TNCC FINAL EXAM 2 LATEST VERSIONS 2023-
2024 CONTAINS 50+ QUESTIONS AND
CORRECT ANSWERS |ALREADY GRADED A+
Why is a measure of serum lactate obtained in the initial assessment of the trauma patient? -
ANSWER>>to gauge end-organ perfusion and tissue hypoxia
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. signs and symptoms of which
stage of shock? - ANSWER>>compensated
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>>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) Smell of alcohol on breath
Which of the following occurs during the third impact of a motor vehicle crash? - ANSWER>>the
aorta is torn at its attachment with the ligamentum arteriosum
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>>initiate transfer to a trauma center
Which of the following injuries is LEAST likely to be promptly identified? - ANSWER>>bowel
Patients with a crush injury should be monitored for which conditions? -
ANSWER>>Dysrhthmias
What finding raises suspicion of complete spinal cord injury? - ANSWER>>Priapism
A patient with a complete spinal cord injury in neurogenic shock will demonstrate hypotension
and which other clinical signs? - ANSWER>>- bradycardia
, - absent motor function below the level of the injury
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 the maltreatment in
accordance with local regulations
A patient with lower extremity fracture complains of severe pain and tightness in his calf,
minimally relieved by pain medications. Which of the following is the priority nursing
intervention? - ANSWER>>Elevating the extremity to the level of the heart
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 ABOVE THE LEVEL OF THE HEART
Which of the following is a late sign of increased intracranial pressure? - ANSWER>>Decreased
respiratory effort
what might you see with increased icp? - ANSWER>>Cushing Response
Widening pulse pressure
Reflex bradycardia
Decreased RR
Which of the following mnemonics can help the nurse prioritize care for a trauma patient with
massive uncontrolled hemorrhage? - ANSWER>>MARCH
A patient is thrown against a car during a tornado and presents with obvious bilateral femoral
fractures. The patient is pale, alert, disoriented, and has delayed cap refill. Which of the
following interventions would be most appropriate for this patient based on the disaster triage
principle? - ANSWER>>initiate two large caliber intravenous lines for Ringers lactate solution
administration
A patient arrives with a large open chest wound after being assaulted with a machete,
Prehospital providers placed a nonporous dressing over the chest wound and tapes it on 3
sides. He is now showing signs of anxiety, restlessness, severe respiratory distress, cyanosis,
and decreasing blood pressure. Which of the following is the MOST appropriate interventions? -
ANSWER>>dressing removal
2024 CONTAINS 50+ QUESTIONS AND
CORRECT ANSWERS |ALREADY GRADED A+
Why is a measure of serum lactate obtained in the initial assessment of the trauma patient? -
ANSWER>>to gauge end-organ perfusion and tissue hypoxia
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. signs and symptoms of which
stage of shock? - ANSWER>>compensated
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>>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) Smell of alcohol on breath
Which of the following occurs during the third impact of a motor vehicle crash? - ANSWER>>the
aorta is torn at its attachment with the ligamentum arteriosum
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>>initiate transfer to a trauma center
Which of the following injuries is LEAST likely to be promptly identified? - ANSWER>>bowel
Patients with a crush injury should be monitored for which conditions? -
ANSWER>>Dysrhthmias
What finding raises suspicion of complete spinal cord injury? - ANSWER>>Priapism
A patient with a complete spinal cord injury in neurogenic shock will demonstrate hypotension
and which other clinical signs? - ANSWER>>- bradycardia
, - absent motor function below the level of the injury
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 the maltreatment in
accordance with local regulations
A patient with lower extremity fracture complains of severe pain and tightness in his calf,
minimally relieved by pain medications. Which of the following is the priority nursing
intervention? - ANSWER>>Elevating the extremity to the level of the heart
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 ABOVE THE LEVEL OF THE HEART
Which of the following is a late sign of increased intracranial pressure? - ANSWER>>Decreased
respiratory effort
what might you see with increased icp? - ANSWER>>Cushing Response
Widening pulse pressure
Reflex bradycardia
Decreased RR
Which of the following mnemonics can help the nurse prioritize care for a trauma patient with
massive uncontrolled hemorrhage? - ANSWER>>MARCH
A patient is thrown against a car during a tornado and presents with obvious bilateral femoral
fractures. The patient is pale, alert, disoriented, and has delayed cap refill. Which of the
following interventions would be most appropriate for this patient based on the disaster triage
principle? - ANSWER>>initiate two large caliber intravenous lines for Ringers lactate solution
administration
A patient arrives with a large open chest wound after being assaulted with a machete,
Prehospital providers placed a nonporous dressing over the chest wound and tapes it on 3
sides. He is now showing signs of anxiety, restlessness, severe respiratory distress, cyanosis,
and decreasing blood pressure. Which of the following is the MOST appropriate interventions? -
ANSWER>>dressing removal
