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, VERSION 1
TNCC 9th Edition Exam
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1. 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. The patient has receive one
intravenous fluid bolus 500 mL of warmed isotonic crystalloid solution. The PaCO2 is 30 mm Hg
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(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?
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A. Decrease the rate of manual ventilation.***
B. Initiate another fluid bolus.
C. Recheck endotracheal tube placement.
D. Increase the amount of oxygen delivered.
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2. A patient with complete spinal cord injury who is in neurogenic shock will demonstrate
hypotension and which other clinical signs?
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A. Bradycardia and ipsilateral a sense of motor function.
B. Tachycardia and respiratory depression.
C. Tachycardia and piokilothermia.
D. Bradycardia and absent motor function below the level of injury.***
3. You are caring for a patient who was shot multiple times in the chest and abdomen. The patient
is unresponsive with snoring, shallow respirations. Assessment reveals absent radial pulses,
weak and rapid carotid pulse, and cool, diaphoretic skin. Which management strategy should
the nurse anticipate?