TNCC TEST PREP 8TH EDITION 2023/2024 QUESTIONS AND
ANSWERS BEST GRADED A+,EXAMS FOR NURSING
Expedite transfer to the closest trauma center - CORRECT ANSWERS A 56 y/o M involved in a MVC is
brought to the ED. He complains of neck pain, SOB, and diffuse abdominal pain. His GCS is 15, VS: BP
98/71, HR 125, RR 26, SpO2 94% on high-flow O2 via NRB mask. Which is the priority intervention for
this patient?
a pertinent medical hx is crucial - CORRECT ANSWERS Which of the following considerations is the
most important when caring for a geriatric trauma pt?
Mitigation - CORRECT ANSWERS Following a review of recent drills and a real disaster event, a
hospital has identified deficiencies and is taking steps to minimize the impact of a future disaster .
Which phase of the disaster life cycle does this describe?
smell of alcohol on breath - CORRECT ANSWERS EMS brings a pt who fell while riding his bicycle.
Using the American College of Surgeobs screening guidelines, which assessment finding would
prompt the RN to prepare the pt for a radiologic spine clearance?
hemoglobin does not readily release O2 for use by the tissues - CORRECT ANSWERS What is the
effect of hypothermia on the oxyhemoglobin dissociation curve?
acidosis - CORRECT ANSWERS Which of the following is a component of the trauma triad of death?
Complete - CORRECT ANSWERS EMS brings a pt from MVC. VS: BP 90/49, HR 48, RR 12, temp 97.2F
(36.2 C). The pt exhibits urinary incontinence and priapism. These assessment findings are most
consistent with which of the following types of spinal cord injury?
flucuation in the water seal chamber - CORRECT ANSWERS Which of the following is an expected
finding in a pt with a tube thoracstomy connected to a chest drainage system?
insert an oropharyngeal airway if there is no gag reflex - CORRECT ANSWERS During the primary
survey of an unconscious pt with multi-system trauma, the nurse notes snoring respirations. What
priority nursing interventions should be preformed next?
globe rupture - CORRECT ANSWERS A 35 y/o M 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?
, TNCC TEST PREP 8TH EDITION 2023/2024 QUESTIONS AND
ANSWERS BEST GRADED A+,EXAMS FOR NURSING
compensated - CORRECT ANSWERS A trauma pt is restless and repeatedly asking "where am i?" VS
upon arrival: BP 110/60, HR96, RR 24. Her skin is cool and dry. Current VS are BP 104/84, HR 108, RR
28. The pt is demonstrating s/sx of which stage of shock?
ventilate with a bag mask device - CORRECT ANSWERS An unresponsive trauma pt has an
oropharygeal 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?
within 24 hrs of trauma - CORRECT ANSWERS When is the tertiary survey completed fora trauma pt?
pressure - CORRECT ANSWERS An intubated and sedated pt in the ED has multiple extremity injuries
with the potential for causing compartment syndrome. What is the most reliable indication of
compartment syndrome in a patient who is unconscious?
worsening pneumothorax - CORRECT ANSWERS Which of the following is possible complication of
positive-pressure ventilation?
pelvic stability - CORRECT ANSWERS the most reassuring finding for a male pt with hip pain after a
fall is which of the following?
narrowed - CORRECT ANSWERS Which of the following pulse pressures indicate early hypovolemic
shock?
dysrhythmias - CORRECT ANSWERS Patients with a crush injury should be monitored for which of
the following conditions?
subdural hematoma - CORRECT ANSWERS Tearing of the bridging veins is most frequently associated
with which brain injury?
straight cath for urine sample - CORRECT ANSWERS A 20 y/o M presents to the ED complaining of
severe lower abd pain after landing hard on the bicycle cross bars while preforming an aerial BMX
maneuver. Secondary assessment reveals lower abd tenderness and scrotal ecchymosis. Which of
the following orders would the RN question?
