COMPLETE 200 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+VERIFIED
According to newtons law which of these two force is greater: size or force? -
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ANSNeither. For each force there is an equal and opposite reaction.
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Define Cushing's triad - ANSBradycardia, progressive hypertension (widening pulse
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pressure), and decreased respiratory effort
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Define the characteristics of neurogenic shock - ANSDistributive shock with a T6 or
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higher injury results and vasodilation, bradycardia, flushed warm dry skin. Risk for
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temperature instability. Nursing interventions include maintaining warmth and spinal
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stabilization.
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Define the characteristics of spinal shock - ANSTransient loss of function can include
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loss of reflexes and muscle tone below the level of industry with possible vascular
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response.
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Describe one fat embolism syndrome is most likely to occur in its characteristics -
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ANSWith longform fractures. Tachycardia, Thrombocytopenia, and petechiae rash.
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Describe the characteristics of cardiogenic shock - ANSCardiogenic shock results from
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pump failure in the presence of adequate intravascular volume. Lack of cardiac output
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and an organ perfusion occurs secondary to a decrease in myocardial contractility and
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or valvular insufficiency. This can happen with blunt cardiac trauma or an MI. Symptoms
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can include low blood pressure increase heart rate and respiratory rate chest pain
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shortness of breath dysrhythmias increase troponin and pale cool moist skin
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Describe the characteristics of distributive shock. - ANSDistributive shock occurs as a
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result of Mel distribution of an adequate circulating blood volume with the loss of
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vascular tone or increased permeability. This can occur with spinal cord injuries, sepsis,
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or anaphylaxis. Symptoms include low blood pressure heart rate respiratory rate
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preload and afterload, spinal tenderness, difficulty breathing, warm pink and dry skin
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with a cool core temperature.
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Describe the characteristics of hypovolemic shock - ANSHypovolemia is caused by a
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decrease in the amount of circulating volume usually caused by massive bleeding, but
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also can be from vomiting and diarrhea. Characteristics include low blood pressure and
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preload, increase heart rate respiratory rate and afterload, with contractility unchanged.
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Signs include obvious bleeding, weak peripheral pulses, pale cool and moist skin,
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distended abdomen, pelvic fracture, or bruise swollen and deformed extremities
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especially long bones.
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Describe the characteristics of obstructive shock - ANSObstructive shock is it
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mechanical problem that results from hypoperfusion of the tissue due to an obstruction
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in either the vasculature or the heart resulting in decreased cardiac output. Some
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,TNCC 8TH EDITION EXAM 10 LATEST VERSIONS (VERSION A & B) 2024-2025
COMPLETE 200 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+VERIFIED
causes include a tension pneumothorax, cardiac tamponade, or venous air embolism on
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the right side of the heart during systole in the pulmonary artery.Signs include anxiety,
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muffled heart sounds, JVD, hypertension, chest pain, difficulty breathing, or pulses
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paradoxes.
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Describe the four types of spinal cord injury - ANSCentral cord injury results in greater
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weakness distally, anterior injury includes motor loss or weakness below the cord level
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of injury yet sensory is intact, Brown-Sequard (hemicord) is weak on one side with
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sensory deficit on opposite side, posterior cord syndrome although rare is when the
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patient is unable to use sense vibration in proprioception
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Describe the measurement of an NPA - ANSMeasure from the tip of the patient's nose
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to the tip of the patients earlobe.
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Differentiate between the three impacts of motor vehicle impact sequence. - ANSThe
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first impact occurs when the vehicle collided with another object. The second impact
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occurs after the initial impact when the occupant continues to move in the original
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direction of travel until they collide with the interior of the vehicle or meet resistance.
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The third impact occurs when internal structures collide within the body cavity.
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Measurement of an OPA - ANSPlace the proximal end or flange of the airway adjunct at
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the corner of the mouth to the tip of the mandibular angle.
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Name the three ways to confirm ETT placement - ANSPlacement of a CO2 monitoring
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device, Assessing for equal chest rise and fall, and listening at the epigastrium and four
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lung fields for equal breath sounds.
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True or false: NPAs and OPAs are definitive airways. - ANSFalse. When placing one of
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these? One should consider the potential need for a definitive airway.
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What are contributing factors to injuries related to blunt traumas? - ANSThe point of
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impact on the patient's body, the type of surface that is hit, the tissues ability to resist
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(bone versus soft tissue, air-filled versus solid organs), and the trajectory of force.
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What are the early signs of increased Intracranial pressure - ANSheadache, vomiting,
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behavioral changes that begin with restlessness and may progress to confusion,
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drowsiness, or impaired judgment
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What are the four types of shock? - ANSHypovolemic, Cardiogenic, Obstructive, &
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Distributive
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What are the four types of trauma related injuries? - ANSBlunt, penetrating, thermal, or
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blast.
