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TNCC Final Exam Latest 2024 Update With Questions And Veried Answers Already Graded A
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TNCC Final Exam Latest 2024 Update With Questions And Veried Answers Already Graded A Why is a measure of serum lactate obtained in the initial assessment of the trauma patient? Answer: c - ANSWER>>a) to measure oxygenation and ventilation b) to quantify the base deficit for the adequacy...

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  • August 7, 2024
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  • 2024/2025
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TNCC Final Exam Latest 2024 Update With Questions And Veried Answers
Already Graded A

Why is a measure of serum lactate obtained in the initial assessment of the trauma
patient?



Answer: c - ANSWER>>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 - ANSWER>>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 - ANSWER>>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 - ANSWER>>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 - ANSWER>>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 - ANSWER>>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 - ANSWER>>A) spleen

B) lung

C) bowel ***

D) brain



Patients with a crush injury should be monitored for which of the following conditions?



Answer: C - ANSWER>>A) Hypernatremia

B) Hypercalcemia

C) Dysrhthmias **

D) polyuria



What finding raises suspicion of complete spinal cord injury?



Answer: B - ANSWER>>A) Weakness in the lower extremities

B) Priapism ***

C) voluntary anal sphincter tone

D) intact reflexes distal to the injury



A patient with a complete spinal cord injury in neurogenic shock will demonstrate
hypotension and which other clinical signs?

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