TNCC NOTES FOR WRITTEN EXAM...
TNCC TEST PREPA, TNCC NOTES FOR
WRITTEN EXAM, TNCC NOTES FOR
WRITTEN EXAM, TNCC PREP, TNCC
EXAM, TNCC 8TH EDITION
A 56 y/o M pt involved in a motor vehicle crash is brought to the ED of a rural critical
access facility. He complains of neck pain, SOB, and diffuse abd pain. His GCS is 15.
His VS: BP 98/71, HR 125, RR 26, SpO2 94% on high-flow O2 via NRB mask. Which of
the following is the priority intervention for this patient? - ANSWER-Expedite transfer to
the closest trauma center
Which of the following considerations is the most important when caring for a geriatric
trauma pt? - ANSWER-a pertinent medical hx is crucial
Following a review of recent drills and a real disaster event, a hospital has identified
deficiencies and is taking steps to minimize the impact of a future disaster . Which
phase of the disaster life cycle does this describe? - ANSWER-Mitigation
EMS brings a pt who fell while riding his bicycle. Using the American College of
Surgeobs screening guidelines, which assessment finding would prompt the RN to
prepare the pt for a radiologic spine clearance? - ANSWER-Multiple requests for water
What is the effect of hypothermia on the oxyhemoglobin dissociation curve? -
ANSWER-hemoglobin does not readily release O2 for use by the tissues
Which of the following is a component of the trauma triad of death? - ANSWER-acidosis
EMS brings a pt from MVC. VS: BP 90/49, HR 48, RR 12, temp 97.2F (36.2 C). The pt
exhibits urinary incontinence and priapism. These assessment findings are most
consistent with which of the following types of spinal cord injury? - ANSWER-Complete
Which of the following is an expected finding in a pt with a tube thoracstomy connected
to a chest drainage system? - ANSWER-flucuation in the water seal chamber
During the primary survey of an unconscious pt with multi-system trauma, the nurse
notes snoring respirations. What priority nursing interventions should be preformed
next? - ANSWER-insert an oropharyngeal airway if there is no gag reflex
A 35 y/o M 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? -
ANSWER-globe rupture
,A trauma pt is restless and repeatedly asking "where am i?" VS upon arrival: BP
110/60, HR96, RR 24. Her skin is cool and dry. Current VS are BP 104/84, HR 108, RR
28. The pt is demonstrating s/sx of which stage of shock? - ANSWER-compensated
An unresponsive trauma pt has an oropharygeal airway in place, shallow and labored
respirations, and dusky skin. The trauma team has administered medications for drug-
assisted intubation and attempted intubation but was unsuccessful. What is the most
appropriate immediate next step? - ANSWER-ventilate with a bag mask device
When is the tertiary survey completed fora trauma pt? - ANSWER-within 24 hrs of
trauma
An intubated and sedated pt in the ED has multiple extremity injuries with the potential
for causing compartment syndrome. What is the most reliable indication of compartment
syndrome in a patient who is unconscious? - ANSWER-pressure
Which of the following is possible complication of positive-pressure ventilation? -
ANSWER-worsening pneumothorax
the most reassuring finding for a male pt with hip pain after a fall is which of the
following? - ANSWER-pelvic stability
Which of the following pulse pressures indicate early hypovolemic shock? - ANSWER-
narrowed
Patients with a crush injury should be monitored for which of the following conditions? -
ANSWER-dysrhythmias
Tearing of the bridging veins is most frequently associated with which brain injury? -
ANSWER-subdural hematoma
A 20 y/o M presents to the ED complaining of severe lower abd pain after landing hard
on the bicycle cross bars while preforming an aerial BMX maneuver. Secondary
assessment reveals lower abd tenderness and scrotal ecchymosis. Which of the
following orders would the RN question? - ANSWER-straight cath for urine sample
You are caring for a pt who was involved in a MVC and is 32 weeks pregnant. Findings
of your secondary survey include abd pain on palpation, fundal ht at the costal margin,
and some dark bloody show. Varying accelerations and decelerations are noted on
cariocgraphy. These findings are most consistent with which of the following? -
ANSWER-placental abruption
Which of the following is true about the log-roll? - ANSWER-it can worsen cord damage
from an unstable spinal injury
,All of these are considered a critical communication point in trauma care EXCEPT
which of the following? - ANSWER-defusings