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,TNCC 8TH EDITION EXAM 10 LATEST VERSIONS (VERSION A & B) 2024-2025
COMPLETE 200 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+VERIFIED
What are the greatest risks for transport? - ANSLoss of airway patency, displaced
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obstructive tubes lines or catheters, dislodge splinting devices, need to replace or
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reinforce dressings, deterioration in patient status change in vital signs or level of
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consciousness, injury to the patient and/or team members
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What are the late signs of Increased intracranial pressure - ANSdilated, non-reactive
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pupil(s); abnormal motor posturing (flexion, extension, flaccidity); Cushing's triad,
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Unresponsive to per verbal and painful stimuli, bradycardia and decreased respiratory
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effort
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What are the seven patterns of pathway injuries related to motor vehicle accidents? -
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ANSUp and over, down and under, lateral, rotational, rear, roll over, and ejection.
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What are the signs and symptoms of decompensated shock? - ANSDecreased level of
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consciousness, hypertension, narrow pulse pressure, tachycardia with weak pulses,
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tachypnea, skin that is cool clammy and cyanotic, base access outside the normal
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range, and serum lactate levels greater than two to 4MMOL/L.
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What are the signs and symptoms of irreversible shock? - ANSObtunded stuporous or
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comatose state, marked hypertension and heart failure, bradycardia with possible
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dysrhythmias, decreased and shallow respiratory rate, pale cool and clammy skin,
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kidney liver and other organ failure, severe acidosis, elevated lactic acid levels,
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worsening base access on ABGs, coagulopathies with petechiae purpura or bleeding.
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What are the signs of compensated shock? - ANSAnxiety, confusion, restlessness,
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increased respiratory rate, narrowing pulse pressure were diastolic increases yet
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systolic remains unchanged, tachycardia with bounding pulses, and decreased urinary
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output
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What are the symptoms of a subdural hematoma? - ANSDecreased LOC, nausea
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vomiting headache and ipsilateral pupillary changes
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What are the three factors that contribute to the damage caused by penetrating
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trauma's? - ANSThe point of impact, the velocity and speed of impact, and the proximity
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to the object.
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What are the three processes that transfer oxygen from the air to the lungs and blood
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stream - ANSVentilation: the active mechanical movement of air into and out of the
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lungs; diffusion: the passive movement of gases from an area of higher concentration to
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an area of lower concentration; and perfusion: the movement of blood to and from the
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lungs as a delivery medium of oxygen to the entire body.
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What are the three stages of shock - ANSCompensated, decompensated or
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progressive, and irreversible.
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, TNCC 8TH EDITION EXAM 10 LATEST VERSIONS (VERSION A & B) 2024-2025
COMPLETE 200 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+VERIFIED
What are the treatment goals for a TBI? - ANSO2 saturation > or equal to 95%, systolic
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blood pressure > or equal to 100 MMHG, ICP < 15 MMHG, CPP > or equal to 60
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MMHG, normal glycemia, hemoglobin > or equal to 7 g/DL, sodium 135-145, osmotic
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diuretics, anti-emetics, sedatives, anticonvulsants, head of bed at 30°, and neck at
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midline
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What causes quarternary effects of blast traumas? - ANSAll explosion related injuries,
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illnesses, or diseases not due to the first three mechanisms. Injuries include external
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and internal burns, crush injuries, closed and open brain injuries, asthmatic or breathing
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problems from dust smoke or toxic fumes, angina, or hyper glycemia and
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hypertension.
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What causes quinary effects of blasts traumas? - ANSThose associated with exposure
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to hazardous materials from radioactive, biologic, or chemical components of a blast.
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Injuries include a variety of health effects depending on agent.
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What causes the primary effects of blast traumas? - ANSThe direct blast effects. Types
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of injuries include last long, tympanic membrane rupture and middle ear damage,
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abdominal hemorrhage and perforation, global rupture, mild Trumatic brain injury.
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What causes the secondary effects of blast traumas? - ANSProjectiles propelled by the
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explosion. Injuries include penetrating or blunt injuries or I penetration.
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What causes the tertiary effects of blast traumas? - ANSResults from individuals being
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thrown by the blast wind. Injuries include hole or partial body translocation from being
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thrown against a hard service: blunt or penetrating trauma's, fractures, traumatic
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amputations.
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What is a trademark symptom of an epidural hematoma - ANSLoss of consciousness
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then awake and alert then loss of consciousness
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What is bending? - ANSLoading about an axis. Bending causes compression on the
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side the person is bending toward intention to the opposite side
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What is combined loading? - ANSAny combination of tension compression torsion
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bending and/or shear.
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What is compression? - ANSCrushing by squeezing together
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What is Cullen's sign and its significance? - ANSCullens sign is periumbilical bruising
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and is indicative of intraperitoneal bleeding
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What is shearing? - ANSDamage by tearing or bending by exerting faucet different parts
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in opposite directions at the same time.
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What is tension? - ANSstretching force by pulling at opposite ends
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