TNCC 9th Edition EXAM|| Questions And Correct
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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. Tachycardia
D. Hypotension - ANSWER-D. Hypotension
A patient is brought to the emergency department of a
rural hospital following a high-speed motor vehicle
collision. When significant abdominal and pelvic injuries
are noted in the primary survey, what is the priority
intervention?
A. Initiate transfer to a trauma center
B. Attempt family notification
C. Obtain additional imaging studies
D. Place an indwelling urinary catheter - ANSWER-A.
Initiate transfer to a trauma center
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A patient has uncontrolled bleeding from a wound to his
right upper extremity. What is the priority intervention?
A. Initiate two intravenous access sites
B. Place the patient on supplemental oxygen
C. Apply direct pressure to the wound
D. Use a tourniquet to control the bleeding - ANSWER-C.
Apply direct pressure to the wound
A trauma patient involved in a fall from 25 feet has a
traumatic brain injury, three anterior rib fractures on the
right side, a small pneumothorax on the right, and a Grade
III liver injury. The patient was intubated and placed on a
ventilator with PEEP. Chest tube was deferred at this time.
Upon reassessment, which finding is most concerning?
A. Severely diminished breath sounds on the right
B. Guarding in the right upper quadrant
C. Ecchymosis in the right upper quadrant
D. Crepitus to the right chest - ANSWER-A. Severely
diminished breath sounds on the right
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A patient with a traumatic brain injury has a mean arterial
pressure (MAP) of 65 mm Hg (8.66 kPa) and an
intracranial pressure (ICP) of 22 mm Hg (2.93 kPa). Which
finding is most likely an indication of the body's response
to these findings?
A. Increased respiratory effort
B. Widening pulse pressure
C. Reflex tachycardia
D. Reflex hypotension - ANSWER-B. Widening pulse
pressure
A patient presents, after a 25-foot fall, with paradoxical
chest wall movement to the right lower chest and
complaints of shortness of breath. What is the priority
intervention?
A. Surgical intervention
B. Chest tube insertion
C. Needle decompression
D. Airway and ventilation support - ANSWER-D. Airway
and ventilation support
When should the definitive calculation for intravenous fluid
resuscitation rate be performed for a patient with burns?
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A. As soon as the patient arrives
B. After removal of clothing
C. Only at a burn center
D. During the circulation assessment - ANSWER-B. After
removal of clothing
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 - ANSWER-B. Ejection
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