EDITION PRACTICE TEST WITH

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TNCC 9

TH

EDITION PRACTICE TEST WITH

300+ REAL EXAM QUESTIONS AND

CORRECT ANSWERS LATEST / /

TRAUMA NURSE CORE COURSE PREP

TEST FOR THE ACTUAL EXAM (NEW!!)

While caring for a trauma patient in the emergency department, what finding raises suspicion of a complete spinal cord injury?

A.Weakness in the lower extremities B.Urinary incontinence C.Sacral sparing D.Spastic paralysis of the legs - ANSWER-urinary incontinence

A patient arrives with a large open chest wound after being assaulted with a machete. Prehospital providers placed a nonporous dressing over the chest wound and taped it on three sides. The patient is now showing signs of anxiety, restlessness, severe respiratory distress, cyanosis, and decreasing blood pressure.Which of the following is the MOST appropriate immediate intervention?

A.Needle decompression B.Tube thoracostomy C.Dressing removal D.Surgical repair - ANSWER-C.Dressing removal

A driver involved in a high-speed motor vehicle collision arrives in the emergency department. The vehicle's air-bag failed to deploy. The patient is drowsy but 1 / 4

pg. 2 arousable and complaining of chest pain with ecchymosis noted to the chest. The patient is tachycardic and hypotensive with no evidence of uncontrolled bleeding.Cardiac monitor shows premature ventricular contractions. Which of the following is the most appropriate intervention for this patient?

A.Rapid fluid boluses B.Tranexamic acid administration C.Inotropic support D.Hemostatic resuscitation - ANSWER-C.Inotropic support

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 received one intravenous fluid bolus of 500 mL of warmed isotonic crystalloid solution. The PaCO2 is 30 mm Hg (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?A.Decrease the rate of manual ventilation.B.Initiate another fluid bolus.C.Recheck endotracheal tube placement.D.Increase the amount of oxygen delivered. - ANSWER-A.Decrease the rate of manual ventilation.

An older adult presents to the emergency department with complaints of dizziness, headache, and nausea. The patient was involved in a motor vehicle collision 10 days ago. There was no loss of consciousness and a hematoma is noted to the forehead. The patient is currently on anticoagulant therapy. What is most likely the cause of their symptoms?

A.Intracerebral hemorrhage B.Epidural hematoma 2 / 4

pg. 3 C.Diffuse axonal injury D.Post-concussive syndrome - ANSWER-post-concussive syndrome

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?

A.Elevating the leg above the level of the heart B.Repositioning the leg and applying ice C.Elevating the leg to the level of the heart D.Preparing the patient for ultrasound of the leg - ANSWER-C.Elevating the leg to the level of the heart

A patient involved in a high-speed rollover is complaining of increased difficulty breathing. There is a small penetrating wound to the sixth intercostal space in the left lateral chest. Which finding is most consistent with an injury to the diaphragm?

A.Severe left-sided abdominal pain B.Bowel sounds heard in the left lower chest C.Pain radiating to the left shoulder.D.Decreased breath sounds on the left side - ANSWER-Bowel sounds heard in the left lower chest

A patient has been in the emergency department for several hours waiting to be admitted. They sustained multiple rib fractures and a femur fracture after a fall.The patient has been awake, alert, and complaining of leg pain. Their spouse reported that the patient suddenly became anxious and confused. Upon reassessment, the patient is restless, with respiratory distress and petechiae to his 3 / 4

pg. 4 neck. The patient is exhibiting signs and symptoms most commonly associated with which of the following conditions?

A.Acute lung injury B.Fat embolism C.Pneumothorax D.Pulmonary contusion - ANSWER-fat embolism

Three adults present at different times during a one-hour period with a high fever, fatigue, and headache. All three patients have a rash which started on their mouth, face, and arms with progression to the chest and abdomen. They all visited the same grocery store within the last week. What is the most appropriate intervention from triage for these patients?

A.Move them to a decontamination area B.Mask the patients and send them to the waiting room C.Immediately initiate isolation precautions D.Send them to the waiting room without a mask - ANSWER-Immediately initiate isolation precautions

A 35-year-old male presents with facial trauma after being struck in the face with a baseball. A teardrop-shaped left pupil is noted on exam. What type of injury is suspected?

A.Oculomotor nerve palsy B.Globe rupture C.Retrobulbar hematoma D.Retinal detachment - ANSWER-Globe rupture

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