TNCC 8TH EDITION PROVIDER EXAM QUESTION
AND ANSWERS LATEST VERSION 2024 VERIFIED
RATIONALE GRADED A+
A 20-year-old male presents to the ED complaining of severe lower abdominal pain after landing hard on the bicycle cross bars
while performing an aerial BMX maneuver. Secondary assessment reveals lower abdominal tenderness and scrotal ecchymosis.
Which of the following orders would the nurse question? - ansStraight catheter for urine sample
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? - ansGlobe rupture
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? - ansApply a splint and elevate the extremity above the level of the heart
A 49-year-old restrained driver involved in a motor vehicle collision presents to the trauma center complaining of abdominal, pelvic,
and bilateral lower extremity pain. Vital signs are stable. The nurse can anticipate all of these after a negative FAST exam EXCEPT
which of the following? - ansDiagnostic peritoneal lavage
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? - ansReport your suspicion of maltreatment in accordance with local
regulations
A 56-year-old male patient involved in a motor vehicle crash is brought to the emergency department of a rural critical access facility.
He complains of neck pain, shortness of breath, and diffuse abdominal pain. His Glasgow Coma Score is 15. His vital signs are as
follows: BP 98/71 mm Hg, HR 125 beats/minute, RR 26 breaths/minute, SpO2 94% on high-flow oxygen via non-rebreather mask.
Which of the following is the priority intervention for this patient? - ansExpedite transfer to the closest trauma center
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. He 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? -
ansDressing removal
A patient has been in the emergency department for several hours 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 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 conditions? - ansFat embolism
A patient is brought to the emergency department of a rural hospital following a high-speed motor vehicle collision. When significant
abdominal and pelvic injuries are noted in the primary survey, which of the following is the priority intervention? - ansInitiate transfer
to a trauma center
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? - ansElevated creatine kinase
, TNCC 8TH EDITION PROVIDER EXAM QUESTION
AND ANSWERS LATEST VERSION 2024 VERIFIED
RATIONALE GRADED A+
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 based on
the disaster triage principles? - ansInitiate two large-caliber intravenous lines for Ringer's lactate solution administration.
A patient with a complete spinal cord injury in neurogenic shock will demonstrate hypotension and which other clinical signs? -
ansBradycardia and absent motor function below the level of injury
A patient with a 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? - ansElevating the extremity to the level of the heart
A trauma patient is en route to a rural emergency department. Radiology notifies the charge nurse that the computed tomography
(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 team's communication? - ansHuddle
A trauma patient is restless and repeatedly asking "Where am I?" Vital signs upon arrival were BP 110/60 mm Hg, HR 96
beats/minute and RR 24 breaths/minute. Her skin is cool and dry. Current vital signs are BP 104/84 mm Hg, HR 108 beats/minute,
and RR 28 breaths/minute. The patient is demonstrating signs and symptoms of which stage of shock? - ansCompensated
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. What is the most likely cause of her
symptoms? - ansSubdural hematoma
An intubated trauma patient is being transferred to a tertiary care center. After moving the patient to the stretcher for transport, a
drop in pulse oximetry to 85% is noted. Which of the following is the priority intervention? - ansConfirm endotracheal tube placement
An unresponsive trauma patient has an oropharyngeal 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? - ansVentilate with a bag-mask device
Caregivers carry a 2-year-old into the emergency department 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? - ansPadding the
upper back while stabilizing the cervical spine
During the primary survey of an unconscious patient with multi-system trauma, the nurse notes snoring respirations. Which priority
nursing intervention should be performed next? - ansInsert an oropharyngeal airway if there is no gag reflex
EMS arrives with the intoxicated driver of a car involved in a motor vehicle crash. EMS reports significant damage to the driver's side
of the car. The patient is asking to have the cervical collar removed. When is it appropriate to remove the cervical collar? - ansAfter
a physical examination if the patient has no radiologic abnormalities on a computed tomography scan
AND ANSWERS LATEST VERSION 2024 VERIFIED
RATIONALE GRADED A+
A 20-year-old male presents to the ED complaining of severe lower abdominal pain after landing hard on the bicycle cross bars
while performing an aerial BMX maneuver. Secondary assessment reveals lower abdominal tenderness and scrotal ecchymosis.
