TNCC 9TH EDI. EXAM QUESTIONS

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TNCC 9TH EDI. EXAM QUESTIONS

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

-Format: Multiple-choice / Flashcard

Question 1: 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 2: 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 3: 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?

Answer:

immediately initiate isolation precautions Question 4: 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 5: A patient with a traumatic brain injury has a mean arterial pressure (MAP) of 65 mm Hg (8.66 kPa) and an intracranial pressure (ICP) of 22 mm Hg (2.93 kPa). Which finding is most likely an indication of the body's response to these findings?

Answer:

reflex tachycardia Question 6: 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 7: An adult patient who sustained a severe head trauma has been intubated and has been manually ventilated via a bag mask device at a rate of 18 breaths per minute. The patient has received one intravenous fluid bolus of 500 ML of warmed isotonic crystalloid solution. The PaCO2 is 30 and a pulse ox symmetry is 92%. BP is 142/70. What is the most important intervention to manage the cerebral blood flow?

Answer:

decrease the rate of manual ventilation 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 is thrown against a car during a tornado in presents with obvious bilateral femur fractures. The patient is pale, alert, disoriented, and has delayed capillary refill. Which of the following interventions would be most appropriate for this patient based on the disaster triage principles?

Answer:

Initiate two large caliber IVs for LR administration

Question 10: 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?

Answer:

post-concussive syndrome??Question 11: 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 12: 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 13: A patient with a complete spinal cord injury, who is a neurogenic shock will demonstrate hypotension and which other clinical signs?

Answer:

Bradycardia and absent motor function below the level of injury Question 14: 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 15: 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 16: 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 17: What position optimizes ventilation in the obese patient with a lumbar fracture?

Answer:

Reverse trendelenburg Question 18: A trauma patient who is 30 weeks pregnant arrives at the emergency department following a motor vehicle crash

Answer:

increased oxygen consumption Question 19: A patient who jumped out of a second-floor window, landing on their feet is diagnosed with a lumbar spinal fracture. What is the most likely concurrent injury to have occurred?

Answer:

calcaneus fracture Question 20: Based on full mechanism, which patient warrants prehospital transfer to a trauma center?

Answer:

2-year-old falling from second story onto grass Question 21: What is the rationale for obtaining a serum lactate level during the initial assessment of a trauma patient

Answer:

Gauges end-organ perfusion and tissue hypoxia Question 22: An adult who fell from a second story roof is brought to the emergency department by private vehicle. The patient is confused with an labored, respirations. It has strong, palpable, radial pulses. There is an open wound in proximity to Novios, deformity of the left lower extremity. What is the priority intervention?

Answer: