TNCC test prepA, TNCC Notes for Written Exam, TNCC Notes for Written Exam, TNCC Prep, TNCC EXAM, TNCC 8th Edition

TNCC test prepA, TNCC Notes for

Written Exam, TNCC Notes for Written

Exam, TNCC Prep, TNCC EXAM, TNCC

8th Edition

Expedite transfer to the closest trauma center Correct answer- A 56 y/o M pt involved in

a motor vehicle crash is brought to the ED of a rural critical access facility. He

complains of neck pain, SOB, and diffuse abd pain. His GCS is 15. His VS: BP 98/71,

HR 125, RR 26, SpO2 94% on high-flow O2 via NRB mask. Which of the following is

the priority intervention for this patient?

a pertinent medical hx is crucial Correct answer- Which of the following considerations

is the most important when caring for a geriatric trauma pt?

Mitigation Correct answer- Following a review of recent drills and a real disaster event,

a hospital has identified deficiencies and is taking steps to minimize the impact of a

future disaster . Which phase of the disaster life cycle does this describe?

Multiple requests for water Correct answer- EMS brings a pt who fell while riding his

bicycle. Using the American College of Surgeobs screening guidelines, which

assessment finding would prompt the RN to prepare the pt for a radiologic spine

clearance?

hemoglobin does not readily release O2 for use by the tissues Correct answer- What is

the effect of hypothermia on the oxyhemoglobin dissociation curve?

acidosis Correct answer- Which of the following is a component of the trauma triad of

death?

Complete Correct answer- EMS brings a pt from MVC. VS: BP 90/49, HR 48, RR 12,

temp 97.2F (36.2 C). The pt exhibits urinary incontinence and priapism. These

assessment findings are most consistent with which of the following types of spinal cord

injury?

flucuation in the water seal chamber Correct answer- Which of the following is an

expected finding in a pt with a tube thoracstomy connected to a chest drainage system?

insert an oropharyngeal airway if there is no gag reflex Correct answer- During the

primary survey of an unconscious pt with multi-system trauma, the nurse notes snoring

respirations. What priority nursing interventions should be preformed next?

globe rupture Correct answer- A 35 y/o M presents with facial trauma after being struck

in the face with a baseball. A teardrop-shaped left pupil is noted on exam. What type of

injury is suspected?

compensated Correct answer- A trauma pt is restless and repeatedly asking "where am

i?" VS upon arrival: BP 110/60, HR96, RR 24. Her skin is cool and dry. Current VS are

BP 104/84, HR 108, RR 28. The pt is demonstrating s/sx of which stage of shock?

ventilate with a bag mask device Correct answer- An unresponsive trauma pt has an

oropharygeal airway in place, shallow and labored respirations, and dusky skin. The

trauma team has administered medications for drug-assisted intubation and attempted

intubation but was unsuccessful. What is the most appropriate immediate next step?

within 24 hrs of trauma Correct answer- When is the tertiary survey completed fora

trauma pt?

pressure Correct answer- An intubated and sedated pt in the ED has multiple extremity

injuries with the potential for causing compartment syndrome. What is the most reliable

indication of compartment syndrome in a patient who is unconscious?

worsening pneumothorax Correct answer- Which of the following is possible

complication of positive-pressure ventilation?

pelvic stability Correct answer- the most reassuring finding for a male pt with hip pain

after a fall is which of the following?

narrowed Correct answer- Which of the following pulse pressures indicate early

hypovolemic shock?

dysrhythmias Correct answer- Patients with a crush injury should be monitored for

which of the following conditions?

subdural hematoma Correct answer- Tearing of the bridging veins is most frequently

associated with which brain injury?

straight cath for urine sample Correct answer- A 20 y/o M presents to the ED

complaining of severe lower abd pain after landing hard on the bicycle cross bars while

preforming an aerial BMX maneuver. Secondary assessment reveals lower abd

tenderness and scrotal ecchymosis. Which of the following orders would the RN

question?

placental abruption Correct answer- You are caring for a pt who was involved in a MVC

and is 32 weeks pregnant. Findings of your secondary survey include abd pain on

palpation, fundal ht at the costal margin, and some dark bloody show. Varying

accelerations and decelerations are noted on cariocgraphy. These findings are most

consistent with which of the following?

it can worsen cord damage from an unstable spinal injury Correct answer- Which of the

following is true about the log-roll?

defusings Correct answer- All of these are considered a critical communication point in

trauma care EXCEPT which of the following?

pulse oximetry and capnography Correct answer- What bedside monitoring parameters

are used to assess for adequacy of O2 and effectiveness of ventilation?

padding the upper back while stabilizing the cervical spine Correct answer- Caregivers

carry in a 2 y/o into the ED who fell out of a second-story window. The pt is awake and

crying with increased work of breathing and pale skin. Which of the following

interventions has the highest priority?

bowel Correct answer- Which of the following injuries is LEAST likely to be promptly

identified?

Initiate transfer to a trauma center Correct answer- 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?

bardycardia and absent motor function below the level of injury Correct answer- A pt

with a complete spinal cord injury in neurogenic shock will demonstrate hypotension

and which other clinical signs?

apply splint and elevate above the level of the heart Correct answer- a 37 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?

the aorta is torn at its attachment with the ligamentum arteriosum Correct answer- which

of the following occurs during the third impact of a motor vehicle crash?

Report your suspicion of maltreatment in accordance with local regulations Correct

answer- 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?

to guage end-organ perfusion and tissue hypoxia Correct answer- Why is a measure of

serum lactate obtained in the initial assessment of a trauma patient?

elevating the extremity to the level of the heart Correct answer- 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?

velocity Correct answer- What factor contributes most to the kinetic energy of a body in

motion?

subdural hematoma Correct answer- 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?

fat embolism Correct answer- 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?

nausea and vomiting Correct answer- Which of the following is a late sign of increased

intracranial pressure?

serial FAST exams Correct answer- 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?

pericardiocentesis Correct answer- Which of the following is NOT considered goaldirected therapy for cardiogenic shock?

endotracheal tube Correct answer- The trauma nurse knows that placing a bariatric

patient in a ramped position providers better visualization during the insertion of which

device?

increased work of breathing? Correct answer- which of the following assessment

findings differentiates a tension pneumothorax from a simple pneumothorax?

calcium Correct answer- if a pt has received multiple transfusions of banked blood

preserved with citrate, which electrolyte is most likely to drop and require

supplementation?

identifying individuals who made mistakes during the traumatic event Correct answerWhich of the following is NOT considered a benefit of debriefings?