TNCC 9th Edition EXAM LATEST 2023-2024 COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+.
A patient is brought to the emergency department following a snowmobile crash
with prolonged exposure time prior to transport. The patient is confused. Vital
signs are BP 96/54 mm Hg, HR 114 beats/minute, RR 24 breaths/minute, T 34.6oC
(94.2oF) and an SpO2 of 90% on oxygen at 15L per non-rebreather mask. Other
findings include ETCO2 24, serum lactate of 6 mmol/L, and a pH of 6.8. Based on
these findings, what is the most appropriate intervention?
A. Initiate warming measures
B. Titrate oxygen to 6 L per nasal
cannula
C. C.Bolus with 500 mL isotonic
crystalloids
D.Vigorously massage the extremities - ANSWER-A.Initiate warming measures
Three adults present at different times during a one-hour period with a high fever,
fatigue, and headache. All three patients have a rash which started on their
mouth, face, and arms with progression to the chest and abdomen. They all
visited the same grocery store within the last week. What is the most appropriate
intervention from triage for these patients?
A. Move them to a decontamination area
B. Mask the patients and send them to the waiting room
C.Immediately initiate isolation precautions
D.Send them to the waiting room without a mask - ANSWER-Immediately initiate
isolation precautions
,A 35-year-old male 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?
A.Oculomotor nerve palsy
B.Globe rupture
C.Retrobulbar hematoma
D.Retinal detachment - ANSWER-Globe rupture
During which part of the primary survey would there be anticipation for
intubation, insertion of OPA/NPA, removal of any loose teeth or foreign objects, or
suctioning? - ANSWER-Assessing patency and protection of the airway, Step 7 of
"Alertness and Airway with Simultaneous Cervical Spinal Stabilization"
If c-spine stabilization is necessary, what need should be stated? - ANSWER-the
need for a second person to provide manual c-spine stabilization
An adult patient who sustained a severe head trauma has been intubated and is
being manually ventilated via a bag-mask device at a rate of 18 breaths/minute.
The patient has received one intravenous fluid bolus of 500 mL of warmed
isotonic crystalloid solution. The PaCO2 is 30 mm Hg (4.0 kPa), and the pulse
oximetry is 92%. BP is 142/70 mm Hg. What is the most important intervention to
manage the cerebral blood flow?
A. Decrease the rate of manual ventilation.
B. Initiate another fluid bolus.
C. Recheck endotracheal tube placement.
D. Increase the amount of oxygen delivered. - ANSWER-A.Decrease the rate of
manual ventilation.
, An older adult presents to the emergency department with complaints of
dizziness, headache, and nausea. The patient was involved in a motor vehicle
collision 10 days ago. There was no loss of consciousness and a hematoma is
noted to the forehead. The patient is currently on anticoagulant therapy. What is
most likely the cause of their symptoms?
A.Intracerebral hemorrhage
B.Epidural hematoma
C.Diffuse axonal injury
D.Post-concussive syndrome - ANSWER-post-concussive syndrome
A patient with a lower extremity fracture complains of severe pain and tightness
in his calf, minimally relieved by pain medications. Which of the following is the
priority nursing intervention?
A.Elevating the leg above the level of the heart
B.Repositioning the leg and applying ice
C.Elevating the leg to the level of the heart
D.Preparing the patient for ultrasound of the leg - ANSWER-C.Elevating the leg to
the level of the heart
A patient involved in a high-speed rollover is complaining of increased difficulty
breathing. There is a small penetrating wound to the sixth intercostal space in the
left lateral chest. Which finding is most consistent with an injury to the
diaphragm?
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+.
A patient is brought to the emergency department following a snowmobile crash
with prolonged exposure time prior to transport. The patient is confused. Vital
signs are BP 96/54 mm Hg, HR 114 beats/minute, RR 24 breaths/minute, T 34.6oC
(94.2oF) and an SpO2 of 90% on oxygen at 15L per non-rebreather mask. Other
findings include ETCO2 24, serum lactate of 6 mmol/L, and a pH of 6.8. Based on
these findings, what is the most appropriate intervention?
A. Initiate warming measures
B. Titrate oxygen to 6 L per nasal
cannula
C. C.Bolus with 500 mL isotonic
crystalloids
D.Vigorously massage the extremities - ANSWER-A.Initiate warming measures
Three adults present at different times during a one-hour period with a high fever,
fatigue, and headache. All three patients have a rash which started on their
mouth, face, and arms with progression to the chest and abdomen. They all
visited the same grocery store within the last week. What is the most appropriate
intervention from triage for these patients?
A. Move them to a decontamination area
B. Mask the patients and send them to the waiting room
C.Immediately initiate isolation precautions
D.Send them to the waiting room without a mask - ANSWER-Immediately initiate
isolation precautions
,A 35-year-old male 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?
A.Oculomotor nerve palsy
B.Globe rupture
C.Retrobulbar hematoma
D.Retinal detachment - ANSWER-Globe rupture
During which part of the primary survey would there be anticipation for
intubation, insertion of OPA/NPA, removal of any loose teeth or foreign objects, or
suctioning? - ANSWER-Assessing patency and protection of the airway, Step 7 of
"Alertness and Airway with Simultaneous Cervical Spinal Stabilization"
If c-spine stabilization is necessary, what need should be stated? - ANSWER-the
need for a second person to provide manual c-spine stabilization
An adult patient who sustained a severe head trauma has been intubated and is
being manually ventilated via a bag-mask device at a rate of 18 breaths/minute.
The patient has received one intravenous fluid bolus of 500 mL of warmed
isotonic crystalloid solution. The PaCO2 is 30 mm Hg (4.0 kPa), and the pulse
oximetry is 92%. BP is 142/70 mm Hg. What is the most important intervention to
manage the cerebral blood flow?
A. Decrease the rate of manual ventilation.
B. Initiate another fluid bolus.
C. Recheck endotracheal tube placement.
D. Increase the amount of oxygen delivered. - ANSWER-A.Decrease the rate of
manual ventilation.
, An older adult presents to the emergency department with complaints of
dizziness, headache, and nausea. The patient was involved in a motor vehicle
collision 10 days ago. There was no loss of consciousness and a hematoma is
noted to the forehead. The patient is currently on anticoagulant therapy. What is
most likely the cause of their symptoms?
A.Intracerebral hemorrhage
B.Epidural hematoma
C.Diffuse axonal injury
D.Post-concussive syndrome - ANSWER-post-concussive syndrome
A patient with a lower extremity fracture complains of severe pain and tightness
in his calf, minimally relieved by pain medications. Which of the following is the
priority nursing intervention?
A.Elevating the leg above the level of the heart
B.Repositioning the leg and applying ice
C.Elevating the leg to the level of the heart
D.Preparing the patient for ultrasound of the leg - ANSWER-C.Elevating the leg to
the level of the heart
A patient involved in a high-speed rollover is complaining of increased difficulty
breathing. There is a small penetrating wound to the sixth intercostal space in the
left lateral chest. Which finding is most consistent with an injury to the
diaphragm?
