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TNCC 8th Edition 100% Accurate Questions And Answers With Verified Tests
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What are the greatest risks for transport? Loss of airway patency, displaced obstructive tubes lines or catheters, dislodge splinting devices, need to replace or reinforce dressings, deterioration in patient status change in vital signs or level of consciousness, injury to the patient and/or team m...

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  • April 28, 2024
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  • 2023/2024
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PATHOPHYSI D236 TNCC Exam 8th Edition Study
Questions and Answers Best Scored
1.What is the effect of hypothermia on the oxyhemoglobin dissociation curve
Correct ans - Hemoglobin does not readily release oxygen for use by the
tissues A shift to the left occurs in an environment of low metabolic demand
(hypothermia, hypocapnia, alkalosis), increasing hemoglobin's affinity for
oxygen.

EMS arrives with the intoxicated driver of a car involved in a motor vehicle
crash. EMS reports significant damage to the driver's side of the car. The
patient is asking to have the cervical collar removed. When it is appropriate
to remove the cervical collar? Correct ans - After a physical
examination if the patient has no radiologic abnormalities on CT A CT is
recommended for spinal clearance in an impaired patient.

The nurse is caring for a 120 kg male brought in after a warehouse fire and is
calculating the patient's fluid resuscitation needs. He has painful red
blistering to the entire surface of both upper extremities and superficial
burns to the anterior chest. Using the modified Lund and Browder chart to
calculate the total body surface area burned, how much IV fluid would be
administered in the first 8 hours? Correct ans - 2280 mL Both upper
arms = 8%, both lower arms = 6%, and both hands = 5%, yielding 19 * 2 *
120 = 4560 mL. Half of the total is equal to 2280 mL. Superficial burns are
not included in the TBSA calculation for fluid resuscitation.

Which of the following is an expected finding in a patient with a tube
thoracostomy connected to a chest drainage system Correct ans -
Fluctuation in the water seal chamber Fluctuation in the water seal chamber
indicates the tube is placed correctly in the pleural space.

.A 35-year-old male 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? Correct ans - Globe rupture A teardrop-shaped
pupil suggests a globe rupture.

.A patient with a complete spinal cord injury in neurogenic shock will
demonstrate hypotension and which other clinical signs? Correct ans -
Bradycardia and absent motor function below the level of injury Patients with
a complete spinal cord injury will have absent motor function below the level
of the lesion. They become hypotensive and bradycardic due to loss of
autonomic nervous system function.

Which of the following patients warrants referral to a burn center?
Correct ans - A 52-year-old diabetic male with a partial-thickness burn to

, the left lower leg This patient has a 7% TBSA burn with a preexisting medical
history that could complicate management, prolong recovery, or affect
mortality.

You are caring for a patient who was involved in a motor vehicle crash and is
32 weeks pregnant. Findings of your secondary survey include abdominal
pain on palpation, fundal height at the costal margin, and some dark bloody
show. Varying accelerations and decelerations are noted on
cardiotocography. These findings are most consistent with which of the
following? Correct ans - Placental abruption The findings of abdominal
pain, elevated fundal height, dark bloody show, and fetal distress are most
consistent with placental abruption.

A 20-year-old male presents to the ED complaining of severe lower
abdominal pain after landing hard on the bicycle cross bars while performing
an aerial BMX maneuver. Secondary assessment reveals lower abdominal
tenderness and scrotal ecchymosis. Which of the following orders would the
nurse question? Correct ans - Straight catheter for urine sample
Insertion of a urinary catheter is contraindicated if urethral transection is
suspected. Signs and symptoms of urethral injury include blood at the
meatus, perineal ecchymosis, scrotal ecchymosis, and a high-riding or non-
palpable prostate.

Which of the following occurs during the third impact of a motor vehicle
crash? Correct ans - The aorta is torn at its attachment with the
ligamentum arteriosum This occurs during the third impact.

All of these are considered a critical communication point in trauma care
EXCEPT which of the following? Correct ans - Defusings A defusing is
part of critical incident stress management but is not considered a critical
communication point in trauma care.

Which of the following mnemonics can help the nurse prioritize care for a
trauma patient with massive uncontrolled hemorrhage? Correct ans -
MARCH The MARCH mnemonic stands for massive hemorrhage, airway,
respiration, circulation, and head injury/hypothermia. The MARCH mnemonic
recognizes uncontrolled hemorrhage as the major cause of preventable
death after injury.

You are treating a 27-year-old male in respiratory distress who was involved
in a house fire. Calculating total body surface area (TBSA) burned is deferred
due to the need for emergent intubation. At what rate should you begin fluid
resuscitation? Correct ans - 500 mL/hour Prior to calculating TBSA, this
is the recommended starting point for fluid resuscitation for patients 14
years of age and older

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