TNCC 9th Edition 2024-2025 EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS|ALREADY GRADED A+
You are caring for a patient who was thrown from a bike and was not
wearing a helmet. While performing the head-to-toe assessment, you note
clear drainage from the right ear. Which of the following is the most
appropriate next step?
A. Clean the ear with a cotton-tipped applicator.
B. Pack the ear with gauze.
C. Notify the physician
D. Document and continue the exam. - ANSWER--C. Notify the physician
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, what is the priority
intervention?
A. Initiate transfer to a trauma center
B. Attempt family notification
C. Obtain additional imaging studies
D. Place an indwelling urinary catheter - ANSWER--A. Initiate transfer to a
trauma center
An adult who fell from a second story roof is brought to the emergency
department by private vehicle. The patient is confused with unlabored
respirations and has strong, palpable radial pulses. There is an open
wound in proximity to an obvious deformity of the left lower extremity. What
is the priority intervention?
A. Initiate cervical spine stabilization
, TNCC 9th Edition 2024-2025 EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS|ALREADY GRADED A+
B. Apply a splint to the lower extremity
C. Put the patient on portable oxygen.
D. Log roll the patient onto a spine board - ANSWER--A. Initiate cervical
spine stabilization
An adult patient 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 patient has received one intravenous fluid bolus of 500
mL of warmed isotonic crystalloid solution. The PaCO2 is 30 mm Hg (4.0
kPa), and the pulse oximetry is 92%. BP is 142/70 mm Hg. What is the
most important intervention to manage the cerebral blood flow?
A. Decrease the rate of manual ventilation.
B. Initiate another fluid bolus.
C. Recheck endotracheal tube placement.
D. Increase the amount of oxygen delivered. - ANSWER--A. Decrease the
rate of manual ventilation.
An adult patient is brought to the emergency department following a vehicle
"roll-over" with prolonged extrication. Assessment reveals swelling and
bruising to the right proximal thigh and a weak pedal pulse. Skin is pale,
cool, and moist. What is the most appropriate initial intervention?
A. Application of a tourniquet to the affected extremity
B. Application of a pelvic binder
C. Fluid resuscitation to maintain a urine output of 0.5 mL/kg/hour
D. Oxygen to maintain the ETCO2 between 30-35 mm Hg (3.9-4.6 kPa) -
ANSWER--B. Application of a pelvic binder
DETAILED ANSWERS|ALREADY GRADED A+
You are caring for a patient who was thrown from a bike and was not
wearing a helmet. While performing the head-to-toe assessment, you note
clear drainage from the right ear. Which of the following is the most
appropriate next step?
A. Clean the ear with a cotton-tipped applicator.
B. Pack the ear with gauze.
C. Notify the physician
D. Document and continue the exam. - ANSWER--C. Notify the physician
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, what is the priority
intervention?
A. Initiate transfer to a trauma center
B. Attempt family notification
C. Obtain additional imaging studies
D. Place an indwelling urinary catheter - ANSWER--A. Initiate transfer to a
trauma center
An adult who fell from a second story roof is brought to the emergency
department by private vehicle. The patient is confused with unlabored
respirations and has strong, palpable radial pulses. There is an open
wound in proximity to an obvious deformity of the left lower extremity. What
is the priority intervention?
A. Initiate cervical spine stabilization
, TNCC 9th Edition 2024-2025 EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS|ALREADY GRADED A+
B. Apply a splint to the lower extremity
C. Put the patient on portable oxygen.
D. Log roll the patient onto a spine board - ANSWER--A. Initiate cervical
spine stabilization
An adult patient 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 patient has received one intravenous fluid bolus of 500
mL of warmed isotonic crystalloid solution. The PaCO2 is 30 mm Hg (4.0
kPa), and the pulse oximetry is 92%. BP is 142/70 mm Hg. What is the
most important intervention to manage the cerebral blood flow?
A. Decrease the rate of manual ventilation.
B. Initiate another fluid bolus.
C. Recheck endotracheal tube placement.
D. Increase the amount of oxygen delivered. - ANSWER--A. Decrease the
rate of manual ventilation.
An adult patient is brought to the emergency department following a vehicle
"roll-over" with prolonged extrication. Assessment reveals swelling and
bruising to the right proximal thigh and a weak pedal pulse. Skin is pale,
cool, and moist. What is the most appropriate initial intervention?
A. Application of a tourniquet to the affected extremity
B. Application of a pelvic binder
C. Fluid resuscitation to maintain a urine output of 0.5 mL/kg/hour
D. Oxygen to maintain the ETCO2 between 30-35 mm Hg (3.9-4.6 kPa) -
ANSWER--B. Application of a pelvic binder
