Page 1 of 50
TNCC 9 TH EDITION FINAL EXAM |
FREQUENTLY TESTED QUESTIONS WITH
CORRECT ANSWERS | BRAND NEW!
1. An adult patient who sustained a severe head trauma has been
intubated and is being manually ventilated via a bag-mask device
at a rate of 18 breaths/minute. The patient has received one
intravenous fluid bolus of 500 mL of warmed isotonic crystalloid
solution. The PaCO2 is 30 mm Hg (4.0 kPa), and the pulse
oximetry is 92%. BP is 142/70 mm Hg. What is the most important
intervention to manage the cerebral blood flow?
A. Decrease the rate of manual ventilation
B. Initiate another fluid bolus.
C. Recheck endotracheal tube placement.
D. Increase the amount of oxygen delivered. - ✔✔✔ Correct Answer > A.
Decrease the rate of manual ventilation
2. Which of the following situations could cause functional grief?
A. Inability to live at home
B. Amputation of a limb
C. Loss of one's self-image
,Page 2 of 50
D. Destruction of the patient's car - ✔✔✔ Correct Answer > B.
Amputation of a limb
Rationale: Preparation and Ongoing Care\Psychosocial Aspects
Functional grief relates to the loss of body function or body parts
such as amputation of a limb, paralysis, or loss of sight.
3. What is the most important consideration during the initial
assessment when caring for an older adult who has sustained
serious injuries?
A. They are likely to be fearful in the emergency department
B. Medical history including current medications
C. Availability of support systems after discharge
D. Accessibility to a primary care physician - ✔✔✔ Correct Answer > B.
Medical history including current medications
4. You are caring for a patient who was thrown from a bike and
was not wearing a helmet. While performing the head-to-toe
assessment, you note clear drainage from the right ear. Which of
the following is the most appropriate next step?
A. Clean the ear with a cotton-tipped applicator.
B. Pack the ear with gauze.
C. Notify the physician
,Page 3 of 50
D. Document and continue the exam. - ✔✔✔ Correct Answer > C. Notify
the physician
5. When should the definitive calculation for intravenous fluid
resuscitation rate be performed for a patient with burns?
A. As soon as the patient arrives
B. After removal of clothing
C. Only at a burn center
D. During the circulation assessment - ✔✔✔ Correct Answer > B. After
removal of clothing
Rationale: Musculoskeletal and Wounds\Burns
Some fluid will be given initially, but an accurate fluid total is
based on percentage of total body surface area which requires a
good skin assessment and is calculated after clothing is
removed.
6. In a motor vehicle collision, which injury pathway is most likely
to increase the patient's morbidity and mortality?
A. Rotational
B. Ejection
C. Lateral
D. Rollover - ✔✔✔ Correct Answer > B. Ejection
, Page 4 of 50
7. A patient with a lower extremity fracture complains of severe
pain and tightness in his calf, minimally relieved by pain
medications. Which of the following is the priority nursing
intervention?
A. Elevating the leg above the level of the heart
B. Repositioning the leg and applying ice
C. Elevating the leg to the level of the heart
D. Preparing the patient for ultrasound of the leg - ✔✔✔ Correct
Answer > C. Elevating the leg to the level of the heart
Rationale: Musculoskeletal and Wounds\Musculoskeletal
This patient is exhibiting signs of possible compartment
syndrome which is a dangerous complication of fractured
extremities. The pain is often out of proportion to the injury and
might not respond to pain medications. Elevate the limb to the
level of the heart to decrease dependent edema but not above
the heart, which can cause increased venous congestion and
pressure within the compartment.
8. A teenaged patient presents to the emergency department
with left arm pain after a ground level fall. The patient identifies
as transgender and shares they are homeless. The ED staff are
concerned the patient is experiencing human trafficking. What is
most consistent with human trafficking?
TNCC 9 TH EDITION FINAL EXAM |
FREQUENTLY TESTED QUESTIONS WITH
CORRECT ANSWERS | BRAND NEW!
1. An adult patient who sustained a severe head trauma has been
intubated and is being manually ventilated via a bag-mask device
at a rate of 18 breaths/minute. The patient has received one
intravenous fluid bolus of 500 mL of warmed isotonic crystalloid
solution. The PaCO2 is 30 mm Hg (4.0 kPa), and the pulse
oximetry is 92%. BP is 142/70 mm Hg. What is the most important
intervention to manage the cerebral blood flow?
A. Decrease the rate of manual ventilation
B. Initiate another fluid bolus.
C. Recheck endotracheal tube placement.
D. Increase the amount of oxygen delivered. - ✔✔✔ Correct Answer > A.
Decrease the rate of manual ventilation
2. Which of the following situations could cause functional grief?
A. Inability to live at home
B. Amputation of a limb
C. Loss of one's self-image
,Page 2 of 50
D. Destruction of the patient's car - ✔✔✔ Correct Answer > B.
Amputation of a limb
Rationale: Preparation and Ongoing Care\Psychosocial Aspects
Functional grief relates to the loss of body function or body parts
such as amputation of a limb, paralysis, or loss of sight.
3. What is the most important consideration during the initial
assessment when caring for an older adult who has sustained
serious injuries?
A. They are likely to be fearful in the emergency department
B. Medical history including current medications
C. Availability of support systems after discharge
D. Accessibility to a primary care physician - ✔✔✔ Correct Answer > B.
Medical history including current medications
4. You are caring for a patient who was thrown from a bike and
was not wearing a helmet. While performing the head-to-toe
assessment, you note clear drainage from the right ear. Which of
the following is the most appropriate next step?
A. Clean the ear with a cotton-tipped applicator.
B. Pack the ear with gauze.
C. Notify the physician
,Page 3 of 50
D. Document and continue the exam. - ✔✔✔ Correct Answer > C. Notify
the physician
5. When should the definitive calculation for intravenous fluid
resuscitation rate be performed for a patient with burns?
A. As soon as the patient arrives
B. After removal of clothing
C. Only at a burn center
D. During the circulation assessment - ✔✔✔ Correct Answer > B. After
removal of clothing
Rationale: Musculoskeletal and Wounds\Burns
Some fluid will be given initially, but an accurate fluid total is
based on percentage of total body surface area which requires a
good skin assessment and is calculated after clothing is
removed.
6. In a motor vehicle collision, which injury pathway is most likely
to increase the patient's morbidity and mortality?
A. Rotational
B. Ejection
C. Lateral
D. Rollover - ✔✔✔ Correct Answer > B. Ejection
, Page 4 of 50
7. A patient with a lower extremity fracture complains of severe
pain and tightness in his calf, minimally relieved by pain
medications. Which of the following is the priority nursing
intervention?
A. Elevating the leg above the level of the heart
B. Repositioning the leg and applying ice
C. Elevating the leg to the level of the heart
D. Preparing the patient for ultrasound of the leg - ✔✔✔ Correct
Answer > C. Elevating the leg to the level of the heart
Rationale: Musculoskeletal and Wounds\Musculoskeletal
This patient is exhibiting signs of possible compartment
syndrome which is a dangerous complication of fractured
extremities. The pain is often out of proportion to the injury and
might not respond to pain medications. Elevate the limb to the
level of the heart to decrease dependent edema but not above
the heart, which can cause increased venous congestion and
pressure within the compartment.
8. A teenaged patient presents to the emergency department
with left arm pain after a ground level fall. The patient identifies
as transgender and shares they are homeless. The ED staff are
concerned the patient is experiencing human trafficking. What is
most consistent with human trafficking?
