Exam (elaborations)
TNCC FINAL EXAM
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Exam of 23 pages for the course TNCC at TNCC (TNCC FINAL EXAM)
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A patient has been in the ED for several hours waiting to be admitted. He sustainedmultiple rib fractures and a femur fracture after a fall. He has been awake, alert, and
c/o leg pain. His wife reported suddenly becoming anxious and confused. Upon
reassessment, the patient is restless, with respiratory distress and petechiae to his
neck. the patient is exhibiting signs of symptoms commonly associated with which of
the following conditions?
Answer: B
Give this one a try later!
, A) acute lung injury
B) fat embolism ***
C) PTX
D) pulmonary contusion
A 49-year old restrained driver involved in a MVC presents to the trauma center c/o
abd, pelvic, and bil lower extremity pain Vitals signs are stable. The nurse can
anticipate all of these negative fast exam except which of the following?
Answer: A
The FAST exam is done at the bedside to identify pathological fluid in the abdominal
and pelvic cavities. FAST exams reduce the use of more invasive diagnostic peritoneal
lavage and can be repeated if clinical changes or hemodynamic changes occur. A
negative FAST study does not rule out injury and may warrant a follow-up computed
tomography scan. Serial FAST exams can identify increasing abdominal fluid
collections from hemorrhage. Diagnostic peritoneal lavage/diagnostic peritoneal
aspiration is performed by the surgical team to rapidly identify the presence of
hemorrhage in patients who are hemodynamically unstable after trauma.
Give this one a try later!
A) diagnostic peritoneal lavage ***
B) serial fast exams
C) abdominal and pelvic CT scans
D) serial abdominal assessments
A 5-year old child presents to the ED with bruises to the upper arms and buttocks in
various stages of healing and multiple small, clean, round burns to the back. There are
no abnormalities found based on the pediatric assessment triangle or primary survey.
Which of the following is the priority nursing intervention?
, Answer: A
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A) report your suspicion of the maltreatment in accordance with local
regulations ***
B) apply ice to the bruises and consult wound care
C) engage in therapeutic communication to determine the MOI
D) provide the family with injury prevention resourse
A patient is thrown against a car during a tornado and presents with obvious bilateral
femoral fractures. The patient is pale, alert, disoriented, and has delayed cap refill.
Which of the following interventions would be most appropriate for this patient based
on the disaster triage principle?
Answer: A
Give this one a try later!
A) initiate two large caliber intravenous lines for Ringers lactate solution
administration ***
B) Administer Dilaudid for pain control and provide comfort care
C) Place the patient in an observation area for care within the next few
hours
D) Contact the command center for the personnel to notify next of kin.
Which of the following mnemonics can help the nurse prioritize care for a trauma
patient with massive uncontrolled hemorrhage?
Answer: B
Give this one a try later!
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