TNCC 8th edition exam with complete solution
The trauma nurse knows that placing a bariatric patient in a "ramped position"
provides better visualization during the insertion of which device? - ANSWER:
endotracheal tube
Tearing of the bridging veins is most frequently associated with which brain injury? -
ANSWER: subdural hematoma
A patient is found lying on the floor after falling 13 hours ago. Which of the following
laboratory values is expected with a musculoskeletal complication associated with
this presentation? - ANSWER: Elevated creatine kinase
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, which of the following is the priority intervention? -
ANSWER: Initiate transfer to a trauma center
Which of the following injuries is LEAST likely to be promptly identified? - ANSWER:
bowel
Which of the following patients warrants referral to a burn center? - ANSWER: A 52-
year-old diabetic male with a partial-thickness burn to the left lower leg
A patient has been in the emergency department for several hours waiting to be
admitted. He sustained multiple rib fractures and a femur fracture after a fall. He has
been awake, alert, and complaining of leg pain. His wife reported that he suddenly
became anxious and confused. Upon reassessment, the patient is restless, with
respiratory distress and petechiae to his neck. The patient is exhibiting signs and
symptoms most commonly associated with which of the follow conditions? -
ANSWER: fat embolism
A 36-year old female has a deformity of the left wrist after a fall. She is reluctant to
move her hand due to pain. Which of the following is the most appropriate
intervention? - ANSWER: Apply a splint and elevate the extremity ABOVE the level of
the heart
A 56-year-old male patient involved in a motor vehicle crash is brought to the
emergency department of a rural critical assess facility. He complaints of neck pain,
shortness of breath, and diffuse abdominal pain. His Glasgow Coma Score is 15. His
vital signs are as follows: BP 98/71 mm Hg, HR 125 beats/minute, RR 26
breaths/minute, SpO2 94% on high-flow oxygen via non-rebreather mask. Which of
the follow is the priority intervention for this patient? - ANSWER: Expedite transfer
to the closest trauma center
, Which of the following values indicates the need for alcohol withdrawal
interventions? - ANSWER: CIWA-Ar of 36
A trauma patient is en route to a rural emergency department. Radiology notifies the
charge nurse that the computed tomography (CT) scanner will be out of service for
several hours. The team gathers to plan accordingly. Which of the following terms
best describes this trauma team's communication? - ANSWER: huddle
A patient with a complete spinal cord injury in neurogenic shock will demonstrate
hypotension and which other clinical signs? - ANSWER: Bradycardia and absent
motor function below the level of injury
Which of the following is true about the log-roll maneuver? - ANSWER: It can worsen
cord damage from a unstable spinal injury
What factor contributes most to the kinetic energy of a body in motion? - ANSWER:
velocity
A 5-year-old child presents to the ED with bruises to the upper arms and buttocks in
various stages of healing and multiple small, clean, round burns to the back. There
are no abnormalities found based on the pediatric assessment triangle or primary
survey. Which of the following is the priority nursing intervention? - ANSWER: Report
your suspicion of maltreatment in accordance with local regulations
A 20-year-old male presents to the ED complaining of severe lower abdominal pain
after landing hard on the bicycle cross bars while performing an aerial BMX
maneuver. Secondary assessment reveals lower abdominal tenderness and scrotal
ecchymosis. Which of the following orders would the nurse question? - ANSWER:
Straight catheter for urine sample
You are caring for a patient who was involved in a motor vehicle crash and is 32
weeks pregnant. Findings of your secondary survey include abdominal pain on
palpation, fundal height at the costal margin, and some dark bloody show. Varying
accelerations and decelerations are note don cardiotocography. These findings are
most consistent with which of the following? - ANSWER: placental abruption
Which of the following occurs during the third impact of a motor vehicle crash? -
ANSWER: The aorta is torn at its attachment with the ligmentum arteriosum
Which pulse pressure description is an indication of early hypovolemic shock? -
ANSWER: narrowed
An unresponsive trauma patient has an oropharyngeal 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? - ANSWER: Ventilate with a bag-mask
