TNCC 9TH Edition Final Exam Newest Verified Exam
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Which intervention is recommended regarding the use of
drug-assisted intubation and rapid sequence intubation? -
Answers-Pre-oxygenate to prolong the time to hypoxia
You are treating a 27-year old male in 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 - Answers-B) 500 mL/hr
A patient has been in the ED for several 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
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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 - Answers-B) fat embolism
Which pulse pressure description is an indication of early
hypovolemic shock?
A) widened
B) narrowed
C) bounding
D) weak - Answers-B) narrowed
Which of the following considerations is most important
when caring for a geriatric trauma patient?
A) head to to exam
B) medical history
C) incontinence
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D) falls - Answers-B) medical history
Which of the following assessment findings differentiates a
tension pneumothorax from a simple pneumothorax?
A) increased work of breathing
B) unilaterally diminished breath sounds
C) pleuritic chest pain
D) hypotension that worsens with inspiration - Answers-D)
hypotension that worsens with inspiration.
Assessment findings associated with tension
pneumothorax include anxiety, severe restlessness,
severe respiratory distress, and absent breath sounds on
the injured side. Hypotension due to compression of the
heart and great vessels is consistent with obstructive
shock. Hypotension worsens with inspiration due to
increased intrathoracic pressure. Late signs include
distended neck veins, tracheal deviation, and cyanosis.
The nurse is caring for a 120 kg male is brought in after a
warehouse fire and is calculating the patient's fluid
resuscitation needs. He has painful red blistering to the
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entire surface of both upper extremities and superficial
burns to the anterior chest. Using 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 - Answers-A) 2280 mL
(upper arm 4+4 / lower arm 3+3 / hand 2.5+2.5) = 19%
TBSA.
120 kg x (2 mL) x (19% TBSA) = 4560 mL
(half of fluids given in first 8 hours) = 2280 mL
Which of the following is a component of the trauma triad
of death?
A) Acidosis
B) hyperthermia