TNCC 8TH EDITION 5 VERSIONS COMPLETE QUESTIONS
WITH DETAILED ANSWERS 2023-2024|A+ GRADED|
The trauma nurse knows that placing a bariatric patient in a "ramped position" providesbetter
visualization during the insertion of which device? - Answer endotracheal tube
Tearing of the bridging veins is most frequently associated with which brain injury? -
Answer subdural hematoma
A patient is found lying on the floor after falling 13 hours ago. Which of the following
laboratory values is expected with a musculoskeletal complication associated with this
presentation? - Answer Elevated creatine kinase
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, which of the following is the priority intervention? - Answer Initiatetransfer to a trauma
center
Which of the following injuries is LEAST likely to be promptly identified? - Answer bowel
Which of the following patients warrants referral to a burn center? - Answer A 52-year-old
diabetic male with a partial-thickness burn to the left lower leg
A patient has been in the emergency department for several hours waiting to be admitted. He
sustained multiple rib fractures and a femur fracture after a fall. He has been awake, alert, and
complaining of leg pain. His wife reported that he suddenly became anxious and confused.
Upon reassessment, the patient is restless, with respiratory distress and petechiae to his neck.
The patient is exhibiting signs and symptoms most commonly associated with which of the
follow conditions? - Answer fatembolism
A 36-year old female has a deformity of the left wrist after a fall. She is reluctant to move her
hand due to pain. Which of the following is the most appropriate intervention?
- Answer Apply a splint and elevate the extremity ABOVE the level of the heart
A 56-year-old male patient involved in a motor vehicle crash is brought to the emergency
department of a rural critical assess facility. He complaints of neck pain, shortness of breath, and
diffuse abdominal pain. His Glasgow Coma Score is 15. His vital signs are as follows: BP 98/71
mm Hg, HR 125 beats/minute, RR 26 breaths/minute, SpO2 94% on high-flow oxygen via non-
rebreather mask. Which of the
,follow is the priority intervention for this patient? - Answer Expedite transfer to the
closest trauma center
Which of the following values indicates the need for alcohol withdrawal interventions? -
Answer CIWA-Ar of 36
A trauma patient is en route to a rural emergency department. Radiology notifies the charge
nurse that the computed tomography (CT) scanner will be out of service for several hours. The
team gathers to plan accordingly. Which of the following terms bestdescribes this trauma team's
communication? - Answer huddle
A patient with a complete spinal cord injury in neurogenic shock will demonstrate hypotension
and which other clinical signs? - Answer Bradycardia and absent motorfunction below the level
of injury
Which of the following is true about the log-roll maneuver? - Answer It can worsen cord
damage from a unstable spinal injury
What factor contributes most to the kinetic energy of a body in motion? - Answer
velocity
A 5-year-old child presents to the ED with bruises to the upper arms and buttocks in various
stages of healing and multiple small, clean, round burns to the back. There areno abnormalities
found based on the pediatric assessment triangle or primary survey. Which of the following is
the priority nursing intervention? - Answer Report your suspicion of maltreatment in accordance
with local regulations
A 20-year-old male presents to the ED complaining of severe lower abdominal pain after
landing hard on the bicycle cross bars while performing an aerial BMX maneuver.Secondary
assessment reveals lower abdominal tenderness and scrotal ecchymosis. Which of the
following orders would the nurse question? - Answer Straight catheter forurine sample
You are caring for a patient who was involved in a motor vehicle crash and is 32 weeks
pregnant. Findings of your secondary survey include abdominal pain on palpation, fundal
height at the costal margin, and some dark bloody show. Varying accelerations and
decelerations are note don cardiotocography. These findings are most consistent with which of
the following? - Answer placental abruption
Which of the following occurs during the third impact of a motor vehicle crash? - AnswerThe
aorta is torn at its attachment with the ligmentum arteriosum
Which pulse pressure description is an indication of early hypovolemic shock? - Answer
narrowed
, An unresponsive trauma patient has an oropharyngeal 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 themost appropriate
immediate next step? - Answer Ventilate with a bag-mask device
Which of the following assessment findings differentiates a tension pneumothorax froma simple
pneumothorax? - Answer Hypotension that worsens with inspiration
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? - Answer Elevating the extremity TO the level of the heart
A 49-year-old restrained driver involved in a motor vehicle collision present to the trauma center
complaining of abdominal, pelvis, and bilateral lower extremity pain. Vitalsigns are stable. The
nurse can anticipate all of these after a negative FAST exam EXCEPT which of the following? -
Answer diagnostic peritoneal lavage
What finding raises suspicion of a complete spinal cord injury? - Answer priapism
EMS arrives with the intoxicated driver of a car involved in a motor vehicle crash. EMSreports
significant damage to the driver's side of the car. The patient is asking to have the cervical
collar removed. When is it appropriate to remove the cervical collar? - Answer After a physical
examination if the patient has no radiologic abnormalities on acomputed tomography scan
During the primary survey of an unconscious patient with multi-system trauma, thenurse
notes snoring respirations. Which priority nursing intervention should be performed next?
- Answer Insert an oropharyngeal airway if there is no gag reflex
Why is a measure of serum lactate obtained in the initial assessment of a traumapatient? -
Answer To gauge end-organ perfusion and tissue hypoxia
A trauma patient is restless and repeatedly asking "Where am I?" Vital signs upon arrival were
BP 110/60 mm Hg, HR 96 beats/minute and RR 24 breaths/minute. Her skin is cool and dry.
Currently vital signs are BP 104/84 mm Hg, HR 108 beats/minute,and RR 28 breaths/minute.
The patient is demonstrating signs and symptoms of whichstage of shock? - Answer
compensated
Which of the following is a possible complication of positive-pressure ventilation? -
Answer Worsening pneumothorax
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 andcomplains of
headache, dizziness, and nausea. What is the most likely cause of her symptoms? - Answer
subdural hematoma
WITH DETAILED ANSWERS 2023-2024|A+ GRADED|
The trauma nurse knows that placing a bariatric patient in a "ramped position" providesbetter
visualization during the insertion of which device? - Answer endotracheal tube
Tearing of the bridging veins is most frequently associated with which brain injury? -
Answer subdural hematoma
A patient is found lying on the floor after falling 13 hours ago. Which of the following
laboratory values is expected with a musculoskeletal complication associated with this
presentation? - Answer Elevated creatine kinase
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, which of the following is the priority intervention? - Answer Initiatetransfer to a trauma
center
Which of the following injuries is LEAST likely to be promptly identified? - Answer bowel
Which of the following patients warrants referral to a burn center? - Answer A 52-year-old
diabetic male with a partial-thickness burn to the left lower leg
A patient has been in the emergency department for several hours waiting to be admitted. He
sustained multiple rib fractures and a femur fracture after a fall. He has been awake, alert, and
complaining of leg pain. His wife reported that he suddenly became anxious and confused.
Upon reassessment, the patient is restless, with respiratory distress and petechiae to his neck.
The patient is exhibiting signs and symptoms most commonly associated with which of the
follow conditions? - Answer fatembolism
A 36-year old female has a deformity of the left wrist after a fall. She is reluctant to move her
hand due to pain. Which of the following is the most appropriate intervention?
