TNCC 9th Edition – Questions and Answers Graded A+ (SOLVED
)
1. An adult pt 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 pt has received one intravenous fluid bolus of 500 mL of warmed isotonic
crystalloid solution. the PaCO2 is 30mmHg (4.0 kPa), and the pulse oximetry is
92%. BP is 142/70 mmHg. What is the most important intervention to manage
the cerebral blood flow?: Decrease the rate of manual ventilation
2. An older adult presents to the emergency department with complaints of
dizziness, headache, and nausea. The pt was involved in a motor vehicle
collision 10 days ago. There was no loss of consciousness and a hematoma
is noted to the forehead. The pt is currently on anticoagulant therapy. What is
most likely the cause of their symptoms?: post-concussive syndrome
3. A pt with a lower extremity fracture complains of severe pain and tightness
in his calf, minimally relieved by pain medication. Which of the following is the
priority nursing intervention?: Elevating the leg to the LEVEL of the heart
(compression/crush- level of the heart)
(regular fracture- above the heart)
4. A pt involved in a high-speed rollover is complaining of increased difficulty
breathing. There is a small penetrating wound to the 6th intercostal space in
the left lateral chest. Which finding is most consistent with an injury to the
diaphragm?: Bowel sounds heard in the lower left chest
5. A pt has been in the emergency department for several hours waiting
to be admitted. They sustained multiple rib fractures and a femur fracture
after a fall. The pt has been awake, alert, and complaining of leg pain. Their
spouse reported that the pt suddenly became anxious and confused. Upon
reassessment, the pt is restless, with respiratory distress and petechiae to
his neck. The pt is exhibiting signs and symptoms most commonly associated
with which of the following conditions?: Fat embolism
6. 3 adult pts present at different times during a 1-hour period with a high fever,
fatigue, and headache. All 3 pts have a rash which started on their mouth, face,
and arms with progression to the chest and abdomen. They all visited the same
grocery store within the last week. What is the most appropriate intervention
from triage for these pts?: Immediately initiate contact precautions
7. A 35-year-old male presents with facial trauma after being struck in the face
with a baseball. A teardrop-shaped left pupil is noted on exam.
Witai type of injury is suspecied?: Globe rupture
8. A trauma patient who is 30 - weeks pregnant arrives at the emergency
department following a motor vehicle collision Which normal physiologic
change should be considered when assessing ventilatory status ?: Increased
oxygen consumption
1/8
, TNCC 9th Edition – Questions and Answers Graded A+ (SOLVED
)
9. A patient who sustained severe injuries was brought to the emergency
department following a high - speed motor vehicle collision . Interventions for
hypovolemic shock have been initiated . What component of the trauma triad
of death is most likely to have begun at the time of injury ?: Coagulopathy
10. An adult patient involved in a motor vehicle collision is brought to the
emergency department of a rural critical access facility . They complain of
neck pain , shortness of breath , and diffuse abdominal pain . The Glasgow
Coma Score is 15. Vital signs are : BP 98/71 mm Hg , HR 125 beats / minute
, RR 26 breaths / minute , and SpO2 94 % on high - flow oxygen via non -
rebreather mask . Which of the following is the priority intervention for this
patient ?: Expedite transfer to the closest trauma center
11. A patient who weighs 120 kg is brought to the emergency department after
sustaining partial thickness burns to both upper extremities and chest with a
total body surface area burned of 27 % . How much intravenous fluid should
be administered in the first 8 hours ?: 3240 mL
12. A trauma patient is being held in the emergency department because there
are no available inpatient beds . The patient sustained a femur fracture and
required multiple blood products . The patient now has blood oozing from
abrasions , IV sites , the nose , and gums . What condition is most consistent
with these findings ?: Disseminated intravascular coagulopathy
13. A patient is brought to the emergency department following a snowmobile
crash with prolonged exposure time prior to transport . The patient is confused
. Vital signs are BP 96/54 mm Hg , HR 114 beats / minute , RR 24 breaths /
minute , T 34.60C ( 94.20F ) and an SpO2 of 90 % on oxygen at 15L per non -
rebreather mask . Other findings include ETCO2 24 , scrum lactate of 6 mmol
/ L , and a pH of 6.8 . Based on these findings what is the most appropriate
intervention: Initiate warming measures
14. Which of the following is a late sign of increased intracranial pressure
?: Decreased respiratory effort
15. Based on fall mechanism , which patient warrants prehospital transfer to
a trauma center ?: A 2 - year - old lands on grass from a second - story balcony
nurse is caring for an unrestrained
16. The trauma nurse is caring for an unrestrained driver who struck their head
on the windshield following a high - speed MVC . The patient has been diag-
nosed with an anterior spinal cord injury at the level of C6 . Which assessment
finding would be most concerning ?: Increasing work of breathing
17. While caring for a child who has been injured , what nursing intervention
consistent with a family center approach: Allowing family to participate in the
