TNCC 9th edition TNP 75 questions and correct answers (2024/2025 exam). (Graded A+)
1. An adult pt 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 pt has received one intravenous fluid bolus of 500...
TNCC 9th edition TNP 75 questions and
correct answers (2024/2025 exam).
(Graded A+)
1. An adult pt 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 pt has received one intravenous fluid bolus
of 500 mL of warmed isotonic crystalloid solution. the PaCO2 is 30mmHg (4.0 kPa), and the pulse
oximetry is 92%. BP is 142/70 mmHg. What is the most important intervention to manage the
cerebral blood flow? - Correct answer Decrease the rate of manual ventilation"
2. "An older adult presents to the emergency department with complaints of dizziness, headache, and
nausea. The pt 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 pt is currently on anticoagulant
therapy. What is most likely the cause of their symptoms? - Correct answer post-concussive
syndrome"
3. "A pt with a lower extremity fracture complains of severe pain and tightness in his calf, minimally
relieved by pain medication. Which of the following is the priority nursing intervention? - Correct
answer Elevating the leg to the LEVEL of the heart
(compression/crush- level of the heart)
(regular fracture- above the heart)"
4. "A pt involved in a high-speed rollover is complaining of increased difficulty breathing. There is a
small penetrating wound to the 6th intercostal space in the left lateral chest. Which finding is most
consistent with an injury to the diaphragm? - Correct answer Bowel sounds heard in the lower left
chest"
5. "A pt has been in the emergency department for several hours waiting to be admitted. They
sustained multiple rib fractures and a femur fracture after a fall. The pt has been awake, alert, and
complaining of leg pain. Their spouse reported that the pt suddenly became anxious and confused.
Upon reassessment, the pt is restless, with respiratory distress and petechiae to his neck. The pt is
exhibiting signs and symptoms most commonly associated with which of the following conditions? -
Correct answer Fat embolism"
6. "3 adult pts present at different times during a 1-hour period with a high fever, fatigue, and
headache. All 3 pts 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 pts? - Correct answer Immediately initiate contact
precautions"
7. "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.
Witai type of injury is suspecied? - Correct answer Globe rupture"
, 8. "A trauma patient who is 30 - weeks pregnant arrives at the emergency department following a
motor vehicle collision Which normal physiologic change should be considered when assessing
ventilatory status ? - Correct answer Increased oxygen consumption"
9. "A patient who sustained severe injuries was brought to the emergency department following a high
- speed motor vehicle collision . Interventions for hypovolemic shock have been initiated . What
component of the trauma triad of death is most likely to have begun at the time of injury ? - Correct
answer Coagulopathy"
10. "An adult patient involved in a motor vehicle collision is brought to the emergency department of a
rural critical access facility . They complain of neck pain , shortness of breath , and diffuse abdominal
pain . The Glasgow Coma Score is 15. Vital signs are : BP 98/71 mm Hg , HR 125 beats / minute , RR
26 breaths / minute , and SpO2 94 % on high - flow oxygen via non - rebreather mask . Which of the
following is the priority intervention for this patient ? - Correct answer Expedite transfer to the
closest trauma center"
11. "A patient who weighs 120 kg is brought to the emergency department after sustaining partial
thickness burns to both upper extremities and chest with a total body surface area burned of 27 % .
How much intravenous fluid should be administered in the first 8 hours ? - Correct answer 3240 mL"
12. "A trauma patient is being held in the emergency department because there are no available
inpatient beds . The patient sustained a femur fracture and required multiple blood products . The
patient now has blood oozing from abrasions , IV sites , the nose , and gums . What condition is most
consistent with these findings ? - Correct answer Disseminated intravascular coagulopathy"
13. "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 34.60C ( 94.20F ) and an SpO2 of 90 % on oxygen at 15L
per non - rebreather mask . Other findings include ETCO2 24 , scrum lactate of 6 mmol / L , and a pH
of 6.8 . Based on these findings what is the most appropriate intervention - Correct answer Initiate
warming measures"
14. "Which of the following is a late sign of increased intracranial pressure ? - Correct answer Decreased
respiratory effort"
15. "Based on fall mechanism , which patient warrants prehospital transfer to a trauma center ? - Correct
answer A 2 - year - old lands on grass from a second - story balcony nurse is caring for an
unrestrained"
16. "The trauma nurse is caring for an unrestrained driver who struck their head on the windshield
following a high - speed MVC . The patient has been diagnosed with an anterior spinal cord injury at
the level of C6 . Which assessment finding would be most concerning ? - Correct answer Increasing
work of breathing"
17. "While caring for a child who has been injured , what nursing intervention consistent with a family
center approach - Correct answer Allowing family to participate in the care of the patient"
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