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TNCC test prep A (Answers are on top of the Questions), TNCC Notes for Written Exam| All correct Answers, TNCC EXAM (2022 Study guide), TNCC 8th edition exam with complete solution, TNCC Written Exam 2022 Questions and Answers,

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TNCC test prep A (Answers are on top of the Questions), TNCC Notes for Written Exam| All correct Answers, TNCC EXAM (2022 Study guide), TNCC 8th edition exam with complete solution, TNCC Written Exam 2022 Questions and Answers, Expedite transfer to the closest trauma center A 56 y/o...

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  • July 19, 2022
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TNCC test prep A (Answers are on top of the
Questions), TNCC Notes for Written Exam| All
correct Answers, TNCC EXAM (2022 Study guide),
TNCC 8th edition exam with complete solution, TNCC
Written Exam 2022 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?
smell of alcohol on breath


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


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 (Hollow organ injury signs and symptoms may be subtle and delayed but are
associated with a high mortality rate if not identified.)


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

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