TNCC 8TH EDITION QUESTIONS AND ANSWERS 2022
A 5-year-old child presents to the ED with bruises to the upper arms and buttocks in various stages of
healing and multiple small, clean, round burns to the back. There are no abnormalities found based on
the pediatric assessment triangle or primary survey. Which of the following is the priority nursing
intervention? - ANS Report your suspicion of maltreatment in accordance with local regulations
A 20-year-old male presents to the ED complaining of severe lower abdominal pain after landing hard on
the bicycle cross bars while performing an aerial BMX maneuver. Secondary assessment reveals lower
abdominal tenderness and scrotal ecchymosis. Which of the following orders would the nurse question?
- ANS Straight catheter for urine sample
A 35-year-old male 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? - ANS globe rupture
A 36-year old female has a deformity of the left wrist after a fall. She is reluctant to move her hand due
to pain. Which of the following is the most appropriate intervention? - ANS Apply a splint and elevate
the extremity ABOVE the level of the heart
A 49-year-old restrained driver involved in a motor vehicle collision present to the trauma center
complaining of abdominal, pelvis, and bilateral lower extremity pain. Vital signs are stable. The nurse
can anticipate all of these after a negative FAST exam EXCEPT which of the following? - ANS diagnostic
peritoneal lavage
A 56-year-old male patient involved in a motor vehicle crash is brought to the emergency department of
a rural critical assess facility. He complaints of neck pain, shortness of breath, and diffuse abdominal
pain. His Glasgow Coma Score is 15. His vital signs are as follows: BP 98/71 mm Hg, HR 125
beats/minute, RR 26 breaths/minute, SpO2 94% on high-flow oxygen via non-rebreather mask. Which of
the follow is the priority intervention for this patient? - ANS Expedite transfer to the closest trauma
center
A patient arrives with a large open chest wound after being assaulted with a machete. Prehospital
providers placed a nonporous dressing over the chest wound and taped it on three sides. He is now
showing signs of anxiety, restlessness, severe respiratory distressed, cyanosis and decreasing blood
pressure. Which of the following is the MOST appropriate immediate intervention? - ANS dressing
removal
A patient has been in the emergency department 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 complaining of leg
pain. His wife reported that he suddenly became anxious and confused. Upon reassessment, the patient
is restless, with respiratory distress and petechiae to his neck. The patient is exhibiting signs and
symptoms most commonly associated with which of the follow conditions? - ANS fat embolism
, TNCC 8TH EDITION QUESTIONS AND ANSWERS 2022
A patient is brought to the emergency department of a rural hospital following a high-speed motor
vehicle collision. When significant abdominal and pelvic injuries are noted in the primary survey, which
of the following is the priority intervention? - ANS Initiate transfer to a trauma center
A patient is found lying on the floor after falling 13 hours ago. Which of the following laboratory values
is expected with a musculoskeletal complication associated with this presentation? - ANS Elevated
creatine kinase
A patient is thrown against a car during a tornado and presents with obvious bilateral femoral fractures.
The patient is pale, alert, disoriented, and has delayed capillary refill. Which of the following
interventions would be most appropriate for this patient based on the disaster triage principles? - ANS
Initiate two large-caliber intravenous lines for Ringer's lactate solution administration
A patient with a complete spinal cord injury in neurogenic shock will demonstrate hypotension and
which other clinical signs? - ANS Bradycardia and absent motor function below the level of injury
A patient with a lower extremity fracture complains of severe pain and tightness in his calf, minimally
relieved by pain medications. Which of the following is the priority nursing intervention? - ANS Elevating
the extremity TO the level of the heart
A trauma patient is en route to a rural emergency department. Radiology notifies the charge nurse that
the computed tomography (CT) scanner will be out of service for several hours. The team gathers to
plan accordingly. Which of the following terms best describes this trauma team's communication? - ANS
huddle
A trauma patient is restless and repeatedly asking "Where am I?" Vital signs upon arrival were BP
110/60 mm Hg, HR 96 beats/minute and RR 24 breaths/minute. Her skin is cool and dry. Currently vital
signs are BP 104/84 mm Hg, HR 108 beats/minute, and RR 28 breaths/minute. The patient is
demonstrating signs and symptoms of which stage of shock? - ANS 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. What is the most likely cause of her symptoms? - ANS subdural hematoma
An intubated trauma patient is being transferred to a tertiary care center. After moving the patient to
the stretcher for transport, a drop in pulse oximetry to 85% is noted. Which of the following is the
priority intervention? - ANS Check to make sure the ventilator is plugged in
An unresponsive trauma patient has an oropharyngeal 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? - ANS
Ventilate with a bag-mask device
A 5-year-old child presents to the ED with bruises to the upper arms and buttocks in various stages of
healing and multiple small, clean, round burns to the back. There are no abnormalities found based on
the pediatric assessment triangle or primary survey. Which of the following is the priority nursing
intervention? - ANS Report your suspicion of maltreatment in accordance with local regulations
A 20-year-old male presents to the ED complaining of severe lower abdominal pain after landing hard on
the bicycle cross bars while performing an aerial BMX maneuver. Secondary assessment reveals lower
abdominal tenderness and scrotal ecchymosis. Which of the following orders would the nurse question?
