{"id":116893,"date":"2023-08-26T18:09:33","date_gmt":"2023-08-26T18:09:33","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=116893"},"modified":"2023-08-26T18:09:36","modified_gmt":"2023-08-26T18:09:36","slug":"tncc-bundled-exams-questions-and-answers-2022-2023-verified-solutions","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/26\/tncc-bundled-exams-questions-and-answers-2022-2023-verified-solutions\/","title":{"rendered":"TNCC Bundled Exams Questions and Answers (2022\/2023) (Verified Solutions)"},"content":{"rendered":"\n<p>TNCC 8th Edition Questions and<br>Answers 100% Pass<br>What are the greatest risks for transport? \u2714\u2714Loss of airway patency, displaced obstructive tubes<br>lines or catheters, dislodge splinting devices, need to replace or reinforce dressings, deterioration<br>in patient status change in vital signs or level of consciousness, injury to the patient and\/or team<br>members<br>According to newtons law which of these two force is greater: size or force? \u2714\u2714Neither. For<br>each force there is an equal and opposite reaction.<br>What is the relationship between mass and velocity to kinetic energy? \u2714\u2714Kinetic energy is<br>equal to 1\/2 the mass multiplied the square of its velocity therefore when mass is doubled so is<br>the net energy, however, when velocity is doubled energy is quadrupled.<br>What is tension? \u2714\u2714stretching force by pulling at opposite ends<br>What is compression? \u2714\u2714Crushing by squeezing together<\/p>\n\n\n\n<p>What is bending? \u2714\u2714Loading about an axis. Bending causes compression on the side the person<br>is bending toward intention to the opposite side<br>What is shearing? \u2714\u2714Damage by tearing or bending by exerting faucet different parts in<br>opposite directions at the same time.<br>What is torsion? \u2714\u2714Torsion forces twist ends in opposite directions.<br>What is combined loading? \u2714\u2714Any combination of tension compression torsion bending and\/or<br>shear.<br>What are the four types of trauma related injuries? \u2714\u2714Blunt, penetrating, thermal, or blast.<br>What are contributing factors to injuries related to blunt traumas? \u2714\u2714The point of impact on the<br>patient&#8217;s body, the type of surface that is hit, the tissues ability to resist (bone versus soft tissue,<br>air-filled versus solid organs), and the trajectory of force.<br>What are the seven patterns of pathway injuries related to motor vehicle accidents? \u2714\u2714Up and<br>over, down and under, lateral, rotational, rear, roll over, and ejection.<\/p>\n\n\n\n<p>TNCC final exam test 2022 open book<br>already graded A<br>Why is a measure of serum lactate obtained in the initial assessment of the trauma patient?<br>Answer: c \u2714\u2714a) to measure oxygenation and ventilation<br>b) to quantify the base deficit for the adequacy of cellular perfusion<br>c) *to gauge end-organ perfusion and tissue hypoxia **<br>d) to determine the underlying cause of shock<br>A trauma patient is restless and repeatedly asking &#8220;where am I?&#8221; vital signs upon arrival were BP<br>100\/60 mm Hg, HR 96 beats\/min, and RR 24 breaths\/min. Her skin is cool and dry. Current vital<br>signs are BP 104\/84mm Hg, HR 108, RR 28 breaths\/min. The patient is demonstrating signs and<br>symptoms of which stage of shock?<br>Answer: A \u2714\u2714A) compensated **<br>B) Progressive<br>C) irreversible<br>D) decompensated<\/p>\n\n\n\n<p>An elderly patient with a history of anticoagulant use presents after a fall at home that day. she<br>denies any loss of consciousness. She has a hematoma to her forehead and complains of<br>headache, dizziness, and nausea. Which is a most likely cause of her symptoms?<br>Answer: D \u2714\u2714A) epidural hematoma<br>B) diffuse axonal injury<br>C) post-concussive syndrome<br>D) subdural hematoma ***<br>EMS brings a patient who fell riding his bicycle. Using the American College of Surgeons<br>screening guidelines, which assessment finding would prompt the nurse to prepare the patient for<br>radiologic spine clearance?