TNCC 8TH EDITION EXAM 2 LATEST VERSIONS (VERSION A & B) COMPLETE 200 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+

TNCC 8TH EDITION EXAM 2 LATEST VERSIONS (VERSION A

& B) 2023-2024 COMPLETE 200 QUESTIONS AND CORRECT

DETAILED ANSWERS WITH RATIONALES (VERIFIED

ANSWERS) |ALREADY GRADED A+

TNCC 8TH EDITION VERSION A

A pt is brought to the ED of a rural hospital following a high-speed

MVC. When significant abd and pelvic injuries are noted in the primary

survey, which of the following is the priority interventions? - ANSWERInitiate transfer to a trauma center

A pt with a complete spinal cord injury in neurogenic shock will

demonstrate hypotension and which other clinical signs? - ANSWERbardycardia and absent motor function below the level of injury

a 36 y/o F has a deformity of the L wrist after a fall. She is reluctant to

move her hand due to pain. Which of the following is the most

appropriate intervention? - ANSWER- apply splint and elevate ABOVE

the level of the heart

which of the following occurs during the third impact of a motor vehicle

crash? - ANSWER- the aorta is torn at its attachment with the

ligamentum arteriosum

a 5 y/o child presents to the ED with bruises to the upper arm 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 survey. Which of the following is the priority nursing

intervention? - ANSWER- Report your suspicion of maltreatment in

accordance with local regulations

Why is a measure of serum lactate obtained in the initial assessment of a

trauma patient? - ANSWER- to guage end-organ perfusion and tissue

hypoxia

A pt with a lower extremity fracture complains of severe pain and

tightness in his calf, minimally by pain medications. Which of the

following is the priority nursing intervention? - ANSWER- elevating the

extremity to the level of the heart

What factor contributes most to the kinetic energy of a body in motion? -

ANSWER- velocity

An elderly patient with a history of anticoagulant use presents after a fall

at home today. She denies any loss of consciousness. She has a

hematoma to her forehead and complains of headache, dizziness, and

nausea. What is the most likely cause of her symptoms? - ANSWERsubdural hematoma

a pt has been in the ED for several hrs waiting to be admitted. He

sustained multiple rib fractures and a femur fracture after a fall. He has

been awake, alert, and complaining of leg pain. His wife reported that he

suddenly became anxious and confused. Upon reassessment, the pt is

restless with respiratory distress and petechiae to his neck. The pt is

exhibiting s/sx most commonly associated with which of the following

conditions? - ANSWER- fat embolism

Which of the following is a late sign of increased intracranial pressure? -

ANSWER- decreased respiratory effort (Early signs of increased

intracranial pressure include headache, nausea, vomiting, amnesia, and

behavioral changes (impaired judgment, restlessness, drowsiness).

a 49 y/o restrained driver involved in a MVC presents to the trauma

center complaining of abd, pelvic, and bilateral lower extremity pain. VS

are stable. The nurse can anticipate all of these after a negative FAST

exam EXCEPT which of the following? - ANSWER- diagnostic

peritoneal lavage

Which of the following is NOT considered goal-directed therapy for

cardiogenic shock? - ANSWER- pericardiocentesis

The trauma nurse knows that placing a bariatric patient in a ramped

position providers better visualization during the insertion of which

device? - ANSWER- endotracheal tube

which of the following assessment findings differentiates a tension

pneumothorax from a simple pneumothorax? - ANSWER- hypotension

that worsens w/ inspiration

if a pt has received multiple transfusions of banked blood preserved with

citrate, which electrolyte is most likely to drop and require

supplementation? - ANSWER- calcium (Hypocalcemia is a concern

with massive transfusion because citrate is added to banked blood to

prevent coagulation. Citrate chelates/binds with calcium, rendering it

inactive.)

Which of the following is NOT considered a benefit of debriefings? -

ANSWER- identifying individuals who made mistakes during the

traumatic event

You are treating a 27 y/o M in respiratory distress who was involved in a

house fire. Calculating TBSA burned is deferred due to the need for

emergent intubation. At what rate should you begin fluid resuscitation? -

ANSWER- 500 mL/hr

Which of the following is most likely to contribute to inadequate

oxygenation and ventilation? - ANSWER- advanced age

Which of the following patients warrants referral to a burn center? -

ANSWER- a 52 y/o diabetic male with a partial thickness burn to the

left lower leg

A patient arrives with a large open chest wound after being assaulted

with a machete. Prehospital providers placed a nonporous dressing over

the chest wound and taped it on three sides. he is now showing signs of

anxiety, restlessness, severe respiratory distress, cyanosis and decreasing

blood pressure. Which of the following is the MOST appropriate

immediate intervention? - ANSWER- dressing removal (This is the

fastest effective intervention for this decompensating patient. A