TNCC TEST PREP 8TH EDITION 100% CORRECT
QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS
Terms in this set (59)
A 56 y/o M involved in a MVC is brought to the ED. He
Expedite transfer to the closest
complains of neck pain, SOB, and diffuse abdominal pain.
trauma center
His GCS is 15, VS: BP 98/71, HR 125, RR 26, SpO2 94% on
high-flow O2 via NRB mask. Which is the priority
intervention for this patient?
Which of the following considerations is the most important
a pertinent medical hx is crucial
when caring for a geriatric trauma pt?
Following a review of recent drills and a real disaster event, a
Mitigation hospital has identified deficiencies and is taking steps to
minimize the impact of a future disaster . Which phase of the
disaster life cycle does this describe?
EMS brings a pt who fell while riding his bicycle. Using the American
smell of alcohol on breath College of
Surgeobs screening guidelines, which assessment finding
would prompt the RN to prepare the pt for a radiologic
spine clearance?
hemoglobin does not readily What is the effect of hypothermia on the oxyhemoglobin dissociation
release O2 for use by the curve?
tissues
acidosis Which of the following is a component of the trauma triad of death?
EMS brings a pt from MVC. VS: BP 90/49, HR 48, RR 12,
Complete temp 97.2F (36.2 C). The pt exhibits urinary incontinence
and priapism. These assessment findings are most consistent
with which of the following types of spinal cord injury?
Which of the following is an expected finding in a pt with a
flucuation in the water seal
chamber tube thoracstomy connected to a chest drainage system?
, During the primary survey of an unconscious pt with multi-
insert an oropharyngeal
system trauma, the nurse notes snoring respirations. What
airway if there is no gag reflex
priority nursing interventions should be preformed next?
A 35 y/o M presents with facial trauma after being struck in
globe rupture
the face with a baseball. A teardrop-shaped left pupil is
noted on exam. What type of injury is suspected?
A trauma pt is restless and repeatedly asking "where am i?" VS upon
compensated arrival: BP
110/60, HR96, RR 24. Her skin is cool and dry. Current VS are BP
104/84, HR 108, RR
28. The pt is demonstrating s/sx of which stage of shock?
An unresponsive trauma pt has an oropharygeal airway in place, shallow
and
ventilate with a bag mask device labored respirations, and dusky skin. The trauma team has
administered medications for drug-assisted intubation and
attempted intubation but was unsuccessful. What is the most
appropriate immediate next step?
within 24 hrs of trauma When is the tertiary survey completed fora trauma pt?
An intubated and sedated pt in the ED has multiple extremity injuries
pressure with the
potential for causing compartment syndrome. What is the
most reliable indication of compartment syndrome in a
patient who is unconscious?
worsening pneumothorax Which of the following is possible complication of positive-pressure
ventilation?
the most reassuring finding for a male pt with hip pain after
pelvic stability
a fall is which of the following?
narrowed Which of the following pulse pressures indicate early hypovolemic
shock?
Patients with a crush injury should be monitored for which
dysrhythmias
of the following conditions?
subdural hematoma Tearing of the bridging veins is most frequently associated with which
brain injury?
A 20 y/o M presents to the ED complaining of severe lower abd pain
after landing
straight cath for urine sample hard on the bicycle cross bars while preforming an aerial BMX
maneuver. Secondary assessment reveals lower abd
tenderness and scrotal ecchymosis. Which of the
following orders would the RN question?
You are caring for a pt who was involved in a MVC and is 32
weeks pregnant. Findings of your secondary survey include
placental abruption
QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS
Terms in this set (59)
A 56 y/o M involved in a MVC is brought to the ED. He
Expedite transfer to the closest
complains of neck pain, SOB, and diffuse abdominal pain.
trauma center
His GCS is 15, VS: BP 98/71, HR 125, RR 26, SpO2 94% on
high-flow O2 via NRB mask. Which is the priority
intervention for this patient?
Which of the following considerations is the most important
a pertinent medical hx is crucial
when caring for a geriatric trauma pt?
Following a review of recent drills and a real disaster event, a
Mitigation hospital has identified deficiencies and is taking steps to
minimize the impact of a future disaster . Which phase of the
disaster life cycle does this describe?
EMS brings a pt who fell while riding his bicycle. Using the American
smell of alcohol on breath College of
Surgeobs screening guidelines, which assessment finding
would prompt the RN to prepare the pt for a radiologic
spine clearance?
hemoglobin does not readily What is the effect of hypothermia on the oxyhemoglobin dissociation
release O2 for use by the curve?
tissues
acidosis Which of the following is a component of the trauma triad of death?
EMS brings a pt from MVC. VS: BP 90/49, HR 48, RR 12,
Complete temp 97.2F (36.2 C). The pt exhibits urinary incontinence
and priapism. These assessment findings are most consistent
with which of the following types of spinal cord injury?
Which of the following is an expected finding in a pt with a
flucuation in the water seal
chamber tube thoracstomy connected to a chest drainage system?
, During the primary survey of an unconscious pt with multi-
insert an oropharyngeal
system trauma, the nurse notes snoring respirations. What
airway if there is no gag reflex
priority nursing interventions should be preformed next?
A 35 y/o M presents with facial trauma after being struck in
globe rupture
the face with a baseball. A teardrop-shaped left pupil is
noted on exam. What type of injury is suspected?
A trauma pt is restless and repeatedly asking "where am i?" VS upon
compensated arrival: BP
110/60, HR96, RR 24. Her skin is cool and dry. Current VS are BP
104/84, HR 108, RR
28. The pt is demonstrating s/sx of which stage of shock?
An unresponsive trauma pt has an oropharygeal airway in place, shallow
and
ventilate with a bag mask device labored respirations, and dusky skin. The trauma team has
administered medications for drug-assisted intubation and
attempted intubation but was unsuccessful. What is the most
appropriate immediate next step?
within 24 hrs of trauma When is the tertiary survey completed fora trauma pt?
An intubated and sedated pt in the ED has multiple extremity injuries
pressure with the
potential for causing compartment syndrome. What is the
most reliable indication of compartment syndrome in a
patient who is unconscious?
worsening pneumothorax Which of the following is possible complication of positive-pressure
ventilation?
the most reassuring finding for a male pt with hip pain after
pelvic stability
a fall is which of the following?
narrowed Which of the following pulse pressures indicate early hypovolemic
shock?
Patients with a crush injury should be monitored for which
dysrhythmias
of the following conditions?
subdural hematoma Tearing of the bridging veins is most frequently associated with which
brain injury?
A 20 y/o M presents to the ED complaining of severe lower abd pain
after landing
straight cath for urine sample hard on the bicycle cross bars while preforming an aerial BMX
maneuver. Secondary assessment reveals lower abd
tenderness and scrotal ecchymosis. Which of the
following orders would the RN question?
You are caring for a pt who was involved in a MVC and is 32
weeks pregnant. Findings of your secondary survey include
placental abruption
