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TNCC Practice Exam with Rationale. Real Exam Questions and Correct Answers. Already Rated A+.
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TNCC Practice Exam with Rationale. Real Exam Questions and CorrectAnswers. Already Rated A+.
A 30-week pregnant trauma patient's vital signs 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? – ANS normal vital signs in pregnancy
rationale: in pregnancy, the resting heart rate increases by 10 to 20 bpm and a small
decrease in systolic blood pressure and a larger decrease in diastolic blood pressure
due to a decrease in peripheral resistance. Normal fetal rate is between 120 and 160
bpm
A patient fell two weeks ago, striking his head. He came to the emergency department
with a persistent headache and nausea. He was diagnosed with a small subdural
hematoma and has been in the ED for 24 hours awaiting an inpatient bed. The night
shift nurse reports he has been anxious, restless, and shaky. he vomited twice during
the night. He tells the day shift nurse he couldn't sleep because a young child kept
coming into his room. What is a likely cause for these signs and symptoms? – ANS
alcohol withdrawal
Rationale: alcohol withdrawal is a common delayed condition because symptoms are
difficult to identify early. Signs include autonomic hyperactivity, hand tremors, nausea or
vomiting, psychomotor agitation, anxiety, insomnia, hallucinations, or seizures.
A patient with a knife injury to the neck has an intact airway and is hemodynamically
stable. He complains of difficulty swallowing and speaking. Further assessment is
indicated next for which of the following? – ANS damage to spinal cord
Rationale: penetrating neck trauma may include concurrent injuries to the spinal cord,
airway, or vascular neck structures. With an intact airway and hemodynamic stability,
the other common concurrent injury is to the spinal cord
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? – ANS maintain adequate
respiratory status
Rationale: spinal cord injuries at C3 to C5 can cause the loss of phrenic nerve function,
resulting in a paralyzed diaphragm and inability to breathe
A trauma nurse cared for a child with devastating burns 2 weeks ago. She called in sick
for a couple of days and is now back working on the team. Which of the following
behaviors would indicate this nurse is coping well? – ANS she is talking about taking the
emergency nursing certification examination
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