Which of the following orders would the nurse question? - ansStraight catheter for urine sample
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? - ansGlobe rupture
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? - ansApply a splint and elevate the extremity above the level of the heart
A 49-year-old restrained driver involved in a motor vehicle collision presents to the trauma center complaining of abdominal, pelvic,
and bilateral lower extremity pain. Vital signs are stable. The nurse can anticipate all of these after a negative FAST exam EXCEPT
which of the following? - ansDiagnostic peritoneal lavage
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? - ansReport your suspicion of maltreatment in accordance with local
regulations
A 56-year-old male patient involved in a motor vehicle crash is brought to the emergency department of a rural critical access facility.
He complains of neck pain, shortness of breath, and diffuse abdominal pain. His Glasgow Coma Score is 15. His vital signs are as
follows: BP 98/71 mm Hg, HR 125 beats/minute, RR 26 breaths/minute, SpO2 94% on high-flow oxygen via non-rebreather mask.
Which of the following is the priority intervention for this patient? - ansExpedite transfer to the closest trauma center
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. He 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? -
ansDressing removal
A patient has been in the emergency department for several hours 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 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 conditions? - ansFat embolism
A patient is brought to the emergency department of a rural hospital following a high-speed motor vehicle collision. When significant
abdominal and pelvic injuries are noted in the primary survey, which of the following is the priority intervention? - ansInitiate transfer
to a trauma center
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? - ansElevated creatine kinase
, TNCC 8TH EDITION PROVIDER EXAM QUESTION
AND ANSWERS LATEST VERSION 2024 VERIFIED
RATIONALE GRADED A+
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 based on
the disaster triage principles? - ansInitiate two large-caliber intravenous lines for Ringer's lactate solution administration.
A patient with a complete spinal cord injury in neurogenic shock will demonstrate hypotension and which other clinical signs? -
ansBradycardia and absent motor function below the level of injury
A patient with a 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? - ansElevating the extremity to the level of the heart
A trauma patient is en route to a rural emergency department. Radiology notifies the charge nurse that the computed tomography
(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 team's communication? - ansHuddle
A trauma patient is restless and repeatedly asking "Where am I?" Vital signs upon arrival were BP 110/60 mm Hg, HR 96
beats/minute and RR 24 breaths/minute. Her skin is cool and dry. Current vital signs are BP 104/84 mm Hg, HR 108 beats/minute,
and RR 28 breaths/minute. The patient is demonstrating signs and symptoms of which stage of shock? - ansCompensated
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. What is the most likely cause of her
symptoms? - ansSubdural hematoma
An intubated trauma patient is being transferred to a tertiary care center. After moving the patient to the stretcher for transport, a
drop in pulse oximetry to 85% is noted. Which of the following is the priority intervention? - ansConfirm endotracheal tube placement
An unresponsive trauma patient has an oropharyngeal 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? - ansVentilate with a bag-mask device
Caregivers carry a 2-year-old into the emergency department 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? - ansPadding the
upper back while stabilizing the cervical spine
During the primary survey of an unconscious patient with multi-system trauma, the nurse notes snoring respirations. Which priority
nursing intervention should be performed next? - ansInsert an oropharyngeal airway if there is no gag reflex
EMS arrives with the intoxicated driver of a car involved in a motor vehicle crash. EMS reports significant damage to the driver's side
of the car. The patient is asking to have the cervical collar removed. When is it appropriate to remove the cervical collar? - ansAfter
a physical examination if the patient has no radiologic abnormalities on a computed tomography scan