<br>Answer: D \u2714\u2714A) Alert with no neurologic deficits<br>B) Multiple abrasions to the extremities<br>C) Multiple requests of water<br>D) Smell of alcohol on breath ***<\/p>\n\n\n\n<p>Which of the following occurs during the third impact of a motor vehicle crash?<br>Answer: C \u2714\u2714A) The driver of the vehicle collides with the steering wheel<br>B) the vehicle collides with a tree<br>C) the aorta is torn at its attachment with the ligamentum arteriosum<br>D) the airbag deploys and strikes the front seat passenger ***<br>A passenger is brought to the emergency department of a rural hospital following a high-speed<br>MVC. When significant abdominal and pelvic injuries are noted in the primary survey, which of<br>the following is the priority interventions?<br>Answer: A \u2714\u2714A) initiate transfer to a trauma center **<br>B) provide report to the operating room nurse<br>C) Obtained imaging studies<br>D) Place a gastric tube<br>Which of the following injuries is LEAST likely to be promptly identified?<\/p>\n\n\n\n<p>TNCC 8th Edition Questions and<br>Answers Passed with 100%<br>The trauma nurse knows that placing a bariatric patient in a &#8220;ramped position&#8221; provides better<br>visualization during the insertion of which device? \u2714\u2714endotracheal tube<br>Tearing of the bridging veins is most frequently associated with which brain injury? \u2714\u2714subdural<br>hematoma<br>A patient is found lying on the floor after falling 13 hours ago. Which of the following laboratory<br>values is expected with a musculoskeletal complication associated with this presentation?<br>\u2714\u2714Elevated creatine kinase<br>A patient is brought to the emergency department of a rural hospital following a high-speed<br>motor vehicle collision. When significant abdominal and pelvic injuries are noted in the primary<br>survey, which of the following is the priority intervention? \u2714\u2714Initiate transfer to a trauma center<br>Which of the following injuries is LEAST likely to be promptly identified? \u2714\u2714bowel<\/p>\n\n\n\n<p>Which of the following patients warrants referral to a burn center? \u2714\u2714A 52-year-old diabetic<br>male with a partial-thickness burn to the left lower leg<br>A patient has been in the emergency department for several hours waiting to be admitted. He<br>sustained multiple rib fractures and a femur fracture after a fall. He has been awake, alert, and<br>complaining of leg pain. His wife reported that he suddenly became anxious and confused. Upon<br>reassessment, the patient is restless, with respiratory distress and petechiae to his neck. The<br>patient is exhibiting signs and symptoms most commonly associated with which of the follow<br>conditions? \u2714\u2714fat embolism<br>A 36-year old female has a deformity of the left wrist after a fall. She is reluctant to move her<br>hand due to pain. Which of the following is the most appropriate intervention? \u2714\u2714Apply a splint<br>and elevate the extremity ABOVE the level of the heart<br>A 56-year-old male patient involved in a motor vehicle crash is brought to the emergency<br>department of a rural critical assess facility. He complaints of neck pain, shortness of breath, and<br>diffuse abdominal pain. His Glasgow Coma Score is 15. His vital signs are as follows: BP 98\/71<br>mm Hg, HR 125 beats\/minute, RR 26 breaths\/minute, SpO2 94% on high-flow oxygen via nonrebreather mask. Which of the follow is the priority intervention for this patient? \u2714\u2714Expedite<br>transfer to the closest trauma center<\/p>\n\n\n\n<p>TNCC EXAM QUESTIONS AND<br>ANSWERS (2022\/2023) (VERIFIED<br>SOLUTIONS)<br>Initial Assessment \u2714\u27141. Preparation and Triage<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"2\">\n<li>Primary Survery (ABCDE) with resuscitation adjuncts (F,G)<\/li>\n\n\n\n<li>Reevaluation (consideration of transfer)<\/li>\n\n\n\n<li>Secondary Survey (HI) with reevaluation adjuncts<\/li>\n\n\n\n<li>Reevaluation and post resuscitation care<\/li>\n\n\n\n<li>Definitive care of transfer to an appropriate trauma nurse<br>ABCDEFGHI \u2714\u27141. A- airway and Alertness with simultaneous cervical spinal stabilization<\/li>\n\n\n\n<li>B- breathing and Ventilation<\/li>\n\n\n\n<li>circulation and control of hemorrhage<\/li>\n\n\n\n<li>D &#8211; disability (neurologic status)<\/li>\n\n\n\n<li>F &#8211; full set of vitals and Family presence<\/li>\n\n\n\n<li>G &#8211; Get resuscitation adjuncts<br>L- Lab results (arterial gases, blood type and crossmatch)<br>M- monitor for continuous cardiac rhythm and rate assessment<\/li>\n<\/ol>\n\n\n\n<p>N- naso or orogastric tube consideration<br>O- oxygenation and ventilation analysis: Pulse oxygemetry and end-tidal caron dioxide (ETC02)<br>monitoring and capnopgraphy<br>H- History and head to toe assessment<br>I- Inspect posterior surfaces<br>When should PPE be placed: \u2714\u2714Before the arrival of the pt<br>Safe Care: \u2714\u2714Pt is at hospital in the right amount of time, right care, right trauma facility, right<br>resources<br>Major cause of preventable death: \u2714\u2714Uncontrolled Hemorrhage<br>If uncontrolled hemorrhage .. \u2714\u2714reorganize care to C-ABC<br>Airway and AVPU: \u2714\u2714Used at the beginning of the initial assessment<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>A Alert. If the pt is alert he or she will be able to maintain his or her airway once it is clear.<\/li>\n\n\n\n<li>V responds to verbal stimuli responds to pain. If the patient needs verbal stimulation to<br>respond, an airway adjunct may be needed to keep the tongue from obstructing the airway.<\/li>\n\n\n\n<li>P responds to pain. If the pt. responds only to pain, he or she may not be able to maintain his<br>or her airway adjunct may need to be placed while further assessment is made to determine the<br>need for intubation.<\/li>\n\n\n\n<li>U Unresponsive. If the pt. is unresponsive, announce it loudly to the team and direct someone<br>to chk in the pt is pulseless while assessing if the cause of the problem is the airway.<br>While assessing airway the patient is alert and responds to verbal stimuli you should.. \u2714\u2714ask pt<br>to pen his or her mouth<br>While assessing airway pt is unable to open mouth, responds only to pain, or is unresponsive you<br>should.. \u2714\u2714jaw thrust maneuver to open airway and assess for obstruction. If pt has a suspected<br>csi, the jaw thrust procedure should be done by two providers. One provider can maintain c-spine<br>and the other can perform the jaw thrust maneuver.<br>Inspect the mouth for: \u2714\u27141. The tongue obstructing the airway<\/li>\n\n\n\n<li>loose or missing teeth<\/li>\n\n\n\n<li>foreign objects<\/li>\n\n\n\n<li>blood, vomit, or secretions&#8217;<\/li>\n\n\n\n<li><\/li>\n<\/ol>\n\n\n\n<p>TNCC 8th edition Questions and<br>Answers with Verified Solutions<br>The major cause of preventable death after injury \u2714\u2714Uncontrolled hemorrhage<br>The best measure of the adequacy of cellular perfusion and helps to predict the outcome of<br>resuscitation \u2714\u2714Base deficit<br>Examples of primary blast injuries \u2714\u2714Blast lung, ruptured tympanic membrane, TBI, abdominal<br>hemorrhage<br>Examples of secondary blast injuries \u2714\u2714Wounds from debris and bomb fragments<br>Examples of tertiary blast injuries \u2714\u2714Blunt or penetrating trauma from the body being thrown<br>by the blast<br>Examples of quaternary blast injuries \u2714\u2714Injuries or illness related to explosion: burns, toxic<br>injury from chemicals<\/p>\n\n\n\n<p>Examples of quinary blast injuries \u2714\u2714Injuries associated with exposure to hazardous materials<br>from the components of the blast<br>Questions to ask for airway assessment (need 4) \u2714\u2714Is the tongue obstructing?<br>Are there any foreign objects?