TNCC 9TH EDITION 2024 EXAM QUESTIONS

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TNCC 9TH EDITION 2024 EXAM QUESTIONS

Actual Qs and Ans - Expert-Verified Explanation -Guaranteed passing score -20 Questions and Answers

-Format: Multiple-choice / Flashcard

Question 1: An adult patient was a restrained passenger involved in a high-speed motor vehicle collision. The patient complained of generalized abdominal and left leg pain. A FAST exam was negative for fluid in the abdominal cavity. While awaiting inpatient bed placement, the patient develops increased abdominal pain with rebound tenderness, fever, and an elevated white blood cell count. These findings are most consistent with an injury to which organ?A.Spleen B.Kidney C.Small bowel D.Liver

Answer:

A trauma patient involved in a fall from 25 feet has a traumatic brain injury, three anterior rib fractures on the right side, a small pneumothorax on the right, and a Grade III liver injury. The patient was intubated and placed on a ventilator with PEEP. Chest tube was deferred at this time. Upon reassessment, which finding is most concerning?A.Severely diminished breath sounds on the right B.Guarding in the right upper quadrant C.Ecchymosis in the right upper quadrant D.Crepitus to the right chest Question 2: An adult patient who sustained a severe head trauma has been intubated and is being manually ventilated via a bag-mask device at a rate of 18 breaths/minute. The patient has received one intravenous fluid bolus of 500 mL of warmed isotonic crystalloid solution. The PaCO2 is 30 mm Hg (4.0 kPa), and the pulse oximetry is 92%. BP is 142/70 mm Hg. What is the most important intervention to manage the cerebral blood flow?

• Decrease the rate of manual ventilation.
• Initiate another fluid bolus.
• Recheck endotracheal tube placement.
• Increase the amount of oxygen delivered.

Answer:

• Decrease the rate of manual ventilation.

Question 3: An adult pedestrian was struck on the right side by a sport utility vehicle traveling at 40 mph. The patient is awake and alert and the right leg is shortened. Following initial resuscitation with fluids, the patient remains hypotensive. What would be the priority intervention?A.Send blood for type and crossmatch B.Apply a pelvic binder C.Prepare the patient for surgery D.Insert a urinary catheter

Answer:

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?A.Increased respiratory effort B.Reflex tachycardia C.Widening pulse pressure D.Reflex hypotension Question 4: What technique is most effective when obtaining a history from a patient who has experienced a sexual assault?A.Sitting next to the patient.B.Ensuring the patient answers all the questions.C.Asking for information only related to the assault.D.Using direct quotes to record information.

Answer:

A trauma patient is being held in the emergency department because there are no available inpatient beds. The patient sustained a femur fracture and required multiple blood products. The patient now has blood oozing from abrasions, IV sites, the nose, and gums. What condition is most consistent with these findings?A.Rhabdomyolysis B.Fat embolism C.Disseminated intravascular coagulopathy D.Multiple organ dysfunctions syndrome

Question 5: A patient arrives with a large metal rod embedded in their left thigh and no active bleeding. Which intervention is most appropriate for this patient?A.Remove the rod immediately to facilitate cleansing.B.Apply a tourniquet to the leg above the metal rod.C.Hold antibiotics until after the rod is removed.D.Prepare the patient for surgery to remove the rod.

Answer:

A patient has received multiple transfusions of banked blood in the past two hours. The patient has now developed muscle tremors and short runs of ventricular tachycardia. Which of the following medications does the nurse anticipate administering?A.Hypertonic saline B.Calcitonin C.Insulin and glucose D.Calcium gluconate Question 6: An unconscious patient arrives following a motor vehicle collision. The patient is on a backboard with a cervical collar in place and one intravenous line running. Respirations are shallow and there is active brisk bleeding from a large leg wound. What is the priority intervention for this patient?A.Check for a patent airway B.Control the bleeding C.Start a second intravenous line D.Ventilate with a bag-mask device

Answer:

A restrained driver involved in a motor vehicle collision is brought to the emergency department with abdominal, pelvic, and bilateral lower extremity pain. Vital signs are BP 114/78 mm Hg, HR 98 beats/minute, RR 22 breaths/minute. A FAST exam is negative for fluid in the abdominal and peritoneal cavities. Which of the following should the nurse anticipate?A.Diagnostic peritoneal lavage B.Angiography C.Operative management D.Serial abdominal assessments Question 7: An adult who fell from a second story roof is brought to the emergency department by private vehicle. The patient is confused with unlabored respirations and has strong, palpable radial pulses. There is an open wound in proximity to an obvious deformity of the left lower extremity. What is the priority intervention?

• Initiate cervical spine stabilization
• Apply a splint to the lower extremity
• Put the patient on portable oxygen.

• Log roll the patient onto a spine board

Answer:

• Initiate cervical spine stabilization

Question 8: What intravascular solution is most commonly used for patients who have sustained burns?A.Lactated Ringer's B.Normal saline C.D5 / normal saline D.Hypertonic saline

Answer:

A patient has been diagnosed with an incomplete spinal cord injury at L1. Which finding would indicate sacral sparing?A.Involuntary flexion of the great toe B.Priapism C.Voluntary anal sphincter tone D.Numbness to the perianal area Question 9: An adult was thrown against a concrete wall during a factory explosion and sustained a femur fracture, liver laceration, and a small subdural hematoma. These injuries most likely occurred during what level of blast trauma?A.Primary B.Secondary C.Tertiary D.Quaternary

Answer:

A patient presents to the emergency department with a degloving injury involving the entire forearm.What should the nurse consider when planning care for a patient with this injury?A.Wound edges can be easily approximated for suturing.B.Surgical intervention will be needed C.Extent of tissue damage does not affect potential limb salvage D.Only soft tissue has been damaged Question 10: A 35-year-old male presents with facial trauma after being struck in the face with a baseball. A teardrop-shaped left pupil is noted on exam. What type of injury is suspected?A.Oculomotor nerve palsy B.Globe rupture C.Retrobulbar hematoma D.Retinal detachment

Answer: