TNCC 2023 Test Exam (9th Edition) 50 QUESTIONS AND
CORRECT VERIFIED ANSWERS
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? - ANSWER-Expedite transfer to the closest trauma center
The most reassuring finding for a male patient with hip pain after a fall is
which of the following? - ANSWER-Pelvic stability
Which of the following mnemonics can help the nurse prioritize care for a
trauma patient with massive uncontrolled hemorrhage? - ANSWER-
MARCH
Which of the following is NOT considered goal-directed therapy for
cardiogenic shock? - ANSWER-Pericardiocentesis
Which of the following occurs during the third impact of a motor vehicle
crash? - ANSWER-The aorta is torn at its attachment with the
ligamentum arteriosum
Patients with a crush injury should be monitored for which of the following
conditions? - ANSWER-Dysrhythmias
What factor contributes most to the kinetic energy of a body in motion? -
ANSWER-Velocity
Which of the following is a possible complication of positive-pressure
ventilation? - ANSWER-Worsening pneumothorax
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? - ANSWER-Initiate transfer to a trauma center
EMS brings a patient who fell while riding his bicycle. Using the American
College of Surgeons screening guidelines, which assessment finding would
, prompt the nurse to prepare the patient for radiologic spine clearance? -
ANSWER-Alert with no neurological deficits
The trauma nurse knows that placing a bariatric patient in a "ramped
position" provides better visualization during the insertion of which device?
- ANSWER-Endotracheal tube
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? - ANSWER-Globe rupture
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? - ANSWER-Padding the upper back while
stabilizing the cervical spine
Which of the following injuries is LEAST likely to be promptly identified? -
ANSWER-Bowel
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? - ANSWER-Diagnostic peritoneal lavage
Why is a measure of serum lactate obtained in the initial assessment of a
trauma patient? - ANSWER-To gauge end-organ perfusion and tissue
hypoxia
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? - ANSWER-Insert an
oropharyngeal airway if there is no gag reflex
Which of the following assessment findings differentiates a tension
pneumothorax from a simple pneumothorax? - ANSWER-Hypotension
that worsens with inspiration (pulsus paradoxus)
CORRECT VERIFIED ANSWERS
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? - ANSWER-Expedite transfer to the closest trauma center
The most reassuring finding for a male patient with hip pain after a fall is
which of the following? - ANSWER-Pelvic stability
Which of the following mnemonics can help the nurse prioritize care for a
trauma patient with massive uncontrolled hemorrhage? - ANSWER-
MARCH
Which of the following is NOT considered goal-directed therapy for
cardiogenic shock? - ANSWER-Pericardiocentesis
Which of the following occurs during the third impact of a motor vehicle
crash? - ANSWER-The aorta is torn at its attachment with the
ligamentum arteriosum
Patients with a crush injury should be monitored for which of the following
conditions? - ANSWER-Dysrhythmias
What factor contributes most to the kinetic energy of a body in motion? -
ANSWER-Velocity
Which of the following is a possible complication of positive-pressure
ventilation? - ANSWER-Worsening pneumothorax
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? - ANSWER-Initiate transfer to a trauma center
EMS brings a patient who fell while riding his bicycle. Using the American
College of Surgeons screening guidelines, which assessment finding would
, prompt the nurse to prepare the patient for radiologic spine clearance? -
ANSWER-Alert with no neurological deficits
The trauma nurse knows that placing a bariatric patient in a "ramped
position" provides better visualization during the insertion of which device?
- ANSWER-Endotracheal tube
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? - ANSWER-Globe rupture
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? - ANSWER-Padding the upper back while
stabilizing the cervical spine
Which of the following injuries is LEAST likely to be promptly identified? -
ANSWER-Bowel
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? - ANSWER-Diagnostic peritoneal lavage
Why is a measure of serum lactate obtained in the initial assessment of a
trauma patient? - ANSWER-To gauge end-organ perfusion and tissue
hypoxia
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? - ANSWER-Insert an
oropharyngeal airway if there is no gag reflex
Which of the following assessment findings differentiates a tension
pneumothorax from a simple pneumothorax? - ANSWER-Hypotension
that worsens with inspiration (pulsus paradoxus)
