TNCC 9TH EDITION REAL EXAM ACTUAL
VERIFIED EXAM TEST BANK 150+ QUESTIONS
AND ANSWERS VERIFIED ANSWER |ALREADY
GRADED A+
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
Which of the following considerations is the most important when caring for a geriatric trauma
patient? - ANSWER>>A pertinent medical history is crucial
An elderly patient with a history of anticoagulant use presents after a fall at home today. She
denies any loss of consciousness. She has a hematoma to her forehead and complains of
headache, dizziness, and nausea. What is the most likely cause of her symptoms? -
ANSWER>>Subdural hematoma
A 56 year old male patient involved in a MVC is brought to the emergency department of a
rural critical access facility. He complains of neck pain, SOB, and diffuse abdominal pain. His GCS
is 15. His vital signs are as follows: BP 98/71, HR 125, RR 26, SPO2 94% on high flow non-
rebreather mask. Which of the following is the priority intervention for this patient? -
ANSWER>>Expedite transfer to the closest trauma center
A trauma patient is en route to a rural emergency department. Radiology notifies the charge
nurse that the 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 teams communication? -
ANSWER>>Huddle
Which of the following is a late sign of increased ICP? - ANSWER>>Decreased respiratory effort
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>>
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 patient 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 intervention? - ANSWER>>Initiate transfer to a trauma center
EMS brings a patient who fell while 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>>Smell of alcohol on breath
Which of the following is NOT considered goal-directed therapy for cardiogenic shock? -
ANSWER>>Pericardiocentesis
The nurse is caring for a 120 kg male brought in after a warehouse fire and is calculating the
patients 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 body surface area burned, how much IV fluid would be
administered in the first 8 hours? - ANSWER>>2280 ml
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 capillary refill. Which of the
following interventions would be most appropriate for this patient? - ANSWER>>Initiate two
large-caliber IVs for LR administration
A patient with 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
Caregivers carry in a 2 year old into the ED who fell out of a second story window. The patient is
awake and crying with increased work of breathing and pale skin. Which of the following
interventions has the highest priority? - ANSWER>>Padding the upper back while stabilizing the
cervical spine
Which of the following is an expected finding in a patient with a tube thoracostomy connected
to a chest drainage system? - ANSWER>>Fluctuation in the water seal chamber
VERIFIED EXAM TEST BANK 150+ QUESTIONS
AND ANSWERS VERIFIED ANSWER |ALREADY
GRADED A+
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
Which of the following considerations is the most important when caring for a geriatric trauma
patient? - ANSWER>>A pertinent medical history is crucial
An elderly patient with a history of anticoagulant use presents after a fall at home today. She
denies any loss of consciousness. She has a hematoma to her forehead and complains of
headache, dizziness, and nausea. What is the most likely cause of her symptoms? -
ANSWER>>Subdural hematoma
A 56 year old male patient involved in a MVC is brought to the emergency department of a
rural critical access facility. He complains of neck pain, SOB, and diffuse abdominal pain. His GCS
is 15. His vital signs are as follows: BP 98/71, HR 125, RR 26, SPO2 94% on high flow non-
rebreather mask. Which of the following is the priority intervention for this patient? -
ANSWER>>Expedite transfer to the closest trauma center
A trauma patient is en route to a rural emergency department. Radiology notifies the charge
nurse that the 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 teams communication? -
ANSWER>>Huddle
Which of the following is a late sign of increased ICP? - ANSWER>>Decreased respiratory effort
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>>
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 patient 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 intervention? - ANSWER>>Initiate transfer to a trauma center
EMS brings a patient who fell while 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>>Smell of alcohol on breath
Which of the following is NOT considered goal-directed therapy for cardiogenic shock? -
ANSWER>>Pericardiocentesis
The nurse is caring for a 120 kg male brought in after a warehouse fire and is calculating the
patients 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 body surface area burned, how much IV fluid would be
administered in the first 8 hours? - ANSWER>>2280 ml
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 capillary refill. Which of the
following interventions would be most appropriate for this patient? - ANSWER>>Initiate two
large-caliber IVs for LR administration
A patient with 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
Caregivers carry in a 2 year old into the ED who fell out of a second story window. The patient is
awake and crying with increased work of breathing and pale skin. Which of the following
interventions has the highest priority? - ANSWER>>Padding the upper back while stabilizing the
cervical spine
Which of the following is an expected finding in a patient with a tube thoracostomy connected
to a chest drainage system? - ANSWER>>Fluctuation in the water seal chamber
