TNCC Exam 8th edition study
All of these are considered a critical communication point in trauma care EXCEPT which of
the following? - ANSDefusings A defusing is part of critical incident stress management but
is not considered a critical communication point in trauma care.
.During the primary survey of an unconscious patient with multi-system trauma, the nurse
notes snoring respirations. What priority nursing intervention should be performed next? -
ANSInsert an oropharyngeal airway if there is no gag reflex Snoring respirations may
indicate airway obstruction from the tongue. Insert an airway adjunct to alleviate obstruction
by the tongue. Oropharyngeal airways can be used in patients without a gag reflex.
Which of the following is NOT considered a benefit of debriefings? - ANSIdentifying
individuals who made mistakes during the traumatic event Debriefings are not used to single
out individuals who made mistakes. Debriefings are used to provide an opportunity to review
performance and identify areas for improvement with a sharing of individual responses.
What physiologic change in the elderly population increases the risk of traumatic injury? -
ANSDecreased subcutaneous fat Decreased subcutaneous fat and thinning of the skin
increases the risk of injuries from soft tissue trauma and increases the risk of hypothermia
An intubated and sedated patient in the emergency department 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? - ANSPressure Pressure can be
assessed in the limb by palpation or direct measurement. The compartment or limb will feel
tight or tense upon palpation. The skin may also appear taut and shiny.
When is the tertiary survey completed for a trauma patient? - ANSWithin 24 hours of the
trauma The tertiary survey consists of a complete examination performed following the
primary and secondary surveys and within 24 hours after trauma to identify any injuries
missed during the initial assessment.
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 Elevating the extremity
higher than the heart can reduce circulation and tissue perfusion if compartment syndrome is
suspected.
A toddler who fell off a trampoline is making eye contact with the family and is consolable.
There is no increased work of breathing and the skin color is pink. The nurse asks the patient
to open his mouth, but the patient does not respond to commands. The nurse recognizes this
as an expected finding due to which of the following conditions? - ANSDevelopmental stage
An alert or older infant or toddler will recognize his or her caregiver but be cautious of
strangers and my not respond to commands This is normal.
There has been a mass casualty incident a block from the hospital. The hospital is receiving
dozens of patients. A truck arrives with an unresponsive patient in the back with obvious
chest and abdominal trauma. Agonal respirations do not improve with airway positioning.
All of these are considered a critical communication point in trauma care EXCEPT which of
the following? - ANSDefusings A defusing is part of critical incident stress management but
is not considered a critical communication point in trauma care.
.During the primary survey of an unconscious patient with multi-system trauma, the nurse
notes snoring respirations. What priority nursing intervention should be performed next? -
ANSInsert an oropharyngeal airway if there is no gag reflex Snoring respirations may
indicate airway obstruction from the tongue. Insert an airway adjunct to alleviate obstruction
by the tongue. Oropharyngeal airways can be used in patients without a gag reflex.
Which of the following is NOT considered a benefit of debriefings? - ANSIdentifying
individuals who made mistakes during the traumatic event Debriefings are not used to single
out individuals who made mistakes. Debriefings are used to provide an opportunity to review
performance and identify areas for improvement with a sharing of individual responses.
What physiologic change in the elderly population increases the risk of traumatic injury? -
ANSDecreased subcutaneous fat Decreased subcutaneous fat and thinning of the skin
increases the risk of injuries from soft tissue trauma and increases the risk of hypothermia
An intubated and sedated patient in the emergency department 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? - ANSPressure Pressure can be
assessed in the limb by palpation or direct measurement. The compartment or limb will feel
tight or tense upon palpation. The skin may also appear taut and shiny.
When is the tertiary survey completed for a trauma patient? - ANSWithin 24 hours of the
trauma The tertiary survey consists of a complete examination performed following the
primary and secondary surveys and within 24 hours after trauma to identify any injuries
missed during the initial assessment.
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 Elevating the extremity
higher than the heart can reduce circulation and tissue perfusion if compartment syndrome is
suspected.
A toddler who fell off a trampoline is making eye contact with the family and is consolable.
There is no increased work of breathing and the skin color is pink. The nurse asks the patient
to open his mouth, but the patient does not respond to commands. The nurse recognizes this
as an expected finding due to which of the following conditions? - ANSDevelopmental stage
An alert or older infant or toddler will recognize his or her caregiver but be cautious of
strangers and my not respond to commands This is normal.
There has been a mass casualty incident a block from the hospital. The hospital is receiving
dozens of patients. A truck arrives with an unresponsive patient in the back with obvious
chest and abdominal trauma. Agonal respirations do not improve with airway positioning.
