TNCC FINAL EXAM TEST 2024 OPEN BOOK
QUESTIONS AND CORRECT DETAILED
ANSWERS
Why is a measure of serum lactate obtained in the initial assessment
of the trauma patient?
a) to measure oxygenation and ventilation
b) to quantify the base deficit for the adequacy of cellular perfusion
c) to gauge end-organ perfusion and tissue hypoxia
d) to determine the underlying cause of shock - ANSWER--c) *to
gauge end-organ perfusion and tissue hypoxia
A trauma patient is restless and repeatedly asking "where am I?"
vital signs upon arrival were BP 100/60 mm Hg, HR 96 beats/min, and
RR 24 breaths/min. Her skin is cool and dry. Current vital signs are
BP 104/84mm Hg, HR 108, RR 28 breaths/min. The patient is
demonstrating signs and symptoms of which stage of shock?
Answer
A) compensated
B) Progressive
C) irreversible
D) decompensated - ANSWER--A) compensated
An elderly patient with a history of anticoagulant use presents after a
fall at home that day. she denies any loss of consciousness. She has
a hematoma to her forehead and complains of headache, dizziness,
and nausea. Which is a most likely cause of her symptoms?
, TNCC FINAL EXAM TEST 2024 OPEN BOOK
QUESTIONS AND CORRECT DETAILED
ANSWERS
Answer: D - ANSWER--A) epidural hematoma
B) diffuse axonal injury
C) post-concussive syndrome
D) subdural hematoma ***
EMS brings a patient who fell riding his bicycle. Using the American
College of Surgeons screening guidelines, which assessment finding
would prompt the nurse to prepare the patient for radiologic spine
clearance?
Answer: D - ANSWER--A) Alert with no neurologic deficits
B) Multiple abrasions to the extremities
C) Multiple requests of water
D) Smell of alcohol on breath ***
Which of the following occurs during the third impact of a motor
vehicle crash?
Answer: C - ANSWER--A) The driver of the vehicle collides with the
steering wheel
B) the vehicle collides with a tree
C) the aorta is torn at its attachment with the ligamentum arteriosum
D) the airbag deploys and strikes the front seat passenger ***
, TNCC FINAL EXAM TEST 2024 OPEN BOOK
QUESTIONS AND CORRECT DETAILED
ANSWERS
A passenger is brought to the emergency department of a rural
hospital following a high-speed MVC. When significant abdominal
and pelvic injuries are noted in the primary survey, which of the
following is the priority interventions?
Answer: A - ANSWER--A) initiate transfer to a trauma center **
B) provide report to the operating room nurse
C) Obtained imaging studies
D) Place a gastric tube
Which of the following injuries is LEAST likely to be promptly
identified?
Answer: C - ANSWER--A) spleen
B) lung
C) bowel ***
D) brain
Patients with a crush injury should be monitored for which of the
following conditions?
Answer: C - ANSWER--A) Hypernatremia
B) Hypercalcemia
C) Dysrhthmias **
D) polyuria
QUESTIONS AND CORRECT DETAILED
ANSWERS
Why is a measure of serum lactate obtained in the initial assessment
of the trauma patient?
a) to measure oxygenation and ventilation
b) to quantify the base deficit for the adequacy of cellular perfusion
c) to gauge end-organ perfusion and tissue hypoxia
d) to determine the underlying cause of shock - ANSWER--c) *to
gauge end-organ perfusion and tissue hypoxia
A trauma patient is restless and repeatedly asking "where am I?"
vital signs upon arrival were BP 100/60 mm Hg, HR 96 beats/min, and
RR 24 breaths/min. Her skin is cool and dry. Current vital signs are
BP 104/84mm Hg, HR 108, RR 28 breaths/min. The patient is
demonstrating signs and symptoms of which stage of shock?
Answer
A) compensated
B) Progressive
C) irreversible
D) decompensated - ANSWER--A) compensated
An elderly patient with a history of anticoagulant use presents after a
fall at home that day. she denies any loss of consciousness. She has
a hematoma to her forehead and complains of headache, dizziness,
and nausea. Which is a most likely cause of her symptoms?
, TNCC FINAL EXAM TEST 2024 OPEN BOOK
QUESTIONS AND CORRECT DETAILED
ANSWERS
Answer: D - ANSWER--A) epidural hematoma
B) diffuse axonal injury
C) post-concussive syndrome
D) subdural hematoma ***
EMS brings a patient who fell riding his bicycle. Using the American
College of Surgeons screening guidelines, which assessment finding
would prompt the nurse to prepare the patient for radiologic spine
clearance?
Answer: D - ANSWER--A) Alert with no neurologic deficits
B) Multiple abrasions to the extremities
C) Multiple requests of water
D) Smell of alcohol on breath ***
Which of the following occurs during the third impact of a motor
vehicle crash?
Answer: C - ANSWER--A) The driver of the vehicle collides with the
steering wheel
B) the vehicle collides with a tree
C) the aorta is torn at its attachment with the ligamentum arteriosum
D) the airbag deploys and strikes the front seat passenger ***
, TNCC FINAL EXAM TEST 2024 OPEN BOOK
QUESTIONS AND CORRECT DETAILED
ANSWERS
A passenger is brought to the emergency department of a rural
hospital following a high-speed MVC. When significant abdominal
and pelvic injuries are noted in the primary survey, which of the
following is the priority interventions?
Answer: A - ANSWER--A) initiate transfer to a trauma center **
B) provide report to the operating room nurse
C) Obtained imaging studies
D) Place a gastric tube
Which of the following injuries is LEAST likely to be promptly
identified?
Answer: C - ANSWER--A) spleen
B) lung
C) bowel ***
D) brain
Patients with a crush injury should be monitored for which of the
following conditions?
Answer: C - ANSWER--A) Hypernatremia
B) Hypercalcemia
C) Dysrhthmias **
D) polyuria