<br>Is there any edema?<br>Are there loose or missing teeth?<br>Is there snoring, gurgling, or stridor?<br>Is there bony deformity?<br>Is there blood, vomit, or secretions?<br>Questions to ask during breathing assessment. (Need 4) \u2714\u2714Is there symmetrical chest rise?<br>Is there spontaneous breathing?<br>Is there tracheal deviation or JVD?<br>What is their skin color?<br>Are there open wounds or deformities in the chest?<br>What&#8217;s the depth, pattern, and rate of respirations?<br>Is there increased work of breathing?<\/p>\n\n\n\n<p>TNCC Written Exam Questions and<br>Answers Graded A+<br>What is the best measure of the adequacy of cellular perfusion and helps predict the outcome of<br>resuscitation? \u2714\u2714Base deficit used in conjunction with serum lactate<br>Will hypocapnia cause vasoconstriction or vasodilation, especially in the cerebral vasculature?<br>\u2714\u2714Vasoconstriction<br>What results from tissue hypo perfusion and oxygen deficit? \u2714\u2714Metabolic acidosis<br>What type of shock results in generalized vasodilation? \u2714\u2714Neurogenic shock<br>Spinal cord injuries at C3-C5 causes loss of what nerves function, resulting in what? \u2714\u2714Phrenic<br>nerve; paralyzed diaphragm and inability to breath<br>Extremity elevation AT the level of the heart is beneficial for what type of injury?<br>\u2714\u2714Compartment Syndrome<\/p>\n\n\n\n<p>What is a high risk of frostbite? \u2714\u2714Thrombus formation<br>What two medications can be administered to maintain perfusion after a frostbite injury along<br>with rewarming? \u2714\u2714Tissue plasminogen activator or non steroidal anti-inflammatory<br>medication (NSAIDS)<br>An rise in diastolic blood pressures is a sign of increasing what? \u2714\u2714Peripheral resistance<br>What position will benefit the airway and work of breathing for the bariatric patient? \u2714\u2714Reverse<br>Trendelenburg<br>Which phase of a blast results from flying debris, projectiles, and bomb fragments causing<br>lacerations or penetrating injuries? \u2714\u2714Secondary Phase<br>What phase of a blast results from any explosion-related illness or injury including<br>hyperglycemia, hypertension, angina, asthma, COPD, or sepsis? \u2714\u2714Quaternary Phase<br>What phase of a blast results from individuals being thrown by the blast and impacting walls,<br>ground, or any hard object? \u2714\u2714Tertiary Phase<\/p>\n\n\n\n<p>TNCC Test prep 8th Edition Questions<br>and Answers 100% Pass<br>A 56 y\/o M involved in a MVC is brought to the ED. He complains of neck pain, SOB, and<br>diffuse abdominal pain. His GCS is 15, VS: BP 98\/71, HR 125, RR 26, SpO2 94% on high-flow<br>O2 via NRB mask. Which is the priority intervention for this patient? \u2714\u2714Expedite transfer to the<br>closest trauma center<br>Which of the following considerations is the most important when caring for a geriatric trauma<br>pt? \u2714\u2714a pertinent medical hx is crucial<br>Following a review of recent drills and a real disaster event, a hospital has identified deficiencies<br>and is taking steps to minimize the impact of a future disaster . Which phase of the disaster life<br>cycle does this describe? \u2714\u2714Mitigation<br>EMS brings a pt who fell while riding his bicycle. Using the American College of Surgeobs<br>screening guidelines, which assessment finding would prompt the RN to prepare the pt for a<br>radiologic spine clearance? \u2714\u2714smell of alcohol on breath<\/p>\n\n\n\n<p>What is the effect of hypothermia on the oxyhemoglobin dissociation curve? \u2714\u2714hemoglobin<br>does not readily release O2 for use by the tissues<br>Which of the following is a component of the trauma triad of death? \u2714\u2714acidosis<br>EMS brings a pt from MVC. VS: BP 90\/49, HR 48, RR 12, temp 97.2F (36.2 C). The pt exhibits<br>urinary incontinence and priapism. These assessment findings are most consistent with which of<br>the following types of spinal