TNCC 9th Edition FINAL TEST
1. 1. An adult patient who sustained a severe A. Decrease the rate of manual ventilation
head trauma has been intubated and is be-
ing manually ventilated via a bag-mask de-
vice at a rate of 18 breaths/minute. The pa-
tient has received one intravenous fluid bo-
lus of 500 mL of warmed isotonic crystalloid
solution. The PaCO2 is 30 mm Hg (4.0 kPa),
and the pulse oximetry is 92%. BP is 142/70
mm Hg. What is the most important interven-
tion to manage the cerebral blood flow?
A. Decrease the rate of manual ventilation
B. Initiate another fluid bolus.
C. Recheck endotracheal tube placement.
D. Increase the amount of oxygen delivered.
2. 2. Which of the following situations could B. Amputation of a limb
cause functional grief?
A. Inability to live at home Rationale: Preparation and Ongoing
B. Amputation of a limb Care\Psychosocial Aspects
C. Loss of one's self-image Functional grief relates to the loss of body
D. Destruction of the patient's car function or body parts such as amputa-
tion of a limb, paralysis, or loss of sight.
3. 3. What is the most important consideration B. Medical history including current
during the initial assessment when caring for medications
an older adult who has sustained serious in-
juries?
A. They are likely to be fearful in the emer-
gency department
B. Medical history including current medica-
tions
C. Availability of support systems after dis-
, TNCC 9th Edition FINAL TEST
charge
D. Accessibility to a primary care physician
4. 4. You are caring for a patient who was C. Notify the physician
thrown from a bike and was not wearing
a helmet. While performing the head-to-toe
assessment, you note clear drainage from
the right ear. Which of the following is the
most appropriate next step?
A. Clean the ear with a cotton-tipped applica-
tor.
B. Pack the ear with gauze.
C. Notify the physician
D. Document and continue the exam.
5. 5. When should the definitive calculation for B. After removal of clothing
intravenous fluid resuscitation rate be per-
formed for a patient with burns? Rationale: Musculoskeletal and
A. As soon as the patient arrives Wounds\Burns
B. After removal of clothing Some fluid will be given initially, but an
C. Only at a burn center accurate fluid total is based on percent-
D. During the circulation assessment age of total body surface area which re-
quires a good skin assessment and is
calculated after clothing is removed.
6. 6. In a motor vehicle collision, which injury B. Ejection
pathway is most likely to increase the pa-
tient's morbidity and mortality?
A. Rotational
B. Ejection
C. Lateral
D. Rollover
1. 1. An adult patient who sustained a severe A. Decrease the rate of manual ventilation
head trauma has been intubated and is be-
ing manually ventilated via a bag-mask de-
vice at a rate of 18 breaths/minute. The pa-
tient has received one intravenous fluid bo-
lus of 500 mL of warmed isotonic crystalloid
solution. The PaCO2 is 30 mm Hg (4.0 kPa),
and the pulse oximetry is 92%. BP is 142/70
mm Hg. What is the most important interven-
tion to manage the cerebral blood flow?
A. Decrease the rate of manual ventilation
B. Initiate another fluid bolus.
C. Recheck endotracheal tube placement.
D. Increase the amount of oxygen delivered.
2. 2. Which of the following situations could B. Amputation of a limb
cause functional grief?
A. Inability to live at home Rationale: Preparation and Ongoing
B. Amputation of a limb Care\Psychosocial Aspects
C. Loss of one's self-image Functional grief relates to the loss of body
D. Destruction of the patient's car function or body parts such as amputa-
tion of a limb, paralysis, or loss of sight.
3. 3. What is the most important consideration B. Medical history including current
during the initial assessment when caring for medications
an older adult who has sustained serious in-
juries?
A. They are likely to be fearful in the emer-
gency department
B. Medical history including current medica-
tions
C. Availability of support systems after dis-
, TNCC 9th Edition FINAL TEST
charge
D. Accessibility to a primary care physician
4. 4. You are caring for a patient who was C. Notify the physician
thrown from a bike and was not wearing
a helmet. While performing the head-to-toe
assessment, you note clear drainage from
the right ear. Which of the following is the
most appropriate next step?
A. Clean the ear with a cotton-tipped applica-
tor.
B. Pack the ear with gauze.
C. Notify the physician
D. Document and continue the exam.
5. 5. When should the definitive calculation for B. After removal of clothing
intravenous fluid resuscitation rate be per-
formed for a patient with burns? Rationale: Musculoskeletal and
A. As soon as the patient arrives Wounds\Burns
B. After removal of clothing Some fluid will be given initially, but an
C. Only at a burn center accurate fluid total is based on percent-
D. During the circulation assessment age of total body surface area which re-
quires a good skin assessment and is
calculated after clothing is removed.
6. 6. In a motor vehicle collision, which injury B. Ejection
pathway is most likely to increase the pa-
tient's morbidity and mortality?
A. Rotational
B. Ejection
C. Lateral
D. Rollover
