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TNCC Final Exam Test 2023 Question and Answers – Open Book

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TNCC Final Exam Test 2023 Question and Answers – Open Book Why is a measure of serum lactate obtained in the initial assessment of the trauma patient? 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 b...

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  • August 2, 2023
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TNCC Final Exam Test 2023 Question
and Answers
Why is a measure of serum lactate obtained in the initial assessment of the trauma patient?

Answer: c

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

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

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

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

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

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

A) spleen
B) lung
C) bowel ***
D) brain

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

Answer: C

A) Hypernatremia
B) Hypercalcemia
C) Dysrhthmias **
D) polyuria

What finding raises suspicion of complete spinal cord injury?

Answer: B

A) Weakness in the lower extremities
B) Priapism ***

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