TNCC pre exam Questions with 100%
Correct Answers | Verified
The vital signs of a pregnant trauma patient at 30 weeks include a blood
pressure of 94/62 mm Hg and a heart rate of 108 beats/minute. Fetal heart tones
are 124 beats/minute. The emergency nurse interprets the patient's
hemodynamic findings as an indication of which of the following?
A. Decompensated shock
B. Normal vital signs in pregnancy
C. Compensated shock
D. Supine hypotension syndrome - ANSWER-Normal sings in pregnancy
The nurse is obtaining a history for a patient who presents following sexual
assault. This history is completed using which of the following techniques?
A. Bring the family in to the interview room.
B. Use direct quotes to record information.
C. Obtain information specific only to the assault.
D. Provide food and drink to help create rapport. - ANSWER-Use direct quotes to
record information
What is the appropriate technique for palpating the pelvis for stability?
A. Apply gentle pressure over the iliac crests, downward and laterally.
B. Apply gentle pressure over the iliac crests, downward and medially.
C. Apply firm pressure over the iliac crests, downward and laterally.
D. Apply firm pressure over the iliac crests, downward and medially. -
ANSWER-B. Apply gentle pressure over the iliac crests, downward and medially.
Treatment for frostbite can include which of the following interventions?
A. Warm the affected part over 30 to 60 minutes
B. Use gentle friction to improve circulation
C. Administer tissue plasminogen activator
D. Leave all of the blisters intact - ANSWER-Administer tissue plasminogen
activator
,What is the leading cause of preventable death for the trauma patient in the
prehospital environment?
A. Airway compromise
B. Ineffective ventilation
C. Secondary head injury
D. Uncontrolled external hemorrhage - ANSWER-Uncontrolled external
hemorrhage
Which of the following accurately describes ventilation principles associated with
use of a bag-mask device for an adult?
A. Compress the bag-mask device at a rate of one breath every 6 seconds.
B. Delivers 100% oxygen.
C. Squeeze the bag-mask device completely for each breath.
D. Maintain the oxygen saturation levels between 92% and 94%. -
ANSWER-Compress the bag-mask device at a rate of one breath every 6
seconds.
A adult patient with a knife injury to the neck has an intact airway and is
hemodynamically stable. They complain of difficulty swallowing and speaking. In
the primary survey, further assessment is indicated next for which of the following
conditions?
A.Damage to the cervical spine
B.An expanding pneumothorax
C.Laceration of the carotid artery
D.Injury to the thyroid gland - ANSWER-Damage to cervical spine
Following a bomb explosion, fragmentation injuries from the bomb or objects in
the environment are examples of which phase of injury?
A.Primary
B.Secondary
C.Tertiary
D.Quaternary - ANSWER-Secondary
Understanding the kinematic concepts associated with the mechanism of injury
and energy transfer can initially assist the trauma care provider in which of the
following?
,A. Anticipating the types of injuries that may be present
B. Deciding whether law enforcement should be notified
C. Determining needed laboratory tests
D. Predicting the need for a surgical procedure - ANSWER-Anticipating the types
of injuries that may be present
The general impression step in the initial assessment provides the opportunity to
do which of the following?
A. Assess for uncontrolled internal hemorrhage
B. Accurately triage the patient
C. Reprioritize circulation before airway or breathing.
D. Activate the trauma team - ANSWER-Reprioritize circulation before airway or
breathing.
A patient with a spinal cord injury at C5 is being cared for in the emergency
department while awaiting transport to a trauma center. Which of the following
represents the highest priority for ongoing assessment and management for this
patient?
A.Maintain adequate respiratory status.
B.Administer balanced resuscitation fluid.
C.Perform serial assessments of neurologic function.
D.Maintain core temperature. - ANSWER-Maintain adequate respiratory status
In a patient with severe traumatic brain injury, hypocapnia causes which
condition?
A.Respiratory acidosis
B.Metabolic acidosis
C.Neurogenic shock
D.Cerebral vasoconstriction - ANSWER-Cerebral Vasoconstriction
A trauma nurse cared for a child with devastating burns two weeks ago. The
nurse called in sick for a couple of days and is now back working on the team.
Which of the following behaviors would indicate this nurse is coping well?
A.They are talking about taking the emergency nursing certification examination.
B.They keep requesting to be assigned to the walk-in/ambulatory area.
C.They are impatient and snap at their coworkers.
, D.They are thinking about transferring out of the emergency department. -
ANSWER-They are talking about taking the emergency nursing certification
examination
While performing an assessment on a 13-month-old involved in a motor vehicle
collision, the nurse identifies which of the following findings from the patient as a
sign of possible altered mental status?
A.Sunken fontanel
B.Crying, but consolable
C.Spontaneous movement of arms and legs
D.Cooperation with the assessment - ANSWER-Cooperates with assessment.
Which of the following is considered a cornerstone of a high-performance trauma
team?
A.Individual goals
B.Use of TeamSTEPPS
C.Identification of a single decision maker
D.Effective communication - ANSWER-Effective communication
What is the best measure of the adequacy of cellular perfusion and can help to
predict the outcome of resuscitation?
A.End-tidal carbon dioxide
B.Hematocrit level
C.Base deficit
D.Oxygen saturation - ANSWER-Base deficit.
Base deficit serves as an endpoint measurement of the adequacy of cellular
perfusion and, when used in conjunction with serum lactate, helps predict the
success of the resuscitation.
What is the best position for maintaining an open airway in the obese patient?
A.Prone
B.Supine
C.Reverse Trendelenburg
D.Right lateral recumbent - ANSWER-The reverse Trendelenburg position will
benefit both airway maintenance and work of breathing in the obese patient.
