TNCC FINAL EXAM LATEST VERSIONS CONTAINS 100 QUESTIONS AND CORRECT ANSWERS guaranteed A+

TNCC FINAL EXAM LATEST VERSIONS CONTAINS 100 QUESTIONS AND CORRECT ANSWERS guaranteed A+ What does hypocapnia cause? - Vasoconstriction What is hypocapnia? - Decreased levels of CO2 How do we palpate the iliac crest? - Gentle pressure over iliac wings downward and medially What do we need to assess with any c3-c5 injury? - Respiratory effort What is Newton's first law? - An object at rest stays at rest and an object in motion stays in motion unless acted upon by an unbalanced force. What is hyphema? - Pooling or collection of blood inside the anterior chamber of the eye What is distributive shock? - Maldistribution of blood volume and flow What does DOPE stand for? - Displacement of tube Obstruction Pneumothroax Equiptment What is Newton's second law? - Force = mass x acceleration What is flail chest? - A fracture of two or more sites on two or more adjacent ribs, or when rib fractures produce a free-floating sternum. What is kinematics? - A branch of mechanics (energy transfer) that refers to motion and does not consider the concepts of force and mass of the object or body. What medications do we use for RSI? - LOAD Lidocaine Opioids Atropine Defasicultating agents What is Cushing's triad? - hypertension bradycardia irregular respirations What is cardiogenic shock? - Occurs when the heart is damaged and unable to supply sufficient blood to the body What are the primary benefits to a team approach to trauma care? - It provides a systematic approach to care and organizes care In the primary survey, AVPU is performed to determine if the patient can...? - Protect their airway Which may lead to an unreliable pulse ox reading? - Carboxyhemoglobin The systemic inflammatory response is a normal part of the body's response to shock from traumatic injury. Which best describes this response? - Activated by tissue hypoxia and sends neutrophils to the injury site What is an early assessment finding to increased ICP with a brain injury patient? - Vomiting An unrestrained driver was involved in a frontal collision without airbag deployment. He is hypotensive and tachycardic with shallow respirations, distended JVD and muffled heart tones. The nurse prepare for what? - Pericardiocentesis An unrestrained driver is brought into the emergency department following a frontal impact MVC. She is pale, anxious, and c/o SOB. What is the potential injury? - Lumbar fracture A patient is brought to the ER after being pinned to a brick retaining wall. Knowing crushing injuries can result to significant damage to muscles the priority assessment for trauma nurse is for - Myoglobinuria and renal failure A nurse is preparing to cleanse an extensive abrasion contaminated with dirt and gravel. Which of the following intervention is indicated? - Use copious amounts of normal saline When providing care for the pediatric patient with burns the post resuscitation care, how are fluids delivered? - Parkland formula with maintenance fluids Thinning skin and diminished autonomic response in older adult can have what effect on primary assessment - Compromised thermoregulation In mass casualty "doing the greatest good for the greatest number of people refers to a situation where...? - There may be more patients than resources Effective pain management in the patient with rib fx will promote what - Cough with ability to clear secretions During the primary survey which of the following has the greatest priority - C-spine status Restrained driver is involved in a severe head on MVC and presents with a seatbelt mark along the neck and upper chest area. Bilateral decreased breath sounds, hemoptysis and diffuse sub q emphysema to the neck and upper chest area - Tracheobronchial injury A patient involved in an MVC develops asymmetric pupillary reactivity, bilateral pupillary dilation and abnormal motor posturing. What does the nurse suspect as the most likely cause? - Herniation Which of the following hemodynamic support strategies is the prioririty intervention for a pt with traumatic pulmonary contusion? - Use of IV fluids only as needed The unrestrained front seat passenger in a MVC develops echymosis around umbillicus. This assessment finding is most commonly associated with: - Bleeding in the peritoneal cavity Elevated comaprtment pressure can be the result of - Hemorrhage from within the muscle A pregnant trauma patient develops tachicardia, hypotension, a rigid board like uterus, and dark, red vaginal bleeding. She reports constant back pain which is increasing. the most likely cause of s/s is - Placental abruption For a patient who has undergone recent bariatric surgery, flouroscopy is recommended to place - NG tube Identification of