TNCC TEST ACTUAL FINAL EXAM TEST BANK 300 QUESTIONS AND CORRET DETAILED ANSWERS WITH RATIONALES

What are signs of Compensated shock? - ANSWER-Anxiety as blood is shunted from areas responsible for higher brain function, normal systolic BP, elevated diastolic BP, increased RR, bounding pulse, decreased urinary output. What are signs of Decompensated or Progressive shock? - ANSWER-Decreased LOC, decreased systolic BP, narrowing pulse pressure, tachycardia, weak pulses, rapid shallow respirations, cool and cyanotic skin, increased lactic acid levels What are signs of Irreversible shock? - ANSWER-Obtunded, marked hypotension and heart failure, bradycardia, bradypnea, organ failure, acidosis. A - ANSWER-Airway and Alertness with simultaneous cervical spinal stabilization B - ANSWER-Breathing and Ventilation C - ANSWER-Circulation and Control of Hemorrhage D - ANSWER-Disability (neurologic status) E - ANSWER-Exposure and Environmental control F - ANSWER-Full set of Vital Signs, Family Presence, Focused adjuncts When is the KB test appropriate and what does it determine? - ANSWER-Pregnant patient. Detects fetal RBC in maternal circulation. What is the pH of amniotic fluid? - ANSWER-7.5 What is the pH of urine? - ANSWER-4.6 - 6 What is FAST and what does it detect? - ANSWER-Focused assessment with sonography for trauma, a screening test for blood around the heart (pericardial effusion) or abdominal organs (hemoperitoneum) after trauma. What is the first "assessment"? - ANSWER-Across the room assessment. When dosing analgesic meds for a bariatric do you use the actual or ideal weight? - ANSWER-Ideal Serosanguinous fluid drainage from the nose and ears could be what and be indicative of what injury? - ANSWER-CSF, basilar skull fracture. What are 2 rapid ways of testing if fluid is CSF? - ANSWER-Drop some on gauze and look for halo or check for glucose presence. The primary survey includes which steps? - ANSWER-A B C D E G - ANSWER-Get resuscitation adjuncts (LMNOP), Give comfort measures What is the purpose of the reevaluation step? - ANSWER-To determine if any findings from the primary survey raise suspicion for uncontrolled internal hemorrhage, the need for emergency surgical intervention, or transport to a trauma center. H - ANSWER-History and Head to toe assessment I - ANSWER-Inspect posterior surfaces, palpate spine, check rectum for blood and tone. L - ANSWER-Lab studies M - ANSWER-Monitor for continuous cardiac rhythm and rate assessment N - ANSWER-Naso or orogastric tube consideration O - ANSWER-Oxygenation and ventilation analysis (pulse ox or capnography) P - ANSWER-Pain assessment and management What alteration to ABC can exist, what is that alteration and when is it identified? - ANSWER-CABC, C signifies catastrophic hemorrhage, identified during across the room assessment. What is MARCH - ANSWER-M Massive Hemorrhage A Airway R Respiration- decompress suspected tension pneumo, seal open chest wounds C Circulation H Head injury/ Hypothermia What is the A in AVPU? - ANSWER-Alert What is the V in AVPU and what intervention may it indicate? - ANSWER-Responds to verbal stimuli, an airway adjunct may be needed to keep the tongue from obstructing the airway. What is the P in AVPU and what intervention may it indicate? - ANSWER-Responds to pain, patient may not be able to maintain his or her airway and airway adjunct may be needed while further assessment is made to determine intubation necessity. What is the U in AVPU and what must occur if this is the case? - ANSWER-Unresponsive, announce loudly and direct someone to check for pulses while assessing if the cause of the problem is the airway. What do you inspect