TNCC 9TH EDITION FINAL EXAM
QUESTIONS AND ANSWERS WITH
RATIONALE 2024
1. 1. 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.: A. Decrease the rate of
manual ventilation
2. 2. Which of the following situations could cause functional grief?
A. Inability to live at home
B. Amputation of a limb
C. Loss of one's self-image
D. Destruction of the patient's car: B. Amputation of a limb
, Rationale: Preparation and Ongoing Care\Psychosocial Aspects
Functional grief relates to the loss of body function or body parts such as
amputation of a limb, paralysis, or loss of sight.
3. 3. What is the most important consideration during the initial
assessment when caring for an older adult who has sustained serious
injuries?
A. They are likely to be fearful in the emergency department
B. Medical history including current medications
C. Availability of support systems after discharge
D. Accessibility to a primary care physician: B. Medical history
including current medications
4. 4. 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.: C. Notify the physician
5. 5. When should the definitive calculation for intravenous fluid
resuscitation rate be performed for a patient with burns?
QUESTIONS AND ANSWERS WITH
RATIONALE 2024
1. 1. 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.: A. Decrease the rate of
manual ventilation
2. 2. Which of the following situations could cause functional grief?
A. Inability to live at home
B. Amputation of a limb
C. Loss of one's self-image
D. Destruction of the patient's car: B. Amputation of a limb
, Rationale: Preparation and Ongoing Care\Psychosocial Aspects
Functional grief relates to the loss of body function or body parts such as
amputation of a limb, paralysis, or loss of sight.
3. 3. What is the most important consideration during the initial
assessment when caring for an older adult who has sustained serious
injuries?
A. They are likely to be fearful in the emergency department
B. Medical history including current medications
C. Availability of support systems after discharge
D. Accessibility to a primary care physician: B. Medical history
including current medications
4. 4. 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.: C. Notify the physician
5. 5. When should the definitive calculation for intravenous fluid
resuscitation rate be performed for a patient with burns?