device
The trauma nurse knows that placing a bariatric patient in a "ramped position"
provides better visualization during the insertion of which device? - ANSWER:
endotracheal tube
Tearing of the bridging veins is most frequently associated with which brain injury? -
ANSWER: subdural hematoma
A patient is found lying on the floor after falling 13 hours ago. Which of the following
laboratory values is expected with a musculoskeletal complication associated with
this presentation? - ANSWER: Elevated creatine kinase
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, which of the following is the priority intervention? -
ANSWER: Initiate transfer to a trauma center
Which of the following injuries is LEAST likely to be promptly identified? - ANSWER:
bowel
Which of the following patients warrants referral to a burn center? - ANSWER: A 52-
year-old diabetic male with a partial-thickness burn to the left lower leg
A patient has been in the emergency department for several hours waiting to be
admitted. He sustained multiple rib fractures and a femur fracture after a fall. He has
been awake, alert, and complaining of leg pain. His wife reported that he suddenly
became anxious and confused. Upon reassessment, the patient is restless, with
respiratory distress and petechiae to his neck. The patient is exhibiting signs and
symptoms most commonly associated with which of the follow conditions? -
ANSWER: fat embolism
A 36-year old female has a deformity of the left wrist after a fall. She is reluctant to
move her hand due to pain. Which of the following is the most appropriate
intervention? - ANSWER: Apply a splint and elevate the extremity ABOVE the level of
the heart
A 56-year-old male patient involved in a motor vehicle crash is brought to the
emergency department of a rural critical assess facility. He complaints of neck pain,
shortness of breath, and diffuse abdominal pain. His Glasgow Coma Score is 15. His
vital signs are as follows: BP 98/71 mm Hg, HR 125 beats/minute, RR 26
breaths/minute, SpO2 94% on high-flow oxygen via non-rebreather mask. Which of
the follow is the priority intervention for this patient? - ANSWER: Expedite transfer
to the closest trauma center
, Which of the following values indicates the need for alcohol withdrawal
interventions? - ANSWER: CIWA-Ar of 36
A trauma patient is en route to a rural emergency department. Radiology notifies the
charge nurse that the computed tomography (CT) scanner will be out of service for
several hours. The team gathers to plan accordingly. Which of the following terms
best describes this trauma team's communication? - ANSWER: huddle
A patient with a complete spinal cord injury in neurogenic shock will demonstrate
hypotension and which other clinical signs? - ANSWER: Bradycardia and absent
motor function below the level of injury
Which of the following is true about the log-roll maneuver? - ANSWER: It can worsen
cord damage from a unstable spinal injury
What factor contributes most to the kinetic energy of a body in motion? - ANSWER:
velocity
A 5-year-old child presents to the ED with bruises to the upper arms and buttocks in
various stages of healing and multiple small, clean, round burns to the back. There
are no abnormalities found based on the pediatric assessment triangle or primary
survey. Which of the following is the priority nursing intervention? - ANSWER: Report
your suspicion of maltreatment in accordance with local regulations
A 20-year-old male presents to the ED complaining of severe lower abdominal pain
after landing hard on the bicycle cross bars while performing an aerial BMX
maneuver. Secondary assessment reveals lower abdominal tenderness and scrotal
ecchymosis. Which of the following orders would the nurse question? - ANSWER:
Straight catheter for urine sample
You are caring for a patient who was involved in a motor vehicle crash and is 32
weeks pregnant. Findings of your secondary survey include abdominal pain on
palpation, fundal height at the costal margin, and some dark bloody show. Varying
accelerations and decelerations are note don cardiotocography. These findings are
most consistent with which of the following? - ANSWER: placental abruption
Which of the following occurs during the third impact of a motor vehicle crash? -
ANSWER: The aorta is torn at its attachment with the ligmentum arteriosum
Which pulse pressure description is an indication of early hypovolemic shock? -
ANSWER: narrowed
An unresponsive trauma patient has an oropharyngeal 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? - ANSWER: Ventilate with a bag-mask
device
