TNCC 9TH EDI. EXAM QUESTIONS

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TNCC 9TH EDI. EXAM QUESTIONS

Actual Qs and Ans Expert-Verified Explanation

This Exam contains:

-Guarantee passing score -50 Questions and Answers -format set of multiple-choice -Expert-Verified Explanation Question 1: A patient has uncontrolled bleeding from a wound to his right upper extremity.What is a priority intervention?

Answer:

Apply direct pressure to the wound Question 2: Which of the following is true about use of the focused assessment sonography for trauma exam for a patient with abdominal trauma?

Answer:

It can be used in hypotensive patients too unstable for computed tomographic scan." Question 3: What intravascular solution is most commonly use for patients who have sustained burns?

Answer:

Lactated Ringers (LR) Question 4: A patient is diagnosed with a T 12 spinal cord injury, following a 12 foot for which finding is consistent with spinal shock?

Answer:

flaccidity, loss of bowel and bladder

Question 5: Based on full mechanism, which patient warrants prehospital transfer to a trauma center?

Answer:

2-year-old falling from second story onto grass Question 6: What position optimizes ventilation in the obese patient with a lumbar fracture?

Answer:

Reverse trendelenburg Question 7: A patient has received multiple transfusions of banks blood in the past two hours.the patient has

Answer:

Calcium gluconate Question 8: A trauma patient is restless and repeatedly asking "where am I?" Vitals upon arrival were BP 110/60, HR 96, RR 24. Her skin is cool and dry. Current vital signs are BP 104/84, heart rate 108, respirations 28. The patient is demonstrating signs and symptoms of which stage of shock.

Answer:

compensated Question 9: A patient with a lower extremity fracture, complains of severe pain and tightness in his calf, minimally by pain medication's. Which of the following is a priority, nursing intervention?

Answer:

Elevating the extremity to the level of the heart Question 10: You are speaking with the family of a critically injured patient. The spouse is crying loudly and the daughter is angry and yelling at the staff. Which of the following nursing interventions is most appropriate?

Answer:

Spiritual support Question 11: A patient arrives at the emergency department following a motor vehicle collision.Prehospital personnel report significant damage to the vehicle. The patient is alert and agitated with a strong odor of alcohol and appears intoxicated. After physician evaluation, under what circumstance can an order to remove the rigid cervical collar be anticipated?

Answer:

no imaging abnormalities of the neck Question 12: 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 with rigidity on palpation, fundal height at the costal margin, and dark bloody vaginal discharge. Varying accelerations and decelerations are noted on cardiotocography. These findings are most consistent with which of the following?

Answer:

Placental abruption Question 13: During the primary survey of an unconscious, patient with multisystem trauma, the nurse notes snoring, respirations. What priority nursing intervention should be performed next?

Answer:

Insert in oropharyngeal airway, if there is no gag reflex Question 14: A 35-year-old male presents with facial trauma after being struck in the face with a baseball. A teardrop shaped left people is noted on exam. What type of injury is suspected?

Answer:

Globe rupture Question 15: Your patient is a pedestrian struck by a car and thrown 35 feet. They were unconscious at the scene but became responsive with initial and subsequent Glasgow Coma Scale (GCS) scores of 13 (E-3, V-4, M-6). The patient has bilateral subdural hematomas and is awaiting transfer to the ICU. Your next assessment reveals a GCS of 9 (E-2, V-2, M-5). What is the priority nursing intervention?

Answer:

Notify the provider of the change Question 16: An adult patient involved in an assault presents with shortness of breath, BP 88/50 mmHg, heart rate of 130 beats/minute, and RR 32 breaths/minute. The patient has muffled heart sounds and is cyanotic. What is the priority intervention?

Answer:

pericardiocentesis Question 17: Following a gun shot wound, pre-hospital providers report diminished breath sounds bilaterally. Upon emergency department arrival, the patient is unresponsive with shallow respirations and an O2 sat of 88%. What is the priority intervention for this patient?

Answer:

Pneumothorax, hemothoax, contusion, or flail chest

Question 18: An adult patient with a restraint passenger involved in a high-speed motor vehicle collision. The patient complained of generalized abdominal and left leg pain. A fast examines negative for fluid in the abdominal cavity. While awaiting impatient bed placement, the patient develops increase abdominal pain with rebound tenderness, fever, in an elevated white blood cell count. These findings are most consistent with an injury to which organ?

Answer:

Small bowel

Question 19: Which of the following is true regarding cavitation?

Answer:

energy causes the tissues to accelerate and displace outward Question 20: A trauma patient is being held in the emergency department, because there are no available inpatient beds. The patient has seen a femur fracture and required multiple blood products. The patient now has blood oozing from abrasions, IV sides, the nose, and gums. What condition is most consistent with these findings?

Answer:

DIC Question 21: A teenaged patient presents to the emergency department with left arm pain after a ground level fall. The patient identifies as transgender and shares they are homeless. The ED staff are concerned the patient is experiencing human trafficking. What is most consistent with human trafficking?

Answer:

Those experiencing human trafficking rarely self-disclose.Question 22: What is the most important consideration during the initial assessment when caring for an older adult who has sustained serious injuries?

Answer:

medical history including current medications Question 23: An adult patient is brought to the emergency department following a vehicle "roll-over" with prolonged extrication. Assessment reveals swelling and bruising to the right proximal thigh and a weak pedal pulse. Skin is pale, cool, and moist. What is the most appropriate initial intervention?

Answer:

paradoxical chest movement