TNCC 9TH EDITION EXAM QUESTIONS

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TNCC 9TH EDITION EXAM QUESTIONS

Actual Qs and Ans - Expert-Verified Explanation -Guaranteed passing score -74 Questions and Answers

-Format: Multiple-choice / Flashcard

Question 1: When should the definitive calculation for intravenous fluid resuscitation rate be performed for a patient with burns ?

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During the secondary survey Question 2: An adult arrives at the emergency department with superficial burns to the extremities following a house fire. The patient is reporting a headache with nausea and is drowsy and confused. What is most likely cause of these symptoms?

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CO2 poisoning Question 3: 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 ?

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Control the bleeding Question 4: 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 02 sai of 90 % . What is the priority intervention for this patient ?

Answer:

Assist ventilation with a bag - mask device

Question 5: 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.Witai type of injury is suspecied?

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Globe rupture Question 6: A patient who sustained severe injuries was brought to the emergency department following a high - speed motor vehicle collision . Interventions for hypovolemic shock have been initiated . What component of the trauma triad of death is most likely to have begun at the time of injury ?

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Coagulopathy

Question 7: Which of the following is true regarding cavitation

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Energy causes the tissues to accelerate and displace outward Question 8: A patient is diagnosed with a T12 spinal cord injury following a 20 - foot fall . Which finding is consistent with spinal shock ?

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Loss of reflexes Question 9: What is the priority intervention for a child who has been diagnosed th an atlanto - occipital dislocation following a high - speed motor vehicle collision ?

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Maintaining spinal motion restriction Question 10: While caring for a child who has been injured , what nursing intervention consistent with a family center approach

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Allowing family to participate in the care of the patient Question 11: 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 mun Hg ( 2.93 kPa ) . Which finding is most likely an indication of the body's response to these findings ?

Answer:

Widening pulse pressure

Question 12: A pt has been in the emergency department for several hours waiting to be admitted. They sustained multiple rib fractures and a femur fracture after a fall. The pt has been awake, alert, and complaining of leg pain. Their spouse reported that the pt suddenly became anxious and confused. Upon reassessment, the pt is restless, with respiratory distress and petechiae to his neck. The pt is exhibiting signs and symptoms most commonly associated with which of the following conditions?

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Fat embolism Question 13: A patient is thrown against a car during a tornado and presents with obvious bilateral femur fractures . The patient is paie , aleri , disoriented , and has delayed capillary refill . Which of the following interventions would be most appropriate for this patient based on the disaster triage principles ?

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Initiate two large caliber intravenous lines for isotonic crystalloid administration .Question 14: Which of the following is a late sign of increased intracranial pressure ?

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Decreased respiratory effort Question 15: Patient w/ a crush injury should be monitored for which of the following conditions

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Dysthymias Question 16: Which of the following characteristics is found in high performing teams

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Interdisciplinary collaboration Question 17: What assessment finding is consistent w/impending herniation syndrome?

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Unilaterally fixed and dilated pupil Question 18: You are caring for a patient who was involved in a MTV crash and is 32 weeks pregnant. Findings of your secondary survey include abdominal pain w/rigidity on palpation, fundal height at the costal margin, and bloody vaginal discharge. Varying acceleration and decelerations are noted on cardiotocography. These findings are most consistent w/ which of the following?

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Placental abruption Question 19: 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 ?

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Disseminated intravascular coagulopathy Question 20: A patient arrives with a large open chest wound after being assaulted with a machete . Prehospital providers placed nonporous dressing over the chest wound and taped it on three sides . The patient is now showing signs of anxiety , restlessness , severe respiratory distress , cyanosis , and decreasing blood pressure . Which of the following is the MOST appropriate immediate intervention ?

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Dressing removal Question 21: A patient arrives with a large metal rod embedded in their left thigh and no active bleeding. Which intervention is most appropriate for this patent?

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Prepare the patient for surgery to remove the rod.Question 22: A seriously injured patient is noted to have a weak, thready pulse and cool, clammy skin. There is instability of the pelvis on palpating and blood at the urinary meatus. A pelvic binder is appropriately applied and balanced fluid resuscitation is being managed by the team. What would be the most appropriate next intervention for this patient?

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Insertion of a suprapubic catheter Question 23: What position optimizes ventilation in the obese patient with a lumbar Fracture

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Reverse Trendelenburg Question 24: What is the most important consideration during the initial assessment when caring for an older adult who has sustained serious injuries ?

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Medical history including current medications