TNCC FINAL EXAM 2024-2025 WITH
LATEST CORRECT ANSWERS AND
VERIFIED QUESTIONS GRADED A+
Why is a measure of serum lactate obtained in the initial assessment of the trauma patient?
Answer: c - ANS-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
Tearing of the bridging veins is most frequently associated with which brain injury?
Answer: B - ANS-A) epidural hematoma
B) subdural hematoma ***
C) diffuse axonal injury
D) intracerebral hematoma
,If a patient has received multiple transfusions of banked blood preserved with citrate, which electrolyte
is most likely to drop and require supplementation?
Answer: D - ANS-A) potassium
B) magnesium
C) sodium
D) calcium ***
A trauma patient is en route to a rural ED. Radiology notifies the charge nurse that the CT scanner will
be out of service for several of hours. The team gathers to plan accordingly. Which of the following
terms best describes this trauma teams communication?
Answer: D - ANS-A) Brief
B) loop
C) debrief
D) huddle ***
The nurse is caring for a 120 kg male is brought in after a warehouse fire and is calculating the patient's
fluid resuscitation needs. He has painful red blistering to the entire surface of both upper extremities
and superficial burns to the anterior chest. Using the modified Lund and Browder chart to calculate the
total BSA burned, how much IV fluids would be administered in the first 8 hours?
(upper arm 4+4 / lower arm 3+3 / hand 2.5+2.5) = 19% TBSA.
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 - ANS-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 - ANS-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 - ANS-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 - ANS-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 - ANS-A) initiate transfer to a trauma center **
LATEST CORRECT ANSWERS AND
VERIFIED QUESTIONS GRADED A+
Why is a measure of serum lactate obtained in the initial assessment of the trauma patient?
Answer: c - ANS-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
Tearing of the bridging veins is most frequently associated with which brain injury?
Answer: B - ANS-A) epidural hematoma
B) subdural hematoma ***
C) diffuse axonal injury
D) intracerebral hematoma
,If a patient has received multiple transfusions of banked blood preserved with citrate, which electrolyte
is most likely to drop and require supplementation?
Answer: D - ANS-A) potassium
B) magnesium
C) sodium
D) calcium ***
A trauma patient is en route to a rural ED. Radiology notifies the charge nurse that the CT scanner will
be out of service for several of hours. The team gathers to plan accordingly. Which of the following
terms best describes this trauma teams communication?
Answer: D - ANS-A) Brief
B) loop
C) debrief
D) huddle ***
The nurse is caring for a 120 kg male is brought in after a warehouse fire and is calculating the patient's
fluid resuscitation needs. He has painful red blistering to the entire surface of both upper extremities
and superficial burns to the anterior chest. Using the modified Lund and Browder chart to calculate the
total BSA burned, how much IV fluids would be administered in the first 8 hours?
(upper arm 4+4 / lower arm 3+3 / hand 2.5+2.5) = 19% TBSA.
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 - ANS-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 - ANS-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 - ANS-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 - ANS-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 - ANS-A) initiate transfer to a trauma center **
