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TNCC 9TH EDITION FINAL EXAM(ACTUAL EXAM) QUESTION & VERIFIED ANSWER
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TNCC 9TH EDITION FINAL EXAM(ACTUAL EXAM) QUESTION & VERIFIED ANSWER , Exams of Nursing
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(ACTUAL EXAM) TNCC 9TH EDITION FINAL EXAM QUESTION &VERIFIED ANSWER 2024-2025, Exams of Nursing
A patient arrives at the emergency department by private vehicle after
sustaining an injury to the right lower extremity while using a saw. There is a
large gaping wound to the right thigh area with significant bleeding. What is
the priority intervention?
A. Elevate the extremity to the level of the heart
B. Initiate direct pressure
C. Apply a tourniquet
D. Cover the open wound with sterile saline dressings - ANSB. Initiate direct
pressure
Rationale: The first step inn controlling any bleeding is application of direct
pressure.
A patient fell two weeks ago, striking their head. Today, the patient presented
with a persistent headache and nausea and was diagnosed with a small
subdural hematoma. The patient has been in the ED for 24 hours awaiting an
inpatient bed. The night shift nurse reports the patient has been anxious,
restless, shaky, and vomited twice during the night. The patient states they
couldn't sleep because a young child kept coming into the room. What is the
most likely cause for these signs and symptoms?
A. Increased intracranial pressure
B. Alcohol withdrawal
C. Rhabdomyolysis
D. Pulmonary embolus - ANSB. Alcohol withdrawal
Rationale: Alcohol withdrawal is a common delayed condition because
symptoms are difficult to identify early. Signs include autonomic
hyperactivity, hand tremors, nausea or vomiting, psychomotor agitation,
anxiety, insomnia, transient hallucinations, or seizures.
A patient involved in a MVC has sustained a fracture to the second rib of the
anterior left chest. Which concurrent injury is most commonly associated with
this fracture?
A. Blunt cardiac injury
B. Brachial plexus injury
C. Pneumothorax
, (ACTUAL EXAM) TNCC 9TH EDITION FINAL EXAM QUESTION &
VERIFIED ANSWER 2024-2025, Exams of Nursing
D. Hemothorax - ANSB. Brachial plexus injury
Rationale: First and second rib fractures are most commonly associated with
great vessel, head and spinal cord, and brachial plexus injuries.
A patient with a spinal cord injury at C5 is being cared for in the emergency
department while awaiting transport to a trauma center. Which of the
following represents the highest priority for ongoing assessment and
management for this patient?
A. Maintain adequate respiratory status
B. Administer balanced resuscitation fluid
C. Perform serial assessments of neurologic function
D. Maintain core temperature - ANSA. Maintain adequate respiratory status
Rationale: Spinal cord injuries at C3 to C5 can cause the loss of phrenic nerve
function, resulting in a paralyzed diaphragm and inability to breathe.
Maintenance of respiratory function is the highest priority.
A trauma nurse cared for a child with devastating burns two weeks ago. The
nurse called in sick for a couple of days and is now back working on the team.
Which of the following would indicate this nurse is coping well?
A. They are talking about taking the emergency nursing certification exam
B. They keep requesting to be assigned to the walk-in/ambulatory area
C. They are impatient and snap at their coworkers
D. They are thinking about transferring out of the emergency department -
ANSA. They are talking about taking the emergency nursing certification exam
Rationale: This is an indication the nurse is taking positive steps to advance
their own practice, a sign of resilience. B indicates the nurse is still not ready
to return to their previous level of engagement in their job. C shows signs of
burnout, irritability and frustration. D shows decreased satisfaction with the
job, a sign of burnout.
An adult patient with a knife injury to the neck has an intact airway and is
hemodynamically stable. They complain of difficulty swallowing and speaking.
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