cord injury? \u2714\u2714Complete<br>Which of the following is an expected finding in a pt with a tube thoracstomy connected to a<br>chest drainage system? \u2714\u2714flucuation in the water seal chamber<br>During the primary survey of an unconscious pt with multi-system trauma, the nurse notes<br>snoring respirations. What priority nursing interventions should be preformed next? \u2714\u2714insert an<br>oropharyngeal airway if there is no gag reflex<br>A 35 y\/o M presents with facial trauma after being struck in the face with a baseball. A teardropshaped left pupil is noted on exam. What type of injury is suspected? \u2714\u2714globe rupture<\/p>\n\n\n\n<p>TNCC 8th Edition Provider Exam Latest<br>Update with Verified Solutions<br>EMS brings a patient who fell while riding his bicycle. Using the American College of Surgeons<br>screening guidelines, which assessment finding would prompt the nurse to prepare the patient for<br>radiologic spine clearance? \u2714\u2714Alert with no neurological deficits<br>The trauma nurse knows that placing a bariatric patient in a &#8220;ramped position&#8221; provides better<br>visualization during the insertion of which device? \u2714\u2714Endotracheal tube<br>A 35-year-old male presents with facial trauma after being struck in the face with a baseball. A<br>teardrop-shaped left pupil is noted on exam. What type of injury is suspected? \u2714\u2714Globe rupture<br>Caregivers carry a 2-year-old into the emergency department who fell out of a second-story<br>window. The patient is awake and crying with increased work of breathing and pale skin. Which<br>of the following interventions has the highest priority? \u2714\u2714Padding the upper back while<br>stabilizing the cervical spine<br>Which of the following injuries is LEAST likely to be promptly identified? \u2714\u2714Bowel<\/p>\n\n\n\n<p>A 49-year-old restrained driver involved in a motor vehicle collision presents to the trauma<br>center complaining of abdominal, pelvic, and bilateral lower extremity pain. Vital signs are<br>stable. The nurse can anticipate all of these after a negative FAST exam EXCEPT which of the<br>following? \u2714\u2714Diagnostic peritoneal lavage<br>Why is a measure of serum lactate obtained in the initial assessment of a trauma patient? \u2714\u2714To<br>gauge end-organ perfusion and tissue hypoxia<br>During the primary survey of an unconscious patient with multi-system trauma, the nurse notes<br>snoring respirations. Which priority nursing intervention should be performed next? \u2714\u2714Insert an<br>oropharyngeal airway if there is no gag reflex<br>Which of the following assessment findings differentiates a tension pneumothorax from a simple<br>pneumothorax? \u2714\u2714Hypotension that worsens with inspiration (pulsus paradoxus)<br>What is the effect of hypothermia on the oxyhemoglobin dissociation curve? \u2714\u2714Hemoglobin<br>does not readily release oxygen for use by the tissues (Left shift)<br>A trauma patient is en route to a rural emergency department. Radiology notifies the charge<br>nurse that the computed tomography (CT) scanner will be out of service for several hours. The<\/p>\n\n\n\n<p>TNCC Exam 8th edition study questions<br>with complete solutions<br>1.What is the effect of hypothermia on the oxyhemoglobin dissociation curve \u2714\u2714Hemoglobin<br>does not readily release oxygen for use by the tissues A shift to the left occurs in an environment<br>of low metabolic demand (hypothermia, hypocapnia, alkalosis), increasing hemoglobin&#8217;s affinity<br>for oxygen.<br>EMS arrives with the intoxicated driver of a car involved in a motor vehicle crash. EMS reports<br>significant damage to the driver&#8217;s side of the car. The patient is asking to have the cervical collar<br>removed. When it is appropriate to remove the cervical collar? \u2714\u2714After a physical examination<br>if the patient has no radiologic abnormalities on CT A CT is recommended for spinal clearance<br>in an impaired patient.