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TNCC QUESTIONS & ANSWERS 2024 LATEST VERSION

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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 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 ***

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TNCC QUESTIONS & ANSWERS 2024 LATEST VERSION RATED A +

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

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