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TNCC 8TH EDITION FINAL EXAM QUESTIONS AND ANSWERS
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TNCC 8TH EDITION FINAL EXAM QUESTIONS AND ANSWERS
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TNCC 8TH EDITION FINAL EXAMQUESTIONS AND ANSWERS
Why nis na nmeasure nof nserum nlactate nobtained nin nthe ninitial nassessment nof nthe
ntrauma npatient? n
Answer: nc n- n✔✔a) nto nmeasure noxygenation nand nventilation
b) nto nquantify nthe nbase ndeficit nfor nthe nadequacy nof ncellular nperfusion
c) n*to ngauge nend-organ nperfusion nand ntissue nhypoxia n**
d) nto ndetermine nthe nunderlying ncause nof nshock
A ntrauma npatient nis nrestless nand nrepeatedly nasking n"where nam nI?" nvital nsigns
nupon narrival nwere nBP n100/60 nmm nHg, nHR n96 nbeats/min, nand nRR n24
nbreaths/min. nHer nskin nis ncool nand ndry. nCurrent nvital nsigns nare nBP n104/84mm nHg,
nHR n108, nRR n28 nbreaths/min. nThe npatient nis ndemonstrating nsigns nand nsymptoms
nof nwhich nstage nof nshock? n
Answer: nA n- n✔✔A) ncompensated n**
B) nProgressive
C) nirreversible
D) ndecompensated
An nelderly npatient nwith na nhistory nof nanticoagulant nuse npresents nafter na nfall nat
nhome nthat nday. nshe ndenies nany nloss nof nconsciousness. nShe nhas na nhematoma nto
nher nforehead nand ncomplains nof nheadache, ndizziness, nand nnausea. nWhich nis na
nmost nlikely ncause nof nher nsymptoms?
Answer: nD n- n✔✔A) nepidural nhematoma
B) ndiffuse naxonal ninjury
C) npost-concussive nsyndrome
D) nsubdural nhematoma n***
EMS nbrings na npatient nwho nfell nriding nhis nbicycle. nUsing nthe nAmerican nCollege nof
nSurgeons nscreening nguidelines, nwhich nassessment nfinding nwould nprompt nthe
nnurse nto nprepare nthe npatient nfor nradiologic nspine nclearance?
Answer: nD n- n✔✔A) nAlert nwith nno nneurologic ndeficits
B) nMultiple nabrasions nto nthe nextremities n
C) nMultiple nrequests nof nwater
, D) nSmell nof nalcohol non nbreath n***
Which nof nthe nfollowing noccurs nduring nthe nthird nimpact nof na nmotor nvehicle ncrash?
Answer: nC n- n✔✔A) nThe ndriver nof nthe nvehicle ncollides nwith nthe nsteering nwheel
B) nthe nvehicle ncollides nwith na ntree
C) nthe naorta nis ntorn nat nits nattachment nwith nthe nligamentum narteriosum n
D) nthe nairbag ndeploys nand nstrikes nthe nfront nseat npassenger n***
A npassenger nis nbrought nto nthe nemergency ndepartment nof na nrural nhospital
nfollowing na nhigh-speed nMVC. nWhen nsignificant nabdominal nand npelvic ninjuries nare
nnoted nin nthe nprimary nsurvey, nwhich nof nthe nfollowing nis nthe npriority ninterventions?
Answer: nA n- n✔✔A) ninitiate ntransfer nto na ntrauma ncenter n**
B) nprovide nreport nto nthe noperating nroom nnurse
C) nObtained nimaging nstudies
D) nPlace na ngastric ntube
Which nof nthe nfollowing ninjuries nis nLEAST nlikely nto nbe npromptly nidentified?
Answer: nC n- n✔✔A) nspleen
B) nlung
C) nbowel n***
D) nbrain
Patients nwith na ncrush ninjury nshould nbe nmonitored nfor nwhich nof nthe nfollowing
nconditions?
Answer: nC n- n✔✔A) nHypernatremia n
B) nHypercalcemia n
C) nDysrhthmias n**
D) npolyuria
What nfinding nraises nsuspicion nof ncomplete nspinal ncord ninjury?
Answer: nB n- n✔✔A) nWeakness nin nthe nlower nextremities
B) nPriapism n***
C) nvoluntary nanal nsphincter ntone
D) nintact nreflexes ndistal nto nthe ninjury
A npatient nwith na ncomplete nspinal ncord ninjury nin nneurogenic nshock nwill
ndemonstrate nhypotension nand nwhich nother nclinical nsigns?
Answer: nD n- n✔✔A) nBradycardia nand nipsilateral nabsences nof nmotor nfunction
B) nTachycardia nand nrespiratory ndepression
C) nTachycardia nand nabsent nmotor nfunction nbelow nthe nlevel nof ninjury
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