TNCC 9th edi.
An adult patient who sustained a severe head trauma has been intubated and has been
manually ventilated via a bag mask device at a rate of 18 breaths per minute. The patient has
received one intravenous fluid bolus of 500 ML of warmed isotonic crystalloid solution. The
PaCO2 is 30 and a pulse ox symmetry is 92%. BP is 142/70. What is the most important
intervention to manage the cerebral blood flow? - correct anwersdecrease the rate of manual
ventilation
An older patient with a history of anticoagulant use presents after a fall at home the previous
day. She denies LLC. She has a hematoma to her for head and complains of headache, dizziness,
and nausea. What is the most likely cause of her symptoms? - correct anwersSubdural
hematoma
An adult who fell from a second story roof is brought to the emergency department by private
vehicle. The patient is confused with an labored, respirations. It has strong, palpable, radial
pulses. There is an open wound in proximity to Novios, deformity of the left lower extremity.
What is the priority intervention? - correct anwersStabilize the C-spine
A trauma patient is restless and repeatedly asking "where am I?" Vitals upon arrival were BP
110/60, HR 96, RR 24. Her skin is cool and dry. Current vital signs are BP 104/84, heart rate 108,
respirations 28. The patient is demonstrating signs and symptoms of which stage of shock. -
correct anwerscompensated
A 35-year-old male presents with facial trauma after being struck in the face with a baseball. A
teardrop shaped left people is noted on exam. What type of injury is suspected? - correct
anwersGlobe rupture
An adult patient with a restraint passenger involved in a high-speed motor vehicle collision. The
patient complained of generalized abdominal and left leg pain. A fast examines negative for fluid
in the abdominal cavity. While awaiting impatient bed placement, the patient develops increase
abdominal pain with rebound tenderness, fever, in an elevated white blood cell count. These
findings are most consistent with an injury to which organ? - correct anwersSmall bowel
What intravascular solution is most commonly use for patients who have sustained burns? -
correct anwersLactated Ringers (LR)
, Which of the following is true about use of the focused assessment sonography for trauma
exam for a patient with abdominal trauma? - correct anwersIt can be used in hypotensive
patients too unstable for computed tomographic scan."
You are speaking with the family of a critically injured patient. The spouse is crying loudly and
the daughter is angry and yelling at the staff. Which of the following nursing interventions is
most appropriate? - correct anwersSpiritual support
A trauma patient is being held in the emergency department, because there are no available
inpatient beds. The patient has seen a femur fracture and required multiple blood products. The
patient now has blood oozing from abrasions, IV sides, the nose, and gums. What condition is
most consistent with these findings? - correct anwersDIC
A patient with a chest tube is being transported to the intensive care unit and fluctuation is
noted in the water seal chamber during inspiration and expiration. What is the best action for
the nurse to take? - correct anwerscontinue to ICU
A patient has uncontrolled bleeding from a wound to his right upper extremity. What is a
priority intervention? - correct anwersApply direct pressure to the wound
A patient has received multiple transfusions of banks blood in the past two hours. the patient
has - correct anwersCalcium gluconate
Three adults present at different times during a one-hour period with a high fever, fatigue, and
headache. All three patients have a rash which started on their mouth, face, and arms with
progression to the chest and abdomen. They all visited the same grocery store within the last
week. What is the most appropriate intervention from triage for these patients? - correct
anwersimmediately initiate isolation precautions
A trauma patient who is 30 weeks pregnant arrives at the emergency department following a
motor vehicle crash - correct anwersincreased oxygen consumption
Following a gun shot wound, pre-hospital providers report diminished breath sounds bilaterally.
