TNCC FINAL EXAM 5 LATEST VERSIONS 2024 CONTAINS 500
QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)TEST
BANK |ALREADY GRADED A+|100% COMPLETE VERIFIED
What are the Rapid Sequence Intubation Steps? - ANSPREPARATION:
- gather equipment, staffing, etc.
PREOXYGENATION:
- Use 100% O2 (prevent risk of aspiration).
PRETREATMENT:
- Decrease S/E's of intubation
PARALYSIS WITH INDUCTION:
- Pt has LOC, then administer neuromuscular blocking agent
PROTECTION AND POSITIONING:
- Apply pressure over cricoid cartilage (minimizes likelihood of vomiting and aspiration
PLACEMENT WITH PROOF
- Each attempt NOT to exceed 30 seconds, max of 3 attempts. Ventilate pt 30-60 seconds between
attempts.
- After intubation, inflate the cuff
- Confirm tube placement w/exhaled CO2 detector.
POSTINTUBATION MANAGEMENT:
- Secure ET tube
- Set ventilator settings
- Obtain Chest x-ray
- Continue to medicate
- Recheck VS and pulse oxtimetry
What are the S/S of a basilar skull fx? - ANS- H/A
- Altered LOC
- Periorbital ecchymosis (raccoon eyes), mastoid ecchymosis (Battle's sign), or blood behind tympanic
membrane (hemotympanum)
- Facial nerve (VII) palsy
- CSF rhinorrhea or otorrhea
What are the S/S of a basilar skull fx? - ANS- H/A
- Altered LOC
- Periorbital ecchymosis (raccoon eyes), mastoid ecchymosis (Battle's sign), or blood behind tympanic
membrane (hemotympanum)
- Facial nerve (VII) palsy
- CSF rhinorrhea or otorrhea
What are the S/S of a basilar skull fx? - ANS- H/A
- Altered LOC
- Periorbital ecchymosis (raccoon eyes), mastoid ecchymosis (Battle's sign), or blood behind tympanic
membrane (hemotympanum)
- Facial nerve (VII) palsy
- CSF rhinorrhea or otorrhea
What are the S/S of a basilar skull fx? - ANS- H/A
- Altered LOC
- Periorbital ecchymosis (raccoon eyes), mastoid ecchymosis (Battle's sign), or blood behind tympanic
membrane (hemotympanum)
- Facial nerve (VII) palsy
- CSF rhinorrhea or otorrhea
What are the S/S of a basilar skull fx? - ANS- H/A
- Altered LOC
- Periorbital ecchymosis (raccoon eyes), mastoid ecchymosis (Battle's sign), or blood behind tympanic
membrane (hemotympanum)
- Facial nerve (VII) palsy
,TNCC FINAL EXAM 5 LATEST VERSIONS 2024 CONTAINS 500
QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)TEST
BANK |ALREADY GRADED A+|100% COMPLETE VERIFIED
- CSF rhinorrhea or otorrhea
What are the S/S of a cerebral contusion? - ANS- Alteration in LOC
- Behavior, motor or speech deficits
- Abnormal motor posturing
- Signs of increased ICP
What are the S/S of a corneal abrasion? - ANS-Photophobia and tearing
- Pain
- Injected conjuctiva or redness of the eye
- Lid swelling
-Complaint of a something in eye (sensation)
What are the S/S of a depressed skull fx? - ANS- H/A
- Possible decreased LOC
- Possible open fx
- Palpable depression of skull over the fx site
What are the S/S of a depressed skull fx? - ANS- H/A
- Possible decreased LOC
- Possible open fx
- Palpable depression of skull over the fx site
What are the S/S of a depressed skull fx? - ANS- H/A
- Possible decreased LOC
- Possible open fx
- Palpable depression of skull over the fx site
What are the S/S of a depressed skull fx? - ANS- H/A
- Possible decreased LOC
- Possible open fx
- Palpable depression of skull over the fx site
What are the S/S of a depressed skull fx? - ANS- H/A
- Possible decreased LOC
- Possible open fx
- Palpable depression of skull over the fx site
What are the S/S of a epidural hematoma? - ANS- Transient LOC
- Lucid period lasting a few minutes to several hours
- Rapid deterioration in neurologic status
- Severe H/A
- Sleepiness
- Dizziness
- N/V
- Hemiparesis or hemiplegia on opposite side of hematoma
- Unilateral fixed and dilated pupil on same side of hematoma
What are the S/S of a intracerebral hematoma? - ANS- Progressive and often rapid decline in LOC
- H/A
- Signs of increasing ICP
- Pupil abnormalities
- Contralateral hemiplegia
What are the S/S of a linear skull fx? - ANS- H/A
,TNCC FINAL EXAM 5 LATEST VERSIONS 2024 CONTAINS 500
QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)TEST
BANK |ALREADY GRADED A+|100% COMPLETE VERIFIED
- Possible decreased LOC
What are the S/S of a linear skull fx? - ANS- H/A
- Possible decreased LOC
What are the S/S of a linear skull fx? - ANS- H/A
- Possible decreased LOC
