TNCC 8th Edition Exam Quiz Aranking
Questions with solved solutions
What is the effect of hypothermia on the oxyhemoglobin dissociation curve? -
ANSWER>>hemoglobin does not readily release O2 for use by the tissues
Which is a component of the trauma triad of death? - ANSWER>>acidosis
EMS brings a pt from MVC. VS: BP 90/49, HR 48, RR 12, temp 97.2F (36.2 C). The
pt exhibits urinary incontinence and priapism. These assessment findings are
most consistent with which of the following types of spinal cord injury? -
ANSWER>>Complete
Which is an expected finding in a pt with a tube thoracstomy connected to a chest
drainage system? - ANSWER>>flucuation in the water seal chamber
During the primary survey of an unconscious pt with multi-system trauma, the
nurse notes snoring respirations. What priority nursing interventions should be
preformed next? - ANSWER>>insert an oropharyngeal airway if there is no gag
reflex
A 35 y/o M 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? - ANSWER>>globe rupture
A trauma pt is restless and repeatedly asking "where am i?" VS upon arrival: BP
110/60, HR96, RR 24. Her skin is cool and dry. Current VS are BP 104/84, HR 108,
,RR 28. The pt is demonstrating s/sx of which stage of shock? -
ANSWER>>compensated
An unresponsive trauma pt has an oropharygeal 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
When is the tertiary survey completed fora trauma pt? - ANSWER>>within 24 hrs
of trauma
An intubated and sedated pt in the ED has multiple extremity injuries with the
potential for causing compartment syndrome. What is the most reliable indication
of compartment syndrome in a patient who is unconscious? - ANSWER>>pressure
Which is possible complication of positive-pressure ventilation? -
ANSWER>>worsening pneumothorax
the most reassuring finding for a male pt with hip pain after a fall is which of the
following? - ANSWER>>pelvic stability
Which pulse pressures indicate early hypovolemic shock? - ANSWER>>narrowed
Patients with a crush injury should be monitored for which of the following
conditions? - ANSWER>>dysrhythmias
Tearing of the bridging veins is most frequently associated with which brain
injury? - ANSWER>>subdural hematoma
A 20 y/o M presents to the ED complaining of severe lower abd pain after landing
hard on the bicycle cross bars while preforming an aerial BMX maneuver.
Secondary assessment reveals lower abd tenderness and scrotal ecchymosis.
,Which of the following orders would the RN question? - ANSWER>>straight cath
for urine sample
You are caring for a pt who was involved in a MVC and is 32 weeks pregnant.
Findings of your secondary survey include abd pain on palpation, fundal ht at the
costal margin, and some dark bloody show. Varying accelerations and
decelerations are noted on cariocgraphy. These findings are most consistent with
which of the following? - ANSWER>>placental abruption
Which is true about the log-roll? - ANSWER>>it can worsen cord damage from an
unstable spinal injury
All of these are considered a critical communication point in trauma care EXCEPT
which of the following? - ANSWER>>defusings
What bedside monitoring parameters are used to assess for adequacy of O2 and
effectiveness of ventilation? - ANSWER>>pulse oximetry and capnography
Caregivers carry in a 2 y/o into the ED who fell out of a second-story window. The
pt 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 injuries is LEAST likely to be promptly identified? - ANSWER>>bowel
A pt is brought to the ED of a rural hospital following a high-speed MVC. When
significant abd and pelvic injuries are noted in the primary survey, which of the
following is the priority interventions? - ANSWER>>Initiate transfer to a trauma
center
A pt with a complete spinal cord injury in neurogenic shock will demonstrate
hypotension and which other clinical signs? - ANSWER>>bardycardia and absent
motor function below the level of injury
, a 37 y/o F has a deformity of the L 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 splint and elevate above the level of the heart
which occurs during the third impact of a motor vehicle crash? - ANSWER>>the
aorta is torn at its attachment with the ligamentum arteriosum
a 5 y/o child presents to the ED with bruises to the upper arm 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 survey. Which of the following is the
priority nursing intervention? - ANSWER>>Report your suspicion of maltreatment
in accordance with local regulations
Why is a measure of serum lactate obtained in the initial assessment of a trauma
patient? - ANSWER>>to guage end-organ perfusion and tissue hypoxia
A pt with a lower extremity fracture complains of severe pain and tightness in his
calf, minimally by pain medications. Which of the following is the priority nursing
intervention? - ANSWER>>elevating the extremity to the level of the heart
What factor contributes most to the kinetic energy of a body in motion? -
ANSWER>>velocity
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 pt has been in the ED for several hrs 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