Upon emergency department arrival, the patient is unresponsive with shallow respirations and
an O2 sat of 88%. What is the priority intervention for this patient? - correct
anwersPneumothorax, hemothoax, contusion, or flail chest
A patient with a traumatic brain injury has a mean arterial pressure (MAP) of 65 mm Hg (8.66
kPa) and an intracranial pressure (ICP) of 22 mm Hg (2.93 kPa). Which finding is most likely an
indication of the body's response to these findings? - correct anwersreflex tachycardia
An adult patient who sustained a severe head trauma has been intubated and has been
manually ventilated via a bag mask device at a rate of 18 breaths per minute. The patient has
received one intravenous fluid bolus of 500 ML of warmed isotonic crystalloid solution. The
PaCO2 is 30 and a pulse ox symmetry is 92%. BP is 142/70. What is the most important
intervention to manage the cerebral blood flow? - correct anwersdecrease the rate of manual
ventilation
An older patient with a history of anticoagulant use presents after a fall at home the previous
day. She denies LLC. She has a hematoma to her for head and complains of headache, dizziness,
and nausea. What is the most likely cause of her symptoms? - correct anwersSubdural
hematoma
An adult who fell from a second story roof is brought to the emergency department by private
vehicle. The patient is confused with an labored, respirations. It has strong, palpable, radial
pulses. There is an open wound in proximity to Novios, deformity of the left lower extremity.
What is the priority intervention? - correct anwersStabilize the C-spine
A trauma patient is restless and repeatedly asking "where am I?" Vitals upon arrival were BP
110/60, HR 96, RR 24. Her skin is cool and dry. Current vital signs are BP 104/84, heart rate 108,
respirations 28. The patient is demonstrating signs and symptoms of which stage of shock. -
correct anwerscompensated
A 35-year-old male presents with facial trauma after being struck in the face with a baseball. A
teardrop shaped left people is noted on exam. What type of injury is suspected? - correct
anwersGlobe rupture
An adult patient with a restraint passenger involved in a high-speed motor vehicle collision. The
patient complained of generalized abdominal and left leg pain. A fast examines negative for fluid
in the abdominal cavity. While awaiting impatient bed placement, the patient develops increase
abdominal pain with rebound tenderness, fever, in an elevated white blood cell count. These
findings are most consistent with an injury to which organ? - correct anwersSmall bowel
What intravascular solution is most commonly use for patients who have sustained burns? -
correct anwersLactated Ringers (LR)
, Which of the following is true about use of the focused assessment sonography for trauma
exam for a patient with abdominal trauma? - correct anwersIt can be used in hypotensive
patients too unstable for computed tomographic scan."
You are speaking with the family of a critically injured patient. The spouse is crying loudly and
the daughter is angry and yelling at the staff. Which of the following nursing interventions is
most appropriate? - correct anwersSpiritual support
A trauma patient is being held in the emergency department, because there are no available
inpatient beds. The patient has seen a femur fracture and required multiple blood products. The
patient now has blood oozing from abrasions, IV sides, the nose, and gums. What condition is
most consistent with these findings? - correct anwersDIC
A patient with a chest tube is being transported to the intensive care unit and fluctuation is
noted in the water seal chamber during inspiration and expiration. What is the best action for
the nurse to take? - correct anwerscontinue to ICU
A patient has uncontrolled bleeding from a wound to his right upper extremity. What is a
priority intervention? - correct anwersApply direct pressure to the wound
A patient has received multiple transfusions of banks blood in the past two hours. the patient
has - correct anwersCalcium gluconate
Three adults present at different times during a one-hour period with a high fever, fatigue, and
headache. All three patients have a rash which started on their mouth, face, and arms with
progression to the chest and abdomen. They all visited the same grocery store within the last
week. What is the most appropriate intervention from triage for these patients? - correct
anwersimmediately initiate isolation precautions
A trauma patient who is 30 weeks pregnant arrives at the emergency department following a
motor vehicle crash - correct anwersincreased oxygen consumption
Following a gun shot wound, pre-hospital providers report diminished breath sounds bilaterally.
Upon emergency department arrival, the patient is unresponsive with shallow respirations and
an O2 sat of 88%. What is the priority intervention for this patient? - correct
anwersPneumothorax, hemothoax, contusion, or flail chest
A patient with a traumatic brain injury has a mean arterial pressure (MAP) of 65 mm Hg (8.66
kPa) and an intracranial pressure (ICP) of 22 mm Hg (2.93 kPa). Which finding is most likely an
indication of the body's response to these findings? - correct anwersreflex tachycardia
