TNCC test prepA, TNCC Notes for Written Exam, TNCC Notes for Written Exam, TNCC Prep, TNCC EXAM, TNCC 8th
Edition
1. Expedite transfer to the A 56 y/o M pt involved in a motor vehicle crash is
closest trauma center brought to the ED of a rural critical access facility.
He complains of neck pain, SOB, and diffuse abd
pain. His GCS is 15. His VS: BP 98/71, HR 125,
RR 26, SpO2 94% on high-flow O2 via NRB mask.
Which of the following is the priority intervention
for this patient?
2. a pertinent medical hx Which of the following considerations is the most
is crucial important when caring for a geriatric trauma pt?
3. Mitigation Following a review of recent drills and a real disas-
ter event, a hospital has identified deficiencies and
is taking steps to minimize the impact of a future
disaster . Which phase of the disaster life cycle
does this describe?
4. Multiple requests for EMS brings a pt who fell while riding his bicycle.
water Using the American College of Surgeobs screen-
ing guidelines, which assessment finding would
prompt the RN to prepare the pt for a radiologic
spine clearance?
5. hemoglobin does not What is the effect of hypothermia on the oxyhemo-
readily release O2 for globin dissociation curve?
use by the tissues
6. acidosis Which of the following is a component of the trau-
ma triad of death?
7. Complete EMS brings a pt from MVC. VS: BP 90/49, HR
48, RR 12, temp 97.2F (36.2 C). The pt exhibits
urinary incontinence and priapism. These assess-
ment findings are most consistent with which of the
following types of spinal cord injury?
8. flucuation in the water Which of the following is an expected finding in a
seal chamber pt with a tube thoracstomy connected to a chest
drainage system?
, TNCC test prepA, TNCC Notes for Written Exam, TNCC Notes for Written Exam, TNCC Prep, TNCC EXAM, TNCC 8th
Edition
9. insert an oropharyn- During the primary survey of an unconscious pt
geal airway if there is with multi-system trauma, the nurse notes snor-
no gag reflex ing respirations. What priority nursing interventions
should be preformed next?
10. globe rupture A 35 y/o M presents with facial trauma af-
ter being struck in the face with a baseball. A
teardrop-shaped left pupil is noted on exam. What
type of injury is suspected?
11. compensated A trauma pt is restless and repeatedly asking
"where am i?" VS upon arrival: BP 110/60, HR96,
RR 24. Her skin is cool and dry. Current VS are BP
104/84, HR 108, RR 28. The pt is demonstrating
s/sx of which stage of shock?
12. ventilate with a bag An unresponsive trauma pt has an oropharygeal
mask device airway in place, shallow and labored respirations,
and dusky skin. The trauma team has adminis-
tered medications for drug-assisted intubation and
attempted intubation but was unsuccessful. What
is the most appropriate immediate next step?
13. within 24 hrs of trauma When is the tertiary survey completed fora trauma
pt?
14. pressure An intubated and sedated pt in the ED has multiple
extremity injuries with the potential for causing
compartment syndrome. What is the most reliable
indication of compartment syndrome in a patient
who is unconscious?
15. worsening pneumotho- Which of the following is possible complication of
rax positive-pressure ventilation?
16. pelvic stability the most reassuring finding for a male pt with hip
pain after a fall is which of the following?
17. narrowed
, TNCC test prepA, TNCC Notes for Written Exam, TNCC Notes for Written
Exam, TNCC Prep, TNCC EXAM, TNCC 8th Edition
Study online at https://quizlet.com/_8zdlk7
Which of the following pulse pressures indicate
early hypovolemic shock?
18. dysrhythmias Patients with a crush injury should be monitored
for which of the following conditions?
19. subdural hematoma Tearing of the bridging veins is most frequently
associated with which brain injury?
20. straight cath for urine A 20 y/o M presents to the ED complaining of
sample severe lower abd pain after landing hard on the
bicycle cross bars while preforming an aerial BMX
maneuver. Secondary assessment reveals lower
abd tenderness and scrotal ecchymosis. Which of
the following orders would the RN question?
21. placental abruption You are caring for a pt who was involved in a MVC
and is 32 weeks pregnant. Findings of your sec-
ondary survey include abd pain on palpation, fun-
dal ht at the costal margin, and some dark bloody
show. Varying accelerations and decelerations are
noted on cariocgraphy. These findings are most
consistent with which of the following?
