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TNCC final exam test 2022 open book Questions and Answers Rated A+

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Why is a measure of serum lactate obtained in the initial assessment of the trauma patient? Answer: c - a) 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 A trauma patient is restless and repeatedly asking "where am I?" vital signs upon arrival were BP 100/60 mm Hg, HR 96 beats/min, and RR 24 breaths/min. Her skin is cool and dry. Current vital signs are BP 104/84mm Hg, HR 108, RR 28 breaths/min. The patient is demonstrating signs and symptoms of which stage of shock? Answer: A - A) compensated ** B) Progressive C) irreversible D) decompensated 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 - A) epidural hematoma B) diffuse axonal injury C) post-concussive syndrome 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 - A) 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 - A) 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 *** 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 - A) 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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TNCC final exam test 2022 open book Questions and
Answers Rated A+
Why is a measure of serum lactate obtained in the initial assessment of the
trauma patient?



Answer: c - ✅a) 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



A trauma patient is restless and repeatedly asking "where am I?" vital signs
upon arrival were BP 100/60 mm Hg, HR 96 beats/min, and RR 24
breaths/min. Her skin is cool and dry. Current vital signs are BP 104/84mm
Hg, HR 108, RR 28 breaths/min. The patient is demonstrating signs and
symptoms of which stage of shock?



Answer: A - ✅A) compensated **

B) Progressive

C) irreversible

D) decompensated



TNCC final exam test 2022 open book Questions and
Answers Rated A+

,TNCC final exam test 2022 open book Questions and
Answers 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 - ✅A) epidural hematoma

B) diffuse axonal injury

C) post-concussive syndrome

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 - ✅A) Alert with no neurologic deficits

B) Multiple abrasions to the extremities

C) Multiple requests of water

D) Smell of alcohol on breath ***



TNCC final exam test 2022 open book Questions and
Answers Rated A+

, TNCC final exam test 2022 open book Questions and
Answers Rated A+
Which of the following occurs during the third impact of a motor vehicle
crash?



Answer: C - ✅A) 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 ***



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 - ✅A) initiate transfer to a trauma center **

B) provide report to the operating room nurse

C) Obtained imaging studies

D) Place a gastric tube




TNCC final exam test 2022 open book Questions and
Answers Rated A+

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