TNCC Questions & Answers – 8th Edition
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?
Report your suspicion of maltreatment in accordance with local regulations
A 20-year-old male presents to the ED complaining of severe lower abdominal pain
after landing hard on the bicycle cross bars while performing an aerial BMX
maneuver. Secondary assessment reveals lower abdominal tenderness and scrotal
ecchymosis. Which of the following orders would the nurse question?
Straight catheter for urine sample
You are caring for a patient who was involved in a motor vehicle crash and is 32
weeks pregnant. Findings of your secondary survey include abdominal pain on
palpation, fundal height at the costal margin, and some dark bloody show. Varying
accelerations and decelerations are note don cardiotocography. These findings are
most consistent with which of the following?
Placental abruption
Which of the following occurs during the third impact of a motor vehicle crash?
The aorta is torn at its attachment with the ligmentum arteriosum
Which pulse pressure description is an indication of early hypovolemic shock?
Narrowed
An unresponsive trauma patient has an oropharyngeal airway in place, shallow and
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?
Ventilate with a bag-mask device
Which of the following assessment findings differentiates a tension pneumothorax
from a simple pneumothorax?
Hypotension that worsens with inspiration
A patient with a 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?
Elevating the extremity TO the level of the heart
A 49-year-old restrained driver involved in a motor vehicle collision present to the
trauma center complaining of abdominal, pelvis, and bilateral lower extremity pain.
Vital signs are stable. The nurse can anticipate all of these after a negative FAST
exam EXCEPT which of the following?
Diagnostic peritoneal lavage
What finding raises suspicion of a complete spinal cord injury?
Priapism
EMS arrives with the intoxicated driver of a car involved in a motor vehicle crash.
EMS reports significant damage to the driver’s side of the car. The patient is asking
to have the cervical collar removed. When is it appropriate to remove the cervical
collar?
After a physical examination if the patient has no radiologic abnormalities on a
computed tomography scan