Correct Answers | Verified
The vital signs of a pregnant trauma patient at 30 weeks include a blood
pressure of 94/62 mm Hg and a heart rate of 108 beats/minute. Fetal heart tones
are 124 beats/minute. The emergency nurse interprets the patient's
hemodynamic findings as an indication of which of the following?
A. Decompensated shock
B. Normal vital signs in pregnancy
C. Compensated shock
D. Supine hypotension syndrome - ANSWER-Normal sings in pregnancy
The nurse is obtaining a history for a patient who presents following sexual
assault. This history is completed using which of the following techniques?
A. Bring the family in to the interview room.
B. Use direct quotes to record information.
C. Obtain information specific only to the assault.
D. Provide food and drink to help create rapport. - ANSWER-Use direct quotes to
record information
What is the appropriate technique for palpating the pelvis for stability?
A. Apply gentle pressure over the iliac crests, downward and laterally.
B. Apply gentle pressure over the iliac crests, downward and medially.
C. Apply firm pressure over the iliac crests, downward and laterally.
D. Apply firm pressure over the iliac crests, downward and medially. -
ANSWER-B. Apply gentle pressure over the iliac crests, downward and medially.
Treatment for frostbite can include which of the following interventions?
A. Warm the affected part over 30 to 60 minutes
B. Use gentle friction to improve circulation
C. Administer tissue plasminogen activator
D. Leave all of the blisters intact - ANSWER-Administer tissue plasminogen
activator
,What is the leading cause of preventable death for the trauma patient in the
prehospital environment?
A. Airway compromise
B. Ineffective ventilation
C. Secondary head injury
D. Uncontrolled external hemorrhage - ANSWER-Uncontrolled external
hemorrhage
Which of the following accurately describes ventilation principles associated with
use of a bag-mask device for an adult?
A. Compress the bag-mask device at a rate of one breath every 6 seconds.
B. Delivers 100% oxygen.
C. Squeeze the bag-mask device completely for each breath.
D. Maintain the oxygen saturation levels between 92% and 94%. -
ANSWER-Compress the bag-mask device at a rate of one breath every 6
seconds.
A adult patient with a knife injury to the neck has an intact airway and is
hemodynamically stable. They complain of difficulty swallowing and speaking. In
the primary survey, further assessment is indicated next for which of the following
conditions?
A.Damage to the cervical spine
B.An expanding pneumothorax
C.Laceration of the carotid artery
D.Injury to the thyroid gland - ANSWER-Damage to cervical spine
Following a bomb explosion, fragmentation injuries from the bomb or objects in
the environment are examples of which phase of injury?
A.Primary
B.Secondary
C.Tertiary
D.Quaternary - ANSWER-Secondary
Understanding the kinematic concepts associated with the mechanism of injury
and energy transfer can initially assist the trauma care provider in which of the
following?
,A. Anticipating the types of injuries that may be present
B. Deciding whether law enforcement should be notified
C. Determining needed laboratory tests
D. Predicting the need for a surgical procedure - ANSWER-Anticipating the types
of injuries that may be present
The general impression step in the initial assessment provides the opportunity to
do which of the following?
A. Assess for uncontrolled internal hemorrhage
B. Accurately triage the patient
C. Reprioritize circulation before airway or breathing.
D. Activate the trauma team - ANSWER-Reprioritize circulation before airway or
breathing.
A patient with a spinal cord injury at C5 is being cared for in the emergency
department while awaiting transport to a trauma center. Which of the following
represents the highest priority for ongoing assessment and management for this
patient?
A.Maintain adequate respiratory status.
B.Administer balanced resuscitation fluid.
C.Perform serial assessments of neurologic function.
D.Maintain core temperature. - ANSWER-Maintain adequate respiratory status
In a patient with severe traumatic brain injury, hypocapnia causes which
condition?
A.Respiratory acidosis
B.Metabolic acidosis
C.Neurogenic shock
D.Cerebral vasoconstriction - ANSWER-Cerebral Vasoconstriction
A trauma nurse cared for a child with devastating burns two weeks ago. The
nurse called in sick for a couple of days and is now back working on the team.
Which of the following behaviors would indicate this nurse is coping well?
A.They are talking about taking the emergency nursing certification examination.
B.They keep requesting to be assigned to the walk-in/ambulatory area.
C.They are impatient and snap at their coworkers.
, D.They are thinking about transferring out of the emergency department. -
ANSWER-They are talking about taking the emergency nursing certification
examination
While performing an assessment on a 13-month-old involved in a motor vehicle
collision, the nurse identifies which of the following findings from the patient as a
sign of possible altered mental status?
A.Sunken fontanel
B.Crying, but consolable
C.Spontaneous movement of arms and legs
D.Cooperation with the assessment - ANSWER-Cooperates with assessment.
Which of the following is considered a cornerstone of a high-performance trauma
team?
A.Individual goals
B.Use of TeamSTEPPS
C.Identification of a single decision maker
D.Effective communication - ANSWER-Effective communication
What is the best measure of the adequacy of cellular perfusion and can help to
predict the outcome of resuscitation?
A.End-tidal carbon dioxide
B.Hematocrit level
C.Base deficit
D.Oxygen saturation - ANSWER-Base deficit.
Base deficit serves as an endpoint measurement of the adequacy of cellular
perfusion and, when used in conjunction with serum lactate, helps predict the
success of the resuscitation.
What is the best position for maintaining an open airway in the obese patient?
A.Prone
B.Supine
C.Reverse Trendelenburg
D.Right lateral recumbent - ANSWER-The reverse Trendelenburg position will
benefit both airway maintenance and work of breathing in the obese patient.
