TNCC Test prep 8th Edition 2024
Expedite transfer to the closest trauma center -CORRECT ANS-A 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 -CORRECT ANS-Which of the following considerations is the most
important when caring for a geriatric trauma pt?
Mitigation -CORRECT ANS-Following 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 -CORRECT ANS-EMS 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 -CORRECT ANS-What is the effect of
hypothermia on the oxyhemoglobin dissociation curve?
acidosis -CORRECT ANS-Which of the following is a component of the trauma triad of death?
Complete -CORRECT ANS-EMS 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 -CORRECT ANS-Which 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 -CORRECT ANS-During 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 -CORRECT ANS-A 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 -CORRECT ANS-A 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 -CORRECT ANS-An 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 -CORRECT ANS-When is the tertiary survey completed fora trauma pt?
pressure -CORRECT ANS-An 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 -CORRECT ANS-Which of the following is possible complication of positive-
pressure ventilation?
pelvic stability -CORRECT ANS-the most reassuring finding for a male pt with hip pain after a fall is which
of the following?
narrowed -CORRECT ANS-Which of the following pulse pressures indicate early hypovolemic shock?
dysrhythmias -CORRECT ANS-Patients with a crush injury should be monitored for which of the following
conditions?
subdural hematoma -CORRECT ANS-Tearing of the bridging veins is most frequently associated with
which brain injury?
Expedite transfer to the closest trauma center -CORRECT ANS-A 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 -CORRECT ANS-Which of the following considerations is the most
important when caring for a geriatric trauma pt?
Mitigation -CORRECT ANS-Following 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 -CORRECT ANS-EMS 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 -CORRECT ANS-What is the effect of
hypothermia on the oxyhemoglobin dissociation curve?
acidosis -CORRECT ANS-Which of the following is a component of the trauma triad of death?
Complete -CORRECT ANS-EMS 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 -CORRECT ANS-Which 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 -CORRECT ANS-During 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 -CORRECT ANS-A 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 -CORRECT ANS-A 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 -CORRECT ANS-An 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 -CORRECT ANS-When is the tertiary survey completed fora trauma pt?
pressure -CORRECT ANS-An 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 -CORRECT ANS-Which of the following is possible complication of positive-
pressure ventilation?
pelvic stability -CORRECT ANS-the most reassuring finding for a male pt with hip pain after a fall is which
of the following?
narrowed -CORRECT ANS-Which of the following pulse pressures indicate early hypovolemic shock?
dysrhythmias -CORRECT ANS-Patients with a crush injury should be monitored for which of the following
conditions?
subdural hematoma -CORRECT ANS-Tearing of the bridging veins is most frequently associated with
which brain injury?
