TNCC 8TH QUESTIONS AND ANSWERS 2024
LATEST VERSION
The nurse is caring for a 120 kg male brought in after a warehouse fire and is calculating the patients
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 body surface area burned, how much IV fluid would be administered in the first 8 hours?
2280 mL
3840 mL A fluid total of 3840 mL is not correct because only partial or full thickness burn areas are used
in calculating TBSA. The anterior chest shows evidence of superficial burns. Correct Answer: 2280 mL - -
3840 mL A fluid total of 3840 mL is not correct because only partial or full thickness burn areas are used
in calculating TBSA. The anterior chest shows evidence of superficial burns.
You are caring for a patient who was involved in a motor vehicle crash and is 32 weeks pregnant.
Findings of your secondary survey include abdominal pain on palpation, fundal height at the costal
margin, and some dark bloody show. Varying accelerations and decelerations are noted on
cardiotocography. These findings are most consistent with which of the following?
Placental abruption Correct Answer: Placental abruption
Patients with a crush injury should be monitored for which of the following conditions?
Dysrhythmias Hyperkalemia and other electrolyte abnormalities can lead to life-threatening
dysrhythmias. Correct Answer: Dysrhythmias Hyperkalemia and other electrolyte abnormalities can
lead to life-threatening dysrhythmias.
A 49-year-old restrained driver involved in a motor vehicle collision presents to the trauma center
complaining of abdominal, pelvic, 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?
Diagnostic peritoneal lavage Diagnostic peritoneal lavage is indicated for hemodynamically unstable
patients or if FAST and CT are not available. Correct Answer: Diagnostic peritoneal lavage is indicated
for hemodynamically unstable patients or if FAST and CT are not available.
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?
Initiate transfer to a trauma center Correct Answer: Initiate transfer to a trauma center
What finding raises suspicion of a complete spinal cord injury?
Priapism Correct Answer: Priapism
Which of the following is a component of the trauma triad of death?
Acidosis Correct Answer: Acidosis
Tearing of the bridging veins is most frequently associated with which brain injury?
LATEST VERSION
The nurse is caring for a 120 kg male brought in after a warehouse fire and is calculating the patients
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 body surface area burned, how much IV fluid would be administered in the first 8 hours?
2280 mL
3840 mL A fluid total of 3840 mL is not correct because only partial or full thickness burn areas are used
in calculating TBSA. The anterior chest shows evidence of superficial burns. Correct Answer: 2280 mL - -
3840 mL A fluid total of 3840 mL is not correct because only partial or full thickness burn areas are used
in calculating TBSA. The anterior chest shows evidence of superficial burns.
You are caring for a patient who was involved in a motor vehicle crash and is 32 weeks pregnant.
Findings of your secondary survey include abdominal pain on palpation, fundal height at the costal
margin, and some dark bloody show. Varying accelerations and decelerations are noted on
cardiotocography. These findings are most consistent with which of the following?
Placental abruption Correct Answer: Placental abruption
Patients with a crush injury should be monitored for which of the following conditions?
Dysrhythmias Hyperkalemia and other electrolyte abnormalities can lead to life-threatening
dysrhythmias. Correct Answer: Dysrhythmias Hyperkalemia and other electrolyte abnormalities can
lead to life-threatening dysrhythmias.
A 49-year-old restrained driver involved in a motor vehicle collision presents to the trauma center
complaining of abdominal, pelvic, 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?
Diagnostic peritoneal lavage Diagnostic peritoneal lavage is indicated for hemodynamically unstable
patients or if FAST and CT are not available. Correct Answer: Diagnostic peritoneal lavage is indicated
for hemodynamically unstable patients or if FAST and CT are not available.
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?
Initiate transfer to a trauma center Correct Answer: Initiate transfer to a trauma center
What finding raises suspicion of a complete spinal cord injury?
Priapism Correct Answer: Priapism
Which of the following is a component of the trauma triad of death?
Acidosis Correct Answer: Acidosis
Tearing of the bridging veins is most frequently associated with which brain injury?