<br>The nurse is caring for a 120 kg male brought in after a warehouse fire and is calculating the<br>patient&#8217;s fluid resuscitation needs. He has painful red blistering to the entire surface of both upper<br>extremities and superficial burns to the anterior chest. Using the modified Lund and Browder<br>chart to calculate the total body surface area burned, how much IV fluid would be administered<br>in the first 8 hours? \u2714\u27142280 mL Both upper arms = 8%, both lower arms = 6%, and both hands<br>= 5%, yielding 19 * 2 * 120 = 4560 mL. Half of the total is equal to 2280 mL. Superficial burns<br>are not included in the TBSA calculation for fluid resuscitation.<\/p>\n\n\n\n<p>Which of the following is an expected finding in a patient with a tube thoracostomy connected to<br>a chest drainage system \u2714\u2714Fluctuation in the water seal chamber Fluctuation in the water seal<br>chamber indicates the tube is placed correctly in the pleural space.<br>.A 35-year-old male presents with facial trauma after being struck in the face with a baseball. A<br>teardrop-shaped left pupil is noted on exam. What type of injury is suspected? \u2714\u2714Globe rupture<br>A teardrop-shaped pupil suggests a globe rupture.<br>.A patient with a complete spinal cord injury in neurogenic shock will demonstrate hypotension<br>and which other clinical signs? \u2714\u2714Bradycardia and absent motor function below the level of<br>injury Patients with a complete spinal cord injury will have absent motor function below the<br>level of the lesion. They become hypotensive and bradycardic due to loss of autonomic nervous<br>system function.<br>Which of the following patients warrants referral to a burn center? \u2714\u2714A 52-year-old diabetic<br>male with a partial-thickness burn to the left lower leg This patient has a 7% TBSA burn with a<br>preexisting medical history that could complicate management, prolong recovery, or affect<br>mortality.<br>You are caring for a patient who was involved in a motor vehicle crash and is 32 weeks<br>pregnant. Findings of your secondary survey include abdominal pain on palpation, fundal height<\/p>\n\n\n\n<p><br><\/p>\n\n\n\n<p>TNCC Notes for Written Exam Latest<br>Update 100% Pass<br>What is kinematics? \u2714\u2714A branch of mechanics (energy transfer) that refers to motion and does<br>not consider the concepts of force and mass of the object or body.<br>What is Newton&#8217;s First Law? \u2714\u2714A body at rest will remain at rest. A body in motion will<br>remain in motion until acted on by an outside force.<br>What is the Law of Conservation of Energy? \u2714\u2714Energy can neither be created nor destroyed. It<br>is only changed from one form to another.<br>What is Newton&#8217;s Second Law? \u2714\u2714Force equals mass multiplied by acceleration of<br>deceleration.<br>What is kinetic energy (KE)? \u2714\u2714KE equals 1\/2 the mass (M) multiplied by the velocity squared.<br>What is the Mnemonic for the Initial Assessment? \u2714\u2714A = Airway with simultaneous cervical<br>spine protection<\/p>\n\n\n\n<p>B = Breathing<br>C = Circulation<br>D = Disability (neurologic status)<br>E = Expose\/Environmental controls (remove clothing and keep the patient warm)<br>What is the Mnemonic for the Secondary Assessment? \u2714\u2714F = Full set of VS\/Focused adjuncts<br>(includes cardiac monitor, urinary catheter, and gastric tube)\/Family presence<br>G = Give comfort measures (verbal reassurance, touch, and pharmacologic and<br>nonpharmacologic management of pain).<br>H = Hx and Head-to-toe assessment<br>I = Inspect posterior surfaces<br>Where do you listen to auscultate breath sounds? \u2714\u2714Auscultate the lungs bilaterally at the<br>second intercostal space midclavicular line and at the fifth intercostal space at the anterior<br>axillary line.