What bedside monitoring parameters are used to assess for adequacy of O2 and
effectiveness of ventilation? - ANSWER-pulse oximetry and capnography
Caregivers carry in a 2 y/o into the ED who fell out of a second-story window. The pt is
awake and crying with increased work of breathing and pale skin. Which of the following
interventions has the highest priority? - ANSWER-padding the upper back while
stabilizing the cervical spine
Which of the following injuries is LEAST likely to be promptly identified? - ANSWER-
bowel
A pt is brought to the ED of a rural hospital following a high-speed MVC. When
significant abd and pelvic injuries are noted in the primary survey, which of the following
is the priority interventions? - ANSWER-Initiate transfer to a trauma center
A pt with a complete spinal cord injury in neurogenic shock will demonstrate
hypotension and which other clinical signs? - ANSWER-bardycardia and absent motor
function below the level of injury
a 37 y/o F has a deformity of the L wrist after a fall. She is reluctant to move her hand
due to pain. Which of the following is the most appropriate intervention? - ANSWER-
apply splint and elevate above the level of the heart
which of the following occurs during the third impact of a motor vehicle crash? -
ANSWER-the aorta is torn at its attachment with the ligamentum arteriosum
a 5 y/o child presents to the ED with bruises to the upper arm 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 survey. Which of the following is the priority nursing
intervention? - ANSWER-Report your suspicion of maltreatment in accordance with
local regulations
Why is a measure of serum lactate obtained in the initial assessment of a trauma
patient? - ANSWER-to guage end-organ perfusion and tissue hypoxia
A pt with a lower extremity fracture complains of severe pain and tightness in his calf,
minimally by pain medications. Which of the following is the priority nursing
intervention? - ANSWER-elevating the extremity to the level of the heart
What factor contributes most to the kinetic energy of a body in motion? - ANSWER-
velocity
, An elderly patient with a history of anticoagulant use presents after a fall at home today.
She denies any loss of consciousness. She has a hematoma to her forehead and
complains of headache, dizziness, and nausea. What is the most likely cause of her
symptoms? - ANSWER-subdural hematoma
a pt has been in the ED for several hrs waiting to be admitted. He sustained multiple rib
fractures and a femur fracture after a fall. He has been awake, alert, and complaining of
leg pain. His wife reported that he suddenly became anxious and confused. Upon
reassessment, the pt is restless with respiratory distress and petechiae to his neck. The
pt is exhibiting s/sx most commonly associated with which of the following conditions? -
ANSWER-fat embolism
Which of the following is a late sign of increased intracranial pressure? - ANSWER-
nausea and vomiting
a 49 y/o restrained driver involved in a MVC presents to the trauma center complaining
of abd, pelvic, and bilateral lower extremity pain. VS are stable. The nurse can
anticipate all of these after a negative FAST exam EXCEPT which of the following? -
ANSWER-serial FAST exams
Which of the following is NOT considered goal-directed therapy for cardiogenic shock? -
ANSWER-pericardiocentesis
The trauma nurse knows that placing a bariatric patient in a ramped position providers
better visualization during the insertion of which device? - ANSWER-endotracheal tube
which of the following assessment findings differentiates a tension pneumothorax from a
simple pneumothorax? - ANSWER-increased work of breathing?
if a pt has received multiple transfusions of banked blood preserved with citrate, which
electrolyte is most likely to drop and require supplementation? - ANSWER-calcium
Which of the following is NOT considered a benefit of debriefings? - ANSWER-
identifying individuals who made mistakes during the traumatic event
You are treating a 27 y/o M in respiratory distress who was involved in a house fire.
Calculating TBSA burned is deferred due to the need for emergent intubation. At what
rate should you begin fluid resuscitation? - ANSWER-500 mL/hr
Which of the following is most likely to contribute to inadequate oxygenation and
ventilation? - ANSWER-advanced age
Which of the following patients warrants referral to a burn center? - ANSWER-a 52 y/o
diabetic male with a partial thickness burn to the left lower leg
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