- Answer Apply a splint and elevate the extremity ABOVE the level of the heart
A 56-year-old male patient involved in a motor vehicle crash is brought to the emergency
department of a rural critical assess facility. He complaints of neck pain, shortness of breath, and
diffuse abdominal pain. His Glasgow Coma Score is 15. His vital signs are as follows: BP 98/71
mm Hg, HR 125 beats/minute, RR 26 breaths/minute, SpO2 94% on high-flow oxygen via non-
rebreather mask. Which of the
,follow is the priority intervention for this patient? - Answer Expedite transfer to the
closest trauma center
Which of the following values indicates the need for alcohol withdrawal interventions? -
Answer CIWA-Ar of 36
A trauma patient is en route to a rural emergency department. Radiology notifies the charge
nurse that the computed tomography (CT) scanner will be out of service for several hours. The
team gathers to plan accordingly. Which of the following terms bestdescribes this trauma team's
communication? - Answer huddle
A patient with a complete spinal cord injury in neurogenic shock will demonstrate hypotension
and which other clinical signs? - Answer Bradycardia and absent motorfunction below the level
of injury
Which of the following is true about the log-roll maneuver? - Answer It can worsen cord
damage from a unstable spinal injury
What factor contributes most to the kinetic energy of a body in motion? - Answer
velocity
A 5-year-old child presents to the ED with bruises to the upper arms and buttocks in various
stages of healing and multiple small, clean, round burns to the back. There areno abnormalities
found based on the pediatric assessment triangle or primary survey. Which of the following is
the priority nursing intervention? - Answer Report your suspicion of maltreatment in accordance
with local regulations
A 20-year-old male presents to the ED complaining of severe lower abdominal pain after
landing hard on the bicycle cross bars while performing an aerial BMX maneuver.Secondary
assessment reveals lower abdominal tenderness and scrotal ecchymosis. Which of the
following orders would the nurse question? - Answer Straight catheter forurine sample
You are caring for a patient who was involved in a motor vehicle crash and is 32 weeks
pregnant. Findings of your secondary survey include abdominal pain on palpation, fundal
height at the costal margin, and some dark bloody show. Varying accelerations and
decelerations are note don cardiotocography. These findings are most consistent with which of
the following? - Answer placental abruption
Which of the following occurs during the third impact of a motor vehicle crash? - AnswerThe
aorta is torn at its attachment with the ligmentum arteriosum
Which pulse pressure description is an indication of early hypovolemic shock? - Answer
narrowed
, An unresponsive trauma patient has an oropharyngeal 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 themost appropriate
immediate next step? - Answer Ventilate with a bag-mask device
Which of the following assessment findings differentiates a tension pneumothorax froma simple
pneumothorax? - Answer Hypotension that worsens with inspiration
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? - Answer Elevating the extremity TO the level of the heart
A 49-year-old restrained driver involved in a motor vehicle collision present to the trauma center
complaining of abdominal, pelvis, and bilateral lower extremity pain. Vitalsigns are stable. The
nurse can anticipate all of these after a negative FAST exam EXCEPT which of the following? -
Answer diagnostic peritoneal lavage
What finding raises suspicion of a complete spinal cord injury? - Answer priapism
EMS arrives with the intoxicated driver of a car involved in a motor vehicle crash. EMSreports
significant damage to the driver's side of the car. The patient is asking to have the cervical
collar removed. When is it appropriate to remove the cervical collar? - Answer After a physical
examination if the patient has no radiologic abnormalities on acomputed tomography scan
During the primary survey of an unconscious patient with multi-system trauma, thenurse
notes snoring respirations. Which priority nursing intervention should be performed next?
- Answer Insert an oropharyngeal airway if there is no gag reflex
Why is a measure of serum lactate obtained in the initial assessment of a traumapatient? -
Answer To gauge end-organ perfusion and tissue hypoxia
A trauma patient is restless and repeatedly asking "Where am I?" Vital signs upon arrival were
BP 110/60 mm Hg, HR 96 beats/minute and RR 24 breaths/minute. Her skin is cool and dry.
Currently vital signs are BP 104/84 mm Hg, HR 108 beats/minute,and RR 28 breaths/minute.
The patient is demonstrating signs and symptoms of whichstage of shock? - Answer
compensated
Which of the following is a possible complication of positive-pressure ventilation? -
Answer Worsening pneumothorax
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 andcomplains of
headache, dizziness, and nausea. What is the most likely cause of her symptoms? - Answer
subdural hematoma
