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TNCC Practice Exam with Rationale
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What is the key to a high performing trauma team? - effective communication rationale: skilled communication, cooperation, and coordination are the cornerstones of high- performance teams and high-quality trauma care When obtaining a history for an injured patient, understanding the kinematic co...

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  • February 6, 2024
  • 5
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers

Subjects

  • tncc practice exam with rationale

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  • A/AS Level
  • AQA
  • TNCC
  • TNCC
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TNCC Practice Exam with Rationale
What is the key to a high performing trauma team? - ✔✔✔effective communication



rationale: skilled communication, cooperation, and coordination are the cornerstones of high-
performance teams and high-quality trauma care



When obtaining a history for an injured patient, understanding the kinematic concepts associated with
the mechanism of injury and energy transfer can initially assist the trauma provider in: - ✔✔✔
evaluating and anticipating the types of injuries that may be present



rationale: mechanism of injury and energy transfer can assist the provider in evaluating and anticipating
damage



the major preventable cause of death in the trauma patient is: - ✔✔✔uncontrolled hemorrhage



rationale: uncontrolled hemorrhage is the major cause of preventable death after injury, so assessment
to identify uncontrolled hemorrhage is key to the initial assessment process



the across-the-room observation step in the initial assessment provides the opportunity to - ✔✔✔
reprioritize circulation before airway or breathing



rationale: the across-the-room observation is done at the beginning of the primary survey to rapidly
assess the need to reprioritize circulation before airway or breathing. This is done if uncontrolled
external hemorrhage is identified.



Which of the following accurately describes ventilation prinicples associated with a bag-mask device? -
✔✔✔ventilate at a rate of 10-12 breaths/minute

, rationale: if ventilation is ineffective, assist ventilation at 10-12 breaths/minute or one every 5-6
seconds



Which of the following is the best measure of the adequacy of cellular perfusion and helps to predict the
outcome of resuscitation? - ✔✔✔base deficit



rationale: base deficit serves as an endpoint measurement of the adequacy of cellular perfusion and
when used in conjunction with serum lactate helps predict the success of resuciation



What is the safe pharmacological alternative to opioids for rib fracture pain management in the
anticoagulated patient? - ✔✔✔intercostal nerve blocks



rationale: continuous intercostal nerve blocks use long-acting anesthetics and can provide safe and
effective pain management for the anticoagulated patient.



In a patient with severe traumatic brain injury, hypocapnia causes: - ✔✔✔cerebral vasoconstriction



rationale: hypocapnia, or low levels of carbon dioxide, will cause vasoconstriction, especially in the
cerebra; vasculature



A patient with a knife injury to the neck has an intact airway and is hemodynamically stable. He
complains of difficulty swallowing and speaking. Further assessment is indicated next for which of the
following? - ✔✔✔damage to spinal cord



rationale: penetrating neck trauma may include concurrent injuries to the spinal cord, airway, or
vascular neck structures. With an intact airway and hemodynamic stability, the other common
concurrent injury is to the spinal cord



What is the appropriate technique for palpating the pelvis for stability? - ✔✔✔apply gentle pressure
over the iliac downward and medially

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