Questions with solved solutions
What is the effect of hypothermia on the oxyhemoglobin dissociation curve? -
ANSWER>>hemoglobin does not readily release O2 for use by the tissues
Which is a component of the trauma triad of death? - ANSWER>>acidosis
EMS brings a pt from MVC. VS: BP 90/49, HR 48, RR 12, temp 97.2F (36.2 C). The
pt exhibits urinary incontinence and priapism. These assessment findings are
most consistent with which of the following types of spinal cord injury? -
ANSWER>>Complete
Which is an expected finding in a pt with a tube thoracstomy connected to a chest
drainage system? - ANSWER>>flucuation in the water seal chamber
During the primary survey of an unconscious pt with multi-system trauma, the
nurse notes snoring respirations. What priority nursing interventions should be
preformed next? - ANSWER>>insert an oropharyngeal airway if there is no gag
reflex
A 35 y/o M 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? - ANSWER>>globe rupture
A trauma pt is restless and repeatedly asking "where am i?" VS upon arrival: BP
110/60, HR96, RR 24. Her skin is cool and dry. Current VS are BP 104/84, HR 108,
,RR 28. The pt is demonstrating s/sx of which stage of shock? -
ANSWER>>compensated
An unresponsive trauma pt has an oropharygeal 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
When is the tertiary survey completed fora trauma pt? - ANSWER>>within 24 hrs
of trauma
An intubated and sedated pt in the ED has multiple extremity injuries with the
potential for causing compartment syndrome. What is the most reliable indication
of compartment syndrome in a patient who is unconscious? - ANSWER>>pressure
Which is possible complication of positive-pressure ventilation? -
ANSWER>>worsening pneumothorax
the most reassuring finding for a male pt with hip pain after a fall is which of the
following? - ANSWER>>pelvic stability
Which pulse pressures indicate early hypovolemic shock? - ANSWER>>narrowed
Patients with a crush injury should be monitored for which of the following
conditions? - ANSWER>>dysrhythmias
Tearing of the bridging veins is most frequently associated with which brain
injury? - ANSWER>>subdural hematoma
A 20 y/o M presents to the ED complaining of severe lower abd pain after landing
hard on the bicycle cross bars while preforming an aerial BMX maneuver.
Secondary assessment reveals lower abd tenderness and scrotal ecchymosis.
,Which of the following orders would the RN question? - ANSWER>>straight cath
for urine sample
You are caring for a pt who was involved in a MVC and is 32 weeks pregnant.
Findings of your secondary survey include abd pain on palpation, fundal ht at the
costal margin, and some dark bloody show. Varying accelerations and
decelerations are noted on cariocgraphy. These findings are most consistent with
which of the following? - ANSWER>>placental abruption
Which is true about the log-roll? - ANSWER>>it can worsen cord damage from an
unstable spinal injury
All of these are considered a critical communication point in trauma care EXCEPT
which of the following? - ANSWER>>defusings
What bedside monitoring parameters are used to assess for adequacy of O2 and
effectiveness of ventilation? - ANSWER>>pulse oximetry and capnography
Caregivers carry in a 2 y/o into the ED who fell out of a second-story window. The
pt 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 injuries is LEAST likely to be promptly identified? - ANSWER>>bowel
A pt is brought to the ED of a rural hospital following a high-speed MVC. When
significant abd and pelvic injuries are noted in the primary survey, which of the
following is the priority interventions? - ANSWER>>Initiate transfer to a trauma
center
A pt with a complete spinal cord injury in neurogenic shock will demonstrate
hypotension and which other clinical signs? - ANSWER>>bardycardia and absent
motor function below the level of injury
, a 37 y/o F has a deformity of the L 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 splint and elevate above the level of the heart
which occurs during the third impact of a motor vehicle crash? - ANSWER>>the
aorta is torn at its attachment with the ligamentum arteriosum
a 5 y/o child presents to the ED with bruises to the upper arm 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 survey. Which of the following is the
priority nursing intervention? - ANSWER>>Report your suspicion of maltreatment
in accordance with local regulations
Why is a measure of serum lactate obtained in the initial assessment of a trauma
patient? - ANSWER>>to guage end-organ perfusion and tissue hypoxia
A pt with a lower extremity fracture complains of severe pain and tightness in his
calf, minimally by pain medications. Which of the following is the priority nursing
intervention? - ANSWER>>elevating the extremity to the level of the heart
What factor contributes most to the kinetic energy of a body in motion? -
ANSWER>>velocity
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 pt has been in the ED for several hrs 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