22. it can worsen cord dam- Which of the following is true about the log-roll?
age from an unstable
spinal injury
23. defusings All of these are considered a critical communica-
tion point in trauma care EXCEPT which of the
following?
24. pulse oximetry and What bedside monitoring parameters are used to
capnography assess for adequacy of O2 and effectiveness of
ventilation?
25. padding the upper back Caregivers carry in a 2 y/o into the ED who fell
while stabilizing the out of a second-story window. The pt is awake and
cervical spine crying with increased work of breathing and pale
, TNCC test prepA, TNCC Notes for Written Exam, TNCC Notes for Written
Exam, TNCC Prep, TNCC EXAM, TNCC 8th Edition
Study online at https://quizlet.com/_8zdlk7
skin. Which of the following interventions has the
highest priority?
26. bowel Which of the following injuries is LEAST likely to be
promptly identified?
27. Initiate transfer to a A pt is brought to the ED of a rural hospital fol-
trauma center lowing a high-speed MVC. When significant abd
and pelvic injuries are noted in the primary survey,
which of the following is the priority interventions?
28. bardycardia and absent A pt with a complete spinal cord injury in neu-
motor function below rogenic shock will demonstrate hypotension and
the level of injury which other clinical signs?
29. apply splint and elevate a 37 y/o F has a deformity of the L wrist after
above the level of the a fall. She is reluctant to move her hand due to
heart pain. Which of the following is the most appropriate
intervention?
30. the aorta is torn at its which of the following occurs during the third im-
attachment with the lig- pact of a motor vehicle crash?
amentum arteriosum
31. Report your suspicion a 5 y/o child presents to the ED with bruises to
of maltreatment in ac- the upper arm and buttocks in various stages of
cordance with local reg- healing and multiple small, clean, round burns to
ulations the back. There are no abnormalities found based
on the pediatric assessment triangle or primary
survey. Which of the following is the priority survey.
Which of the following is the priority nursing inter-
vention?
32. to guage end-organ Why is a measure of serum lactate obtained in the
perfusion and tissue initial assessment of a trauma patient?
hypoxia
33. elevating the extremity A pt with a lower extremity fracture complains of
to the level of the heart severe pain and tightness in his calf, minimally
Edition
1. Expedite transfer to the A 56 y/o M pt involved in a motor vehicle crash is
closest trauma center brought to the ED of a rural critical access facility.
He complains of neck pain, SOB, and diffuse abd
pain. His GCS is 15. His VS: BP 98/71, HR 125,
RR 26, SpO2 94% on high-flow O2 via NRB mask.
Which of the following is the priority intervention
for this patient?
2. a pertinent medical hx Which of the following considerations is the most
is crucial important when caring for a geriatric trauma pt?
3. Mitigation Following a review of recent drills and a real disas-
ter event, a hospital has identified deficiencies and
is taking steps to minimize the impact of a future
disaster . Which phase of the disaster life cycle
does this describe?
4. Multiple requests for EMS brings a pt who fell while riding his bicycle.
water Using the American College of Surgeobs screen-
ing guidelines, which assessment finding would
prompt the RN to prepare the pt for a radiologic
spine clearance?
5. hemoglobin does not What is the effect of hypothermia on the oxyhemo-
readily release O2 for globin dissociation curve?
use by the tissues
6. acidosis Which of the following is a component of the trau-
ma triad of death?
7. Complete EMS brings a pt from MVC. VS: BP 90/49, HR
48, RR 12, temp 97.2F (36.2 C). The pt exhibits
urinary incontinence and priapism. These assess-
ment findings are most consistent with which of the
following types of spinal cord injury?
8. flucuation in the water Which of the following is an expected finding in a
seal chamber pt with a tube thoracstomy connected to a chest
drainage system?
, TNCC test prepA, TNCC Notes for Written Exam, TNCC Notes for Written Exam, TNCC Prep, TNCC EXAM, TNCC 8th
Edition
9. insert an oropharyn- During the primary survey of an unconscious pt
geal airway if there is with multi-system trauma, the nurse notes snor-
no gag reflex ing respirations. What priority nursing interventions
should be preformed next?
10. globe rupture A 35 y/o M presents with facial trauma af-
ter being struck in the face with a baseball. A
teardrop-shaped left pupil is noted on exam. What
type of injury is suspected?
