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?
Answer: D correct answerA) epidural hematoma
B) diffuse axonal injury
C) post-concussive syndrome
,TNCC QUESTIONS & ANSWERS 2022/2023 RATED A +
Why is a measure of serum lactate obtained in the initial assessment of the trauma patient?
Answer: c correct answera) 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
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 correct answerA) 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 correct answerA) 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 QUESTIONS & ANSWERS 2022/2023 RATED A +
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 correct answerA) initiate transfer to a trauma center **
B) provide report to the operating room nurse
C) Obtained imaging studies
D) Place a gastric tube