UPDATED TNCC 9TH Edition
Questions & Answers 2024
You are caring for a patient who was thrown from a bike and was not
wearing a helmet. While performing the head-to-toe assessment,
you note clear drainage from the right ear. Which of the following is
the most appropriate next step?
A. Clean the ear with a cotton-tipped applicator.
B. Pack the ear with gauze.
C. Notify the physician
,D. Document and continue the exam. - ✔✔✔ANSWER-C. Notify the
physician
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, what
is the priority intervention?
A. Initiate transfer to a trauma center
B. Attempt family notification
C. Obtain additional imaging studies
D. Place an indwelling urinary catheter - ✔✔✔ANSWER-A. Initiate
transfer to a trauma center
An adult who fell from a second story roof is brought to the
emergency department by private vehicle. The patient is confused
with unlabored respirations and has strong, palpable radial pulses.
There is an open wound in proximity to an obvious deformity of the
left lower extremity. What is the priority intervention?
A. Initiate cervical spine stabilization
B. Apply a splint to the lower extremity
C. Put the patient on portable oxygen.
D. Log roll the patient onto a spine board - ✔✔✔ANSWER-A. Initiate
cervical spine stabilization
, An adult patient who sustained a severe head trauma has been
intubated and is being manually ventilated via a bag-mask device at
a rate of 18 breaths/minute. The patient has received one
intravenous fluid bolus of 500 mL of warmed isotonic crystalloid
solution. The PaCO2 is 30 mm Hg (4.0 kPa), and the pulse oximetry
is 92%. BP is 142/70 mm Hg. What is the most important
intervention to manage the cerebral blood flow?
A. Decrease the rate of manual ventilation.
B. Initiate another fluid bolus.
C. Recheck endotracheal tube placement.
D. Increase the amount of oxygen delivered. - ✔✔✔ANSWER-A.
Decrease the rate of manual ventilation.
An adult patient is brought to the emergency department following a
vehicle "roll-over" with prolonged extrication. Assessment reveals
swelling and bruising to the right proximal thigh and a weak pedal
pulse. Skin is pale, cool, and moist. What is the most appropriate
initial intervention?
A. Application of a tourniquet to the affected extremity
B. Application of a pelvic binder
C. Fluid resuscitation to maintain a urine output of 0.5 mL/kg/hour
Questions & Answers 2024
You are caring for a patient who was thrown from a bike and was not
wearing a helmet. While performing the head-to-toe assessment,
you note clear drainage from the right ear. Which of the following is
the most appropriate next step?
A. Clean the ear with a cotton-tipped applicator.
B. Pack the ear with gauze.
C. Notify the physician
,D. Document and continue the exam. - ✔✔✔ANSWER-C. Notify the
physician
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, what
is the priority intervention?
A. Initiate transfer to a trauma center
B. Attempt family notification
C. Obtain additional imaging studies
D. Place an indwelling urinary catheter - ✔✔✔ANSWER-A. Initiate
transfer to a trauma center
An adult who fell from a second story roof is brought to the
emergency department by private vehicle. The patient is confused
with unlabored respirations and has strong, palpable radial pulses.
There is an open wound in proximity to an obvious deformity of the
left lower extremity. What is the priority intervention?
A. Initiate cervical spine stabilization
B. Apply a splint to the lower extremity
C. Put the patient on portable oxygen.
D. Log roll the patient onto a spine board - ✔✔✔ANSWER-A. Initiate
cervical spine stabilization
, An adult patient who sustained a severe head trauma has been
intubated and is being manually ventilated via a bag-mask device at
a rate of 18 breaths/minute. The patient has received one
intravenous fluid bolus of 500 mL of warmed isotonic crystalloid
solution. The PaCO2 is 30 mm Hg (4.0 kPa), and the pulse oximetry
is 92%. BP is 142/70 mm Hg. What is the most important
intervention to manage the cerebral blood flow?
A. Decrease the rate of manual ventilation.
B. Initiate another fluid bolus.
C. Recheck endotracheal tube placement.
D. Increase the amount of oxygen delivered. - ✔✔✔ANSWER-A.
Decrease the rate of manual ventilation.
An adult patient is brought to the emergency department following a
vehicle "roll-over" with prolonged extrication. Assessment reveals
swelling and bruising to the right proximal thigh and a weak pedal
pulse. Skin is pale, cool, and moist. What is the most appropriate
initial intervention?
A. Application of a tourniquet to the affected extremity
B. Application of a pelvic binder
C. Fluid resuscitation to maintain a urine output of 0.5 mL/kg/hour
