TNCC EXAMS 2023/2024 2 LATEST VERSIONS ACCURATE
VERIFIED QUESTIONS AND ANSWERS FOR GUARANTEED PASS|
ALREADY GRADED A
Which of the following is the priority intervention for this patient?
Answer: c
A) expedite transport to the ct scanner
b) prepare the patient for spinal radiographs
c) expedite transfer to the closest trauma center ***
d) notify the patients family
Caregivers carry a 2-year old into the ed who fell out of 2nd story window. The patient is awake
and crying with increased work of breathing and pale skin. Which of the following interventions
has the highest priority?
Answer: a
A) padding the upper back while stabilizing the cervical spine ***
b) applying a tight-fitting nrb mask with an attached resevior
c) establishing intravenous access and administering a 20ml/kg bolus
d) preparing for drug assisted intubation
Which of the following is a component of the trauma triad of death?
Answer: a
hypothermia, metabolic acidosis, coagulopathy
A) acidosis **
b) hyperthermia
c) hemorrhage
d) sepsis
A 35-year old male presents with facial trauma after bring struck inthe face with a baseball. A
tear-drop shaped left pupil is noted on exam. What type of injury is suspected?
Answer: b
A) oculomotor nerve palsy
b) globe rupture ***
c) uncal herniation
d) retinal detachment
,Which of the following is true about the log roll maneuver?
Answer: c
A) it causes less spinal motion than the lift and slide manuever
b) it is recommended for patients with unstable pelvic fractures
c) it can worsen cord damage from an unstable spinal injury ***
Why is a measure of serum lactate obtained in the initial assessment of the trauma patient?
Answer: c
A) to measure oxygenation and ventilation
b) to quantify the base deficit for the adequacy of cellular perfusion
c) to gauge end-organ perfusion and tissue hypoxia *
d) to determine the underlying cause of shock
A trauma patient is restless and repeatedly asking "where am i?" vital signs upon arrival were bp
100/60 mm hg, hr 96 beats/min, and rr 24 breaths/min. Her skin is cool and dry. Current vital
signs are bp 104/84mm hg, hr 108, rr 28 breaths/min. The patient is demonstrating signs and
symptoms of which stage of shock?
Answer: a
A) compensated **
b) progressive
c) irreversible
d) decompensated
An elderly patient with a history of anticoagulant use presents after a fall at home that day. She
denies any loss of consciousness. She has a hematoma to her forehead and complains of
headache, dizziness, and nausea. Which is a most likely cause of her symptoms?
Answer: d
A) epidural hematoma
b) diffuse axonal injury
c) post-concussive syndrome
d) subdural hematoma ***
Ems brings a patient who fell riding his bicycle. Using the american college of surgeons
screening guidelines, which assessment finding would prompt the nurse to prepare the patient for
radiologic spine clearance?
Answer: d
, A) alert with no neurologic deficits
b) multiple abrasions to the extremities
c) multiple requests of water
d) smell of alcohol on breath ***
Which of the following occurs during the third impact of a motor vehicle crash?
Answer: c
A) the driver of the vehicle collides with the steering wheel
b) the vehicle collides with a tree
c) the aorta is torn at its attachment with the ligamentum arteriosum
d) the airbag deploys and strikes the front seat passenger ***
A passenger is brought to the emergency department of a rural hospital following a high-speed
mvc. When significant abdominal and pelvic injuries are noted in the primary survey, which of
the following is the priority interventions?
Answer: a
A) initiate transfer to a trauma center **
b) provide report to the operating room nurse
c) obtained imaging studies
d) place a gastric tube
Which of the following injuries is least likely to be promptly identified?
Answer: c
A) spleen
b) lung
c) bowel ***
d) brain
Patients with a crush injury should be monitored for which of the following conditions?
Answer: c
A) hypernatremia
b) hypercalcemia
c) dysrhthmias **
d) polyuria
What finding raises suspicion of complete spinal cord injury?
