TNCC 8TH EDITION EXAMS ALREADY PASSED 100%
1. The trauma nurse knows that placing a bariatric patient in a "ramped position" provides
better visualization during the insertion of which device? - ansendotracheal tube
2. Tearing of the bridging veins is most frequently associated with which brain injury? -
anssubdural hematoma
3. 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
4. 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
5. Which of the following injuries is LEAST likely to be promptly identified? - ansbowel
6. 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
7. 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
8. 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
9. 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
10. Which of the following values indicates the need for alcohol withdrawal interventions? -
ansCIWA-Ar of 36
11. 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
, 12. 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
13. Which of the following is true about the log-roll maneuver? - ansIt can worsen cord
damage from a unstable spinal injury
14. What factor contributes most to the kinetic energy of a body in motion? - ansvelocity
15. 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
16. 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
17. 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
18. 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
19. Which pulse pressure description is an indication of early hypovolemic shock? -
ansnarrowed
20. 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
21. Which of the following assessment findings differentiates a tension pneumothorax from a
simple pneumothorax? - ansHypotension that worsens with inspiration
22. 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
23. 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
1. The trauma nurse knows that placing a bariatric patient in a "ramped position" provides
better visualization during the insertion of which device? - ansendotracheal tube
2. Tearing of the bridging veins is most frequently associated with which brain injury? -
anssubdural hematoma
3. 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
4. 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
5. Which of the following injuries is LEAST likely to be promptly identified? - ansbowel
6. 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
7. 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
8. 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
9. 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
10. Which of the following values indicates the need for alcohol withdrawal interventions? -
ansCIWA-Ar of 36
11. 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
, 12. 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
13. Which of the following is true about the log-roll maneuver? - ansIt can worsen cord
damage from a unstable spinal injury
14. What factor contributes most to the kinetic energy of a body in motion? - ansvelocity
15. 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
16. 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
17. 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
18. 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
19. Which pulse pressure description is an indication of early hypovolemic shock? -
ansnarrowed
20. 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
21. Which of the following assessment findings differentiates a tension pneumothorax from a
simple pneumothorax? - ansHypotension that worsens with inspiration
22. 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
23. 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
