TNCC Questions & Answers – 8th Edition
Caregivers carry in a 2 y/o into the ED who fell out of a second-story window. The pt
is awake and crying with increased work of breathing and pale skin. Which of the
following interventions has the highest priority?
Padding the upper back while stabilizing the cervical spine
Which of the following injuries is LEAST likely to be promptly identified?
Bowel (Hollow organ injury signs and symptoms may be subtle and delayed but are
associated with a high mortality rate if not identified.)
A pt is brought to the ED of a rural hospital following a high-speed MVC. When
significant ABD and pelvic injuries are noted in the primary survey, which of the
following is the priority interventions?
Initiate transfer to a trauma center
A pt with a complete spinal cord injury in neurogenic shock will demonstrate
hypotension and which other clinical signs?
Bradycardia and absent motor function below the level of injury
A 37 y/o F has a deformity of the L wrist after a fall. She is reluctant to move her
hand due to pain. Which of the following is the most appropriate intervention?
Apply splint and elevate above the level of the heart
Which of the following occurs during the third impact of a motor vehicle crash?
The aorta is torn at its attachment with the ligamentum arteriosum
A 5 y/o child presents to the ED with bruises to the upper arm 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 survey? Which of the following is the
priority nursing intervention?
Report your suspicion of maltreatment in accordance with local regulations
Why is a measure of serum lactate obtained in the initial assessment of a trauma
patient?
To gauge end-organ perfusion and tissue hypoxia
A pt with a lower extremity fracture complains of severe pain and tightness in his
calf, minimally by pain medications. Which of the following is the priority nursing
intervention?
Elevating the extremity to the level of the heart
What factor contributes most to the kinetic energy of a body in motion?
Velocity
An elderly patient with a history of anticoagulant use presents after a fall at home
today. She denies any loss of consciousness. She has a hematoma to her forehead
and complains of headache, dizziness, and nausea. What is the most likely cause of
her symptoms?
Subdural hematoma
A pt has been in the ED for several hrs waiting to be admitted. He sustained
multiple rib fractures and a femur fracture after a fall. He has been awake, alert,
and complaining of leg pain. His wife reported that he suddenly became anxious
and confused. Upon reassessment, the pt is restless with respiratory distress and
petechiae to his neck. The pt is exhibiting s/sx most commonly associated with
which of the following conditions?
Fat embolism