placental abruption - CORRECT ANSWERS You are caring for a pt who was involved in a MVC and is
32 weeks pregnant. Findings of your secondary survey include abd pain on palpation, fundal ht at the
ANSWERS BEST GRADED A+,EXAMS FOR NURSING
Expedite transfer to the closest trauma center - CORRECT ANSWERS A 56 y/o M involved in a MVC is
brought to the ED. He complains of neck pain, SOB, and diffuse abdominal pain. His GCS is 15, VS: BP
98/71, HR 125, RR 26, SpO2 94% on high-flow O2 via NRB mask. Which is the priority intervention for
this patient?
a pertinent medical hx is crucial - CORRECT ANSWERS Which of the following considerations is the
most important when caring for a geriatric trauma pt?
Mitigation - CORRECT ANSWERS Following a review of recent drills and a real disaster event, a
hospital has identified deficiencies and is taking steps to minimize the impact of a future disaster .
Which phase of the disaster life cycle does this describe?
smell of alcohol on breath - CORRECT ANSWERS EMS brings a pt who fell while riding his bicycle.
Using the American College of Surgeobs screening guidelines, which assessment finding would
prompt the RN to prepare the pt for a radiologic spine clearance?
hemoglobin does not readily release O2 for use by the tissues - CORRECT ANSWERS What is the
effect of hypothermia on the oxyhemoglobin dissociation curve?
acidosis - CORRECT ANSWERS Which of the following is a component of the trauma triad of death?
Complete - CORRECT ANSWERS EMS brings a pt from MVC. VS: BP 90/49, HR 48, RR 12, temp 97.2F
(36.2 C). The pt exhibits urinary incontinence and priapism. These assessment findings are most
consistent with which of the following types of spinal cord injury?
flucuation in the water seal chamber - CORRECT ANSWERS Which of the following is an expected
finding in a pt with a tube thoracstomy connected to a chest drainage system?
insert an oropharyngeal airway if there is no gag reflex - CORRECT ANSWERS During the primary
survey of an unconscious pt with multi-system trauma, the nurse notes snoring respirations. What
priority nursing interventions should be preformed next?
globe rupture - CORRECT ANSWERS A 35 y/o M 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?
, TNCC TEST PREP 8TH EDITION 2023/2024 QUESTIONS AND
ANSWERS BEST GRADED A+,EXAMS FOR NURSING
compensated - CORRECT ANSWERS A trauma pt is restless and repeatedly asking "where am i?" VS
upon arrival: BP 110/60, HR96, RR 24. Her skin is cool and dry. Current VS are BP 104/84, HR 108, RR
28. The pt is demonstrating s/sx of which stage of shock?
ventilate with a bag mask device - CORRECT ANSWERS An unresponsive trauma pt has an
oropharygeal 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?
within 24 hrs of trauma - CORRECT ANSWERS When is the tertiary survey completed fora trauma pt?
pressure - CORRECT ANSWERS An intubated and sedated pt in the ED has multiple extremity injuries
with the potential for causing compartment syndrome. What is the most reliable indication of
compartment syndrome in a patient who is unconscious?
worsening pneumothorax - CORRECT ANSWERS Which of the following is possible complication of
positive-pressure ventilation?
pelvic stability - CORRECT ANSWERS the most reassuring finding for a male pt with hip pain after a
fall is which of the following?
narrowed - CORRECT ANSWERS Which of the following pulse pressures indicate early hypovolemic
shock?
dysrhythmias - CORRECT ANSWERS Patients with a crush injury should be monitored for which of
the following conditions?
subdural hematoma - CORRECT ANSWERS Tearing of the bridging veins is most frequently associated
with which brain injury?
straight cath for urine sample - CORRECT ANSWERS A 20 y/o M presents to the ED complaining of
severe lower abd pain after landing hard on the bicycle cross bars while preforming an aerial BMX
maneuver. Secondary assessment reveals lower abd tenderness and scrotal ecchymosis. Which of
the following orders would the RN question?
placental abruption - CORRECT ANSWERS You are caring for a pt who was involved in a MVC and is
32 weeks pregnant. Findings of your secondary survey include abd pain on palpation, fundal ht at the
