TNCC TEST BANK COMPRISES ALL VERSIONS OF THE
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EXAM,STUDY GUIDES,REVIEWS AND ALL EDITIONS
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Multiple requests for water - ANSWER--EMS brings a pt who fell while
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riding his bicycle. Using the American College of Surgeobs screening
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guidelines, which assessment finding would prompt the RN to prepare
the pt for a radiologic spine clearance?
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hemoglobin does not readily release O2 for use by the tissues -
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ANSWER--What is the effect of hypothermia on the oxyhemoglobin
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dissociation curve?
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acidosis - ANSWER--Which of the following is a component of the
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trauma triad of death?
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Complete - ANSWER--EMS brings a pt from MVC. VS: BP 90/49, HR
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48, RR 12, temp 97.2F (36.2 C). The pt exhibits urinary incontinence
and priapism. These assessment findings are most consistent with which
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of the following types of spinal cord injury?
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flucuation in the water seal chamber - ANSWER--Which of the
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following is an expected finding in a pt with a tube thoracstomy
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connected to a chest drainage system?
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insert an oropharyngeal airway if there is no gag reflex - ANSWER--
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During the primary survey of an unconscious pt with multi-system
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trauma, the nurse notes snoring respirations. What priority nursing
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interventions should be preformed next?
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TNCC TEST BANK COMPRISES ALL VERSIONS OF THE
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EXAM,STUDY GUIDES,REVIEWS AND ALL EDITIONS
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globe rupture - ANSWER--A 35 y/o M presents with facial trauma after
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being struck in the face with a baseball. A teardrop-shaped left pupil is
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noted on exam. What type of injury is suspected?
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compensated - ANSWER--A trauma pt is restless and repeatedly asking
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"where am i?" VS upon arrival: BP 110/60, HR96, RR 24. Her skin is
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cool and dry. Current VS are BP 104/84, HR 108, RR 28. The pt is
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demonstrating s/sx of which stage of shock?
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ventilate with a bag mask device - ANSWER--An unresponsive trauma
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pt has an oropharygeal airway in place, shallow and labored respirations,
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and dusky skin. The trauma team has administered medications for drug-
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assisted intubation and attempted intubation but was unsuccessful. What
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is the most appropriate immediate next step?
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within 24 hrs of trauma - ANSWER--When is the tertiary survey
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completed fora trauma pt? sh
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pressure - ANSWER--An intubated and sedated pt in the ED has
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multiple extremity injuries with the potential for causing compartment
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syndrome. What is the most reliable indication of compartment
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syndrome in a patient who is unconscious?
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TNCC TEST BANK COMPRISES ALL VERSIONS OF THE
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EXAM,STUDY GUIDES,REVIEWS AND ALL EDITIONS
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worsening pneumothorax - ANSWER--Which of the following is
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possible complication of positive-pressure ventilation?
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pelvic stability - ANSWER--the most reassuring finding for a male pt
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with hip pain after a fall is which of the following?
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narrowed - ANSWER--Which of the following pulse pressures indicate
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early hypovolemic shock?
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dysrhythmias - ANSWER--Patients with a crush injury should be
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monitored for which of the following conditions?
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subdural hematoma - ANSWER--Tearing of the bridging veins is most
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frequently associated with which brain injury?
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straight cath for urine sample - ANSWER--A 20 y/o M presents to the
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ED complaining of severe lower abd pain after landing hard on the
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bicycle cross bars while preforming an aerial BMX maneuver.
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Secondary assessment reveals lower abd tenderness and scrotal
ecchymosis. Which of the following orders would the RN question?
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placental abruption - ANSWER--You are caring for a pt who was
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involved in a MVC and is 32 weeks pregnant. Findings of your
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secondary survey include abd pain on palpation, fundal ht at the costal
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margin, and some dark bloody show. Varying accelerations and
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TNCC TEST BANK COMPRISES ALL VERSIONS OF THE
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EXAM,STUDY GUIDES,REVIEWS AND ALL EDITIONS
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decelerations are noted on cariocgraphy. These findings are most
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consistent with which of the following?
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it can worsen cord damage from an unstable spinal injury - ANSWER--
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Which of the following is true about the log-roll?
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defusings - ANSWER--All of these are considered a critical
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communication point in trauma care EXCEPT which of the following?
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pulse oximetry and capnography - ANSWER--What bedside monitoring
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parameters are used to assess for adequacy of O2 and effectiveness of
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ventilation?
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padding the upper back while stabilizing the cervical spine - ANSWER--
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Caregivers carry in a 2 y/o into the ED who fell out of a second-story
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window. The pt is awake and crying with increased work of breathing
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and pale skin. Which of the following interventions has the highest
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priority?
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bowel - ANSWER--Which of the following injuries is LEAST likely to
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be promptly identified?
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Initiate transfer to a trauma center - ANSWER--A pt is brought to the
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ED of a rural hospital following a high-speed MVC. When significant
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