TNC
TNCC final exam test 2022 open book
Why is a measure of serum lactate obtained in the initial
assessment of the trauma patient?
Answer: c
a) to measure oxygenation and ventilation
b) to quantify the base deficit for the adequacy of cellular perfusion
c) to gauge end-organ perfusion and tissue hypoxia *
d) to determine the underlying cause of shock
A trauma patient is restless and repeatedly asking "where am I?"
vital signs upon arrival were BP 100/60 mm Hg, HR 96 beats/min,
and RR 24 breaths/min. Her skin is cool and dry. Current vital signs
are BP 104/84mm Hg, HR 108, RR 28 breaths/min. The patient is
demonstrating signs and symptoms of which stage of shock?
Answer: A
A) compensated **
B) Progressive
C) irreversible
D) decompensated
An elderly patient with a history of anticoagulant use presents after
a fall at home that day. she denies any loss of consciousness. She
has a hematoma to her forehead and complains of headache,
dizziness, and nausea. Which is a most likely cause of her
symptoms?
Answer: D
A) epidural hematoma
B) diffuse axonal injury
C) post-concussive syndrome
D) subdural hematoma ***
EMS brings a patient who fell riding his bicycle. Using the American
College of Surgeons screening guidelines, which assessment finding
would prompt the nurse to prepare the patient for radiologic spine
clearance?
Answer: D
A) Alert with no neurologic deficits
B) Multiple abrasions to the extremities
C) Multiple requests of water
D) Smell of alcohol on breath ***
Which of the following occurs during the third impact of a motor
vehicle crash?
, Answer: C
A) The driver of the vehicle collides with the steering wheel
B) the vehicle collides with a tree
C) the aorta is torn at its attachment with the ligamentum arteriosum
D) the airbag deploys and strikes the front seat passenger ***
A passenger is brought to the emergency department of a rural
hospital following a high-speed MVC. When significant abdominal
and pelvic injuries are noted in the primary survey, which of the
following is the priority interventions?
Answer: A
A) initiate transfer to a trauma center **
B) provide report to the operating room nurse
C) Obtained imaging studies
D) Place a gastric tube
Which of the following injuries is LEAST likely to be promptly
identified?
Answer: C
A) spleen
B) lung
C) bowel ***
D) brain
Patients with a crush injury should be monitored for which of the
following conditions?
Answer: C
A) Hypernatremia
B) Hypercalcemia
C) Dysrhthmias **
D) polyuria
What finding raises suspicion of complete spinal cord injury?
Answer: B
A) Weakness in the lower extremities
B) Priapism ***
C) voluntary anal sphincter tone
D) intact reflexes distal to the injury
A patient with a complete spinal cord injury in neurogenic shock will
demonstrate hypotension and which other clinical signs?
Answer: D
A) Bradycardia and ipsilateral absences of motor function
B) Tachycardia and respiratory depression
TNCC final exam test 2022 open book
Why is a measure of serum lactate obtained in the initial
assessment of the trauma patient?
Answer: c
a) to measure oxygenation and ventilation
b) to quantify the base deficit for the adequacy of cellular perfusion
c) to gauge end-organ perfusion and tissue hypoxia *
d) to determine the underlying cause of shock
A trauma patient is restless and repeatedly asking "where am I?"
vital signs upon arrival were BP 100/60 mm Hg, HR 96 beats/min,
and RR 24 breaths/min. Her skin is cool and dry. Current vital signs
are BP 104/84mm Hg, HR 108, RR 28 breaths/min. The patient is
demonstrating signs and symptoms of which stage of shock?
Answer: A
A) compensated **
B) Progressive
C) irreversible
D) decompensated
An elderly patient with a history of anticoagulant use presents after
a fall at home that day. she denies any loss of consciousness. She
has a hematoma to her forehead and complains of headache,
dizziness, and nausea. Which is a most likely cause of her
symptoms?
Answer: D
A) epidural hematoma
B) diffuse axonal injury
C) post-concussive syndrome
D) subdural hematoma ***
EMS brings a patient who fell riding his bicycle. Using the American
College of Surgeons screening guidelines, which assessment finding
would prompt the nurse to prepare the patient for radiologic spine
clearance?
Answer: D
A) Alert with no neurologic deficits
B) Multiple abrasions to the extremities
C) Multiple requests of water
D) Smell of alcohol on breath ***
Which of the following occurs during the third impact of a motor
vehicle crash?
, Answer: C
A) The driver of the vehicle collides with the steering wheel
B) the vehicle collides with a tree
C) the aorta is torn at its attachment with the ligamentum arteriosum
D) the airbag deploys and strikes the front seat passenger ***
A passenger is brought to the emergency department of a rural
hospital following a high-speed MVC. When significant abdominal
and pelvic injuries are noted in the primary survey, which of the
following is the priority interventions?
Answer: A
A) initiate transfer to a trauma center **
B) provide report to the operating room nurse
C) Obtained imaging studies
D) Place a gastric tube
Which of the following injuries is LEAST likely to be promptly
identified?
Answer: C
A) spleen
B) lung
C) bowel ***
D) brain
Patients with a crush injury should be monitored for which of the
following conditions?
Answer: C
A) Hypernatremia
B) Hypercalcemia
C) Dysrhthmias **
D) polyuria
What finding raises suspicion of complete spinal cord injury?
Answer: B
A) Weakness in the lower extremities
B) Priapism ***
C) voluntary anal sphincter tone
D) intact reflexes distal to the injury
A patient with a complete spinal cord injury in neurogenic shock will
demonstrate hypotension and which other clinical signs?
Answer: D
A) Bradycardia and ipsilateral absences of motor function
B) Tachycardia and respiratory depression
