TNCC final exam test 2025 open book
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?
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?
B) worsening flail chest
Why is a measure of serum lactate obtained in the initial assessment of the trauma patient?
Which pulse pressure description is an indication of early hypovolemic shock?
Which of the following patients warrants referral to a burn center?
Which of the following occurs during the third impact of a motor vehicle crash?
Which of the following mnemonics can help the nurse prioritize care for a trauma patient with massive
uncontrolled hemorrhage?
Which of the following is true about the log roll maneuver?
which of the following is the priority intervention for this patient?
Which of the following is possible complication of positive-pressure ventilation?
Which of the following is NOT considered goal-directed therapy of cardiogenic shock?
Which of the following is an expected finding in a patient with a thoracostomy connected to a chest
drainage system?
Which of the following is a late sign of increased intracranial pressure?
Which of the following is a component of the trauma triad of death?
Which of the following injuries is LEAST likely to be promptly identified?
Which of the following considerations is most important when caring for a geriatric trauma patient?
Which of the following assessment findings differentiates a tension PTX from a simple PTX?
Which is the effect of hypothermia on the oxyhemoglobin dissociation curve?
Which if the following values indicates the need for alcohol withdrawal interventions?
What finding raises suspicion of complete spinal cord injury?
What factor contributes most the kinetic energy of a body in motion?
What bedside monitoring parameters are used to assess for adequacy of oxygenation and effectiveness
of ventilation?
B) weak
B) voluntary anal sphincter tone
B) VIPP
B) velocity ***
B) uterine rupture
B) urinary catheter
B) unilaterally diminished breath sounds
B) uncal herniation
B) tubing clamp closed for transport
B) tube thoracostomy
b) to quantify the base deficit for the adequacy of cellular perfusion
c) to determine the underlying cause of shock
B) Tissue oxygenation (PaO2) increases
B) the vehicle collides with a tree
The trauma nurse knows that placing a bariatric patients in a "ramped position" provides better
,TNCC final exam test 2025 open book
visualization during the insertion of which device?
The nurse is caring for a 120 kg male is brought in after a warehouse fire and is calculating the patient's
fluid resuscitation needs. He has painful red blistering to the entire surface of both upper extremities
and superficial burns to the anterior chest. Using the modified Lund and Browder chart to calculate the
total BSA burned, how much IV fluids would be administered in the first 8 hours?
The most reassuring finding for a male patient with hop pain after a fall is which of the following?
The FAST exam is done at the bedside to identify pathological fluid in the abdominal and pelvic cavities.
FAST exams reduce the use of more invasive diagnostic peritoneal lavage and can be repeated if clinical
changes or hemodynamic changes occur. A negative FAST study does not rule out injury and may warrant
a follow-up computed tomography scan. Serial FAST exams can identify increasing abdominal fluid
collections from hemorrhage. Diagnostic peritoneal lavage/diagnostic peritoneal aspiration is performed
by the surgical team to rapidly identify the presence of hemorrhage in patients who are
hemodynamically unstable after trauma. correct answerA) diagnostic peritoneal lavage ***
C) the aorta is torn at its attachment with the ligamentum arteriosum
C) The amount of oxygen available to the tissues increases
D) the airbag deploys and strikes the front seat passenger ***
Tearing of the bridging veins is most frequently associated with which brain injury?
