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TNCC test prepA, 8th Edition Testbank Questions and Answers $37.39
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TNCC test prepA, 8th Edition Testbank Questions and Answers
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TNCC test prepA, 8th Edition Testbank Questions and Answers Expedite transfer to the closest trauma center 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 98/7...

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  • June 20, 2022
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  • 2021/2022
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TNCC test prepA, 8th Edition Testbank Questions and Answers


Expedite transfer to the closest trauma center
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
Which of the following considerations is the most important when caring for a geriatric trauma
pt?

Mitigation
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?

Alcohol

All tools and guidelines require the patient to be awake, alert, not under the influence of any
substances, and without neurologic abnormalities
EMS brings a pt who fell while riding his bicycle. Using the American College of Surgeons
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
What is the effect of hypothermia on the oxyhemoglobin dissociation curve?

acidosis
Which of the following is a component of the trauma triad of death?

Complete
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
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
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
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
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
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
When is the tertiary survey completed fora trauma pt?

pressure
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
Which of the following is possible complication of positive-pressure ventilation?

pelvic stability
the most reassuring finding for a male pt with hip pain after a fall is which of the following?

narrowed
Which of the following pulse pressures indicate early hypovolemic shock?

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

subdural hematoma
Tearing of the bridging veins is most frequently associated with which brain injury?

straight cath for urine sample
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
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
Which of the following is true about the log-roll?

defusings
All of these are considered a critical communication point in trauma care EXCEPT which of the
following?

pulse oximetry and capnography
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
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
Which of the following injuries is LEAST likely to be promptly identified?

Initiate transfer to a trauma center
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
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
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
which of the following occurs during the third impact of a motor vehicle crash?

Report your suspicion of maltreatment in accordance with local regulations
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
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
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
What factor contributes most to the kinetic energy of a body in motion?

subdural hematoma
An elderly patient with a history of anticoagulant use presents after a fall at home today. She
denies any loss of consciousness. She has a hematoma to her forehead and complains of
headache, dizziness, and nausea. What is the most likely cause of her symptoms?

fat embolism
a pt has been in the ED for several hrs waiting to be admitted. He sustained multiple rib
fractures and a femur fracture after a fall. He has been awake, alert, and complaining of leg
pain. His wife reported that he suddenly became anxious and confused. Upon reassessment,
the pt is restless with respiratory distress and petechiae to his neck. The pt is exhibiting s/sx
most commonly associated with which of the following conditions?

Late signs of increased intracranial pressure include: dilated nonreactive pupils, unresponsive to
verbal or painful stimuli, abnormal motor posturing, and Cushing response (widening pulse
pressure, reflex bradycardia, decreased respiratory effort)
Which of the following is a late sign of increased intracranial pressure?

serial FAST exams
a 49 y/o restrained driver involved in a MVC presents to the trauma center complaining of abd,
pelvic, and bilateral lower extremity pain. VS are stable. The nurse can anticipate all of these
after a negative FAST exam EXCEPT which of the following?

pericardiocentesis
Which of the following is NOT considered goal-directed therapy for cardiogenic shock?

endotracheal tube
The trauma nurse knows that placing a bariatric patient in a ramped position providers better
visualization during the insertion of which device?

increased work of breathing

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