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TNCC pre exam ,Questions with multiple choices and complete solutions

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TNCC pre exam ,Questions with multiple choices and complete solutions The vital signs of a pregnant trauma patient at 30 weeks include a blood pressure of 94/62 mm Hg and a heart rate of 108 beats/minute. Fetal heart tones are 124 beats/minute. The emergency nurse interprets the patient's hemodyna...

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  • February 10, 2024
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TNCC pre exam ,Questions with multiple choices and complete
solutions
The vital signs of a pregnant trauma patient at 30 weeks include a blood pressure of 94/62 mm Hg and
a heart rate of 108 beats/minute. Fetal heart tones are 124 beats/minute. The emergency nurse
interprets the patient's hemodynamic findings as an indication of which of the following?
A. Decompensated shock
B. Normal vital signs in pregnancy
C. Compensated shock
D. Supine hypotension syndrome

Normal sings in pregnancy

The nurse is obtaining a history for a patient who presents following sexual assault. This history is
completed using which of the following techniques?
A. Bring the family in to the interview room.
B. Use direct quotes to record information.
C. Obtain information specific only to the assault.
D. Provide food and drink to help create rapport.

Use direct quotes to record information

What is the appropriate technique for palpating the pelvis for stability?
A. Apply gentle pressure over the iliac crests, downward and laterally.
B. Apply gentle pressure over the iliac crests, downward and medially.
C. Apply firm pressure over the iliac crests, downward and laterally.
D. Apply firm pressure over the iliac crests, downward and medially.

B. Apply gentle pressure over the iliac crests, downward and medially.

Treatment for frostbite can include which of the following interventions?
A. Warm the affected part over 30 to 60 minutes
B. Use gentle friction to improve circulation
C. Administer tissue plasminogen activator
D. Leave all of the blisters intact

Administer tissue plasminogen activator

What is the leading cause of preventable death for the trauma patient in the prehospital
environment?
A. Airway compromise
B. Ineffective ventilation
C. Secondary head injury
D. Uncontrolled external hemorrhage

Uncontrolled external hemorrhage

, Which of the following accurately describes ventilation principles associated with use of a bag-mask
device for an adult?
A. Compress the bag-mask device at a rate of one breath every 6 seconds.
B. Delivers 100% oxygen.
C. Squeeze the bag-mask device completely for each breath.
D. Maintain the oxygen saturation levels between 92% and 94%.

Compress the bag-mask device at a rate of one breath every 6 seconds.

A adult patient with a knife injury to the neck has an intact airway and is hemodynamically stable.
They complain of difficulty swallowing and speaking. In the primary survey, further assessment is
indicated next for which of the following conditions?
A.Damage to the cervical spine
B.An expanding pneumothorax
C.Laceration of the carotid artery
D.Injury to the thyroid gland

Damage to cervical spine

Following a bomb explosion, fragmentation injuries from the bomb or objects in the environment are
examples of which phase of injury?
A.Primary
B.Secondary
C.Tertiary
D.Quaternary

Secondary

Understanding the kinematic concepts associated with the mechanism of injury and energy transfer
can initially assist the trauma care provider in which of the following?
A. Anticipating the types of injuries that may be present
B. Deciding whether law enforcement should be notified
C. Determining needed laboratory tests
D. Predicting the need for a surgical procedure

Anticipating the types of injuries that may be present

The general impression step in the initial assessment provides the opportunity to do which of the
following?
A. Assess for uncontrolled internal hemorrhage
B. Accurately triage the patient
C. Reprioritize circulation before airway or breathing.
D. Activate the trauma team

Reprioritize circulation before airway or breathing.

A patient with a spinal cord injury at C5 is being cared for in the emergency department while
awaiting transport to a trauma center. Which of the following represents the highest priority for
ongoing assessment and management for this patient?

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