- ANS Straight catheter for urine sample
A 35-year-old male 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? - ANS globe rupture
A 36-year old female has a deformity of the left wrist after a fall. She is reluctant to move her hand due
to pain. Which of the following is the most appropriate intervention? - ANS Apply a splint and elevate
the extremity ABOVE the level of the heart
A 49-year-old restrained driver involved in a motor vehicle collision present to the trauma center
complaining of abdominal, pelvis, and bilateral lower extremity pain. Vital signs are stable. The nurse
can anticipate all of these after a negative FAST exam EXCEPT which of the following? - ANS diagnostic
peritoneal lavage
A 56-year-old male patient involved in a motor vehicle crash is brought to the emergency department of
a rural critical assess facility. He complaints of neck pain, shortness of breath, and diffuse abdominal
pain. His Glasgow Coma Score is 15. His vital signs are as follows: BP 98/71 mm Hg, HR 125
beats/minute, RR 26 breaths/minute, SpO2 94% on high-flow oxygen via non-rebreather mask. Which of
the follow is the priority intervention for this patient? - ANS Expedite transfer to the closest trauma
center
A patient arrives with a large open chest wound after being assaulted with a machete. Prehospital
providers placed a nonporous dressing over the chest wound and taped it on three sides. He is now
showing signs of anxiety, restlessness, severe respiratory distressed, cyanosis and decreasing blood
pressure. Which of the following is the MOST appropriate immediate intervention? - ANS dressing
removal
A patient has been in the emergency department 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 complaining of leg
pain. His wife reported that he suddenly became anxious and confused. Upon reassessment, the patient
is restless, with respiratory distress and petechiae to his neck. The patient is exhibiting signs and
symptoms most commonly associated with which of the follow conditions? - ANS fat embolism
, TNCC 8TH EDITION QUESTIONS AND ANSWERS 2022
A patient is brought to the emergency department of a rural hospital following a high-speed motor
vehicle collision. When significant abdominal and pelvic injuries are noted in the primary survey, which
of the following is the priority intervention? - ANS Initiate transfer to a trauma center
A patient is found lying on the floor after falling 13 hours ago. Which of the following laboratory values
is expected with a musculoskeletal complication associated with this presentation? - ANS Elevated
creatine kinase
A patient is thrown against a car during a tornado and presents with obvious bilateral femoral fractures.
The patient is pale, alert, disoriented, and has delayed capillary refill. Which of the following
interventions would be most appropriate for this patient based on the disaster triage principles? - ANS
Initiate two large-caliber intravenous lines for Ringer's lactate solution administration
A patient with a complete spinal cord injury in neurogenic shock will demonstrate hypotension and
which other clinical signs? - ANS Bradycardia and absent motor function below the level of injury
A patient with a lower extremity fracture complains of severe pain and tightness in his calf, minimally
relieved by pain medications. Which of the following is the priority nursing intervention? - ANS Elevating
the extremity TO the level of the heart
A trauma patient is en route to a rural emergency department. Radiology notifies the charge nurse that
the computed tomography (CT) scanner will be out of service for several hours. The team gathers to
plan accordingly. Which of the following terms best describes this trauma team's communication? - ANS
huddle
A trauma patient is restless and repeatedly asking "Where am I?" Vital signs upon arrival were BP
110/60 mm Hg, HR 96 beats/minute and RR 24 breaths/minute. Her skin is cool and dry. Currently vital
signs are BP 104/84 mm Hg, HR 108 beats/minute, and RR 28 breaths/minute. The patient is
demonstrating signs and symptoms of which stage of shock? - ANS 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. What is the most likely cause of her symptoms? - ANS subdural hematoma
An intubated trauma patient is being transferred to a tertiary care center. After moving the patient to
the stretcher for transport, a drop in pulse oximetry to 85% is noted. Which of the following is the
priority intervention? - ANS Check to make sure the ventilator is plugged in
An unresponsive trauma patient has an oropharyngeal 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? - ANS
Ventilate with a bag-mask device
