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10 TNCC PRACTICE EXAM Questions & Verified Answers Correctly 1.A 30-week pregnant trauma patient's vital signs include a blood pressure of 94/62 mm Hg and a heart rate of 108 beats/minute. Fetal heart tones are 124 beats/minute. The emergency nurse interprets the patient's hemodynamic findings as an indication of which of the following?a.Decompensated shock b.Normal vital signs in pregnancy c.Abruptio placentae d.Supine hypotension syndrome Answer: b. Normal vital signs in pregnancy Rationale: In pregnancy, the resting heart rate increases by 10 to 20 beats/minute and a small decrease in systolic blood pressure and a larger decrease in diastolic blood pressure due to a decrease in peripheral resistance (p.294). Normal fetal heart rate is between 120 and 160 beats/minute (p.297).
2.While performing an assessment on a 13-month-old involved in a motor vehicle collision, the nurse identifies which of the following findings from the patient as a potential sign of mental status changes?a.Sunken fontanel b.Crying, but consolable c.Hyperglycemia 1 / 2
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10 d.Cooperation with the assessment
Answer: d. Cooperation with the assessment
Rationale: An alert older infant or toddler will recognize his or her
caregiver, be cautious of strangers, and may not respond to commands, which is a normal response (p. 235).
3.What is the best position for maintaining an open airway in the bariatric patient?a.Prone b.Supine c.Reverse Trendelenburg d.Right lateral recumbent Answer: c. Reverse Trendelenburg Rationale: The reverse Tren- delenburg position will benefit both airway maintenance and work of breathing in the bariatric patient (p. 285).
4.What is the key to a high-performance trauma team?a.Individual goals b.Use of TeamSTEPPS c.Identification of a single decision maker d.Effective communication Answer: d. Effective communication Rationale: Skilled communication, cooperation, and coordination are the cornerstones of high- performance teams and high-quality trauma care (p. 5).
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