TNCC 8TH EDITION A GRADED AND REVIEWED

PDF Download

TNCC 8TH EDITION (A GRADED AND REVIEWED

2025)QUESTIONS AND ANSWERS. EXAM QUESTIONS

Actual Qs and Ans - Expert-Verified Explanation -Guaranteed passing score -50 Questions and Answers

-Format: Multiple-choice / Flashcard

Question 1: Expedite transfer to the closest trauma center

Answer:

A 56-year-old male patient involved in a motor vehicle crash is brought to the emergency department of a rural critical assess facility. He complaints of neck pain, shortness of breath, and diffuse abdominal pain. His Glasgow Coma Score is 15. His vital signs are as follows: BP 98/71 mm Hg, HR 125 beats/minute, RR 26 breaths/minute, SpO2 94% on high-flow oxygen via non-rebreather mask. Which of the follow is the priority intervention for this patient?

Question 2: placental abruption

Answer:

You are caring for a patient who was involved in a motor vehicle crash and is 32 weeks pregnant.Findings of your secondary survey include abdominal pain on palpation, fundal height at the costal margin, and some dark bloody show. Varying accelerations and decelerations are note don cardiotocography. These findings are most consistent with which of the following?Question 3: Report your suspicion of maltreatment in accordance with local regulations

Answer:

A 5-year-old child presents to the ED with bruises to the upper arms and buttocks in various stages of healing and multiple small, clean, round burns to the back. There are no abnormalities found based on the pediatric assessment triangle or primary survey. Which of the following is the priority nursing intervention?

Question 4: endotracheal tube

Answer:

The trauma nurse knows that placing a bariatric patient in a "ramped position" provides better visualization during the insertion of which device?

Question 5: 2280 mL

Answer:

The nurse is caring for a 120 kg male brought in after a warehouse fire and is calculating the patient's fluid resuscitation needs. He has painful red blistering to the entire surface of both upper extremities and superficial burns to the anterior chest. Using the modified Lund and Browder chart to calculate the total body surface area burned, how much intravenous fluid would be administered in the first 8 hours?

Question 6: Initiate transfer to a trauma center

Answer:

A patient is brought to the emergency department of a rural hospital following a high-speed motor vehicle collision. When significant abdominal and pelvic injuries are noted in the primary survey, which of the following is the priority intervention?

Question 7: velocity

Answer:

What factor contributes most to the kinetic energy of a body in motion?

Question 8: Elevating the extremity TO the level of the heart

Answer:

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?

Question 9: Ventilate with a bag-mask device

Answer:

An unresponsive trauma patient has an oropharyngeal airway in place, shallow and labored respirations, and dusky skin. The trauma team has administered medications for drug-assisted intubation and attempted intubation but was unsuccessful. What is the most appropriate immediate next step?

Question 10: bowel

Answer:

Which of the following injuries is LEAST likely to be promptly identified?

Question 11: smell of alcohol on breath

Answer:

EMS brings a patient who fell while 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?

Question 12: dysrhythmias

Answer:

Patients with a crush injury should be monitored for which of the following conditions?

Question 13: Insert an oropharyngeal airway if there is no gag reflex

Answer:

During the primary survey of an unconscious patient with multi-system trauma, the nurse notes snoring respirations. Which priority nursing intervention should be performed next?

Question 14: huddle

Answer:

A trauma patient is en route to a rural emergency department. Radiology notifies the charge nurse that the computed tomography (CT) scanner will be out of service for several hours. The team gathers to plan accordingly. Which of the following terms best describes this trauma team's communication?

Question 15: mitigation

Answer:

Following a review of recent drills and a real disaster event, a hospital has identified deficiencies and is taking steps to minimize the impact of a future disaster. Which phase of the disaster life cycle does this describe?

Question 16: calcium

Answer:

If a patient has received multiple transfusions of banked blood preserved with citrate, which electrolyte is most likely to drop and require supplementation?

Question 17: 500 ml/hour

Answer:

You are treating a 27-year old male in respiratory distress who was involved in a house fire. Calculating total body surface area (TBSA) burned is deferred due to the need for emergent intubation. A what rate should you begin fluid resusitation?Question 18: After a physical examination if the patient has no radiologic abnormalities on a computed tomography scan

Answer:

EMS arrives with the intoxicated driver of a car involved in a motor vehicle crash. EMS reports significant damage to the driver's side of the car. The patient is asking to have the cervical collar removed. When is it appropriate to remove the cervical collar?

Question 19: Padding the upper back while stabilizing the cervical spine

Answer:

Caregivers carry a 2-year-old into the emergency department who fell out of a second-story window.The patient is awake and crying with increased work of breathing and pale skin. Which of the following interventions has the highest priority?

Question 20: Elevated creatine kinase

Answer:

A patient is found lying on the floor after falling 13 hours ago. Which of the following laboratory values is expected with a musculoskeletal complication associated with this presentation?

Question 21: Decreased respiratory effort

Answer:

Which of the following is a late sign of increased intracranial pressure?

Question 22: subdural hematoma

Answer:

Tearing of the bridging veins is most frequently associated with which brain injury?

Question 23: subdural hematoma

Answer:

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. What is the most likely cause of her symptoms?