TNCC 9th Edition Exam Questions With
Complete Solutions
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
| | |
D. Document and continue the exam.
| | | | |
C. Notify the physician
| | |
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
| | | | |
,A. Initiate transfer to a trauma center
| | | | | |
An adult who fell from a second story roof is brought to the emergency
| | | | | | | | | | | | | |
department by private vehicle. The patient is confused with unlabored
| | | | | | | | | |
respirations and has strong, palpable radial pulses. There is an open wound in
| | | | | | | | | | | | |
proximity to an obvious deformity of the left lower extremity. What is the priority
| | | | | | | | | | | | |
intervention?
|
A. Initiate cervical spine stabilization
| | | |
B. Apply a splint to the lower extremity
| | | | | | |
C. Put the patient on portable oxygen.
| | | | | |
D. Log roll the patient onto a spine board
| | | | | | | |
A. Initiate cervical spine stabilization
| | | |
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.
| | | | | |
A. Decrease the rate of manual ventilation.
| | | | | |
An adult patient is brought to the emergency department following a vehicle
| | | | | | | | | | |
"roll-over" with prolonged extrication. Assessment reveals swelling and bruising
| | | | | | | | | |
to the right proximal thigh and a weak pedal pulse. Skin is pale, cool, and moist.
| | | | | | | | | | | | | | | |
What is the most appropriate initial intervention?
| | | | | |
A. Application of a tourniquet to the affected extremity
| | | | | | | |
B. Application of a pelvic binder
| | | | |
C. Fluid resuscitation to maintain a urine output of 0.5 mL/kg/hour
| | | | | | | | | |
D. Oxygen to maintain the ETCO2 between 30-35 mm Hg (3.9-4.6 kPa)
| | | | | | | | | | |
B. Application of a pelvic binder
| | | | |
An adult arrives at the emergency department with superficial burns to the
| | | | | | | | | | | |
extremities following a house fire. The patient is reporting a headache with
| | | | | | | | | | | |
nausea and is drowsy and confused. What is the most likely cause of these
| | | | | | | | | | | | | |
symptoms?
A. Capillary leak syndrome
| | |
B. Rhabdomyolysis
|
C. Carbon monoxide poisoning
| | |
D. Hypothermia
|
, Using the American College of Surgeons Guidelines for Screening Patients with
| | | | | | | | | | |
Suspected Spine Injury, what assessment finding would prompt the nurse to
| | | | | | | | | | |
prepare a patient for cervical spine imaging?
| | | | | |
A. Alert with no neurologic deficits or neck pain
| | | | | | | |
B. Multiple abrasions to the extremities
| | | | |
C. Ecchymosis to the flank
| | | |
D. Responds to verbal stimulation using AVPU
| | | | | |
A 5-month pregnant patient arrives in the emergency department stating she
| | | | | | | | | | |
tripped and fell, landing on her abdomen. Assessment reveals bruising to the
| | | | | | | | | | | |
abdomen, both arms, and her neck. She states she does not take any medications
| | | | | | | | | | | | |
|and has not had any prenatal care. The nurse suspects the findings are most
| | | | | | | | | | | | | |
likely related to which of the following?
| | | | | |
A.Intentional violence |
B.Pregnancy-related changes |
C.Undiagnosed embolus |
D.Iron deficiency |
Complete Solutions
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
| | |
D. Document and continue the exam.
| | | | |
C. Notify the physician
| | |
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
| | | | |
,A. Initiate transfer to a trauma center
| | | | | |
An adult who fell from a second story roof is brought to the emergency
| | | | | | | | | | | | | |
department by private vehicle. The patient is confused with unlabored
| | | | | | | | | |
respirations and has strong, palpable radial pulses. There is an open wound in
| | | | | | | | | | | | |
proximity to an obvious deformity of the left lower extremity. What is the priority
| | | | | | | | | | | | |
intervention?
|
A. Initiate cervical spine stabilization
| | | |
B. Apply a splint to the lower extremity
| | | | | | |
C. Put the patient on portable oxygen.
| | | | | |
D. Log roll the patient onto a spine board
| | | | | | | |
A. Initiate cervical spine stabilization
| | | |
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.
| | | | | |
A. Decrease the rate of manual ventilation.
| | | | | |
An adult patient is brought to the emergency department following a vehicle
| | | | | | | | | | |
"roll-over" with prolonged extrication. Assessment reveals swelling and bruising
| | | | | | | | | |
to the right proximal thigh and a weak pedal pulse. Skin is pale, cool, and moist.
| | | | | | | | | | | | | | | |
What is the most appropriate initial intervention?
| | | | | |
A. Application of a tourniquet to the affected extremity
| | | | | | | |
B. Application of a pelvic binder
| | | | |
C. Fluid resuscitation to maintain a urine output of 0.5 mL/kg/hour
| | | | | | | | | |
D. Oxygen to maintain the ETCO2 between 30-35 mm Hg (3.9-4.6 kPa)
| | | | | | | | | | |
B. Application of a pelvic binder
| | | | |
An adult arrives at the emergency department with superficial burns to the
| | | | | | | | | | | |
extremities following a house fire. The patient is reporting a headache with
| | | | | | | | | | | |
nausea and is drowsy and confused. What is the most likely cause of these
| | | | | | | | | | | | | |
symptoms?
A. Capillary leak syndrome
| | |
B. Rhabdomyolysis
|
C. Carbon monoxide poisoning
| | |
D. Hypothermia
|
, Using the American College of Surgeons Guidelines for Screening Patients with
| | | | | | | | | | |
Suspected Spine Injury, what assessment finding would prompt the nurse to
| | | | | | | | | | |
prepare a patient for cervical spine imaging?
| | | | | |
A. Alert with no neurologic deficits or neck pain
| | | | | | | |
B. Multiple abrasions to the extremities
| | | | |
C. Ecchymosis to the flank
| | | |
D. Responds to verbal stimulation using AVPU
| | | | | |
A 5-month pregnant patient arrives in the emergency department stating she
| | | | | | | | | | |
tripped and fell, landing on her abdomen. Assessment reveals bruising to the
| | | | | | | | | | | |
abdomen, both arms, and her neck. She states she does not take any medications
| | | | | | | | | | | | |
|and has not had any prenatal care. The nurse suspects the findings are most
| | | | | | | | | | | | | |
likely related to which of the following?
| | | | | |
A.Intentional violence |
B.Pregnancy-related changes |
C.Undiagnosed embolus |
D.Iron deficiency |
