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TNCC Final Exam Questions & Verified Answers Correctly 1.Why is a measure of serum lactate obtained in the initial assessment of the trauma patient?
Answer c: a) to measure oxygenation and ventilation
b)to quantify the base deficit for the adequacy of cellular perfusion c)*to gauge end-organ perfusion and tissue hypoxia ** d)to determine the underlying cause of shock 2.A trauma patient is restless and repeatedly asking "where am I?" vital signs upon arrival were BP 100/60 mm Hg, HR 96 beats/min, and RR 24 breaths/min. Her skin is cool and dry. Current vital signs are BP 104/84mm Hg, HR 108, RR 28 breaths/min. The patient is demonstrating signs and symptoms of which stage of shock?
Answer A: A) compensated **
B)Progressive C)irreversible D)decompensated 1 / 3
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3.An elderly patient with a history of anticoagulant use presents after a fall at home that day. she denies any loss of consciousness. She has a hematoma to her forehead and complains of headache, dizziness, and nausea. Which is a most likely cause of her symptoms?
Answer D: A) epidural hematoma
B)diffuse axonal injury C)post-concussive syndrome D)subdural hematoma *** 4.EMS brings a patient who fell riding his bicycle. Using the American College of Surgeons screening guidelines, which assessment finding would prompt the nurse to prepare the patient for radiologic spine clearance?
Answer D: A) Alert with no neurologic deficits
B)Multiple abrasions to the extremities C)Multiple requests of water D)Smell of alcohol on breath *** 5.Which of the following occurs during the third impact of a motor vehicle crash?Answer C: A) The driver of the vehicle collides with the steering wheel 2 / 3
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B)the vehicle collides with a tree C)the aorta is torn at its attachment with the ligamentum arteriosum D)the airbag deploys and strikes the front seat passenger *** 6.A passenger is brought to the emergency department of a rural hospital following a high-speed MVC. When significant abdominal and pelvic injuries are noted in the primary survey, which of the following is the priority interven- tions?
Answer A: A) initiate transfer to a trauma center **
B)provide report to the operating room nurse C)Obtained imaging studies D)Place a gastric tube 7.Which of the following injuries is LEAST likely to be promptly identified?
Answer C: A) spleen
B)lung C)bowel *** D)brain 8.Patients with a crush injury should be monitored for which of the following conditions?
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