TNCC 8th Edition Provider Exam Questions and Answers Rated A
EMS brings a patient who fell while riding his ANSWER -To gauge end-organ perfusion
bicycle. Using the American College of Surgeons and tissue hypoxia
screening guidelines, which assessment finding
would prompt the nurse to prepare the patient for
radiologic spine clearance? - ANSWER - During the primary survey of an unconscious
Alert with no neurological deficits patient with multi-system trauma, the nurse notes
snoring respirations. Which priority nursing
intervention should be performed next? -
The trauma nurse knows that placing a bariatric ANSWER -Insert an oropharyngeal airway if
patient in a "ramped position" provides better there is no gag reflex
visualization during the insertion of which
device? - ANSWER -Endotracheal tube
Which of the following assessment findings
differentiates a tension pneumothorax from a
A 35-year-old male presents with facial trauma simple pneumothorax? - ANSWER -
after being struck in the face with a baseball. A Hypotension that worsens with inspiration (pulsus
teardrop-shaped left pupil is noted on exam. paradoxus)
What type of injury is suspected? -
ANSWER -Globe rupture
What is the effect of hypothermia on the
oxyhemoglobin dissociation curve? -
Caregivers carry a 2-year-old into the emergency ANSWER -Hemoglobin does not readily
department who fell out of a second-story release oxygen for use by the tissues (Left shift)
window. The patient is awake and crying with
increased work of breathing and pale skin. Which
of the following interventions has the highest A trauma patient is en route to a rural emergency
priority? - ANSWER -Padding the upper department. Radiology notifies the charge nurse
back while stabilizing the cervical spine that the computed tomography (CT) scanner will
be out of service for several hours. The team
gathers to plan accordingly. Which of the
Which of the following injuries is LEAST likely to following terms best describes this trauma team's
be promptly identified? - ANSWER -Bowel communication? - ANSWER -Huddle
A 49-year-old restrained driver involved in a What finding raises suspicion of a complete
motor vehicle collision presents to the trauma spinal cord injury? - ANSWER -Priapism
center complaining of abdominal, pelvic, and
bilateral lower extremity pain. Vital signs are
stable. The nurse can anticipate all of these after A patient is thrown against a car during a tornado
a negative FAST exam EXCEPT which of the and presents with obvious bilateral femoral
following? - ANSWER -Diagnostic fractures. The patient is pale, alert, disoriented,
peritoneal lavage and has delayed capillary refill. Which of the
following interventions would be most appropriate
for this patient based on the disaster triage
Why is a measure of serum lactate obtained in principles? - ANSWER -Initiate two large-
the initial assessment of a trauma patient? -
1/5
, TNCC 8th Edition Provider Exam Questions and Answers Rated A
caliber intravenous lines for Ringer's lactate
solution administration.
Which of the following considerations is most
important when caring for a geriatric trauma
A 36-year-old female has a deformity of the left patient? - ANSWER -Medical history
wrist after a fall. She is reluctant to move her
hand due to pain. Which of the following is the
most appropriate intervention? - The nurse is caring for a 120 kg male brought in
ANSWER -Apply a splint and elevate the after a warehouse fire and is calculating the
extremity above the level of the heart patient's fluid resuscitation needs. He has painful
red blistering to the entire surface of both upper
extremities and superficial burns to the anterior
Which of the following is a late sign of increased chest. Using the modified Lund and Browder
intracranial pressure? - ANSWER - chart to calculate the total body surface area
Decreased respiratory effort burned, how much intravenous fluid would be
administered in the first 8 hours? -
ANSWER -2280 mL
Tearing of the bridging veins is most frequently
associated with which brain injury? -
ANSWER -Subdural hematoma An intubated trauma patient is being transferred
to a tertiary care center. After moving the patient
to the stretcher for transport, a drop in pulse
You are caring for a patient who was involved in oximetry to 85% is noted. Which of the following
a motor vehicle crash and is 32 weeks pregnant. is the priority intervention? - ANSWER -
Findings of your secondary survey include Confirm endotracheal tube placement
abdominal pain on palpation, fundal height at the
costal margin, and some dark bloody show.
Varying accelerations and decelerations are A 20-year-old male presents to the ED
noted on cardiotocography. These findings are complaining of severe lower abdominal pain after
most consistent with which of the following? - landing hard on the bicycle cross bars while
ANSWER -Placental abruption performing an aerial BMX maneuver. Secondary
assessment reveals lower abdominal tenderness
and scrotal ecchymosis. Which of the following
A patient with a complete spinal cord injury in orders would the nurse question? -
neurogenic shock will demonstrate hypotension ANSWER -Straight catheter for urine
and which other clinical signs? - sample
ANSWER -Bradycardia and absent motor
function below the level of injury
You are treating a 27-year-old male in respiratory
distress who was involved in a house fire.
