TNCC Physical Assessments.pdf

TNCCg9THgREALgEXAMgACTUALgVERIFIEDgEXAMgTESTgBANKg250gQ
UESTIONSgANDgANSWERSgVERIFIEDgANSWERg|ALREADYgGRADEDgA
|100%gCOMPLETEg&gVERIFIED


Ag5-
yeargoldgchildgpresentsgtogthegEDgwithgbruisesgtogtheguppergarmsgandgbuttocksgingvariou
sgstagesgofghealinggandgmultiplegsmall,gclean,groundgburnsgtogthegback.gTheregaregnoga
bnormalitiesgfoundgbasedgongthegpediatricgassessmentgtrianglegorgprimarygsurvey.gWhic
hgofgthegfollowinggisgthegprioritygnursinggintervention?

Answer:gAg-
gANSA)greportgyourgsuspiciongofgthegmaltreatmentgingaccordancegwithglocalgregulationsg
***
B)gapplygicegtogthegbruisesgandgconsultgwoundgcare
C)gengagegingtherapeuticgcommunicationgtogdeterminegthegMOI
D)gprovidegthegfamilygwithginjurygpreventiongresourse

Ag20-
yeargoldgmalegpresentsgtogthegEDgc/ogsevereglowergabdgpaingafterglandingghardgongthegb
icyclegcrossgbarsgwhichgperforminggangaerialgBMXgmaneuver.gSecondarygassessmentgr
evealsglowergabdgtendernessgandgscrotalgecchymosis.gWhichgofgthegfollowinggordersgwo
uldgthegnursegquestions?

Answer:gCg-gANSA)gFastgexam
B)gCTgscan
C)gstraightgcathgforgurinegsampleg***
D)gicegandgelevationgofgthegscrotum

Ag35-
yeargoldgmalegpresentsgwithgfacialgtraumagaftergbringgstruckginthegfacegwithgagbaseball.g
agtear-dropgshapedgleftgpupilgisgnotedgongexam.gWhatgtypegofginjurygisgsuspected?

Answer:gBg-gANSA)goculomotorgnervegpalsy
B)gglobegruptureg***
C)guncalgherniation
D)gretinalgdetachment

Ag36-
yeargoldgfemaleghasgagdeformitygofgthegleftgwristgaftergagfall.gShegisgreluctantgtogmoveghe
rghandgduegtogpain.gWhichgofgthegfollowinggisgthegmostgappropriategintervention?

Answer:gBg-gANSA)gapplygagslinggandgelevategthegextremitygtogtheglevelgofgthegheart.
B)gapplygagsplintgandgELEVATEgABOVEgTHEgLEVELgOFgTHEgHEARTg***
C)gApplygagslinggandgelevategthegextremitygabovegtheglevelgofgthegheart
D)gapplygagsplintgandgelevategthegextremitygtogtheglevelgofgthegheart.

,TNCCg9THgREALgEXAMgACTUALgVERIFIEDgEXAMgTESTgBANKg250gQ
UESTIONSgANDgANSWERSgVERIFIEDgANSWERg|ALREADYgGRADEDgA
|100%gCOMPLETEg&gVERIFIED


Ag49-
yeargoldgrestrainedgdriverginvolvedgingagMVCgpresentsgtogthegtraumagcentergc/ogabd,gpel
vic,gandgbilglowergextremitygpaingVitalsgsignsgaregstable.gThegnursegcanganticipategallgofg
thesegnegativegfastgexamgexceptgwhichgofgthegfollowing?

Answer:gA



ThegFASTgexamgisgdonegatgthegbedsidegtogidentifygpathologicalgfluidgingthegabdominalga
ndgpelvicgcavities.gFASTgexamsgreducegthegusegofgmoreginvasivegdiagnosticgperitonealgl
avagegandgcangbegrepeatedgifgclinicalgchangesgorghemodynamicgchangesgoccur.gAgneg
ativegFASTgstudygdoesgnotgrulegoutginjurygandgmaygwarrantgagfollow-
upgcomputedgtomographygscan.gSerialgFASTgexamsgcangidentifygincreasinggabdominalg
fluidgcollectionsgfromghemorrhage.gDiagnosticgperitonealglavage/diagnosticgperitonealga
spirationgisgperformedgbygthegsurgicalgteamgtograpidlygidentifygthegpresencegofghemorrha
gegingpatientsgwhogareghemodynamicallygunstablegaftergtrauma.g-
gANSA)gdiagnosticgperitonealglavageg***
B)gserialgfastgexams
C)gabdominalgandgpelvicgCTgscans
D)gserialgabdominalgassessments

Ag56-year-
gmalegpatientginvolvedgingagMVCgisgbroughtgtogthegEDgofgagruralgcriticalgaccessgfacility.g
Hegc/ogneckgpain,gSOB,gandgdiffusegabdgpain.gHisgGCSgisg15.gHisgvitalsgaregasgfollows:
BPg98/71
HRg125gbeats/min
RRg26gbreaths/min
SpO2g94%gonghighgflowgO2gviagNRBgmask

whichgofgthegfollowinggisgthegpriorityginterventiongforgthisgpatient?

Answer:gCg-gANSA)gExpeditegtransportgtogthegCTgscanner
B)gpreparegthegpatientgforgspinalgradiographs
C)gexpeditegtransfergtogthegclosestgtraumagcenterg***
D)gnotifygthegpatientsgfamily

Agpassengergisgbroughtgtogthegemergencygdepartmentgofgagruralghospitalgfollowinggaghig
h-
speedgMVC.gWhengsignificantgabdominalgandgpelvicginjuriesgaregnotedgingthegprimarygs
urvey,gwhichgofgthegfollowinggisgthegpriorityginterventions?