B) Tachycardia and respiratory depression
C) Tachycardia and absent motor function below the level of injury
C) surgical repair
B) suction the ET tube
B) subdural hematoma ***
B) subdural hematoma ***
B) straight cath for urine sample ***
SpO2 94% on high flow O2 via NRB mask
B) sodium
B) Smell of alcohol on breath ***
B) serial fast exams
C) serial abdominal assessments
B) sepsis
RR 26 breaths/min
C) retinal detachment
B) response
B) respiratory rate and capnography
B) repositioning and apply ice
C) recovery
C) reabsorption of pleural air
C) pulse oximetry and respiratory rate
B) pulmonary contusion
C) PTX
B) provide the family with injury prevention resourse
B) provide report to the operating room nurse
B) Progressive
C) Priapism ***
C) preterm labor
C) Preparing the patient for ultrasound
, TNCC final exam test 2025 open book
B) preparing for drug assisted intubation
D) preparedness
B) prepare the patient for spinal radiographs
B) Prepare for cricothyroidotomy
C) post-concussive syndrome
B) polyuria
C) pleuritic chest pain
B) Place the patient in an observation area for care within the next few hours
C) Place a gastric tube
B) pericardiocentesis ***
B) pelvic stability ***
Patients with a crush injury should be monitored for which of the following conditions?
C) orogastric tube
D) Obtained imaging studies
C) notify the patients family
D) negative intrapleural pressure
B) Nausea and vomiting
C) narrowed ***
C) Multiple requests of water
D) Multiple abrasions to the extremities
B) medical history **
C) mass
C) MARCH***
C) magnesium
B) lung
B) loop
B) it is recommended for patients with unstable pelvic fractures
C) it does not increases the risk of life threatening hemorrhage from unstable injuries
D) it can worsen cord damage from an unstable spinal injury ***
C) irreversible
C) intracerebral hematoma
D) intact reflexes distal to the injury
B) insert an oropharyngeal airway if there is no gag reflex ***
D) inertia
C) incontinence
If a patient has received multiple transfusions of banked blood preserved with citrate, which electrolyte
is most likely to drop and require supplementation?
C) ice and elevation of the scrotum
hypothermia, metabolic acidosis, coagulopathy correct answerA) Acidosis **
D) hypotension that worsens with inspiration ***
C) hyperthermia
C) Hypercalcemia
C) huddle ***
HR 125 beats/min
D) hemorrhage
D) Hemoglobin molecule saturation (SaO2) decreases
B) heart rate of 45 beats/min
D) globe rupture ***
C) GCS 13
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?
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?
B) worsening flail chest
Why is a measure of serum lactate obtained in the initial assessment of the trauma patient?
Which pulse pressure description is an indication of early hypovolemic shock?
Which of the following patients warrants referral to a burn center?
Which of the following occurs during the third impact of a motor vehicle crash?
Which of the following mnemonics can help the nurse prioritize care for a trauma patient with massive
uncontrolled hemorrhage?
Which of the following is true about the log roll maneuver?
which of the following is the priority intervention for this patient?
Which of the following is possible complication of positive-pressure ventilation?
Which of the following is NOT considered goal-directed therapy of cardiogenic shock?
Which of the following is an expected finding in a patient with a thoracostomy connected to a chest
drainage system?
Which of the following is a late sign of increased intracranial pressure?
Which of the following is a component of the trauma triad of death?
Which of the following injuries is LEAST likely to be promptly identified?
Which of the following considerations is most important when caring for a geriatric trauma patient?
Which of the following assessment findings differentiates a tension PTX from a simple PTX?
Which is the effect of hypothermia on the oxyhemoglobin dissociation curve?
Which if the following values indicates the need for alcohol withdrawal interventions?
What finding raises suspicion of complete spinal cord injury?
What factor contributes most the kinetic energy of a body in motion?
What bedside monitoring parameters are used to assess for adequacy of oxygenation and effectiveness
of ventilation?
B) weak
B) voluntary anal sphincter tone
B) VIPP
B) velocity ***
B) uterine rupture
B) urinary catheter
B) unilaterally diminished breath sounds
B) uncal herniation
B) tubing clamp closed for transport
B) tube thoracostomy
b) to quantify the base deficit for the adequacy of cellular perfusion
c) to determine the underlying cause of shock
B) Tissue oxygenation (PaO2) increases
B) the vehicle collides with a tree
The trauma nurse knows that placing a bariatric patients in a "ramped position" provides better
,TNCC final exam test 2025 open book
visualization during the insertion of which device?
