TNCC test prepA, TNCC Notes for Written Exam, TNCC Notes for Written Exam, TNCC Prep, TNCC EXAM, TNCC 8th Edition
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Module
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 Edition
TNCC test prepA, TNCC Notes for Written Exam, TNCC Notes for Written Exam, TNCC Prep, TNCC EXAM, TNCC 8th Edition
TNCC test prepA, TNCC Notes for Written Exam, TNCC Notes for Written ...
TNCC test prepA, TNCC Notes for
Written Exam, TNCC Notes for Written
Exam, TNCC Prep, TNCC EXAM, TNCC
8th Edition
Expedite transfer to the closest trauma center - ANS 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?
a pertinent medical hx is crucial - ANS Which of the following considerations is the most important
when caring for a geriatric trauma pt?
Mitigation - ANS 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?
Multiple requests for water - ANS 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?
hemoglobin does not readily release O2 for use by the tissues - ANS What is the effect of hypothermia
on the oxyhemoglobin dissociation curve?
acidosis - ANS Which of the following is a component of the trauma triad of death?
Complete - ANS 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?
,flucuation in the water seal chamber - ANS Which of the following is an expected finding in a pt with a
tube thoracstomy connected to a chest drainage system?
insert an oropharyngeal airway if there is no gag reflex - ANS 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?
globe rupture - ANS 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?
compensated - ANS 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?
ventilate with a bag mask device - ANS 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?
within 24 hrs of trauma - ANS When is the tertiary survey completed fora trauma pt?
pressure - ANS 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?
worsening pneumothorax - ANS Which of the following is possible complication of positive-pressure
ventilation?
pelvic stability - ANS the most reassuring finding for a male pt with hip pain after a fall is which of the
following?
,narrowed - ANS Which of the following pulse pressures indicate early hypovolemic shock?
dysrhythmias - ANS Patients with a crush injury should be monitored for which of the following
conditions?
subdural hematoma - ANS Tearing of the bridging veins is most frequently associated with which brain
injury?
straight cath for urine sample - ANS 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?
placental abruption - ANS 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?
it can worsen cord damage from an unstable spinal injury - ANS Which of the following is true about the
log-roll?
defusings - ANS All of these are considered a critical communication point in trauma care EXCEPT which
of the following?
pulse oximetry and capnography - ANS What bedside monitoring parameters are used to assess for
adequacy of O2 and effectiveness of ventilation?
padding the upper back while stabilizing the cervical spine - ANS 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?
, bowel - ANS Which of the following injuries is LEAST likely to be promptly identified?
Initiate transfer to a trauma center - ANS 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?
bardycardia and absent motor function below the level of injury - ANS A pt with a complete spinal cord
injury in neurogenic shock will demonstrate hypotension and which other clinical signs?
apply splint and elevate above the level of the heart - ANS 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?
the aorta is torn at its attachment with the ligamentum arteriosum - ANS which of the following occurs
during the third impact of a motor vehicle crash?
Report your suspicion of maltreatment in accordance with local regulations - ANS 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?
to guage end-organ perfusion and tissue hypoxia - ANS Why is a measure of serum lactate obtained in
the initial assessment of a trauma patient?
elevating the extremity to the level of the heart - ANS 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?
velocity - ANS What factor contributes most to the kinetic energy of a body in motion?
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