1
TNCC FINAL EXAM TEST OPEN BOOK
WITH COMPLETE SOLUTIONS
A patient with a complete spinal cord injury in neurogenic shock will demonstrate
hypotension and which other clinical signs?
A) Bradycardia and ipsilateral absences of motor function
B) Tachycardia and respiratory depression
C) Tachycardia and absent motor function below the level of injury
D) Bradycardia and absent motor function below the level of the injury - correct-
answer -D) Bradycardia and absent motor function below the level of the injury
A 5-year old child presents to the ED with bruises to the upper arms and buttocks
in various stages of healing and multiple small, clean, round burns to the back.
There are no abnormalities found based on the pediatric assessment triangle or
primary survey. Which of the following is the priority nursing intervention?
A) report your suspicion of the maltreatment in accordance with local regulations
B) apply ice to the bruises and consult wound care
C) engage in therapeutic communication to determine the MOI
D) provide the family with injury prevention recourses - correct-answer -A) report
your suspicion of the maltreatment in accordance with local regulations
, 2
A 36-year old female has a deformity of the left wrist after a fall. She is reluctant
to move her hand due to pain. Which of the following is the most appropriate
intervention?
A) apply a sling and elevate the extremity to the level of the heart.
B) apply a splint and elevate above the level of the heart
C) Apply a sling and elevate the extremity above the level of the heart
D) apply a splint and elevate the extremity to the level of the heart. - correct-
answer -B) apply a splint and ELEVATE ABOVE THE LEVEL OF THE HEART
A patient with lower extremity fracture complains of severe pain and tightness in
his calf, minimally relieved by pain medications. Which of the following is the
priority nursing intervention?
A) elevating the extremity above the level of the heart
B) repositioning and apply ice
C) Elevating the extremity to the level of the heart
D) Preparing the patient for ultrasound - correct-answer -C) Elevating the
extremity to the level of the heart
Which of the following is a late sign of increased intracranial pressure?
, 3
A) Restlessness or drowsiness
B) Nausea and vomiting
C) Decreased respiratory effort
D) Amnesia and anxiety - correct-answer -C) Decreased respiratory effort
A patient is thrown against a car during a tornado and presents with obvious
bilateral femoral fractures. The patient is pale, alert, disoriented, and has delayed
cap refill. Which of the following interventions would be most appropriate for this
patient based on the disaster triage principle?
A) initiate two large bore intravenous lines for Ringers lactate solution
administration
B) Administer Dilaudid for pain control and provide comfort care
C) Place the patient in an observation area for care within the next few hours
D) Contact the command center for the personnel to notify next of kin. - correct-
answer -A) initiate two large bore intravenous lines for Ringers lactate solution
administration
Which of the following mnemonics can help the nurse prioritize care for a trauma
patient with massive uncontrolled hemorrhage?
A) ABC
B) MARCH
TNCC FINAL EXAM TEST OPEN BOOK
WITH COMPLETE SOLUTIONS
A patient with a complete spinal cord injury in neurogenic shock will demonstrate
hypotension and which other clinical signs?
A) Bradycardia and ipsilateral absences of motor function
B) Tachycardia and respiratory depression
C) Tachycardia and absent motor function below the level of injury
D) Bradycardia and absent motor function below the level of the injury - correct-
answer -D) Bradycardia and absent motor function below the level of the injury
A 5-year old child presents to the ED with bruises to the upper arms and buttocks
in various stages of healing and multiple small, clean, round burns to the back.
There are no abnormalities found based on the pediatric assessment triangle or
primary survey. Which of the following is the priority nursing intervention?
A) report your suspicion of the maltreatment in accordance with local regulations
B) apply ice to the bruises and consult wound care
C) engage in therapeutic communication to determine the MOI
D) provide the family with injury prevention recourses - correct-answer -A) report
your suspicion of the maltreatment in accordance with local regulations
, 2
A 36-year old female has a deformity of the left wrist after a fall. She is reluctant
to move her hand due to pain. Which of the following is the most appropriate
intervention?
A) apply a sling and elevate the extremity to the level of the heart.
B) apply a splint and elevate above the level of the heart
C) Apply a sling and elevate the extremity above the level of the heart
D) apply a splint and elevate the extremity to the level of the heart. - correct-
answer -B) apply a splint and ELEVATE ABOVE THE LEVEL OF THE HEART
A patient with lower extremity fracture complains of severe pain and tightness in
his calf, minimally relieved by pain medications. Which of the following is the
priority nursing intervention?
A) elevating the extremity above the level of the heart
B) repositioning and apply ice
C) Elevating the extremity to the level of the heart
D) Preparing the patient for ultrasound - correct-answer -C) Elevating the
extremity to the level of the heart
Which of the following is a late sign of increased intracranial pressure?
, 3
A) Restlessness or drowsiness
B) Nausea and vomiting
C) Decreased respiratory effort
D) Amnesia and anxiety - correct-answer -C) Decreased respiratory effort
A patient is thrown against a car during a tornado and presents with obvious
bilateral femoral fractures. The patient is pale, alert, disoriented, and has delayed
cap refill. Which of the following interventions would be most appropriate for this
patient based on the disaster triage principle?
A) initiate two large bore intravenous lines for Ringers lactate solution
administration
B) Administer Dilaudid for pain control and provide comfort care
C) Place the patient in an observation area for care within the next few hours
D) Contact the command center for the personnel to notify next of kin. - correct-
answer -A) initiate two large bore intravenous lines for Ringers lactate solution
administration
Which of the following mnemonics can help the nurse prioritize care for a trauma
patient with massive uncontrolled hemorrhage?
A) ABC
B) MARCH
