9/4/24, 3:56 AM
TNCC final exam test 2022 open book
Jeremiah
Terms in this set (50)
You are treating a 27-year old male in B) 500 mL/hr
respiratory distress who was involved in a
house fire. Calculating TBSA burned is
deferred d/t the need for emergent
intubation. At what rate should you begin
fluid resuscitation?
A) 1000 mL/hr
B) 500 mL/hr
C) 250 mL/hr
D) 125 mL/hr
A patient has been in the ED for several B) fat embolism
hours waiting to be admitted. He sustained
multiple 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?
A) acute lung injury
B) fat embolism
C) PTX
D) pulmonary contusion
1/12
, 9/4/24, 3:56 AM
Which pulse pressure description is an B) narrowed
indication of early hypovolemic shock?
A) widened
B) narrowed
C) bounding
D) weak
Which of the following considerations is B) medical history
most important when caring for a geriatric
trauma patient?
A) head to to exam
B) medical history
C) incontinence
D) falls
Which of the following assessment findings D) hypotension that worsens with inspiration.
differentiates a tension pneumothorax from a
simple pneumothorax? Assessment findings associated with tension pneumothorax include anxiety, severe
restlessness, severe respiratory distress, and absent breath sounds on the injured side.
A) increased work of breathing Hypotension due to compression of the heart and great vessels is consistent with
B) unilaterally diminished breath sounds obstructive shock. Hypotension worsens with inspiration due to increased intrathoracic
C) pleuritic chest pain pressure. Late signs include distended neck veins, tracheal deviation, and cyanosis.
D) hypotension that worsens with inspiration
The nurse is caring for a 120 kg male is A) 2280 mL
brought in after a warehouse fire and is (upper arm 4+4 / lower arm 3+3 / hand 2.5+2.5) = 19% TBSA.
calculating the patient's fluid resuscitation
needs. He has painful red blistering to the 120 kg x (2 mL) x (19% TBSA) = 4560 mL
entire surface of both upper extremities and
superficial burns to the anterior chest. Using (half of fluids given in first 8 hours) = 2280 mL
the modified Lund and Browder chart to
calculate the total BSA burned, how much IV
fluids would be administered in the first 8
hours?
A) 2280 mL
B) 3840 mL
C) 4560 mL
D) 7680 mL
Which of the following is a component of the A) Acidosis
trauma triad of death?
hypothermia, metabolic acidosis, coagulopathy
A) Acidosis
B) hyperthermia
C) hemorrhage
D) sepsis
2/12
TNCC final exam test 2022 open book
Jeremiah
Terms in this set (50)
You are treating a 27-year old male in B) 500 mL/hr
respiratory distress who was involved in a
house fire. Calculating TBSA burned is
deferred d/t the need for emergent
intubation. At what rate should you begin
fluid resuscitation?
A) 1000 mL/hr
B) 500 mL/hr
C) 250 mL/hr
D) 125 mL/hr
A patient has been in the ED for several B) fat embolism
hours waiting to be admitted. He sustained
multiple 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?
A) acute lung injury
B) fat embolism
C) PTX
D) pulmonary contusion
1/12
, 9/4/24, 3:56 AM
Which pulse pressure description is an B) narrowed
indication of early hypovolemic shock?
A) widened
B) narrowed
C) bounding
D) weak
Which of the following considerations is B) medical history
most important when caring for a geriatric
trauma patient?
A) head to to exam
B) medical history
C) incontinence
D) falls
Which of the following assessment findings D) hypotension that worsens with inspiration.
differentiates a tension pneumothorax from a
simple pneumothorax? Assessment findings associated with tension pneumothorax include anxiety, severe
restlessness, severe respiratory distress, and absent breath sounds on the injured side.
A) increased work of breathing Hypotension due to compression of the heart and great vessels is consistent with
B) unilaterally diminished breath sounds obstructive shock. Hypotension worsens with inspiration due to increased intrathoracic
C) pleuritic chest pain pressure. Late signs include distended neck veins, tracheal deviation, and cyanosis.
D) hypotension that worsens with inspiration
The nurse is caring for a 120 kg male is A) 2280 mL
brought in after a warehouse fire and is (upper arm 4+4 / lower arm 3+3 / hand 2.5+2.5) = 19% TBSA.
calculating the patient's fluid resuscitation
needs. He has painful red blistering to the 120 kg x (2 mL) x (19% TBSA) = 4560 mL
entire surface of both upper extremities and
superficial burns to the anterior chest. Using (half of fluids given in first 8 hours) = 2280 mL
the modified Lund and Browder chart to
calculate the total BSA burned, how much IV
fluids would be administered in the first 8
hours?
A) 2280 mL
B) 3840 mL
C) 4560 mL
D) 7680 mL
Which of the following is a component of the A) Acidosis
trauma triad of death?
hypothermia, metabolic acidosis, coagulopathy
A) Acidosis
B) hyperthermia
C) hemorrhage
D) sepsis
2/12
