TNCC test prepA, TNCC Notes for Written Exam, TNCC Notes for Written Exam, TNCC Prep, TNCC EXAM, TNCC 8th Edition
1.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?
2.a pertinent medical hx is crucial: Which of the following considerations
is the most important when caring for a geriatric trauma pt?
3.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?
4.Multiple requests for water: 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?
5.hemoglobin does not readily release O2 for use by the tissues: What is
the effect of hypothermia on the oxyhemoglobin dissociation curve?
6.acidosis: Which of the following is a component of the trauma triad of
death?
7.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?
8.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?
9.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?
10.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?
11.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?
12.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 immedi- ate next step? .within 24 hrs of trauma: When is the tertiary survey completed fora trauma pt?
14.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?
15.worsening pneumothorax: Which of the following is possible complication of positive-pressure ventilation?
16.pelvic stability: the most reassuring finding for a male pt with hip pain after a fall is which of the following?
17.narrowed: Which of the following pulse pressures indicate early hypovolemic shock?
18.dysrhythmias: Patients with a crush injury should be monitored for which of the following conditions?
19.subdural hematoma: Tearing of the bridging veins is most frequently
associ- ated with which brain injury?
20.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?
21.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?
22.it can worsen cord damage from an unstable spinal injury: Which of the following is true about the log-roll?
23.defusings: All of these are considered a critical communication point
in trauma care EXCEPT which of the following?
24.pulse oximetry and capnography: What bedside monitoring parameters are used to assess for adequacy of O2 and effectiveness of ventilation?
25.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?
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