TNCC TEST PREP A (ANSWERS ARE ON TOP
OF THE QUESTIONS),2022 UPDATE
Expedite transfer to the closest trauma center
A 56 y/o M pt involved in a motor vehicle crash is 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?
a pertinent medical hx is crucial
Which of the following considerations is the most important when caring for a
geriatric trauma pt?
Mitigation
Following a review of recent drills and a real disaster 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?
smell of alcohol on breath
EMS brings a pt who fell while riding his bicycle. Using the American College
of Surgeobs screening guidelines, which assessment finding would prompt
the RN to prepare the pt for a radiologic spine clearance?
hemoglobin does not readily release O2 for use by the tissues
What is the effect of hypothermia on the oxyhemoglobin dissociation curve?
,TNCC TEST PREP A (ANSWERS ARE ON TOP
OF THE QUESTIONS),2022 UPDATE
acidosis
Which of the following is a component of the trauma triad of
death? 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 assessment findings
are most consistent with which of the following types of spinal cord injury?
flucuation in the water seal chamber
Which of the following is an expected finding in a pt with a tube thoracstomy
connected to a chest drainage system?
insert an oropharyngeal airway if there is no gag reflex
During the primary survey of an unconscious pt with multi-system trauma,
the nurse notes snoring respirations. What priority nursing interventions
should be preformed next?
globe rupture
A 35 y/o M presents with facial trauma after being struck in the face with a
baseball. A teardrop-shaped left pupil is noted on exam. What type of
injury is suspected? 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?
ventilate with a bag mask device
An unresponsive trauma pt has an oropharygeal airway in place, shallow and
labored respirations, and dusky skin. The trauma team has administered
medications for drug- assisted intubation and attempted intubation but was
unsuccessful. What is the most appropriate immediate next step?
within 24 hrs of trauma
,TNCC TEST PREP A (ANSWERS ARE ON TOP
OF THE QUESTIONS),2022 UPDATE
When is the tertiary survey completed fora
trauma pt? 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?
worsening pneumothorax
Which of the following is possible complication of positive-pressure
ventilation? pelvic stability
the most reassuring finding for a male pt with hip pain after a fall is which of
the following?
narrowed
Which of the following pulse pressures indicate early hypovolemic
shock? dysrhythmias
Patients with a crush injury should be monitored for which of the following
conditions? subdural hematoma
Tearing of the bridging veins is most frequently associated with which brain
injury? straight cath for urine sample
A 20 y/o M presents to the ED complaining of 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?
placental abruption
, TNCC TEST PREP A (ANSWERS ARE ON TOP
OF THE QUESTIONS),2022 UPDATE
You are caring for a pt who was involved in a MVC and is 32 weeks pregnant.
Findings of your secondary survey include abd pain on palpation, fundal 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?
it can worsen cord damage from an unstable spinal injury
Which of the following is true about the
log-roll? defusings
All of these are considered a critical communication point in trauma care
EXCEPT which of the following?
pulse oximetry and capnography
What bedside monitoring parameters are used to assess for adequacy
of O2 and effectiveness of ventilation?
padding the upper back while stabilizing the cervical spine
Caregivers carry in a 2 y/o into the ED who fell out of a second-story window.
The pt is awake and crying with increased work of breathing and pale skin.
Which of the following interventions has the highest priority?
bowel (Hollow organ injury signs and symptoms may be subtle and delayed
but are associated with a high mortality rate if not identified.)
Which of the following injuries is LEAST likely to be promptly
identified? Initiate transfer to a trauma center
A pt is brought to the ED of a rural hospital following a high-speed MVC.
When significant abd and pelvic injuries are noted in the primary survey,
which of the following is the priority interventions?
bardycardia and absent motor function below the level of injury
OF THE QUESTIONS),2022 UPDATE
Expedite transfer to the closest trauma center
A 56 y/o M pt involved in a motor vehicle crash is 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?
a pertinent medical hx is crucial
Which of the following considerations is the most important when caring for a
geriatric trauma pt?
Mitigation
Following a review of recent drills and a real disaster 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?
smell of alcohol on breath
EMS brings a pt who fell while riding his bicycle. Using the American College
of Surgeobs screening guidelines, which assessment finding would prompt
the RN to prepare the pt for a radiologic spine clearance?
hemoglobin does not readily release O2 for use by the tissues
What is the effect of hypothermia on the oxyhemoglobin dissociation curve?
,TNCC TEST PREP A (ANSWERS ARE ON TOP
OF THE QUESTIONS),2022 UPDATE
acidosis
Which of the following is a component of the trauma triad of
death? 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 assessment findings
are most consistent with which of the following types of spinal cord injury?
flucuation in the water seal chamber
Which of the following is an expected finding in a pt with a tube thoracstomy
connected to a chest drainage system?
insert an oropharyngeal airway if there is no gag reflex
During the primary survey of an unconscious pt with multi-system trauma,
the nurse notes snoring respirations. What priority nursing interventions
should be preformed next?
globe rupture
A 35 y/o M presents with facial trauma after being struck in the face with a
baseball. A teardrop-shaped left pupil is noted on exam. What type of
injury is suspected? 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?
ventilate with a bag mask device
An unresponsive trauma pt has an oropharygeal airway in place, shallow and
labored respirations, and dusky skin. The trauma team has administered
medications for drug- assisted intubation and attempted intubation but was
unsuccessful. What is the most appropriate immediate next step?
within 24 hrs of trauma
,TNCC TEST PREP A (ANSWERS ARE ON TOP
OF THE QUESTIONS),2022 UPDATE
When is the tertiary survey completed fora
trauma pt? 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?
worsening pneumothorax
Which of the following is possible complication of positive-pressure
ventilation? pelvic stability
the most reassuring finding for a male pt with hip pain after a fall is which of
the following?
narrowed
Which of the following pulse pressures indicate early hypovolemic
shock? dysrhythmias
Patients with a crush injury should be monitored for which of the following
conditions? subdural hematoma
Tearing of the bridging veins is most frequently associated with which brain
injury? straight cath for urine sample
A 20 y/o M presents to the ED complaining of 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?
placental abruption
, TNCC TEST PREP A (ANSWERS ARE ON TOP
OF THE QUESTIONS),2022 UPDATE
You are caring for a pt who was involved in a MVC and is 32 weeks pregnant.
Findings of your secondary survey include abd pain on palpation, fundal 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?
it can worsen cord damage from an unstable spinal injury
Which of the following is true about the
log-roll? defusings
All of these are considered a critical communication point in trauma care
EXCEPT which of the following?
pulse oximetry and capnography
What bedside monitoring parameters are used to assess for adequacy
of O2 and effectiveness of ventilation?
padding the upper back while stabilizing the cervical spine
Caregivers carry in a 2 y/o into the ED who fell out of a second-story window.
The pt is awake and crying with increased work of breathing and pale skin.
Which of the following interventions has the highest priority?
bowel (Hollow organ injury signs and symptoms may be subtle and delayed
but are associated with a high mortality rate if not identified.)
Which of the following injuries is LEAST likely to be promptly
identified? Initiate transfer to a trauma center
A pt is brought to the ED of a rural hospital following a high-speed MVC.
When significant abd and pelvic injuries are noted in the primary survey,
which of the following is the priority interventions?
bardycardia and absent motor function below the level of injury
