TNCC final exam test open book|| Verified questions
and answers|| Latest update
1. Why is serum lactate measured during the trauma patient's initial assessment?
Answer: c: a) to evaluate oxygenation and ventilation b) to quantify the baseline deficit for
the adequacy of cellular perfusion c) *to gauge end-organ perfusion and tissue hypoxia **
d) to discover the underlying cause of shock
2. A trauma patient is restless and continually asks, "Where am I?" Vital values at arrival
were BP 100/60 mm Hg, HR 96 beats/min, and RR 24 breaths/min. Her complexion is cold
and dry. The current vital signs are blood pressure 104/84mm Hg, heart rate 108, and
respiratory rate 28 breaths per minute. Which stage of shock is the patient showing signs
of?
Answer: A) compensated **B) progressive C) irreversible D) decompensated.
3. An older patient with a history of anticoagulant usage comes in following a fall at home
that day. She denies any loss of consciousness. She has a hematoma on her forehead and is
complaining of headache, dizziness, and nausea. What is the most likely source of her
symptoms?
A) epidural hematoma B) diffuse axonal damage C) post-concussive syndrome D) subdural
hematoma***
4. EMS transports a patient who fell while riding his bicycle. According to the American
College of Surgeons screening standards, which assessment finding should lead the nurse to
prepare the patient for radiologic spine clearance?
, Answer: D: A) Alert with no neurologic abnormalities B) Multiple abrasions to the
extremities C) Multiple requests for water D) The smell of alcohol on the breath ***
5. Which of the following happens at the third impact of a car crash?
Answer: C: A) The motorist collides with the steering wheel.
1/12 TNCC Final Exam Test 2022 Open Book Study online at https://quizlet.com/_b5dvxn.
B) the vehicle collides with a tree. C) the aorta is ripped at its attachment with the
ligamentum arteriosum. D) the airbag deploys and impacts the front seat passenger.
6. A passenger is transported to a rural hospital's emergency department following a
high-speed motor vehicle collision. When substantial abdominal and pelvic injuries are
identified in the primary survey, which of the following interventions should be prioritized?
Answer: A) transfer to a trauma center ** B) report to the operating room nurse C) obtain
imaging studies D) place a stomach tube.
7. Which of the following injuries is the least likely to be discovered right away?
Answer: C: A) Spleen B) Lung C) Bowel *** D) Brain
8. Patients who have suffered a crush injury should be monitored for which of the
following conditions?
Answer: C: A) Hypernatremia B) Hypercalcemia C) Dysrhythmias** D) Polyuria
9. What finding raises the possibility of full spinal cord injury?
and answers|| Latest update
1. Why is serum lactate measured during the trauma patient's initial assessment?
Answer: c: a) to evaluate oxygenation and ventilation b) to quantify the baseline deficit for
the adequacy of cellular perfusion c) *to gauge end-organ perfusion and tissue hypoxia **
d) to discover the underlying cause of shock
2. A trauma patient is restless and continually asks, "Where am I?" Vital values at arrival
were BP 100/60 mm Hg, HR 96 beats/min, and RR 24 breaths/min. Her complexion is cold
and dry. The current vital signs are blood pressure 104/84mm Hg, heart rate 108, and
respiratory rate 28 breaths per minute. Which stage of shock is the patient showing signs
of?
Answer: A) compensated **B) progressive C) irreversible D) decompensated.
3. An older patient with a history of anticoagulant usage comes in following a fall at home
that day. She denies any loss of consciousness. She has a hematoma on her forehead and is
complaining of headache, dizziness, and nausea. What is the most likely source of her
symptoms?
A) epidural hematoma B) diffuse axonal damage C) post-concussive syndrome D) subdural
hematoma***
4. EMS transports a patient who fell while riding his bicycle. According to the American
College of Surgeons screening standards, which assessment finding should lead the nurse to
prepare the patient for radiologic spine clearance?
, Answer: D: A) Alert with no neurologic abnormalities B) Multiple abrasions to the
extremities C) Multiple requests for water D) The smell of alcohol on the breath ***
5. Which of the following happens at the third impact of a car crash?
Answer: C: A) The motorist collides with the steering wheel.
1/12 TNCC Final Exam Test 2022 Open Book Study online at https://quizlet.com/_b5dvxn.
B) the vehicle collides with a tree. C) the aorta is ripped at its attachment with the
ligamentum arteriosum. D) the airbag deploys and impacts the front seat passenger.
6. A passenger is transported to a rural hospital's emergency department following a
high-speed motor vehicle collision. When substantial abdominal and pelvic injuries are
identified in the primary survey, which of the following interventions should be prioritized?
Answer: A) transfer to a trauma center ** B) report to the operating room nurse C) obtain
imaging studies D) place a stomach tube.
7. Which of the following injuries is the least likely to be discovered right away?
Answer: C: A) Spleen B) Lung C) Bowel *** D) Brain
8. Patients who have suffered a crush injury should be monitored for which of the
following conditions?
Answer: C: A) Hypernatremia B) Hypercalcemia C) Dysrhythmias** D) Polyuria
9. What finding raises the possibility of full spinal cord injury?