The nurse is caring for a 120 kg male is brought in after a warehouse fire and is calculating the patient's
fluid resuscitation needs. He has painful red blistering to the entire surface of both upper extremities
and superficial burns to the anterior chest. Using the modified Lund and Browder chart to calculate the
total BSA burned, how much IV fluids would be administered in the first 8 hours?
The most reassuring finding for a male patient with hop pain after a fall is which of the following?
The FAST exam is done at the bedside to identify pathological fluid in the abdominal and pelvic cavities.
FAST exams reduce the use of more invasive diagnostic peritoneal lavage and can be repeated if clinical
changes or hemodynamic changes occur. A negative FAST study does not rule out injury and may warrant
a follow-up computed tomography scan. Serial FAST exams can identify increasing abdominal fluid
collections from hemorrhage. Diagnostic peritoneal lavage/diagnostic peritoneal aspiration is performed
by the surgical team to rapidly identify the presence of hemorrhage in patients who are
hemodynamically unstable after trauma. correct answerA) diagnostic peritoneal lavage ***
C) the aorta is torn at its attachment with the ligamentum arteriosum
C) The amount of oxygen available to the tissues increases
D) the airbag deploys and strikes the front seat passenger ***
Tearing of the bridging veins is most frequently associated with which brain injury?
B) Tachycardia and respiratory depression
C) Tachycardia and absent motor function below the level of injury
C) surgical repair
B) suction the ET tube
B) subdural hematoma ***
B) subdural hematoma ***
B) straight cath for urine sample ***
SpO2 94% on high flow O2 via NRB mask
B) sodium
B) Smell of alcohol on breath ***
B) serial fast exams
C) serial abdominal assessments
B) sepsis
RR 26 breaths/min
C) retinal detachment
B) response
B) respiratory rate and capnography
B) repositioning and apply ice
C) recovery
C) reabsorption of pleural air
C) pulse oximetry and respiratory rate
B) pulmonary contusion
C) PTX
B) provide the family with injury prevention resourse
B) provide report to the operating room nurse
B) Progressive
C) Priapism ***
C) preterm labor
C) Preparing the patient for ultrasound
, TNCC final exam test 2025 open book
B) preparing for drug assisted intubation
D) preparedness
B) prepare the patient for spinal radiographs
B) Prepare for cricothyroidotomy
C) post-concussive syndrome
B) polyuria
C) pleuritic chest pain
B) Place the patient in an observation area for care within the next few hours
C) Place a gastric tube
B) pericardiocentesis ***
B) pelvic stability ***
Patients with a crush injury should be monitored for which of the following conditions?
C) orogastric tube
D) Obtained imaging studies
C) notify the patients family
D) negative intrapleural pressure
B) Nausea and vomiting
C) narrowed ***
C) Multiple requests of water
D) Multiple abrasions to the extremities
B) medical history **
C) mass
C) MARCH***
C) magnesium
B) lung
B) loop
B) it is recommended for patients with unstable pelvic fractures
C) it does not increases the risk of life threatening hemorrhage from unstable injuries
D) it can worsen cord damage from an unstable spinal injury ***
C) irreversible
C) intracerebral hematoma
D) intact reflexes distal to the injury
B) insert an oropharyngeal airway if there is no gag reflex ***
D) inertia
C) incontinence
If a patient has received multiple transfusions of banked blood preserved with citrate, which electrolyte
is most likely to drop and require supplementation?
C) ice and elevation of the scrotum
hypothermia, metabolic acidosis, coagulopathy correct answerA) Acidosis **
D) hypotension that worsens with inspiration ***
C) hyperthermia
C) Hypercalcemia
C) huddle ***
HR 125 beats/min
D) hemorrhage
D) Hemoglobin molecule saturation (SaO2) decreases
B) heart rate of 45 beats/min
D) globe rupture ***
C) GCS 13