11. compensated A trauma pt is restless and repeatedly asking
"where am i?" VS upon arrival: BP 110/60, HR96,
RR 24. Her skin is cool and dry. Current VS are BP
104/84, HR 108, RR 28. The pt is demonstrating
s/sx of which stage of shock?
12. ventilate with a bag An unresponsive trauma pt has an oropharygeal
mask device airway in place, shallow and labored respirations,
and dusky skin. The trauma team has adminis-
tered medications for drug-assisted intubation and
attempted intubation but was unsuccessful. What
is the most appropriate immediate next step?
13. within 24 hrs of trauma When is the tertiary survey completed fora trauma
pt?
14. pressure An intubated and sedated pt in the ED has multiple
extremity injuries with the potential for causing
compartment syndrome. What is the most reliable
indication of compartment syndrome in a patient
who is unconscious?
15. worsening pneumotho- Which of the following is possible complication of
rax positive-pressure ventilation?
16. pelvic stability the most reassuring finding for a male pt with hip
pain after a fall is which of the following?
17. narrowed
, TNCC test prepA, TNCC Notes for Written Exam, TNCC Notes for Written
Exam, TNCC Prep, TNCC EXAM, TNCC 8th Edition
Study online at https://quizlet.com/_8zdlk7
Which of the following pulse pressures indicate
early hypovolemic shock?
18. dysrhythmias Patients with a crush injury should be monitored
for which of the following conditions?
19. subdural hematoma Tearing of the bridging veins is most frequently
associated with which brain injury?
20. straight cath for urine A 20 y/o M presents to the ED complaining of
sample severe lower abd pain after landing hard on the
bicycle cross bars while preforming an aerial BMX
maneuver. Secondary assessment reveals lower
abd tenderness and scrotal ecchymosis. Which of
the following orders would the RN question?
21. placental abruption You are caring for a pt who was involved in a MVC
and is 32 weeks pregnant. Findings of your sec-
ondary survey include abd pain on palpation, fun-
dal ht at the costal margin, and some dark bloody
show. Varying accelerations and decelerations are
noted on cariocgraphy. These findings are most
consistent with which of the following?
22. it can worsen cord dam- Which of the following is true about the log-roll?
age from an unstable
spinal injury
23. defusings All of these are considered a critical communica-
tion point in trauma care EXCEPT which of the
following?
24. pulse oximetry and What bedside monitoring parameters are used to
capnography assess for adequacy of O2 and effectiveness of
ventilation?
25. padding the upper back Caregivers carry in a 2 y/o into the ED who fell
while stabilizing the out of a second-story window. The pt is awake and
cervical spine crying with increased work of breathing and pale
, TNCC test prepA, TNCC Notes for Written Exam, TNCC Notes for Written
Exam, TNCC Prep, TNCC EXAM, TNCC 8th Edition
Study online at https://quizlet.com/_8zdlk7
skin. Which of the following interventions has the
highest priority?
26. bowel Which of the following injuries is LEAST likely to be
promptly identified?
27. Initiate transfer to a A pt is brought to the ED of a rural hospital fol-
trauma center lowing a high-speed MVC. When significant abd
and pelvic injuries are noted in the primary survey,
which of the following is the priority interventions?
28. bardycardia and absent A pt with a complete spinal cord injury in neu-
motor function below rogenic shock will demonstrate hypotension and
the level of injury which other clinical signs?
29. apply splint and elevate a 37 y/o F has a deformity of the L wrist after
above the level of the a fall. She is reluctant to move her hand due to
heart pain. Which of the following is the most appropriate
intervention?
30. the aorta is torn at its which of the following occurs during the third im-
attachment with the lig- pact of a motor vehicle crash?
amentum arteriosum
31. Report your suspicion a 5 y/o child presents to the ED with bruises to
of maltreatment in ac- the upper arm and buttocks in various stages of
cordance with local reg- healing and multiple small, clean, round burns to
ulations the back. There are no abnormalities found based
on the pediatric assessment triangle or primary
survey. Which of the following is the priority survey.
Which of the following is the priority nursing inter-
vention?
32. to guage end-organ Why is a measure of serum lactate obtained in the
perfusion and tissue initial assessment of a trauma patient?
hypoxia
33. elevating the extremity A pt with a lower extremity fracture complains of
to the level of the heart severe pain and tightness in his calf, minimally
