TNCC 2023 - 2024 FINAL VE RIFIED EXAM DETAILED QUESTIONS & CORRECT ANSWERS GRADED A+. 1. 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 B. Chest tube insertion C. Needle decompression D. Airway and ventilation support 2. 18. A trauma patient is being held in the emergency department because there are no available inpatient beds. The patient sustained a femur fracture and re - quired multiple blood products. The patient now has blood oozing from abrasions, IV sites, the nose, and gums. What condition is most consistent with these findings? A. Rhabdomyolysis B. Fat embolism C. Disseminated intravascular coagulopathy D. Multiple organ dysfunctions syndrome 3. 1. Your patient was the unrestrained driver involved in a moderate speed motor vehicle collision. Assess - ment reveals tenderness in the upper right quad - rant, crepitus in the lower right ribs, and ecchymosis around the umbilicus. The nurse is concerned about injury to which or gan? A. Transverse colon D. Airway and ven- tilation support C. Disseminated intravascular co- agulopathy C. Liver B. Pancreas C. Liver D. Spleen Rationale: Head and Torso Trauma \Abdominal and Pelvic Trauma Liver injuries are associated with right, lower rib frac- tures. They also can present with tenderness, guard - ing, or rigidity in the right upper quadrant, along with ecchymosis of the right upper quadrant or around the umbilicus, known as Cullen's sign. 4. 20. 1. A 35 -year-old male presents w ith facial trau - ma after being struck in the face with a baseball. A teardrop -shaped left pupil is noted on exam. What type of injury is suspected? A. Oculomotor nerve palsy B. Globe rupture C. Retrobulbar hematoma D. Retinal detachment Rationale: Head and Torso Tra uma\Head Trauma The globe of the eye consists of multiple layers. The sclera is the white outer layer, while the cornea covers the iris and pupil. When a full thickness injury occurs to the cornea, sclera, or both, the globe will rupture, causing the shap e of the pupil to become irregular or teardrop -shaped. B. Globe rupture 5. 1. An adult patient who sustained a severe head trauma has been intubated and is being manual - ly ventilated via a bag-mask device at a rate of 18 breaths/minute. The patient has received one intra - venous fluid bolus of 500 mL of warmed isotonic crystallo id solution. The PaCO2 is 30 mm Hg (4.0 kPa), and the pulse oximetry is 92%. BP is 142/70 mm Hg. What is the most important intervention to manage the cerebral blood flow? A. Decrease the rate of manual ventilation B. Initiate another fluid bolus. C. Recheck endotr ach
eal tube placement. D. Increase the amount of oxygen delivered. 6. 2. Which of
eal tube placement. D. Increase the amount of oxygen delivered. 6. 2. Which of
