TNCC 9TH EDITION, TNCC 9TH EDITION FINAL TEST, TNCC

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TNCC 9TH EDITION, TNCC 9TH EDITION FINAL TEST, TNCC

9TH EDITION EXAM QUESTIONS

Actual Qs and Ans - Expert-Verified Explanation -Guaranteed passing score -63 Questions and Answers

-Format: Multiple-choice / Flashcard

Question 1: A 5-month pregnant patient arrives in the emergency department stating she tripped and fell, landing on her abdomen. Assessment reveals bruising to the abdomen, both arms, and her neck. She states she does not take any medications and has not had any prenatal care. The nurse suspects the findings are most likely related to which of the following?A.Intentional violence B.Pregnancy-related changes C.Undiagnosed embolus D.Iron deficiency

Answer:

During the primary survey of an unconscious patient with multi-system trauma, the nurse notes snoring respirations. Which priority nursing intervention should be performed next?A.Open the airway with the head-tilt/chin-lift maneuver B.Auscultate bilateral breath sounds C.Assist respirations using a bag-mask device D.Insert an oropharyngeal airway if there is no gag reflex Question 2: 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:

A driver involved in a high-speed motor vehicle collision arrives in the emergency department. The vehicle's air-bag failed to deploy. The patient is drowsy but arousable and complaining of chest pain with ecchymosis noted to the chest. The patient is tachycardic and hypotensive with no evidence of uncontrolled bleeding. Cardiac monitor shows premature ventricular contractions. Which of the following is the most appropriate intervention for this patient?A.Rapid fluid boluses B.Tranexamic acid administration C.Inotropic support D.Epinephrine administration

Question 3: C. Reposition the endotracheal tube

.

Answer:

• Which of the following assessment findings differentiates a tension pneumothorax from a simple

pneumothorax?

A.Increased work of breathing

B.Unilaterally diminished breath sounds

C.Tachycardia

D.Hypotension Question 4: Based on fall mechanism, which patient warrants prehospital transfer to a trauma center?A.A 35-year-old lands on a wooden porch from an 8-foot ladder B.A 2-year-old lands on grass from a second-story balcony C.A 14-year-old forcefully pushed onto cement from standing D.A 50-year-old lands on a carpeted floor after tripping

Answer:

• 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?

A.Decrease the rate of manual ventilation

B.Initiate another fluid bolus.

C.Recheck endotracheal tube placement.

D.Increase the amount of oxygen delivered.Question 5: c. base deficit- serves as an endpoint measurement of the adequacy of cellular perfusion and, when used in conjunction with serum lactate, helps predict the success of resuscitation.

• End tidal CO2-end product of ventilation and a reflection of metabolism and pulmonary fxn.

Answer:

What technique is most appropriate when obtaining a history?

• sitting next to the patient

• ensuring the patient answers all questions

• asking for information only related to the assault

• applying active listening

Question 6: D. Post-concussive syndrome

Rationale:

Special Populations\Older Adult Post-concussive syndrome can occur days to weeks after injury or trauma. The other three conditions present as a more rapid decline, especially in patients who are on anticoagulants.

Answer:

• Your patient was the unrestrained driver involved in a moderate speed motor vehicle collision.

Assessment reveals tenderness in the upper right quadrant, crepitus in the lower right ribs, and ecchymosis around the umbilicus. The nurse is concerned about injury to which organ?

A.Transverse colon

B.Pancreas

C.

Liver

D.Spleen

Question 7: Which of the following is true regarding cavitation?

A.Energy causes the tissues to accelerate and displace outward B.Once a bullet passes, the tissue always returns to its normal location C.Damage occurs only to internal organs and blood vessels D.Hollow organs do not tolerate high-velocity cavitation

Answer:

A patient arrives with a 3-inch laceration to their forearm from a tree branch. Which of the following methods will the nurse use to remove small pieces of bark and debris from the wound?A.Low-pressure irrigation B.High-pressure irrigation C.Scrubbing with normal saline D.Scrubbing with tap water Question 8: b. first and second rib fractures are commonly associated with great vessel, head and spinal cord and brachial plexus injuries.

• blunt cardiac injury-sternal fractures;
• pneumothorax is most commonly associated with sternal fractures, multiple rib fractures, flail

chest

• Hemothorax is most commonly associated with flail chest of multiple rib fractures

Answer:

Understanding the kinematic concepts associated with the mechanism of injury and energy transfer can initially assist the trauma care provider in which of the following?

• anticipating the types of injuries that may be present

• deciding whether law enforcement should be notified

• determining the need for lab tests

• predicting the need for a surgical procedure