TNCC 8TH EDITION
The trauma nurse knows that placing a bariatric patient in a "ramped position" provides better
visualization during the insertion of which device? - ansendotracheal tube
Tearing of the bridging veins is most frequently associated with which brain injury? -
anssubdural 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? - ansElevated 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? - ansInitiate transfer to a
trauma center
Which of the following injuries is LEAST likely to be promptly identified? - ansbowel
Which of the following patients warrants referral to a burn center? - ansA 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? - ansfat embolism
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? - ansApply 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? - ansExpedite transfer to the closest trauma center
Which of the following values indicates the need for alcohol withdrawal interventions? -
ansCIWA-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 best describes this
trauma team's communication? - anshuddle
, A patient with a complete spinal cord injury in neurogenic shock will demonstrate
hypotension and which other clinical signs? - ansBradycardia and absent motor function
below the level of injury
Which of the following is true about the log-roll maneuver? - ansIt can worsen cord damage
from a unstable spinal injury
What factor contributes most to the kinetic energy of a body in motion? - ansvelocity
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 are no
abnormalities found based on the pediatric assessment triangle or primary survey. Which of
the following is the priority nursing intervention? - ansReport 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? - ansStraight catheter for urine 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? - ansplacental abruption
Which of the following occurs during the third impact of a motor vehicle crash? - ansThe
aorta is torn at its attachment with the ligmentum arteriosum
Which pulse pressure description is an indication of early hypovolemic shock? - ansnarrowed
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 the most appropriate
immediate next step? - ansVentilate with a bag-mask device
Which of the following assessment findings differentiates a tension pneumothorax from a
simple pneumothorax? - ansHypotension 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? - ansElevating 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. Vital signs are
stable. The nurse can anticipate all of these after a negative FAST exam EXCEPT which of
the following? - ansdiagnostic peritoneal lavage
What finding raises suspicion of a complete spinal cord injury? - anspriapism
The trauma nurse knows that placing a bariatric patient in a "ramped position" provides better
visualization during the insertion of which device? - ansendotracheal tube
Tearing of the bridging veins is most frequently associated with which brain injury? -
anssubdural 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? - ansElevated 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? - ansInitiate transfer to a
trauma center
Which of the following injuries is LEAST likely to be promptly identified? - ansbowel
Which of the following patients warrants referral to a burn center? - ansA 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? - ansfat embolism
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? - ansApply 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? - ansExpedite transfer to the closest trauma center
Which of the following values indicates the need for alcohol withdrawal interventions? -
ansCIWA-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 best describes this
trauma team's communication? - anshuddle
, A patient with a complete spinal cord injury in neurogenic shock will demonstrate
hypotension and which other clinical signs? - ansBradycardia and absent motor function
below the level of injury
Which of the following is true about the log-roll maneuver? - ansIt can worsen cord damage
from a unstable spinal injury
What factor contributes most to the kinetic energy of a body in motion? - ansvelocity
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 are no
abnormalities found based on the pediatric assessment triangle or primary survey. Which of
the following is the priority nursing intervention? - ansReport 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? - ansStraight catheter for urine 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? - ansplacental abruption
Which of the following occurs during the third impact of a motor vehicle crash? - ansThe
aorta is torn at its attachment with the ligmentum arteriosum
Which pulse pressure description is an indication of early hypovolemic shock? - ansnarrowed
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 the most appropriate
immediate next step? - ansVentilate with a bag-mask device
Which of the following assessment findings differentiates a tension pneumothorax from a
simple pneumothorax? - ansHypotension 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? - ansElevating 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. Vital signs are
stable. The nurse can anticipate all of these after a negative FAST exam EXCEPT which of
the following? - ansdiagnostic peritoneal lavage
What finding raises suspicion of a complete spinal cord injury? - anspriapism