What are the S/S of a linear skull fx? - ANS- H/A
- Possible decreased LOC
What are the S/S of a linear skull fx? - ANS- H/A
- Possible decreased LOC
What are the S/S of a pneumothorax? - ANS- Dyspnea, tachypnea
- Tachycardia
- Hyerresonance (increased echo produced by percussion over the lung field) on the injured side
- Decreased or absent breath sounds on the injured side
- Chest pain
- Open, sucking wound on inspiration (open pneumothorax)
What are the S/S of a pneumothorax? - ANS- Dyspnea, tachypnea
- Tachycardia
- Hyerresonance (increased echo produced by percussion over the lung field) on the injured side
- Decreased or absent breath sounds on the injured side
- Chest pain
- Open, sucking wound on inspiration (open pneumothorax)
What are the S/S of a pneumothorax? - ANS- Dyspnea, tachypnea
- Tachycardia
- Hyerresonance (increased echo produced by percussion over the lung field) on the injured side
- Decreased or absent breath sounds on the injured side
- Chest pain
- Open, sucking wound on inspiration (open pneumothorax)
What are the S/S of a pneumothorax? - ANS- Dyspnea, tachypnea
- Tachycardia
- Hyerresonance (increased echo produced by percussion over the lung field) on the injured side
- Decreased or absent breath sounds on the injured side
- Chest pain
- Open, sucking wound on inspiration (open pneumothorax)
What are the S/S of a pneumothorax? - ANS- Dyspnea, tachypnea
- Tachycardia
- Hyerresonance (increased echo produced by percussion over the lung field) on the injured side
- Decreased or absent breath sounds on the injured side
- Chest pain
- Open, sucking wound on inspiration (open pneumothorax)
What are the S/S of a subdural hematoma? - ANS- Altered LOC or steady decline in LOC
- S/S of increased ICP
- Hemiparesis or hemiplegia on opposite side of hematoma
- Unilateral fixed and dilated pupil on same side of hematoma
Chronic pt's " " up to 2 wks post injury
, TNCC FINAL EXAM 5 LATEST VERSIONS 2024 CONTAINS 500
QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)TEST
BANK |ALREADY GRADED A+|100% COMPLETE VERIFIED
- H/A
- Progressive decrease in LOC
- Ataxia
- Incontinence
- Sz's
What are the S/S of a tension pneumothorax? - ANS- Severe respiratory distress
- Markedly diminished or absent breath sounds on affected side
- hypotension
- Distended neck, head and upper extremity veins-may not be clinically appreciated if significant blood
loss present
- Tracheal deviation - shift toward uninjured side (LATE sign)
- Cyanosis (LATE sign)
What are the S/S of a tension pneumothorax? - ANS- Severe respiratory distress
- Markedly diminished or absent breath sounds on affected side
- hypotension
- Distended neck, head and upper extremity veins-may not be clinically appreciated if significant blood
loss present
- Tracheal deviation - shift toward uninjured side (LATE sign)
- Cyanosis (LATE sign)
What are the S/S of a tension pneumothorax? - ANS- Severe respiratory distress
- Markedly diminished or absent breath sounds on affected side
- hypotension
- Distended neck, head and upper extremity veins-may not be clinically appreciated if significant blood
loss present
- Tracheal deviation - shift toward uninjured side (LATE sign)
- Cyanosis (LATE sign)
What are the S/S of a tension pneumothorax? - ANS- Severe respiratory distress
- Markedly diminished or absent breath sounds on affected side
- hypotension
- Distended neck, head and upper extremity veins-may not be clinically appreciated if significant blood
loss present
- Tracheal deviation - shift toward uninjured side (LATE sign)
- Cyanosis (LATE sign)
What are the S/S of a tension pneumothorax? - ANS- Severe respiratory distress
- Markedly diminished or absent breath sounds on affected side
- hypotension
- Distended neck, head and upper extremity veins-may not be clinically appreciated if significant blood
loss present
- Tracheal deviation - shift toward uninjured side (LATE sign)
- Cyanosis (LATE sign)
What are the S/S of flail chest? - ANS- Dyspnea
- Chest wall pain
- Paradoxical chest wall movement - the flail segment moves in during inspiration and out during
expiration.
What are the S/S of flail chest? - ANS- Dyspnea
- Chest wall pain
- Paradoxical chest wall movement - the flail segment moves in during inspiration and out during
expiration.
QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)TEST
BANK |ALREADY GRADED A+|100% COMPLETE VERIFIED
What are the Rapid Sequence Intubation Steps? - ANSPREPARATION:
- gather equipment, staffing, etc.
PREOXYGENATION:
- Use 100% O2 (prevent risk of aspiration).
PRETREATMENT:
- Decrease S/E's of intubation
PARALYSIS WITH INDUCTION:
- Pt has LOC, then administer neuromuscular blocking agent
PROTECTION AND POSITIONING:
- Apply pressure over cricoid cartilage (minimizes likelihood of vomiting and aspiration
PLACEMENT WITH PROOF
- Each attempt NOT to exceed 30 seconds, max of 3 attempts. Ventilate pt 30-60 seconds between
attempts.
- After intubation, inflate the cuff
- Confirm tube placement w/exhaled CO2 detector.
POSTINTUBATION MANAGEMENT:
- Secure ET tube
- Set ventilator settings
- Obtain Chest x-ray
- Continue to medicate
- Recheck VS and pulse oxtimetry
What are the S/S of a basilar skull fx? - ANS- H/A
- Altered LOC
- Periorbital ecchymosis (raccoon eyes), mastoid ecchymosis (Battle's sign), or blood behind tympanic
membrane (hemotympanum)
- Facial nerve (VII) palsy
- CSF rhinorrhea or otorrhea
What are the S/S of a basilar skull fx? - ANS- H/A
- Altered LOC
- Periorbital ecchymosis (raccoon eyes), mastoid ecchymosis (Battle's sign), or blood behind tympanic
membrane (hemotympanum)
- Facial nerve (VII) palsy
- CSF rhinorrhea or otorrhea
What are the S/S of a basilar skull fx? - ANS- H/A
- Altered LOC
- Periorbital ecchymosis (raccoon eyes), mastoid ecchymosis (Battle's sign), or blood behind tympanic
membrane (hemotympanum)
- Facial nerve (VII) palsy
- CSF rhinorrhea or otorrhea
What are the S/S of a basilar skull fx? - ANS- H/A
- Altered LOC
- Periorbital ecchymosis (raccoon eyes), mastoid ecchymosis (Battle's sign), or blood behind tympanic
membrane (hemotympanum)
- Facial nerve (VII) palsy
- CSF rhinorrhea or otorrhea
What are the S/S of a basilar skull fx? - ANS- H/A
- Altered LOC
- Periorbital ecchymosis (raccoon eyes), mastoid ecchymosis (Battle's sign), or blood behind tympanic
membrane (hemotympanum)
- Facial nerve (VII) palsy
,TNCC FINAL EXAM 5 LATEST VERSIONS 2024 CONTAINS 500
QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)TEST
BANK |ALREADY GRADED A+|100% COMPLETE VERIFIED
- CSF rhinorrhea or otorrhea
What are the S/S of a cerebral contusion? - ANS- Alteration in LOC
- Behavior, motor or speech deficits
- Abnormal motor posturing
- Signs of increased ICP
What are the S/S of a corneal abrasion? - ANS-Photophobia and tearing
- Pain
- Injected conjuctiva or redness of the eye
- Lid swelling
-Complaint of a something in eye (sensation)
What are the S/S of a depressed skull fx? - ANS- H/A
- Possible decreased LOC
- Possible open fx
- Palpable depression of skull over the fx site
What are the S/S of a depressed skull fx? - ANS- H/A
- Possible decreased LOC
- Possible open fx
- Palpable depression of skull over the fx site
What are the S/S of a depressed skull fx? - ANS- H/A
- Possible decreased LOC
- Possible open fx
- Palpable depression of skull over the fx site
What are the S/S of a depressed skull fx? - ANS- H/A
- Possible decreased LOC
- Possible open fx
- Palpable depression of skull over the fx site
What are the S/S of a depressed skull fx? - ANS- H/A
- Possible decreased LOC
- Possible open fx
- Palpable depression of skull over the fx site
What are the S/S of a epidural hematoma? - ANS- Transient LOC
- Lucid period lasting a few minutes to several hours
- Rapid deterioration in neurologic status
- Severe H/A
- Sleepiness
- Dizziness
- N/V
- Hemiparesis or hemiplegia on opposite side of hematoma
- Unilateral fixed and dilated pupil on same side of hematoma
What are the S/S of a intracerebral hematoma? - ANS- Progressive and often rapid decline in LOC
- H/A
- Signs of increasing ICP
- Pupil abnormalities
- Contralateral hemiplegia
What are the S/S of a linear skull fx? - ANS- H/A
,TNCC FINAL EXAM 5 LATEST VERSIONS 2024 CONTAINS 500
QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)TEST
BANK |ALREADY GRADED A+|100% COMPLETE VERIFIED
- Possible decreased LOC
What are the S/S of a linear skull fx? - ANS- H/A
- Possible decreased LOC
What are the S/S of a linear skull fx? - ANS- H/A
- Possible decreased LOC
What are the S/S of a linear skull fx? - ANS- H/A