<br>What are the late signs of breathing compromise? \u2714\u2714- Tracheal deviation<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>JVD<\/li>\n<\/ul>\n\n\n\n<p>What are signs of ineffective breathing? \u2714\u2714- AMS<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Cyanosis, especially around the mouth<\/li>\n\n\n\n<li>Asymmetric expansion of chest wall<\/li>\n\n\n\n<li>Paradoxical movement of the chest wall during inspiration and expiration<\/li>\n\n\n\n<li>Use of accessory muscles or abdominal muscles or both or diaphragmatic breathing<\/li>\n\n\n\n<li>Sucking chest wounds<\/li>\n\n\n\n<li>Absent or diminished breath sounds<\/li>\n\n\n\n<li>Administer O2 via NRB or assist ventilations with a bag-mask device, as indicated<\/li>\n\n\n\n<li>Anticipate definitive airway management to support ventilation.<br>Upon initial assessment, what type of oxygen should be used for a pt breathing effectively?<br>\u2714\u2714A tight-fitting nonrebreather mask at 12-15 lpm.<br>What intervention should be done if a pt presents with effective circulation? \u2714\u2714- Insert 2 large<br>caliber IV&#8217;s<\/li>\n\n\n\n<li>Administer warmed isotonic crystalloid solution at an appropriate rate<br>What are signs of ineffective circulation? \u2714\u2714- Tachycardia<\/li>\n\n\n\n<li>AMS<\/li>\n\n\n\n<li>Uncontrolled external bleeding<\/li>\n\n\n\n<li>Pale, cool, moist skin<\/li>\n\n\n\n<li>Distended or abnormally flattened external jugular veins<\/li>\n\n\n\n<li>Distant heart sounds<br>What are the interventions for Effective\/Ineffective Circulation? \u2714\u2714- Control any uncontrolled<br>external bleeding by:<\/li>\n\n\n\n<li>Applying direct pressure over bleeding site<\/li>\n\n\n\n<li>Elevating bleeding extremity<\/li>\n\n\n\n<li>Applying pressure over arterial pressure points<\/li>\n\n\n\n<li>Using tourniquet (last resort).<\/li>\n\n\n\n<li>Cannulate 2 large-caliber IV&#8217;s and initiate infusions of an isotonic crystalloid solution<\/li>\n\n\n\n<li>Use warmed solution<\/li>\n\n\n\n<li>Use pressure bags to increase speed of IVF infusion<\/li>\n\n\n\n<li>Use blood administration tubing for possible administration of blood<\/li>\n\n\n\n<li>Use rapid infusion device based on protocol<\/li>\n\n\n\n<li>Use NS 0.9% in same tubing as blood product<br><\/li>\n<\/ul>\n\n\n\n<p>TNCC Questions and Answers with<br>Verified Solutions<br>Primary concern when a person cannot stop coughing\/clearing their throat following house<br>fire\/smoke? \u2714\u2714Airway\/Intubate<br>Lab evidence of cellular perfusion \u2714\u2714Base Excess (Less than -6 is BAD)<br>Multiple people are in the ER of different ages who all go to the same church. They all have the<br>same symptoms. What is the most likely cause? \u2714\u2714Biologic<br>Suspected shock type with a spinal cord injury \u2714\u2714Distributive Shock (Includes neurogenic)<br>Patient has GCS of 3, unequal pupils (one sluggish, one blown), and is posturing. What is the<br>cause? \u2714\u2714Herniation<br>Middle Meningeal Artery \u2714\u2714Epidural Hematoma (results from collection of blood that forms<br>between dura mater and skull)<\/p>\n\n\n\n<p>Prior to having a concussion (TBI), the patient had a brain injury that was not fully healed. What<br>is the cause? \u2714\u27142nd Impact Syndrome<br>Bowel sounds heard in the L chest. What is this a symptom of? \u2714\u2714Ruptured diaphragm<br>Symptoms of <strong><em><strong><em>______<\/em><\/strong><\/em><\/strong>: include muffled heart sounds and hypotension<br>\u2714\u2714Pericardiocentesis<br>How should you dress a severed limb? \u2714\u2714Sterile gauze with normal saline THEN put ice on it<br>Amylase level looks at <strong><em><strong><em>_<\/em><\/strong><\/em><\/strong> \u2714\u2714Pancreas<br>What should you do if your patient has hyphema (collection of blood inside the front part of the<br>eye?) \u2714\u2714Sit HOB up to 30 degrees<br>Principle that people have to take action after suffering a loss in order to decrease severity,<br>seriousness, or painfulness \u2714\u2714Mitigation<\/p>\n\n\n\n<p>What organ is most at risk