TNCC FINAL EXAM TEST 2024 ACTUAL
EXAM
1. You are treating a 27-year old male in respiratory distress who was
involved in a house fire. Calculating TBSA burned is deferred d/t the
need for emergent intubation. At what rate should you begin fluid
resuscitation?
A) 1000 mL/hr
B) 500 mL/hr
C) 250 mL/hr
D) 125 mL/hr: B) 500 mL/hr
2. A patient has been in the ED for several hours waiting to be
admitted. He sustained multiple rib fractures and a femur fracture
after a fall. He has been awake, alert, and c/o leg pain. His wife
reported suddenly becoming anxious and confused. Upon
reassessment, the patient is restless, with respiratory distress and
petechiae to his neck. the patient is exhibiting signs of symptoms
commonly associated with which of the following conditions?
A) acute lung injury
,B) fat embolism
C) PTX
D) pulmonary contusion: B) fat embolism
3. Which pulse pressure description is an indication of early
hypovolemic shock?
A) widened
B) narrowed
C) bounding
D) weak: B) narrowed
4. Which of the following considerations is most important when
caring for a geriatric trauma patient?
A) head to to exam
B) medical history
C) incontinence
D) falls: B) medical history
5. Which of the following assessment findings differentiates a tension
pneumothorax from a simple pneumothorax?
A) increased work of breathing
B) unilaterally diminished breath sounds
C) pleuritic chest pain
, D) hypotension that worsens with inspiration: D) hypotension that
worsens with inspiration.
Assessment findings associated with tension pneumothorax include
anxiety, severe restlessness, severe respiratory distress, and absent
breath sounds on the injured side. Hypotension due to compression of
the heart and great vessels is consistent with obstructive shock.
Hypotension worsens with inspiration due to increased intrathoracic
pressure. Late signs include distended neck veins, tracheal deviation,
and cyanosis.
6. The nurse is caring for a 120 kg male is brought in after a warehouse
fire and is calculating the patient's fluid resuscitation needs. He has
painful red blistering to the entire surface of both upper extremities
and superficial burns to the anterior chest. Using the modified Lund
and Browder chart to calculate the total BSA burned, how much IV
fluids would be administered in the first 8 hours?
A) 2280 mL
B) 3840 mL
C) 4560 mL
D) 7680 mL: A) 2280 mL
(upper arm 4+4 / lower arm 3+3 / hand 2.5+2.5) = 19% TBSA.
EXAM
1. You are treating a 27-year old male in respiratory distress who was
involved in a house fire. Calculating TBSA burned is deferred d/t the
need for emergent intubation. At what rate should you begin fluid
resuscitation?
A) 1000 mL/hr
B) 500 mL/hr
C) 250 mL/hr
D) 125 mL/hr: B) 500 mL/hr
2. A patient has been in the ED for several hours waiting to be
admitted. He sustained multiple rib fractures and a femur fracture
after a fall. He has been awake, alert, and c/o leg pain. His wife
reported suddenly becoming anxious and confused. Upon
reassessment, the patient is restless, with respiratory distress and
petechiae to his neck. the patient is exhibiting signs of symptoms
commonly associated with which of the following conditions?
A) acute lung injury
,B) fat embolism
C) PTX
D) pulmonary contusion: B) fat embolism
3. Which pulse pressure description is an indication of early
hypovolemic shock?
A) widened
B) narrowed
C) bounding
D) weak: B) narrowed
4. Which of the following considerations is most important when
caring for a geriatric trauma patient?
A) head to to exam
B) medical history
C) incontinence
D) falls: B) medical history
5. Which of the following assessment findings differentiates a tension
pneumothorax from a simple pneumothorax?
A) increased work of breathing
B) unilaterally diminished breath sounds
C) pleuritic chest pain
, D) hypotension that worsens with inspiration: D) hypotension that
worsens with inspiration.
Assessment findings associated with tension pneumothorax include
anxiety, severe restlessness, severe respiratory distress, and absent
breath sounds on the injured side. Hypotension due to compression of
the heart and great vessels is consistent with obstructive shock.
Hypotension worsens with inspiration due to increased intrathoracic
pressure. Late signs include distended neck veins, tracheal deviation,
and cyanosis.
6. The nurse is caring for a 120 kg male is brought in after a warehouse
fire and is calculating the patient's fluid resuscitation needs. He has
painful red blistering to the entire surface of both upper extremities
and superficial burns to the anterior chest. Using the modified Lund
and Browder chart to calculate the total BSA burned, how much IV
fluids would be administered in the first 8 hours?
A) 2280 mL
B) 3840 mL
C) 4560 mL
D) 7680 mL: A) 2280 mL
(upper arm 4+4 / lower arm 3+3 / hand 2.5+2.5) = 19% TBSA.