Answer: b
VERIFIED QUESTIONS AND ANSWERS FOR GUARANTEED PASS|
ALREADY GRADED A
Which of the following is the priority intervention for this patient?
Answer: c
A) expedite transport to the ct scanner
b) prepare the patient for spinal radiographs
c) expedite transfer to the closest trauma center ***
d) notify the patients family
Caregivers carry a 2-year old into the ed who fell out of 2nd story window. The patient is awake
and crying with increased work of breathing and pale skin. Which of the following interventions
has the highest priority?
Answer: a
A) padding the upper back while stabilizing the cervical spine ***
b) applying a tight-fitting nrb mask with an attached resevior
c) establishing intravenous access and administering a 20ml/kg bolus
d) preparing for drug assisted intubation
Which of the following is a component of the trauma triad of death?
Answer: a
hypothermia, metabolic acidosis, coagulopathy
A) acidosis **
b) hyperthermia
c) hemorrhage
d) sepsis
A 35-year old male presents with facial trauma after bring struck inthe face with a baseball. A
tear-drop shaped left pupil is noted on exam. What type of injury is suspected?
Answer: b
A) oculomotor nerve palsy
b) globe rupture ***
c) uncal herniation
d) retinal detachment
,Which of the following is true about the log roll maneuver?
Answer: c
A) it causes less spinal motion than the lift and slide manuever
b) it is recommended for patients with unstable pelvic fractures
c) it can worsen cord damage from an unstable spinal injury ***
Why is a measure of serum lactate obtained in the initial assessment of the trauma patient?
Answer: c
A) to measure oxygenation and ventilation
b) to quantify the base deficit for the adequacy of cellular perfusion
c) to gauge end-organ perfusion and tissue hypoxia *
d) to determine the underlying cause of shock
A trauma patient is restless and repeatedly asking "where am i?" vital signs upon arrival were bp
100/60 mm hg, hr 96 beats/min, and rr 24 breaths/min. Her skin is cool and dry. Current vital
signs are bp 104/84mm hg, hr 108, rr 28 breaths/min. The patient is demonstrating signs and
symptoms of which stage of shock?
Answer: a
A) compensated **
b) progressive
c) irreversible
d) decompensated
An elderly patient with a history of anticoagulant use presents after a fall at home that day. She
denies any loss of consciousness. She has a hematoma to her forehead and complains of
headache, dizziness, and nausea. Which is a most likely cause of her symptoms?
Answer: d
A) epidural hematoma
b) diffuse axonal injury
c) post-concussive syndrome
d) subdural hematoma ***
Ems brings a patient who fell riding his bicycle. Using the american college of surgeons
screening guidelines, which assessment finding would prompt the nurse to prepare the patient for
radiologic spine clearance?
Answer: d
, A) alert with no neurologic deficits
b) multiple abrasions to the extremities
c) multiple requests of water
d) smell of alcohol on breath ***
Which of the following occurs during the third impact of a motor vehicle crash?
Answer: c
A) the driver of the vehicle collides with the steering wheel
b) the vehicle collides with a tree
c) the aorta is torn at its attachment with the ligamentum arteriosum
d) the airbag deploys and strikes the front seat passenger ***
A passenger is brought to the emergency department of a rural hospital following a high-speed
mvc. When significant abdominal and pelvic injuries are noted in the primary survey, which of
the following is the priority interventions?
Answer: a
A) initiate transfer to a trauma center **
b) provide report to the operating room nurse
c) obtained imaging studies
d) place a gastric tube
Which of the following injuries is least likely to be promptly identified?
Answer: c
A) spleen
b) lung
c) bowel ***
d) brain
Patients with a crush injury should be monitored for which of the following conditions?
Answer: c
A) hypernatremia
b) hypercalcemia
c) dysrhthmias **
d) polyuria
What finding raises suspicion of complete spinal cord injury?
Answer: b
