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TNCC Exam 8th edition study Questions and Answers 2024 / 2025 (Verified Answers by Expert)
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TNCC Exam 8th edition study Questions and Answers 2024 / 2025 (Verified Answers by Expert)
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TNCC Exam 8th edition study.pdf file:///C:/Users/HP/Desktop/eewwww/TNCC%20Exam%208th%20eTNCC Exam 8th Edition Study Questions & Answers
1. 1.What is the effect of hypothermia on the oxyhemoglobin dissociation curve
ANS Hemoglobin does not readily release oxygen for use by the tissues A shift tothe left occurs in
an environment of low metabolic demand (hypothermia, hypocap-nia, alkalosis), increasing
hemoglobin's affinity for oxygen.
2. EMS arrives with the intoxicated driver of a car involved in a motor vehiclecrash. 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?
ANS After a physical examination if the patient has noradiologic abnormalities on CT A CT is
recommended for spinal clearance in an impaired patient.
3. 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 burnsto the anterior chest. Using
the modified Lund and Browder chart to calculatethe total body surface area burned, how
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much IV fluid would be administeredin the first 8 hours?
ANS 2280 mL Both upper arms = 8%, both lower arms = 6%, andboth hands = 5%, yielding
19 * 2 * 120 = 4560 mL. Half of the total is equal to 2280mL. Superficial burns are not included
in the TBSA calculation for fluid resuscitation.
4. Which of the following is an expected finding in a patient with a tube thoracostomy
connected to a chest drainage system
ANS Fluctuation in the waterseal chamber Fluctuation in the water seal chamber indicates the
tube is placed correctly in the pleural space.
5. .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 typeof injury is suspected?
ANS Globe rupture A teardrop-shaped pupil suggests a globerupture.
6. .A patient with a complete spinal cord injury in neurogenic shock will demonstrate
hypotension and which other clinical signs?
ANS Bradycardia and absent motor function below the level of injury Patients with a complete
spinal cordinjury will have absent motor function below the level of the lesion. They become
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hypotensive and bradycardic due to loss of autonomic nervous system function.
7. Which of the following patients warrants referral to a burn center?
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.
8. You are caring for a patient who was involved in a motor vehicle crash andis 32 weeks
pregnant. Findings of your secondary survey include abdominalpain on palpation, fundal
height at the costal margin, and some dark bloody show.Varying accelerations and
decelerations are noted on cardiotocography.
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