1
TNCC 9TH REAL EXAM ACTUAL VERIFIED EXAM TEST BANK 100 QUESTIONS AND ANSWERS
VERIFIED ANSWER |ALREADY GRADED A
Which is the effect of hypothermia on the oxyhemoglobin dissociation curve?
Answer: A - ANSA) Hemoglobin does not readily release oxygen for use by the tissues
***
The amount of oxygen available to the tissues increases
Tissue oxygenation (PaO2) increases
Hemoglobin molecule saturation (SaO2) decreases
Which of the following assessment findings differentiates a tension PTX from a simple PTX?
answer: D
Assessment findings associated with tension pneumothorax include anxiety, severe
restlessness, severe respiratory distress, and absent breath sounds on the injured side.
Hypotension due to compression of the heart and great vessels is consistent with obstructive
shock. Hypotension worsens with inspiration due to increased intrathoracic pressure. Late
signs include distended neck veins, tracheal deviation, and cyanosis. - ANSA) increased work
of breathing
,1
TNCC 9TH REAL EXAM ACTUAL VERIFIED EXAM TEST BANK 100 QUESTIONS AND ANSWERS
VERIFIED ANSWER |ALREADY GRADED A
unilaterally diminished breath sounds
pleuritic chest pain
hypotension that worsens with inspiration ***
Which of the following considerations is most important when caring for a geriatric trauma
patient?
Answer: B - ANSA) head to to exam
medical history **
incontinence
falls
Which of the following injuries is LEAST likely to be promptly identified?
Answer: C - ANSA) spleen
lung
bowel ***
brain
Which of the following is a component of the trauma triad of death?
Answer: A
hypothermia, metabolic acidosis, coagulopathy - ANSA) Acidosis **
hyperthermia
hemorrhage
sepsis
Which of the following is a late sign of increased intracranial pressure?
Answer: C
Cushing Response
Widening pulse pressure
Reflex bradycardia
Decreased RR - ANSA) Restlessness or drowsiness
Nausea and vomiting
Decreased respiratory effort**
amnesia and anxiety
Which of the following is an expected finding in a patient with a thoracostomy connected to a
chest drainage system?
,1
TNCC 9TH REAL EXAM ACTUAL VERIFIED EXAM TEST BANK 100 QUESTIONS AND ANSWERS
VERIFIED ANSWER |ALREADY GRADED A
Answer: D - ANSA) output of 200 mL/hr
tubing clamp closed for transport
dependent loops in the tubing to promote drainage
fluctuations in the water serial chamber ***
Which of the following is NOT considered goal-directed therapy of cardiogenic shock?
Answer: C - ANSA) controlled fluid boluses
antidysrhythmic administration
pericardiocentesis ***
cardiac cath
Which of the following is possible complication of positive-pressure ventilation?
Answer: A - ANSA) worsening pneumothorax
worsening flail chest
reabsorption of pleural air
negative intrapleural pressure
Which of the following is true about the log roll maneuver?
Answer: C - ANSA) it causes less spinal motion than the lift and slide manuever
it is recommended for patients with unstable pelvic fractures
it can worsen cord damage from an unstable spinal injury ***
it does not increases the risk of life threatening hemorrhage from unstable injuries
Which of the following mnemonics can help the nurse prioritize care for a trauma patient with
massive uncontrolled hemorrhage?
Answer: B - ANSA) ABC
MARCH***
AVPU
VIPP
Which of the following occurs during the third impact of a motor vehicle crash?
Answer: C - ANSA) The driver of the vehicle collides with the steering wheel
the vehicle collides with a tree
the aorta is torn at its attachment with the ligamentum arteriosum
the airbag deploys and strikes the front seat passenger ***
Which of the following patients warrants referral to a burn center?
, 1
TNCC 9TH REAL EXAM ACTUAL VERIFIED EXAM TEST BANK 100 QUESTIONS AND ANSWERS
VERIFIED ANSWER |ALREADY GRADED A
Answer: C - ANSA) a 21- year old female with a partial thickness burn to the right forearm
a 40-year old hypertensive male with a superficial burn to the back
a 52-year old diabetic male with partial thickness burn to the left lower leg ***
a 35-year old hyperlipidemic female with superficial burns to the anterior thorax.
Which pulse pressure description is an indication of early hypovolemic shock?
Answer: B - ANSA) widened
narrowed ***
bounding
weak
Why is a measure of serum lactate obtained in the initial assessment of the trauma patient?
Answer: c - ANSa) to measure oxygenation and ventilation
to quantify the base deficit for the adequacy of cellular perfusion
*to gauge end-organ perfusion and tissue hypoxia **
to determine the underlying cause of shock
You are caring for a patient who was involved in a MVA and is 32 weeks pregnant. Findings of
your secondary survey include abd pain on palpation, fundal high at the costal margin, and
some dark bloody show. Varying, accelerations and decelerations are noted on the
cardiotocography. These findings are most consistent with which of the following?
Answer: A - ANSA) placental abruption ***
preterm labor
uterine rupture
fetal demise
You are treating a 27-year old male in respiratory distress who was involved in a house fire.
Calculating TBSA burned is deferred d/t the need for emergent intubation. At what rate should
you begin fluid resuscitation?
Answer: B - ANSA) 1000 mL/hr
500 mL/hr ***
250 mL/hr
125 mL/hr A 5-year old child presents to the ED with bruises to the upper arms and buttocks in
various stages of healing and multiple small, clean, round burns to the back. There are no
abnormalities found based on the pediatric assessment triangle or primary survey. Which of
the following is the priority nursing intervention?