,TNCCg9THgREALgEXAMgACTUALgVERIFIEDgEXAMgTESTgBANKg250gQ
UESTIONSgANDgANSWERSgVERIFIEDgANSWERg|ALREADYgGRADEDgA
|100%gCOMPLETEg&gVERIFIED


Answer:gAg-gANSA)ginitiategtransfergtogagtraumagcenterg**
B)gprovidegreportgtogthegoperatinggroomgnurse
C)gObtainedgimaginggstudies
D)gPlacegaggastricgtube

Agpatientgarrivesgwithgaglargegopengchestgwoundgaftergbeinggassaultgedgwithgagmachete,
gPrehospitalgprovidersgplacedgagnonporousgdressinggovergthegchestgwoundgandgtapesgitg
ong3gsides.gHegisgnowgshowinggsignsgofganxiety,grestlessness,gseveregrespiratorygdistre
ss,gcyanosis,gandgdecreasinggbloodgpressure.gWhichgofgthegfollowinggisgthegMOSTgappr
opriateginterventions?

Answer:gCg-gANSA)gneedlegdecompression
B)gtubegthoracostomyg
C)gdressinggremovalg**
D)gsurgicalgrepair

AgpatientghasgbeengingthegEDgforgseveralghoursgwaitinggtogbegadmitted.gHegsustainedgm
ultiplegribgfracturesgandgagfemurgfracturegaftergagfall.gHeghasgbeengawake,galert,gandgc/og
leggpain.gHisgwifegreportedgsuddenlygbecomingganxiousgandgconfused.gUpongreassess
ment,gthegpatientgisgrestless,gwithgrespiratorygdistressgandgpetechiaegtoghisgneck.gthegpa
tientgisgexhibitinggsignsgofgsymptomsgcommonlygassociatedgwithgwhichgofgthegfollowingg
conditions?

Answer:gBg-gANSA)gacuteglungginjury
B)gfatgembolismg***
C)gPTX
D)gpulmonarygcontusion

Agpatientgisgfoundglyinggongthegfloorgaftergfallingg13ghoursgago.gWhichgofgthegfollowinggla
bgvaluesgisgexpectedgwithgagmusculoskeletalgcomplicationgassociatedgwithgthisgpresenta
tion?

Answer:gAg-gANSA)gelevatedgcreatinegkinaseg***
B)gdecreasedgpotassiumglevel
C)gdecreasedgWBC
D)gelevatedgGFR

Agpatientgisgthrowngagainstgagcargduringgagtornadogandgpresentsgwithgobviousgbilateralgf
emoralgfractures.gThegpatientgisgpale,galert,gdisoriented,gandghasgdelayedgcapgrefill.gWhi
chgofgthegfollowingginterventionsgwouldgbegmostgappropriategforgthisgpatientgbasedgongth
egdisastergtriagegprinciple?

, TNCCg9THgREALgEXAMgACTUALgVERIFIEDgEXAMgTESTgBANKg250gQ
UESTIONSgANDgANSWERSgVERIFIEDgANSWERg|ALREADYgGRADEDgA
|100%gCOMPLETEg&gVERIFIED


Answer:gAg-
gANSA)ginitiategtwoglargegcalibergintravenousglinesgforgRingersglactategsolutiongadministr
ationg***
B)gAdministergDilaudidgforgpaingcontrolgandgprovidegcomfortgcare
C)gPlacegthegpatientgingangobservationgareagforgcaregwithingthegnextgfewghours
D)gContactgthegcommandgcentergforgthegpersonnelgtognotifygnextgofgkin.

Agpatientgwithgagcompletegspinalgcordginjurygingneurogenicgshockgwillgdemonstrateghypot
ensiongandgwhichgothergclinicalgsigns?

Answer:gDg-gANSA)gBradycardiagandgipsilateralgabsencesgofgmotorgfunction
B)gTachycardiagandgrespiratorygdepression
C)gTachycardiagandgabsentgmotorgfunctiongbelowgtheglevelgofginjury
D)gBradycardiagandgabsentgmotorgfunctiongbelowgtheglevelgofgtheginjuryg***

Agpatientgwithglowergextremitygfracturegcomplainsgofgseveregpaingandgtightnessginghisgca
lf,gminimallygrelievedgbygpaingmedications.gWhichgofgthegfollowinggisgthegprioritygnursingg
intervention?

Answer:gCg-gANSA)gelevatinggthegextremitygabovegtheglevelgofgthegheart
B)grepositioninggandgapplygice
C)gElevatinggthegextremitygtogtheglevelgofgthegheartg***
D)gPreparinggthegpatientgforgultrasound

AgtraumagpatientgisgengroutegtogagruralgED.gRadiologygnotifiesgthegchargegnursegthatgthe
gCTgscannergwillgbegoutgofgservicegforgseveralgofghours.gThegteamggathersgtogplangaccor
dingly.gWhichgofgthegfollowinggtermsgbestgdescribesgthisgtraumagteamsgcommunication?

Answer:gDg-gANSA)gBrief
B)gloop
C)gdebrief
D)ghuddleg***

Agtraumagpatientgisgrestlessgandgrepeatedlygaskingg"wheregamgI?"gvitalgsignsgupongarriv
algweregBPg100/60gmmgHg,gHRg96gbeats/min,gandgRRg24gbreaths/min.gHergskingisgcoolg
andgdry.gCurrentgvitalgsignsgaregBPg104/84mmgHg,gHRg108,gRRg28gbreaths/min.gThegpa
tientgisgdemonstratinggsignsgandgsymptomsgofgwhichgstagegofgshock?g

Answer:gAg-gANSA)gcompensatedg**
B)gProgressive
C)girreversible