care of the patient
2/8
)
1. An adult pt 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 pt has received one intravenous fluid bolus of 500 mL of warmed isotonic
crystalloid solution. the PaCO2 is 30mmHg (4.0 kPa), and the pulse oximetry is
92%. BP is 142/70 mmHg. What is the most important intervention to manage
the cerebral blood flow?: Decrease the rate of manual ventilation
2. An older adult presents to the emergency department with complaints of
dizziness, headache, and nausea. The pt was involved in a motor vehicle
collision 10 days ago. There was no loss of consciousness and a hematoma
is noted to the forehead. The pt is currently on anticoagulant therapy. What is
most likely the cause of their symptoms?: post-concussive syndrome
3. A pt with a lower extremity fracture complains of severe pain and tightness
in his calf, minimally relieved by pain medication. Which of the following is the
priority nursing intervention?: Elevating the leg to the LEVEL of the heart
(compression/crush- level of the heart)
(regular fracture- above the heart)
4. A pt involved in a high-speed rollover is complaining of increased difficulty
breathing. There is a small penetrating wound to the 6th intercostal space in
the left lateral chest. Which finding is most consistent with an injury to the
diaphragm?: Bowel sounds heard in the lower left chest
5. A pt has been in the emergency department for several hours waiting
to be admitted. They sustained multiple rib fractures and a femur fracture
after a fall. The pt has been awake, alert, and complaining of leg pain. Their
spouse reported that the pt suddenly became anxious and confused. Upon
reassessment, the pt is restless, with respiratory distress and petechiae to
his neck. The pt is exhibiting signs and symptoms most commonly associated
with which of the following conditions?: Fat embolism
6. 3 adult pts present at different times during a 1-hour period with a high fever,
fatigue, and headache. All 3 pts have a rash which started on their mouth, face,
and arms with progression to the chest and abdomen. They all visited the same
grocery store within the last week. What is the most appropriate intervention
from triage for these pts?: Immediately initiate contact precautions
7. A 35-year-old male presents with facial trauma after being struck in the face
with a baseball. A teardrop-shaped left pupil is noted on exam.
Witai type of injury is suspecied?: Globe rupture
8. A trauma patient who is 30 - weeks pregnant arrives at the emergency
department following a motor vehicle collision Which normal physiologic
change should be considered when assessing ventilatory status ?: Increased
oxygen consumption
1/8
, TNCC 9th Edition – Questions and Answers Graded A+ (SOLVED
)
9. A patient who sustained severe injuries was brought to the emergency
department following a high - speed motor vehicle collision . Interventions for
hypovolemic shock have been initiated . What component of the trauma triad
of death is most likely to have begun at the time of injury ?: Coagulopathy
10. An adult patient involved in a motor vehicle collision is brought to the
emergency department of a rural critical access facility . They complain of
neck pain , shortness of breath , and diffuse abdominal pain . The Glasgow
Coma Score is 15. Vital signs are : BP 98/71 mm Hg , HR 125 beats / minute
, RR 26 breaths / minute , and SpO2 94 % on high - flow oxygen via non -
rebreather mask . Which of the following is the priority intervention for this
patient ?: Expedite transfer to the closest trauma center
11. A patient who weighs 120 kg is brought to the emergency department after
sustaining partial thickness burns to both upper extremities and chest with a
total body surface area burned of 27 % . How much intravenous fluid should
be administered in the first 8 hours ?: 3240 mL
12. A trauma patient is being held in the emergency department because there
are no available inpatient beds . The patient sustained a femur fracture and
required multiple blood products . The patient now has blood oozing from
abrasions , IV sites , the nose , and gums . What condition is most consistent
with these findings ?: Disseminated intravascular coagulopathy
13. A patient is brought to the emergency department following a snowmobile
crash with prolonged exposure time prior to transport . The patient is confused
. Vital signs are BP 96/54 mm Hg , HR 114 beats / minute , RR 24 breaths /
minute , T 34.60C ( 94.20F ) and an SpO2 of 90 % on oxygen at 15L per non -
rebreather mask . Other findings include ETCO2 24 , scrum lactate of 6 mmol
/ L , and a pH of 6.8 . Based on these findings what is the most appropriate
intervention: Initiate warming measures
14. Which of the following is a late sign of increased intracranial pressure
?: Decreased respiratory effort
15. Based on fall mechanism , which patient warrants prehospital transfer to
a trauma center ?: A 2 - year - old lands on grass from a second - story balcony
nurse is caring for an unrestrained
16. The trauma nurse is caring for an unrestrained driver who struck their head
on the windshield following a high - speed MVC . The patient has been diag-
nosed with an anterior spinal cord injury at the level of C6 . Which assessment
finding would be most concerning ?: Increasing work of breathing
17. While caring for a child who has been injured , what nursing intervention
consistent with a family center approach: Allowing family to participate in the
care of the patient
2/8
