{"id":111241,"date":"2023-08-01T00:42:18","date_gmt":"2023-08-01T00:42:18","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=111241"},"modified":"2023-08-01T00:42:20","modified_gmt":"2023-08-01T00:42:20","slug":"tncc-exam-8th-edition-study-questions-answers","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/01\/tncc-exam-8th-edition-study-questions-answers\/","title":{"rendered":"TNCC EXAM 8TH EDITION STUDY QUESTIONS &#038; Answers"},"content":{"rendered":"\n<ol class=\"wp-block-list\">\n<li>1.What is the effect of hypothermia on the oxyhemoglobin dissociation<br>curve: Hemoglobin does not readily release oxygen for use by the tissues A<br>shift to the left occurs in an environment of low metabolic demand (hypothermia,<br>hypocapnia, alkalosis), increasing hemoglobin&#8217;s affinity for oxygen.<\/li>\n\n\n\n<li>EMS arrives with the intoxicated driver of a car involved in a motor vehicle<br>crash. EMS reports significant damage to the driver&#8217;s side of the car. The<br>patient is asking to have the cervical collar removed. When it is appropriate<br>to remove the cervical collar?: After a physical examination if the patient has no<br>radiologic abnormalities on CT A CT is recommended for spinal clearance in an<br>impaired patient.<\/li>\n\n\n\n<li>The nurse is caring for a 120 kg male brought in after a warehouse fire<br>and is calculating the patient&#8217;s fluid resuscitation needs. He has painful<br>red blistering to the entire surface of both upper extremities and superficial<br>burns to the anterior chest. Using the modified Lund and Browder chart to<br>calculate the total body surface area burned, how much IV fluid would be<br>administered in the first 8 hours?: 2280 mL Both upper arms = 8%, both lower<br>arms = 6%, and both hands = 5%, yielding 19 * 2 * 120 = 4560 mL. Half of the total<br>is equal to 2280 mL. Superficial burns are not included in the TBSA calculation for<br>fluid resuscitation.<\/li>\n\n\n\n<li>Which of the following is an expected finding in a patient with a tube<br>thoracostomy connected to a chest drainage system: Fluctuation in the water<br>seal chamber Fluctuation in the water seal chamber indicates the tube is placed<br>correctly in the pleural space.<\/li>\n\n\n\n<li>.A 35-year-old male presents with facial trauma after being struck in the<br>face with a baseball. A teardrop-shaped left pupil is noted on exam. What<br>type of injury is suspected?: Globe rupture A teardrop-shaped pupil suggests a<br>globe rupture.<\/li>\n\n\n\n<li>.A patient with a complete spinal cord injury in neurogenic shock will<br>demonstrate hypotension and which other clinical signs?: Bradycardia and<br>absent motor function below the level of injury Patients with a complete spinal cord<br>injury will have absent motor function below the level of the lesion. They become<br>hypotensive and bradycardic due to loss of autonomic nervous system function.<\/li>\n\n\n\n<li>Which of the following patients warrants referral to a burn center?: A<br>52-year-old diabetic male with a partial-thickness burn to the left lower leg This<br>patient has a 7% TBSA burn with a preexisting medical history that could compli\u0002cate management, prolong recovery, or affect mortality.<br>1 \/ 8<br>TNCC EXAM 8TH EDITION STUDY QUESTIONS AND<br>ANSWERS 2022<br>1 \/ 2<br>TNCC Exam 8th edition study<br>Study online at https:\/\/quizlet.com\/_9ubyvk<\/li>\n\n\n\n<li>You are caring for a patient who was involved in a motor vehicle crash<br>and is 32 weeks pregnant. Findings of your secondary survey include ab\u0002dominal pain on palpation, fundal height at the costal margin, and some<br>dark bloody show. Varying accelerations and decelerations are noted on<br>cardiotocography. These findings are most consistent with which of the<br>following?: Placental abruption The findings of abdominal pain, elevated fundal<br>height, dark bloody show, and fetal distress are most consistent with placental<br>abruption.<\/li>\n\n\n\n<li>A 20-year-old male presents to the ED complaining of severe lower ab\u0002dominal pain after landing hard on the bicycle cross bars while performing<br>an aerial BMX maneuver. Secondary assessment reveals lower abdominal<br>tenderness and scrotal ecchymosis. Which of the following orders would the<br>nurse question?: Straight catheter for urine sample Insertion of a urinary catheter<br>is contraindicated if urethral transection is suspected. Signs and symptoms of ure\u0002thral injury include blood at the meatus, perineal ecchymosis, scrotal ecchymosis,<br>and a high-riding or non-palpable prostate.<\/li>\n\n\n\n<li>Which of the following occurs during the third impact of a motor vehicle<br>crash?: The aorta is torn at its attachment with the ligamentum arteriosum This<br>occurs during the third impact.<\/li>\n\n\n\n<li>All of these are considered a critical communication point in trauma care<br>EXCEPT which of the following?: Defusings A defusing is part of critical incident<br>stress management but is not considered a critical communication point in trauma<br>care.<\/li>\n\n\n\n<li>Which of the following mnemonics can help the nurse prioritize care<br>for a trauma patient with massive uncontrolled hemorrhage?: MARCH The<br>MARCH mnemonic stands for massive hemorrhage, airway, respiration, circu\u0002lation, and head injury\/hypothermia. The MARCH mnemonic recognizes uncon\u0002trolled hemorrhage as the major cause of preventable death after injury.<\/li>\n\n\n\n<li>You are treating a 27-year-old male in respiratory distress who was<br>involved in a house fire. Calculating total body surface area (TBSA) burned<br>is deferred due to the need for emergent intubation. At what rate should you<br>begin fluid resuscitation?: 500 mL\/hour Prior to calculating TBSA, this is the<br>recommended starting point for fluid resuscitation for patients 14 years of age and<br>older<\/li>\n\n\n\n<li>A 49-year-old restrained driver involved in a motor vehicle collision pre\u0002sents to the trauma center complaining of abdominal, pelvic, and bilateral<br>lower extremity pain. Vital signs are stable. The nurse can anticipate all of<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[],"tags":[],"class_list":["post-111241","post","type-post","status-publish","format-standard","hentry"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/111241","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=111241"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/111241\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=111241"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=111241"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=111241"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}