TNCC 9TH REAL EXAM ACTUAL VERIFIED EXAM TEST BANK 100 QUESTIONS AND ANSWERS
VERIFIED ANSWER |ALREADY GRADED A
Which is the effect of hypothermia on the oxyhemoglobin dissociation curve?
Answer: A - ANSA) Hemoglobin does not readily release oxygen for use by the tissues
***
The amount of oxygen available to the tissues increases
Tissue oxygenation (PaO2) increases
Hemoglobin molecule saturation (SaO2) decreases
Which of the following assessment findings differentiates a tension PTX from a simple PTX?
answer: D
Assessment findings associated with tension pneumothorax include anxiety, severe
restlessness, severe respiratory distress, and absent breath sounds on the injured side.
Hypotension due to compression of the heart and great vessels is consistent with obstructive
shock. Hypotension worsens with inspiration due to increased intrathoracic pressure. Late
signs include distended neck veins, tracheal deviation, and cyanosis. - ANSA) increased work
of breathing
,1
TNCC 9TH REAL EXAM ACTUAL VERIFIED EXAM TEST BANK 100 QUESTIONS AND ANSWERS
VERIFIED ANSWER |ALREADY GRADED A
unilaterally diminished breath sounds
pleuritic chest pain
hypotension that worsens with inspiration ***
Which of the following considerations is most important when caring for a geriatric trauma
patient?
Answer: B - ANSA) head to to exam
medical history **
incontinence
falls
Which of the following injuries is LEAST likely to be promptly identified?
Answer: C - ANSA) spleen
lung
bowel ***
brain
Which of the following is a component of the trauma triad of death?
Answer: A
hypothermia, metabolic acidosis, coagulopathy - ANSA) Acidosis **
hyperthermia
hemorrhage
sepsis
Which of the following is a late sign of increased intracranial pressure?
Answer: C
Cushing Response
Widening pulse pressure
Reflex bradycardia
Decreased RR - ANSA) Restlessness or drowsiness
Nausea and vomiting
Decreased respiratory effort**
amnesia and anxiety
Which of the following is an expected finding in a patient with a thoracostomy connected to a
chest drainage system?
,1
TNCC 9TH REAL EXAM ACTUAL VERIFIED EXAM TEST BANK 100 QUESTIONS AND ANSWERS
VERIFIED ANSWER |ALREADY GRADED A
Answer: D - ANSA) output of 200 mL/hr
tubing clamp closed for transport
dependent loops in the tubing to promote drainage
fluctuations in the water serial chamber ***
Which of the following is NOT considered goal-directed therapy of cardiogenic shock?
Answer: C - ANSA) controlled fluid boluses
antidysrhythmic administration
pericardiocentesis ***
cardiac cath
Which of the following is possible complication of positive-pressure ventilation?
Answer: A - ANSA) worsening pneumothorax
worsening flail chest
reabsorption of pleural air
negative intrapleural pressure
Which of the following is true about the log roll maneuver?
Answer: C - ANSA) it causes less spinal motion than the lift and slide manuever
it is recommended for patients with unstable pelvic fractures
it can worsen cord damage from an unstable spinal injury ***
it does not increases the risk of life threatening hemorrhage from unstable injuries
Which of the following mnemonics can help the nurse prioritize care for a trauma patient with
massive uncontrolled hemorrhage?
Answer: B - ANSA) ABC
MARCH***
AVPU
VIPP
Which of the following occurs during the third impact of a motor vehicle crash?
Answer: C - ANSA) The driver of the vehicle collides with the steering wheel
the vehicle collides with a tree
the aorta is torn at its attachment with the ligamentum arteriosum
the airbag deploys and strikes the front seat passenger ***
Which of the following patients warrants referral to a burn center?
, 1
TNCC 9TH REAL EXAM ACTUAL VERIFIED EXAM TEST BANK 100 QUESTIONS AND ANSWERS
VERIFIED ANSWER |ALREADY GRADED A
Answer: C - ANSA) a 21- year old female with a partial thickness burn to the right forearm
a 40-year old hypertensive male with a superficial burn to the back
a 52-year old diabetic male with partial thickness burn to the left lower leg ***
a 35-year old hyperlipidemic female with superficial burns to the anterior thorax.
Which pulse pressure description is an indication of early hypovolemic shock?
Answer: B - ANSA) widened
narrowed ***
bounding
weak
Why is a measure of serum lactate obtained in the initial assessment of the trauma patient?
Answer: c - ANSa) to measure oxygenation and ventilation
to quantify the base deficit for the adequacy of cellular perfusion
*to gauge end-organ perfusion and tissue hypoxia **
to determine the underlying cause of shock
You are caring for a patient who was involved in a MVA and is 32 weeks pregnant. Findings of
your secondary survey include abd pain on palpation, fundal high at the costal margin, and
some dark bloody show. Varying, accelerations and decelerations are noted on the
cardiotocography. These findings are most consistent with which of the following?
Answer: A - ANSA) placental abruption ***
preterm labor
uterine rupture
fetal demise
You are treating a 27-year old male in respiratory distress who was involved in a house fire.
Calculating TBSA burned is deferred d/t the need for emergent intubation. At what rate should
you begin fluid resuscitation?
Answer: B - ANSA) 1000 mL/hr
500 mL/hr ***
250 mL/hr
125 mL/hr A 5-year old child presents to the ED with bruises to the upper arms and buttocks in
various stages of healing and multiple small, clean, round burns to the back. There are no
abnormalities found based on the pediatric assessment triangle or primary survey. Which of
the following is the priority nursing intervention?
