, TNP TNCC 9TH Edition TRAUMA NURSING PROCESS EXAM
An adult patient was brought to the emergency department following a motorcycle crash.
On arrival, the patient is only responsive to pain, has bleeding from the nose, and
multiple abrasions and contusions to the face. What is the priority intervention?
A.Use a bulb syringe to suction out secretions from the mouth.
B.Insert a nasopharyngeal airway to maintain an open airway.
C.Use a jaw thrust to open the airway and look for signs of obstruction.
D.Ask the patient to open their mouth to inspect the airway. - CORRECT ANSWERS
>> C.Use a jaw thrust to open the airway and look for signs of obstruction.
An adult pedestrian was struck on the right side by a sport utility vehicle traveling at 40
mph. The patient is awake and alert and the right leg is shortened. Following initial
resuscitation with fluids, the patient remains hypotensive. What would be the priority
intervention?
A.Send blood for type and crossmatch
B.Apply a pelvic binder
C.Prepare the patient for surgery
D.Insert a urinary catheter - CORRECT ANSWERS >> Apply a pelvic binder
A severely injured patient has been intubated and is being mechanically ventilated. The
patient has received a balanced resuscitation including multiple blood products. Under
which circumstance will it be harder for the hemoglobin to release oxygen to the tissues?
A.Decreased pH
B.Elevated carbon dioxide level
C.Decreased body temperature
D.Increased metabolic demand - CORRECT ANSWERS >> C.Decreased body
temperature
, A patient is thrown against a car during a tornado and presents with obvious bilateral
femur fractures. The patient is pale, alert, disoriented, and has delayed capillary refill.
Which of the following interventions would be most appropriate for this patient based on
the disaster triage principles?
A.Initiate two large-caliber intravenous lines for isotonic crystalloid administration.
B.Administer intravenous medications for pain.
C.Place the patient in an observation area for care within the next few hours.
D.Contact the command center for personnel to notify next of kin. - CORRECT
ANSWERS >> Initiate two large-caliber intravenous lines for isotonic crystalloid
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 taped it on
three sides. The patient is now showing signs of anxiety, restlessness, severe respiratory
distress, cyanosis, and decreasing blood pressure. Which of the following is the MOST
appropriate immediate intervention?
A.Needle decompression
B.Tube thoracostomy
C.Dressing removal
D.Surgical repair - CORRECT ANSWERS >> C.Dressing removal
A driver involved in a high-speed motor vehicle collision arrives in the emergency
department. The vehicle's air-bag failed to deploy. The patient is drowsy but arousable
and complaining of chest pain with ecchymosis noted to the chest. The patient is
tachycardic and hypotensive with no evidence of uncontrolled bleeding. Cardiac monitor
shows premature ventricular contractions. Which of the following is the most appropriate
intervention for this patient?
A.Rapid fluid boluses
B.Tranexamic acid administration
C.Inotropic support
An adult patient was brought to the emergency department following a motorcycle crash.
On arrival, the patient is only responsive to pain, has bleeding from the nose, and
multiple abrasions and contusions to the face. What is the priority intervention?
A.Use a bulb syringe to suction out secretions from the mouth.
B.Insert a nasopharyngeal airway to maintain an open airway.
C.Use a jaw thrust to open the airway and look for signs of obstruction.
D.Ask the patient to open their mouth to inspect the airway. - CORRECT ANSWERS
>> C.Use a jaw thrust to open the airway and look for signs of obstruction.
An adult pedestrian was struck on the right side by a sport utility vehicle traveling at 40
mph. The patient is awake and alert and the right leg is shortened. Following initial
resuscitation with fluids, the patient remains hypotensive. What would be the priority
intervention?
A.Send blood for type and crossmatch
B.Apply a pelvic binder
C.Prepare the patient for surgery
D.Insert a urinary catheter - CORRECT ANSWERS >> Apply a pelvic binder
A severely injured patient has been intubated and is being mechanically ventilated. The
patient has received a balanced resuscitation including multiple blood products. Under
which circumstance will it be harder for the hemoglobin to release oxygen to the tissues?
A.Decreased pH
B.Elevated carbon dioxide level
C.Decreased body temperature
D.Increased metabolic demand - CORRECT ANSWERS >> C.Decreased body
temperature
, A patient is thrown against a car during a tornado and presents with obvious bilateral
femur fractures. The patient is pale, alert, disoriented, and has delayed capillary refill.
Which of the following interventions would be most appropriate for this patient based on
the disaster triage principles?
A.Initiate two large-caliber intravenous lines for isotonic crystalloid administration.
B.Administer intravenous medications for pain.
C.Place the patient in an observation area for care within the next few hours.
D.Contact the command center for personnel to notify next of kin. - CORRECT
ANSWERS >> Initiate two large-caliber intravenous lines for isotonic crystalloid
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 taped it on
three sides. The patient is now showing signs of anxiety, restlessness, severe respiratory
distress, cyanosis, and decreasing blood pressure. Which of the following is the MOST
appropriate immediate intervention?
A.Needle decompression
B.Tube thoracostomy
C.Dressing removal
D.Surgical repair - CORRECT ANSWERS >> C.Dressing removal
A driver involved in a high-speed motor vehicle collision arrives in the emergency
department. The vehicle's air-bag failed to deploy. The patient is drowsy but arousable
and complaining of chest pain with ecchymosis noted to the chest. The patient is
tachycardic and hypotensive with no evidence of uncontrolled bleeding. Cardiac monitor
shows premature ventricular contractions. Which of the following is the most appropriate
intervention for this patient?
A.Rapid fluid boluses
B.Tranexamic acid administration
C.Inotropic support
