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TNCC 9TH EDITION STUDY QUESTIONS KK EXAM
QUESTIONS
Qs and Ans - Expert- Explanation - ing score -96 Questions and Answers
-Format: Multiple-choice / Flashcard
Question 1: What are possible causes of airway obstruction in the trauma patient? What interventions address these causes of airway obstruction?
Answer:
Tongue Blood, vomit, secretions Altered LOC Trauma Obesity Interventions- suctions, jaw thrust, insert airway
Question 2: left lateral position, to relieve pressure on inf vena cava
Answer:
Why are signs of hypovolemic shock especially significant in the pregnant patient?
Question 3: L&D, NICU
Answer:
What equipment or supplies may be needed for a pregnant trauma patient? Where are these supplies located at your facility?
Question 4: Narrowed airway
Increased airway resistance Dyspnea at rest Increased RR Decreased tidal volumes Difficulty bag-mask
Answer:
What differences in equipment or its use might be necessary?Question 5: Which focal brain injury is typically caused by arterial bleeding versus venous bleeding?
Answer:
Epidural Hematoma
Question 6: 02 at for 1 hour
Answer:
What is the difference between an abrasion and an avulsion injury?Question 7: Which disaster triage tool is used in your facility? Is the same tool used by the local emergency medical services?
Answer:
How often are disaster drills or exercises carried out at your facility? Have you participated in one?
Question 8: Tachycardia is primary mechanism to maintain CO, dehydrate easier
Answer:
What special considerations are needed for pediatric fluid volume and medication administration and pediatric pain assessment?Question 9: What considerations are there when evaluating vital signs in the older trauma patient?
Answer:
Baseline changes maybe present Question 10: What are some examples of hollow abdominal organs? Solid abdominal organs?
Answer:
Hollow
- bowel, stomach, gallbladder
Solid
- Liver, spleen
Question 11: What injuries are associated with fractures to the thorax?
Answer:
Blunt cardiac injury Great vessel injury Hemothorax Pneumothorax Liver/Spleen (7-12 rib fx) Question 12: Why is it important to use a systematic approach to the initial assessment of a trauma patient?
Answer:
To maximize outcomes and reduce the risk of undiscovered injuries.Question 13: What is trauma-informed care? How is it integ into the care of trauma patients at your facility?
Answer:
Trauma informed care recognizes the distress and vulnerability of patients who may have also experienced current of past trauma
Question 14: Larger equipment
Reverse Trendelenburg US placed IV
- people to hold bag-mask
Answer:
What considerations may be appropriate to keep the patient and staff safe with obese trauma pt?
Question 15: smaller airway, relatively large organs (increase blunt trauma)
Answer:
What are some differences in pediatric compensatory mechanisms compared to adults?
Question 16: What are causes of obstructive shock?
Answer:
Cardiac Tamponade Tension Pneumothorax/Hemothorax
Question 17: Why is it important to understand biomechanics as it relates to types of energy forces and mechanism of injury (MOI)?
Answer:
To understand and anticipate potential injuries.Question 18: Is there a Sexual Assault Nurse Examiner (SANE) who responds to your department?
Answer:
- What are the mandated reporting laws in your area?
Question 19: What does the A-J mnemonic stand for?
Answer:
A** Alertness (A1) and Airway (A2) B** Breathing and Ventilation C** Circulation and Control of Hemorrhage D** Disability (Neurologic Status E** Exposure (E1) and Environmental Control (E2) F
- Full Set of Vital Signs (F1) and Family Presence (F2)
- Get Adjuncts (G1) and Give Comfort (G2) [L-P]
- History (H1) and Head-to-Toe (H2)
- Inspect Posterior Surfaces
- Just keep reevaluating (VIPP)
G
H
I
J
Question 20: What are the differences between ventilation, diffusion, and perfusion?
Answer:
Ventilation- movement of air Diffusion- movement of gases from high concentration to lower concentration, alveolar-capillary membrane exchange
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