TNCC FINAL EXAM TEST OPEN BOOK 100%
CORRECT ANSWERS | ESTUDY LATEST, ALL
ANSWERED 100%
**1. Why is a measure of serum lactate obtained in the initial assessment of the trauma patient?**
a) To assess oxygenation and ventilation
b) To quantify the base deficit for the adequacy of cellular perfusion
c) *To evaluate end-organ perfusion and tissue hypoxia **
d) To identify the underlying cause of shock
**Answer: c**
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**2. 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 104/84 mm Hg, HR 108, RR 28 breaths/min. The patient is demonstrating signs and symptoms of
which stage of shock?**
A) Compensated **
B) Progressive
C) Irreversible
D) Decompensated
,ESTUDY
**Answer: A**
---
**3. 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 on her forehead and complains of headache,
dizziness, and nausea. What is the most likely cause of her symptoms?**
A) Epidural hematoma
B) Diffuse axonal injury
C) Post-concussive syndrome
D) Subdural hematoma ***
**Answer: D**
---
**4. EMS brings a patient who fell while 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?**
A) Alert with no neurological deficits
B) Multiple abrasions to the extremities
C) Multiple requests for water
D) Smell of alcohol on breath ***
**Answer: D**
, ESTUDY
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**5. Which of the following occurs during the third impact of a motor vehicle collision?**
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 ***
**Answer: C**
---
**6. A passenger is brought to the emergency department of a rural hospital following a high-speed
motor vehicle collision. When significant abdominal and pelvic injuries are noted in the primary survey,
which of the following is the priority intervention?**
A) Initiate transfer to a trauma center **
B) Provide report to the operating room nurse
C) Obtain imaging studies
D) Place a gastric tube
**Answer: A**
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