TNCC 20th Edition LATEST EXAM WITH
COMPLETE 75 QUESTIONS AND CORRECT
ANSWERS-GRADED A+ pass
A patient arrives following prolonged exposure of their left hand to the cold. The
patient is awake and alert and complains of a tingling sensation to the fingers.
Assessment reveals swelling and bright red skin to the left hand and a 1-inch
round clear blister to the dorsum of that hand. Which of the following nursing
interventions is most appropriate for this patient?
A.Massage the injured areas to promote circulation
B.Drain and debride the blister on the hand
C.Immerse in water between 37.5 - ansD.Gently rewarm over 15 to 30 minutes
A patient arrives with a large metal rod embedded in their left thigh and no
active bleeding. Which intervention is most appropriate for this patient?
A.Remove the rod immediately to facilitate cleansing.
B.Apply a tourniquet to the leg above the metal rod.
C.Hold antibiotics until after the rod is removed.
D.Prepare the patient for surgery to remove the rod. - ansD.Prepare the patient
for surgery to remove the rod.
,TNCC 20th Edition LATEST EXAM WITH
COMPLETE 75 QUESTIONS AND CORRECT
ANSWERS-GRADED A+ pass
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 - ansC.Dressing removal
A patient has been diagnosed with an incomplete spinal cord injury at L1. Which
finding would indicate sacral sparing?
A.Involuntary flexion of the great toe
B.Priapism
C.Voluntary anal sphincter tone
D.Numbness to the perianal area - ansVoluntary anal sphincter tone
,TNCC 20th Edition LATEST EXAM WITH
COMPLETE 75 QUESTIONS AND CORRECT
ANSWERS-GRADED A+ pass
A patient has been in the emergency department for several hours waiting to be
admitted. They sustained multiple rib fractures and a femur fracture after a fall.
The patient has been awake, alert, and complaining of leg pain. Their spouse
reported that the patient 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 following co - ansfat embolism
A 5-year-old child presents to the emergency department 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?
A.Report your suspicion of maltreatment in accordance with local regulations
B.Apply ice to the bruises and provide wound care
C.Engage in therapeutic communicati - ansA.Report your suspicion of
maltreatment in accordance with local regulations
, TNCC 20th Edition LATEST EXAM WITH
COMPLETE 75 QUESTIONS AND CORRECT
ANSWERS-GRADED A+ pass
A 35-year-old male presents with facial trauma after being struck in the face
with a baseball. A teardrop-shaped left pupil is noted on exam. What type of
injury is suspected?
A.Oculomotor nerve palsy
B.Globe rupture
C.Retrobulbar hematoma
D.Retinal detachment - ansGlobe rupture
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 - ansC.Inotropic support
COMPLETE 75 QUESTIONS AND CORRECT
ANSWERS-GRADED A+ pass
A patient arrives following prolonged exposure of their left hand to the cold. The
patient is awake and alert and complains of a tingling sensation to the fingers.
Assessment reveals swelling and bright red skin to the left hand and a 1-inch
round clear blister to the dorsum of that hand. Which of the following nursing
interventions is most appropriate for this patient?
A.Massage the injured areas to promote circulation
B.Drain and debride the blister on the hand
C.Immerse in water between 37.5 - ansD.Gently rewarm over 15 to 30 minutes
A patient arrives with a large metal rod embedded in their left thigh and no
active bleeding. Which intervention is most appropriate for this patient?
A.Remove the rod immediately to facilitate cleansing.
B.Apply a tourniquet to the leg above the metal rod.
C.Hold antibiotics until after the rod is removed.
D.Prepare the patient for surgery to remove the rod. - ansD.Prepare the patient
for surgery to remove the rod.
,TNCC 20th Edition LATEST EXAM WITH
COMPLETE 75 QUESTIONS AND CORRECT
ANSWERS-GRADED A+ pass
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 - ansC.Dressing removal
A patient has been diagnosed with an incomplete spinal cord injury at L1. Which
finding would indicate sacral sparing?
A.Involuntary flexion of the great toe
B.Priapism
C.Voluntary anal sphincter tone
D.Numbness to the perianal area - ansVoluntary anal sphincter tone
,TNCC 20th Edition LATEST EXAM WITH
COMPLETE 75 QUESTIONS AND CORRECT
ANSWERS-GRADED A+ pass
A patient has been in the emergency department for several hours waiting to be
admitted. They sustained multiple rib fractures and a femur fracture after a fall.
The patient has been awake, alert, and complaining of leg pain. Their spouse
reported that the patient 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 following co - ansfat embolism
A 5-year-old child presents to the emergency department 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?
A.Report your suspicion of maltreatment in accordance with local regulations
B.Apply ice to the bruises and provide wound care
C.Engage in therapeutic communicati - ansA.Report your suspicion of
maltreatment in accordance with local regulations
, TNCC 20th Edition LATEST EXAM WITH
COMPLETE 75 QUESTIONS AND CORRECT
ANSWERS-GRADED A+ pass
A 35-year-old male presents with facial trauma after being struck in the face
with a baseball. A teardrop-shaped left pupil is noted on exam. What type of
injury is suspected?
A.Oculomotor nerve palsy
B.Globe rupture
C.Retrobulbar hematoma
D.Retinal detachment - ansGlobe rupture
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 - ansC.Inotropic support
