TNCC Test prep 8th Edition
Expedite transfer to the closest trauma center - ansA 56 y/o M involved in a MVC is brought
to the ED. He complains of neck pain, SOB, and diffuse abdominal pain. His GCS is 15, VS:
BP 98/71, HR 125, RR 26, SpO2 94% on high-flow O2 via NRB mask. Which is the priority
intervention for this patient?
a pertinent medical hx is crucial - ansWhich of the following considerations is the most
important when caring for a geriatric trauma pt?
Mitigation - ansFollowing 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 - ansEMS 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 - ansWhat is the effect of
hypothermia on the oxyhemoglobin dissociation curve?
acidosis - ansWhich of the following is a component of the trauma triad of death?
Complete - ansEMS 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 - ansWhich 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 - ansDuring 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 - ansA 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 - ansA 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 - ansAn 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 - ansWhen is the tertiary survey completed fora trauma pt?
, pressure - ansAn 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 - ansWhich of the following is possible complication of positive-
pressure ventilation?
pelvic stability - ansthe most reassuring finding for a male pt with hip pain after a fall is
which of the following?
narrowed - ansWhich of the following pulse pressures indicate early hypovolemic shock?
dysrhythmias - ansPatients with a crush injury should be monitored for which of the
following conditions?
subdural hematoma - ansTearing of the bridging veins is most frequently associated with
which brain injury?
straight cath for urine sample - ansA 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 - ansYou 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 - ansWhich of the following is true
about the log-roll?
defusings - ansAll of these are considered a critical communication point in trauma care
EXCEPT which of the following?
pulse oximetry and capnography - ansWhat bedside monitoring parameters are used to assess
for adequacy of O2 and effectiveness of ventilation?
padding the upper back while stabilizing the cervical spine - ansCaregivers 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.) - ansWhich of the following injuries is
LEAST likely to be promptly identified?
Initiate transfer to a trauma center - ansA 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?
Expedite transfer to the closest trauma center - ansA 56 y/o M involved in a MVC is brought
to the ED. He complains of neck pain, SOB, and diffuse abdominal pain. His GCS is 15, VS:
BP 98/71, HR 125, RR 26, SpO2 94% on high-flow O2 via NRB mask. Which is the priority
intervention for this patient?
a pertinent medical hx is crucial - ansWhich of the following considerations is the most
important when caring for a geriatric trauma pt?
Mitigation - ansFollowing 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 - ansEMS 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 - ansWhat is the effect of
hypothermia on the oxyhemoglobin dissociation curve?
acidosis - ansWhich of the following is a component of the trauma triad of death?
Complete - ansEMS 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 - ansWhich 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 - ansDuring 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 - ansA 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 - ansA 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 - ansAn 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 - ansWhen is the tertiary survey completed fora trauma pt?
, pressure - ansAn 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 - ansWhich of the following is possible complication of positive-
pressure ventilation?
pelvic stability - ansthe most reassuring finding for a male pt with hip pain after a fall is
which of the following?
narrowed - ansWhich of the following pulse pressures indicate early hypovolemic shock?
dysrhythmias - ansPatients with a crush injury should be monitored for which of the
following conditions?
subdural hematoma - ansTearing of the bridging veins is most frequently associated with
which brain injury?
straight cath for urine sample - ansA 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 - ansYou 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 - ansWhich of the following is true
about the log-roll?
defusings - ansAll of these are considered a critical communication point in trauma care
EXCEPT which of the following?
pulse oximetry and capnography - ansWhat bedside monitoring parameters are used to assess
for adequacy of O2 and effectiveness of ventilation?
padding the upper back while stabilizing the cervical spine - ansCaregivers 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.) - ansWhich of the following injuries is
LEAST likely to be promptly identified?
Initiate transfer to a trauma center - ansA 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?
