TNCC 9th Edition final exam test questions
& correct and verified answers
A patient with a lower extremity fracture complains of severe pain and tightness in his
calf, initially relieved by pain medications. Which of the following is the priority nursing
intervention?
A. Elevating the leg above the level of the heart
B. Repositioning the leg and applying ice
C. Elevating the leg to the level of the heart
D. Preparing the patient for u/s of the leg - answer C. Elevating the leg TO the level
of the heart
During the primary survey of an uncurious patient with multi-system trauma, the nurse
notes snoring respirations. Which priority nursing interventions should be preformed
next?
A. Open the airway with head-tilt/chin-lift maneuver
B. Auscultate bilateral breath sounds
C. Assist Respirations using a bag-mask device
D. Insert an oropharyngeal airway if there is no gag reflex. - answer A. Open the
airway with head-tilt/chin-lift maneuver
Your patient is a pedestrian struck by a car and thrown 35 feet. They were unconscious
at the scene but became responsive with initial and subsequent Glasgow-Coma scores
of 13 (E-3, V-4, M-6). The patient has bilateral subdural hematomas and is awaiting
transfer to the ICU. Your next assessment reveals a GCS of 9 (E-2, V-2, M-5). What is
the priority nursing intervention?
A. Hold all pain medications
B. Notify the provider of the change
C. Repeat the GCS in 30 minutes
D. Place the patient in trendelenburg position - answer B. Notify the provider of the
change
What is the priority intervention for a child who had been diagnosed with an atlanto-
occipital dislocation following a high-speed motor vehicle collision?
A. Initiating second large caliber IV
B. Maintaining spinal motion restriction
C. Placing the patient on pulse oximetry
D. Turning the patient to remove the backboard - answer B. Maintaining spinal
motion restriction
, Which of the following assessment findings differentiates a tension pneumothorax from
a simple pneumothorax?
A. Increased work of breathing
B. Unilaterally diminished breath sounds
C. Tachycardia
D. Hypotension - answer D. Hypotension (?)
A Patient is brought to the emergency department following a MVA rollover and is
complaining of left upper abdominal pain and left shoulder pain. This presentation is
most consistent with an injury to which organ?
A. Kidney
B. Liver
C. Spleen
D. Pancreas - answer C. Spleen
A patient arrives with a 3-inch laceration to their forearm from a tree branch. Which of
the following methods will the nurse use to remove small pieces of debris from the
wound?
A. Low-pressure irrigation
B. High-pressure irrigation
C. Scrubbing with NaCl
D. Scrubbing with tap water. - answer A. Low-pressure irrigation
An adult patient who sustained a severe head trauma has been intubated and is being
manually ventilated via a bag-mask device at a rate of 18 breaths/minute with clear
breath sounds bilaterally. The patient has received one IVF bolus of 500mL of warmed
isotonic crystalloid solution. The PaCO2 is 30mmHg and the pulse ox is 96%. BP is
142/70. What's the most important intervention to manage cerebral blood flow?
A. Decrease the rate of manual ventilation
B. Initiate another fluid bolus
C. Recheck endotracheal tube placement.
D. Increase the amount of oxygen delivered - answer A. Decrease the rate of
manual ventilation.
A restrained driver involved in a MVA collision is brought to the ED with abdominal,
pelvic, and bilateral lower extremity pain. Vital signs are bp 114/78, HR 98 bpm, RR 22.
A FAST exam is negative for fluid in the abdominal and peritoneal cavities. Which of the
following should the nurse anticipate?
A. Diagnostic peritoneal lavage
B. Angiography
C. Operative management
D. Serial abdominal assessments - answer D. Serial abdominal assessments
A patient presents after a 25-foot-fall, with paradoxical chest wall movement to the right
lower chest and complaints of shortness of breath. What is the priority intervention?
A. Surgical intervention
& correct and verified answers
A patient with a lower extremity fracture complains of severe pain and tightness in his
calf, initially relieved by pain medications. Which of the following is the priority nursing
intervention?
A. Elevating the leg above the level of the heart
B. Repositioning the leg and applying ice
C. Elevating the leg to the level of the heart
D. Preparing the patient for u/s of the leg - answer C. Elevating the leg TO the level
of the heart
During the primary survey of an uncurious patient with multi-system trauma, the nurse
notes snoring respirations. Which priority nursing interventions should be preformed
next?
A. Open the airway with head-tilt/chin-lift maneuver
B. Auscultate bilateral breath sounds
C. Assist Respirations using a bag-mask device
D. Insert an oropharyngeal airway if there is no gag reflex. - answer A. Open the
airway with head-tilt/chin-lift maneuver
Your patient is a pedestrian struck by a car and thrown 35 feet. They were unconscious
at the scene but became responsive with initial and subsequent Glasgow-Coma scores
of 13 (E-3, V-4, M-6). The patient has bilateral subdural hematomas and is awaiting
transfer to the ICU. Your next assessment reveals a GCS of 9 (E-2, V-2, M-5). What is
the priority nursing intervention?
A. Hold all pain medications
B. Notify the provider of the change
C. Repeat the GCS in 30 minutes
D. Place the patient in trendelenburg position - answer B. Notify the provider of the
change
What is the priority intervention for a child who had been diagnosed with an atlanto-
occipital dislocation following a high-speed motor vehicle collision?
A. Initiating second large caliber IV
B. Maintaining spinal motion restriction
C. Placing the patient on pulse oximetry
D. Turning the patient to remove the backboard - answer B. Maintaining spinal
motion restriction
, Which of the following assessment findings differentiates a tension pneumothorax from
a simple pneumothorax?
A. Increased work of breathing
B. Unilaterally diminished breath sounds
C. Tachycardia
D. Hypotension - answer D. Hypotension (?)
A Patient is brought to the emergency department following a MVA rollover and is
complaining of left upper abdominal pain and left shoulder pain. This presentation is
most consistent with an injury to which organ?
A. Kidney
B. Liver
C. Spleen
D. Pancreas - answer C. Spleen
A patient arrives with a 3-inch laceration to their forearm from a tree branch. Which of
the following methods will the nurse use to remove small pieces of debris from the
wound?
A. Low-pressure irrigation
B. High-pressure irrigation
C. Scrubbing with NaCl
D. Scrubbing with tap water. - answer A. Low-pressure irrigation
An adult patient who sustained a severe head trauma has been intubated and is being
manually ventilated via a bag-mask device at a rate of 18 breaths/minute with clear
breath sounds bilaterally. The patient has received one IVF bolus of 500mL of warmed
isotonic crystalloid solution. The PaCO2 is 30mmHg and the pulse ox is 96%. BP is
142/70. What's the most important intervention to manage cerebral blood flow?
A. Decrease the rate of manual ventilation
B. Initiate another fluid bolus
C. Recheck endotracheal tube placement.
D. Increase the amount of oxygen delivered - answer A. Decrease the rate of
manual ventilation.
A restrained driver involved in a MVA collision is brought to the ED with abdominal,
pelvic, and bilateral lower extremity pain. Vital signs are bp 114/78, HR 98 bpm, RR 22.
A FAST exam is negative for fluid in the abdominal and peritoneal cavities. Which of the
following should the nurse anticipate?
A. Diagnostic peritoneal lavage
B. Angiography
C. Operative management
D. Serial abdominal assessments - answer D. Serial abdominal assessments
A patient presents after a 25-foot-fall, with paradoxical chest wall movement to the right
lower chest and complaints of shortness of breath. What is the priority intervention?
A. Surgical intervention