- Possible decreased LOC
What are the S/S of a linear skull fx? - ANS- H/A
- Possible decreased LOC
What are the S/S of a pneumothorax? - ANS- Dyspnea, tachypnea
- Tachycardia
- Hyerresonance (increased echo produced by percussion over the lung field) on the injured side
- Decreased or absent breath sounds on the injured side
- Chest pain
- Open, sucking wound on inspiration (open pneumothorax)
What are the S/S of a pneumothorax? - ANS- Dyspnea, tachypnea
- Tachycardia
- Hyerresonance (increased echo produced by percussion over the lung field) on the injured side
- Decreased or absent breath sounds on the injured side
- Chest pain
- Open, sucking wound on inspiration (open pneumothorax)
What are the S/S of a pneumothorax? - ANS- Dyspnea, tachypnea
- Tachycardia
- Hyerresonance (increased echo produced by percussion over the lung field) on the injured side
- Decreased or absent breath sounds on the injured side
- Chest pain
- Open, sucking wound on inspiration (open pneumothorax)
What are the S/S of a pneumothorax? - ANS- Dyspnea, tachypnea
- Tachycardia
- Hyerresonance (increased echo produced by percussion over the lung field) on the injured side
- Decreased or absent breath sounds on the injured side
- Chest pain
- Open, sucking wound on inspiration (open pneumothorax)
What are the S/S of a pneumothorax? - ANS- Dyspnea, tachypnea
- Tachycardia
- Hyerresonance (increased echo produced by percussion over the lung field) on the injured side
- Decreased or absent breath sounds on the injured side
- Chest pain
- Open, sucking wound on inspiration (open pneumothorax)
What are the S/S of a subdural hematoma? - ANS- Altered LOC or steady decline in LOC
- S/S of increased ICP
- Hemiparesis or hemiplegia on opposite side of hematoma
- Unilateral fixed and dilated pupil on same side of hematoma
Chronic pt's " " up to 2 wks post injury
, TNCC FINAL EXAM 5 LATEST VERSIONS 2024 CONTAINS 500
QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)TEST
BANK |ALREADY GRADED A+|100% COMPLETE VERIFIED
- H/A
- Progressive decrease in LOC
- Ataxia
- Incontinence
- Sz's
What are the S/S of a tension pneumothorax? - ANS- Severe respiratory distress
- Markedly diminished or absent breath sounds on affected side
- hypotension
- Distended neck, head and upper extremity veins-may not be clinically appreciated if significant blood
loss present
- Tracheal deviation - shift toward uninjured side (LATE sign)
- Cyanosis (LATE sign)
What are the S/S of a tension pneumothorax? - ANS- Severe respiratory distress
- Markedly diminished or absent breath sounds on affected side
- hypotension
- Distended neck, head and upper extremity veins-may not be clinically appreciated if significant blood
loss present
- Tracheal deviation - shift toward uninjured side (LATE sign)
- Cyanosis (LATE sign)
What are the S/S of a tension pneumothorax? - ANS- Severe respiratory distress
- Markedly diminished or absent breath sounds on affected side
- hypotension
- Distended neck, head and upper extremity veins-may not be clinically appreciated if significant blood
loss present
- Tracheal deviation - shift toward uninjured side (LATE sign)
- Cyanosis (LATE sign)
What are the S/S of a tension pneumothorax? - ANS- Severe respiratory distress
- Markedly diminished or absent breath sounds on affected side
- hypotension
- Distended neck, head and upper extremity veins-may not be clinically appreciated if significant blood
loss present
- Tracheal deviation - shift toward uninjured side (LATE sign)
- Cyanosis (LATE sign)
What are the S/S of a tension pneumothorax? - ANS- Severe respiratory distress
- Markedly diminished or absent breath sounds on affected side
- hypotension
- Distended neck, head and upper extremity veins-may not be clinically appreciated if significant blood
loss present
- Tracheal deviation - shift toward uninjured side (LATE sign)
- Cyanosis (LATE sign)
What are the S/S of flail chest? - ANS- Dyspnea
- Chest wall pain
- Paradoxical chest wall movement - the flail segment moves in during inspiration and out during
expiration.
What are the S/S of flail chest? - ANS- Dyspnea
- Chest wall pain
- Paradoxical chest wall movement - the flail segment moves in during inspiration and out during
expiration.
