TNCC ENA 9TH EDITION EXAM BANK LATEST
UPDATE WITH 100% ACCURATE SOLUTIONS
What is the key to a high performing trauma team? - correct
answer✔✔ effective communication
rationale: skilled communication, cooperation, and
coordination are the cornerstones of high-performance teams
and high-quality trauma care
When obtaining a history for an injured patient, understanding
the kinematic concepts associated with the mechanism of
injury and energy transfer can initially assist the trauma
provider in: - correct answer✔✔ evaluating and anticipating the
types of injuries that may be present
rationale: mechanism of injury and energy transfer can assist
the provider in evaluating and anticipating damage
the major preventable cause of death in the trauma patient is: -
correct answer✔✔ uncontrolled hemorrhage
,rationale: uncontrolled hemorrhage is the major cause of
preventable death after injury, so assessment to identify
uncontrolled hemorrhage is key to the initial assessment
process
the across-the-room observation step in the initial assessment
provides the opportunity to - correct answer✔✔ reprioritize
circulation before airway or breathing
rationale: the across-the-room observation is done at the
beginning of the primary survey to rapidly assess the need to
reprioritize circulation before airway or breathing. This is done
if uncontrolled external hemorrhage is identified.
Which of the following accurately describes ventilation
prinicples associated with a bag-mask device? - correct answer✔✔
ventilate at a rate of 10-12 breaths/minute
rationale: if ventilation is ineffective, assist ventilation at 10-12
breaths/minute or one every 5-6 seconds
,Which of the following is the best measure of the adequacy of
cellular perfusion and helps to predict the outcome of
resuscitation? - correct answer✔✔ base deficit
rationale: base deficit serves as an endpoint measurement of
the adequacy of cellular perfusion and when used in
conjunction with serum lactate helps predict the success of
resuciation
What is the safe pharmacological alternative to opioids for rib
fracture pain management in the anticoagulated patient? -
correct answer✔✔ intercostal nerve blocks
rationale: continuous intercostal nerve blocks use long-acting
anesthetics and can provide safe and effective pain
management for the anticoagulated patient.
In a patient with severe traumatic brain injury, hypocapnia
causes: - correct answer✔✔ cerebral vasoconstriction
rationale: hypocapnia, or low levels of carbon dioxide, will
cause vasoconstriction, especially in the cerebra; vasculature
, A patient with a knife injury to the neck has an intact airway
and is hemodynamically stable. He complains of difficulty
swallowing and speaking. Further assessment is indicated next
for which of the following? - correct answer✔✔ damage to spinal
cord
rationale: penetrating neck trauma may include concurrent
injuries to the spinal cord, airway, or vascular neck structures.
With an intact airway and hemodynamic stability, the other
common concurrent injury is to the spinal cord
What is the appropriate technique for palpating the pelvis for
stability? - correct answer✔✔ apply gentle pressure over the iliac
downward and medially
rationale: to assess for pelvic instability, gentle pressure is
applied over the iliac crests downward and medially
a patient with a spinal cord injury at C5 is being cared for in the
emergency department while awaiting transport to a trauma
center. which of the following represents the highest priority
for ongoing assessment and management? - correct answer✔✔
maintain adequate respiratory status
UPDATE WITH 100% ACCURATE SOLUTIONS
What is the key to a high performing trauma team? - correct
answer✔✔ effective communication
rationale: skilled communication, cooperation, and
coordination are the cornerstones of high-performance teams
and high-quality trauma care
When obtaining a history for an injured patient, understanding
the kinematic concepts associated with the mechanism of
injury and energy transfer can initially assist the trauma
provider in: - correct answer✔✔ evaluating and anticipating the
types of injuries that may be present
rationale: mechanism of injury and energy transfer can assist
the provider in evaluating and anticipating damage
the major preventable cause of death in the trauma patient is: -
correct answer✔✔ uncontrolled hemorrhage
,rationale: uncontrolled hemorrhage is the major cause of
preventable death after injury, so assessment to identify
uncontrolled hemorrhage is key to the initial assessment
process
the across-the-room observation step in the initial assessment
provides the opportunity to - correct answer✔✔ reprioritize
circulation before airway or breathing
rationale: the across-the-room observation is done at the
beginning of the primary survey to rapidly assess the need to
reprioritize circulation before airway or breathing. This is done
if uncontrolled external hemorrhage is identified.
Which of the following accurately describes ventilation
prinicples associated with a bag-mask device? - correct answer✔✔
ventilate at a rate of 10-12 breaths/minute
rationale: if ventilation is ineffective, assist ventilation at 10-12
breaths/minute or one every 5-6 seconds
,Which of the following is the best measure of the adequacy of
cellular perfusion and helps to predict the outcome of
resuscitation? - correct answer✔✔ base deficit
rationale: base deficit serves as an endpoint measurement of
the adequacy of cellular perfusion and when used in
conjunction with serum lactate helps predict the success of
resuciation
What is the safe pharmacological alternative to opioids for rib
fracture pain management in the anticoagulated patient? -
correct answer✔✔ intercostal nerve blocks
rationale: continuous intercostal nerve blocks use long-acting
anesthetics and can provide safe and effective pain
management for the anticoagulated patient.
In a patient with severe traumatic brain injury, hypocapnia
causes: - correct answer✔✔ cerebral vasoconstriction
rationale: hypocapnia, or low levels of carbon dioxide, will
cause vasoconstriction, especially in the cerebra; vasculature
, A patient with a knife injury to the neck has an intact airway
and is hemodynamically stable. He complains of difficulty
swallowing and speaking. Further assessment is indicated next
for which of the following? - correct answer✔✔ damage to spinal
cord
rationale: penetrating neck trauma may include concurrent
injuries to the spinal cord, airway, or vascular neck structures.
With an intact airway and hemodynamic stability, the other
common concurrent injury is to the spinal cord
What is the appropriate technique for palpating the pelvis for
stability? - correct answer✔✔ apply gentle pressure over the iliac
downward and medially
rationale: to assess for pelvic instability, gentle pressure is
applied over the iliac crests downward and medially
a patient with a spinal cord injury at C5 is being cared for in the
emergency department while awaiting transport to a trauma
center. which of the following represents the highest priority
for ongoing assessment and management? - correct answer✔✔
maintain adequate respiratory status
