TNCC 9th Edition practice questions
with correct answers
A |patient |with |a |spinal |cord |injuryt |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 |fluid |resucscitation |
c. |perform |serial |assessment |of |neurological |function |
d. |maintain |core |temperature |- |ANSWERS✔✔ |A. |Maintain |respiratory |status- |injuries |at |C3-
C5 |can |cause |loss |of |phrenic |nerve |function, |resulting |in |a |paralyzed |diaphragm |and
|inability |to |breathe. |Maintenance |of |respiratory |function |is |the |highest |priority.
What |is |the |best |position |for |maintaining |an |open |airway |in |the |obese |patient? |
a. |Prone |
b. |Supine |
c. |Reverse |trendelenburg |
d. |right |lateral |recumbent |- |ANSWERS✔✔ |c. |Reverse |trendelenburg
An |adult |patient |sustained |a |knife |injury |to |the |neck. |The |airway |is |intact |and |the |patient |is
|hemodynamically |stable. |they |complain |of |difficulty |swallowing |and |speaking. |What |is |the
|most |likely |cause |of |these |symptoms. |
a. |damage |to |the |cervical |spine |
b. |an |expanding |pneumothorax |
c.laceration |of |the |carotid |artery |
d. |injury |to |the |thyroid |gland |- |ANSWERS✔✔ |a. |damage |to |the |cervical |spine-penetrating
|neck |trauma |may |include |concurrent |injuries |to |the |cervical |spine |and |cord, |airway. |or
|vascular |neck |structures. |With |an |intact |airway |and |hemodynamic |stability, |the |other
|common |concurrent |injury |is |to |the |cervical |spine.
, The |general |impression |step |in |the |initail |assessment |provides |the |opportunity |to |do |which
|of |the |following? |
a. |assess |for |uncontrolled |internal |hemorrhage |
b. |accurately |triage |the |patient |
c.Reprioritize |circulation |before |airway |and |breathing |
d. |activate |the |trauma |team |- |ANSWERS✔✔ |c. |reprioritize |circulation |before |airway |and
|breathing
the |general |impression |is |formed |in |the |beginning |of |the |primary |survey |to |rapidly |assess
|the |need |to |reprioritize |before |airway |or |breathing. |This |is |done |id |uncontolled |external
|hemorrhage |is |identified.
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
|behaviors |indicate |the |nurse |is |coll. |
a. |they |are |talking |about |taking |the |emergency |nurse |certification |exam
b. |they |keep |requesting |to |be |assigned |to |the |walk-in |ambulatory |area
c.they |are |impaiient |and |snap |at |thier |coworkers. |
d. |they |are |thinking |about |transferring |out |of |the |department |- |ANSWERS✔✔ |a. |this |is |an
|indication |that |the |nurse |is |taking |positive |steps |ti |advance |thier |own |practice, |a |sign |of
|resilience.
Treatment |for |frostbite |can |include |which |of |the |following |interventions? |
a. |warm |the |affected |part |over |30-60 |minutes
b. |use |gentle |friction |to |improve |circulation |
c.administer |tissue |plasminogen |activator
d. |drainage |of |all |large |and |small |blisters |- |ANSWERS✔✔ |c. |admin |tpa- |with |frostbite
|thrombus |formation |is |a |risk. |TPA |has |been |effective |in |maintaining |perfusion |and
|decreasing |the |need |for |amputation |when |administered |within |24 |hours |of |rewarming.
with correct answers
A |patient |with |a |spinal |cord |injuryt |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 |fluid |resucscitation |
c. |perform |serial |assessment |of |neurological |function |
d. |maintain |core |temperature |- |ANSWERS✔✔ |A. |Maintain |respiratory |status- |injuries |at |C3-
C5 |can |cause |loss |of |phrenic |nerve |function, |resulting |in |a |paralyzed |diaphragm |and
|inability |to |breathe. |Maintenance |of |respiratory |function |is |the |highest |priority.
What |is |the |best |position |for |maintaining |an |open |airway |in |the |obese |patient? |
a. |Prone |
b. |Supine |
c. |Reverse |trendelenburg |
d. |right |lateral |recumbent |- |ANSWERS✔✔ |c. |Reverse |trendelenburg
An |adult |patient |sustained |a |knife |injury |to |the |neck. |The |airway |is |intact |and |the |patient |is
|hemodynamically |stable. |they |complain |of |difficulty |swallowing |and |speaking. |What |is |the
|most |likely |cause |of |these |symptoms. |
a. |damage |to |the |cervical |spine |
b. |an |expanding |pneumothorax |
c.laceration |of |the |carotid |artery |
d. |injury |to |the |thyroid |gland |- |ANSWERS✔✔ |a. |damage |to |the |cervical |spine-penetrating
|neck |trauma |may |include |concurrent |injuries |to |the |cervical |spine |and |cord, |airway. |or
|vascular |neck |structures. |With |an |intact |airway |and |hemodynamic |stability, |the |other
|common |concurrent |injury |is |to |the |cervical |spine.
, The |general |impression |step |in |the |initail |assessment |provides |the |opportunity |to |do |which
|of |the |following? |
a. |assess |for |uncontrolled |internal |hemorrhage |
b. |accurately |triage |the |patient |
c.Reprioritize |circulation |before |airway |and |breathing |
d. |activate |the |trauma |team |- |ANSWERS✔✔ |c. |reprioritize |circulation |before |airway |and
|breathing
the |general |impression |is |formed |in |the |beginning |of |the |primary |survey |to |rapidly |assess
|the |need |to |reprioritize |before |airway |or |breathing. |This |is |done |id |uncontolled |external
|hemorrhage |is |identified.
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
|behaviors |indicate |the |nurse |is |coll. |
a. |they |are |talking |about |taking |the |emergency |nurse |certification |exam
b. |they |keep |requesting |to |be |assigned |to |the |walk-in |ambulatory |area
c.they |are |impaiient |and |snap |at |thier |coworkers. |
d. |they |are |thinking |about |transferring |out |of |the |department |- |ANSWERS✔✔ |a. |this |is |an
|indication |that |the |nurse |is |taking |positive |steps |ti |advance |thier |own |practice, |a |sign |of
|resilience.
Treatment |for |frostbite |can |include |which |of |the |following |interventions? |
a. |warm |the |affected |part |over |30-60 |minutes
b. |use |gentle |friction |to |improve |circulation |
c.administer |tissue |plasminogen |activator
d. |drainage |of |all |large |and |small |blisters |- |ANSWERS✔✔ |c. |admin |tpa- |with |frostbite
|thrombus |formation |is |a |risk. |TPA |has |been |effective |in |maintaining |perfusion |and
|decreasing |the |need |for |amputation |when |administered |within |24 |hours |of |rewarming.
