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TNCC final exam test 2024/2025 open book updated with complete solutionTNCC final exam test 2024/2025 open book updated with complete solution$21.99
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Why is a measure of serum a) to measure oxygenation and ventilation
lactate obtained in the initial b) to quantify the base deficit for the adequacy of
assessment of the trauma cellular perfusion
patient? c) to gauge end-organ perfusion and tissue hypoxia *
d) to determine the underlying cause of shock
Answer: c
A trauma patient is restless A) compensated **
and repeatedly asking B) Progressive
"where am I?" vital signs C) irreversible
upon arrival were BP 100/60 D) decompensated
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
,An elderly patient with a A) epidural hematoma
history of anticoagulant use B) diffuse axonal injury
presents after a fall at home C) post-concussive syndrome
that day. she denies any loss D) subdural hematoma ***
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
EMS brings a patient who A) Alert with no neurologic deficits
fell riding his bicycle. Using B) Multiple abrasions to the extremities
the American College of C) Multiple requests of water
Surgeons screening D) Smell of alcohol on breath ***
guidelines, which
assessment finding would
prompt the nurse to
prepare the patient for
radiologic spine clearance?
Answer: D
A) The driver of the vehicle collides with the steering
Which of the following
wheel
occurs during the third
B) the vehicle collides with a tree
impact of a motor vehicle
C) the aorta is torn at its attachment with the ligamentum
crash?
arteriosum
D) the airbag deploys and strikes the front seat
Answer: C
passenger ***
, A passenger is brought to A) initiate transfer to a trauma center **
the emergency department B) provide report to the operating room nurse
of a rural hospital following C) Obtained imaging studies
a high-speed MVC. When D) Place a gastric tube
significant abdominal and
pelvic injuries are noted in
the primary survey, which of
the following is the priority
interventions?
Answer: A
Which of the following A) spleen
injuries is LEAST likely to be B) lung
promptly identified? C) bowel ***
D) brain
Answer: C
Patients with a crush injury A) Hypernatremia
should be monitored for B) Hypercalcemia
which of the following C) Dysrhthmias **
conditions? D) polyuria
Answer: C
What finding raises A) Weakness in the lower extremities
suspicion of complete B) Priapism ***
spinal cord injury? C) voluntary anal sphincter tone
D) intact reflexes distal to the injury
Answer: B
A patient with a complete A) Bradycardia and ipsilateral absences of motor
spinal cord injury in function
neurogenic shock will B) Tachycardia and respiratory depression
demonstrate hypotension C) Tachycardia and absent motor function below the
and which other clinical level of injury
signs? D) Bradycardia and absent motor function below the
level of the injury ***
Answer: D
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