Following a review of recent drills and a real Calculating total body surface area (TBSA)
disaster event, a hospital has identified burned is deferred due to the need for emergent
deficiencies and is taking steps to minimize the intubation. At what rate should you begin fluid
impact of a future disaster. Which phase of the resuscitation? - ANSWER -500 mL/hr
disaster life cycle does this describe? -
ANSWER -Mitigation
2/5
EMS brings a patient who fell while riding his ANSWER -To gauge end-organ perfusion
bicycle. Using the American College of Surgeons and tissue hypoxia
screening guidelines, which assessment finding
would prompt the nurse to prepare the patient for
radiologic spine clearance? - ANSWER - During the primary survey of an unconscious
Alert with no neurological deficits patient with multi-system trauma, the nurse notes
snoring respirations. Which priority nursing
intervention should be performed next? -
The trauma nurse knows that placing a bariatric ANSWER -Insert an oropharyngeal airway if
patient in a "ramped position" provides better there is no gag reflex
visualization during the insertion of which
device? - ANSWER -Endotracheal tube
Which of the following assessment findings
differentiates a tension pneumothorax from a
A 35-year-old male presents with facial trauma simple pneumothorax? - ANSWER -
after being struck in the face with a baseball. A Hypotension that worsens with inspiration (pulsus
teardrop-shaped left pupil is noted on exam. paradoxus)
What type of injury is suspected? -
ANSWER -Globe rupture
What is the effect of hypothermia on the
oxyhemoglobin dissociation curve? -
Caregivers carry a 2-year-old into the emergency ANSWER -Hemoglobin does not readily
department who fell out of a second-story release oxygen for use by the tissues (Left shift)
window. The patient is awake and crying with
increased work of breathing and pale skin. Which
of the following interventions has the highest A trauma patient is en route to a rural emergency
priority? - ANSWER -Padding the upper department. Radiology notifies the charge nurse
back while stabilizing the cervical spine that the computed tomography (CT) scanner will
be out of service for several hours. The team
gathers to plan accordingly. Which of the
Which of the following injuries is LEAST likely to following terms best describes this trauma team's
be promptly identified? - ANSWER -Bowel communication? - ANSWER -Huddle
A 49-year-old restrained driver involved in a What finding raises suspicion of a complete
motor vehicle collision presents to the trauma spinal cord injury? - ANSWER -Priapism
center complaining of abdominal, pelvic, and
bilateral lower extremity pain. Vital signs are
stable. The nurse can anticipate all of these after A patient is thrown against a car during a tornado
a negative FAST exam EXCEPT which of the and presents with obvious bilateral femoral
following? - ANSWER -Diagnostic fractures. The patient is pale, alert, disoriented,
peritoneal lavage and has delayed capillary refill. Which of the
following interventions would be most appropriate
for this patient based on the disaster triage
Why is a measure of serum lactate obtained in principles? - ANSWER -Initiate two large-
the initial assessment of a trauma patient? -
1/5
, TNCC 8th Edition Provider Exam Questions and Answers Rated A
caliber intravenous lines for Ringer's lactate
solution administration.
Which of the following considerations is most
important when caring for a geriatric trauma
A 36-year-old female has a deformity of the left patient? - ANSWER -Medical history
wrist after a fall. She is reluctant to move her
hand due to pain. Which of the following is the
most appropriate intervention? - The nurse is caring for a 120 kg male brought in
ANSWER -Apply a splint and elevate the after a warehouse fire and is calculating the
extremity above the level of the heart patient's fluid resuscitation needs. He has painful
red blistering to the entire surface of both upper
extremities and superficial burns to the anterior
Which of the following is a late sign of increased chest. Using the modified Lund and Browder
intracranial pressure? - ANSWER - chart to calculate the total body surface area
Decreased respiratory effort burned, how much intravenous fluid would be
administered in the first 8 hours? -
ANSWER -2280 mL
Tearing of the bridging veins is most frequently
associated with which brain injury? -
ANSWER -Subdural hematoma An intubated trauma patient is being transferred
to a tertiary care center. After moving the patient
to the stretcher for transport, a drop in pulse
You are caring for a patient who was involved in oximetry to 85% is noted. Which of the following
a motor vehicle crash and is 32 weeks pregnant. is the priority intervention? - ANSWER -
Findings of your secondary survey include Confirm endotracheal tube placement
abdominal pain on palpation, fundal height at the
costal margin, and some dark bloody show.
Varying accelerations and decelerations are A 20-year-old male presents to the ED
noted on cardiotocography. These findings are complaining of severe lower abdominal pain after
most consistent with which of the following? - landing hard on the bicycle cross bars while
ANSWER -Placental abruption performing an aerial BMX maneuver. Secondary
assessment reveals lower abdominal tenderness
and scrotal ecchymosis. Which of the following
A patient with a complete spinal cord injury in orders would the nurse question? -
neurogenic shock will demonstrate hypotension ANSWER -Straight catheter for urine
and which other clinical signs? - sample
ANSWER -Bradycardia and absent motor
function below the level of injury
You are treating a 27-year-old male in respiratory
distress who was involved in a house fire.
Following a review of recent drills and a real Calculating total body surface area (TBSA)
disaster event, a hospital has identified burned is deferred due to the need for emergent
deficiencies and is taking steps to minimize the intubation. At what rate should you begin fluid
impact of a future disaster. Which phase of the resuscitation? - ANSWER -500 mL/hr
disaster life cycle does this describe? -
ANSWER -Mitigation
2/5
