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TNCC Test prep 9th Edition
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TNCC Test prep 9th Edition
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TNCC Test prep 9th EditionA 56 y/o M involved in a MVC is brought to the ED. He complains of neck pain, SOB,
and diffuse abdominal pain. His GCS is 15, VS: BP 98/71, HR 125, RR 26, SpO2
94% on high-flow O2 via NRB mask. Which is the priority intervention for this
patient? - ANSWER Expedite transfer to the closest trauma center
Which of the following considerations is the most important when caring for a
geriatric trauma pt? - ANSWER a pertinent medical hx is crucial
Following a review of recent drills and a real disaster event, a hospital has identified
deficiencies and is taking steps to minimize the impact of a future disaster . Which
phase of the disaster life cycle does this describe? - ANSWER Mitigation
EMS brings a pt who fell while riding his bicycle. Using the American College of
Surgeobs screening guidelines, which assessment finding would prompt the RN to
prepare the pt for a radiologic spine clearance? - ANSWER smell of alcohol on
breath
What is the effect of hypothermia on the oxyhemoglobin dissociation curve? -
ANSWER hemoglobin does not readily release O2 for use by the tissues
Which of the following is a component of the trauma triad of death? - ANSWER
acidosis
EMS brings a pt from MVC. VS: BP 90/49, HR 48, RR 12, temp 97.2F (36.2 C). The
pt exhibits urinary incontinence and priapism. These assessment findings are most
consistent with which of the following types of spinal cord injury? - ANSWER
Complete
Which of the following is an expected finding in a pt with a tube thoracstomy
connected to a chest drainage system? - ANSWER flucuation in the water seal
chamber
During the primary survey of an unconscious pt with multi-system trauma, the nurse
notes snoring respirations. What priority nursing interventions should be preformed
next? - ANSWER insert an oropharyngeal airway if there is no gag reflex
A 35 y/o M presents with facial trauma after being struck in the face with a baseball.
A teardrop-shaped left pupil is noted on exam. What type of injury is suspected? -
ANSWER globe rupture
A trauma pt is restless and repeatedly asking "where am i?" VS upon arrival: BP
110/60, HR96, RR 24. Her skin is cool and dry. Current VS are BP 104/84, HR 108,
RR 28. The pt is demonstrating s/sx of which stage of shock? - ANSWER
compensated
, An unresponsive trauma pt has an oropharygeal airway in place, shallow and
labored respirations, and dusky skin. The trauma team has administered
medications for drug-assisted intubation and attempted intubation but was
unsuccessful. What is the most appropriate immediate next step? - ANSWER
ventilate with a bag mask device
When is the tertiary survey completed fora trauma pt? - ANSWER within 24 hrs of
trauma
An intubated and sedated pt in the ED has multiple extremity injuries with the
potential for causing compartment syndrome. What is the most reliable indication of
compartment syndrome in a patient who is unconscious? - ANSWER pressure
Which of the following is possible complication of positive-pressure ventilation? -
ANSWER worsening pneumothorax
the most reassuring finding for a male pt with hip pain after a fall is which of the
following? - ANSWER pelvic stability
Which of the following pulse pressures indicate early hypovolemic shock? -
ANSWER narrowed
Patients with a crush injury should be monitored for which of the following
conditions? - ANSWER dysrhythmias
Tearing of the bridging veins is most frequently associated with which brain injury? -
ANSWER subdural hematoma
A 20 y/o M presents to the ED complaining of severe lower abd pain after landing
hard on the bicycle cross bars while preforming an aerial BMX maneuver. Secondary
assessment reveals lower abd tenderness and scrotal ecchymosis. Which of the
following orders would the RN question? - ANSWER straight cath for urine sample
You are caring for a pt who was involved in a MVC and is 32 weeks pregnant.
Findings of your secondary survey include abd pain on palpation, fundal ht at the
costal margin, and some dark bloody show. Varying accelerations and decelerations
are noted on cariocgraphy. These findings are most consistent with which of the
following? - ANSWER placental abruption
Which of the following is true about the log-roll? - ANSWER it can worsen cord
damage from an unstable spinal injury
All of these are considered a critical communication point in trauma care EXCEPT
which of the following? - ANSWER defusings
What bedside monitoring parameters are used to assess for adequacy of O2 and
effectiveness of ventilation? - ANSWER pulse oximetry and capnography
Caregivers carry in a 2 y/o into the ED who fell out of a second-story window. The pt
is awake and crying with increased work of breathing and pale skin. Which of the
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