following a gunshot \u2714\u2714Liver<br>8 year old child with longitudinal thigh lacerations \u2714\u2714Sign of child abuse<br>Bleeding around belly button \u2714\u2714Cullen&#8217;s Sign<br>What would cause an inaccurate reading from an 02 saturation probe? \u2714\u2714Carboxyhemoglobin<br>(increase FiO2 to 100%)<br>General study of forces and their effects on living tissue and the human body \u2714\u2714Biomechanics<br>Study of energy transfer as it applies to identifying actual or potential injuries \u2714\u2714Kinematics<br>Refers to the separation of tissue resulting from a sound and\/or hydraulic wave force- the effect<br>is a crushing pressure wave which creates a temporary cavity, followed by a rapid and violent<br>closing of the cavity. \u2714\u2714Cavitation<br>This rapid motion can lead to crushing, tearing, and shearing forces on tissue \u2714\u2714Cavitation<\/p>\n\n\n\n<p>Used in OR; does not provide protection against aspiration and not recommended in patients who<br>have eaten recently. It is a supraglottic airway. \u2714\u2714Laryngeal Mask Airway<br>Single tube retroglottic device inserted into the esophagus and traps the glottis opening between<br>an esophageal cuff and an oropharyngeal cuff. Designed with 2 ports\/lumens each with a<br>separate cuff. Does NOT provide protection against aspiration and is not indicated in children. It<br>is a retroglottic airway. \u2714\u2714King Tube<br>Types of Shock (4) \u2714\u2714Hypovolemic, Obstructive, Cardiogenic, Distributive<br>Hemorrhage is the leading cause. Can result from vomiting, diarrhea, and burn trauma.<br>Decreased circulating volume &#8211;> decreased preload. Therapy includes replacing the type of<br>volume that was lost. \u2714\u2714Hypovolemic Shock<br>Results from hypo perfusion of tissue due to an obstruction in either the vasculature or heart.<br>Therapy aimed at relieving the obstruction and improving perfusion. \u2714\u2714Obstructive Shock<br>Two classic examples of obstructive shock \u2714\u2714Cardiac tamponade and tension pneumothorax<\/p>\n\n\n\n<p>TNCC questions and answers already<br>passed<br>When might a patient need an ETT placed? \u2714\u2714Apnea, GCS 8 or less, severe maxillofacial<br>injuries, evidence of inhalation injuries, altered LOC\/inability to protect airway<br>What is part of the initial team prep for a pregnant patient? \u2714\u2714Call the OB team, get a fetal<br>heart monitor<br>What are the earliest signs of shock in a pregnant patient? \u2714\u2714Fetal tachycardia, bradycardia, and<br>changes in fetal movement<br>How is supine hypotension syndrome relieved? \u2714\u271415-degree tilt of the spine board in either<br>direction, or manual displacement of the uterus<br>What is a KB test for? \u2714\u2714Kleinhaurt Betke test &#8211; detects fetal RBCs in the maternal blood,<br>indicating hemorrhage of fetal blood through the placenta<br>What is the normal range for fetal heart tones? \u2714\u2714120-160 beats\/minute<\/p>\n","protected":false},"excerpt":{"rendered":"<p>TNCC 8th Edition Questions andAnswers 100% PassWhat are the greatest risks for transport? \u2714\u2714Loss of airway patency, displaced obstructive tubeslines or catheters, dislodge splinting devices, need to replace or reinforce dressings, deteriorationin patient status change in vital signs or level of consciousness, injury to the patient and\/or teammembersAccording to newtons law which of these two [&hellip;]<\/p>\n","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":[25],"tags":[],"class_list":["post-116893","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/116893","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=116893"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/116893\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=116893"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=116893"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=116893"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}