TNCC 9TH EDITION TNP EXAM QUESTIONS

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TNCC 9TH EDITION TNP EXAM QUESTIONS

Actual Qs and Ans - Expert-Verified Explanation -Guaranteed passing score -75 Questions and Answers

-Format: Multiple-choice / Flashcard

Question 1: Assessing patency and protection of the airway, Step 7 of

"Alertness and Airway with Simultaneous Cervical Spinal Stabilization"

Answer:

During which part of the primary survey would there be anticipation for intubation, insertion of OPA/NPA, removal of any loose teeth or foreign objects, or suctioning?

Question 2: umbilicus

Answer:

During the head-to-toe, where would you find Cullen's sign?

Question 3: D.Prepare the patient for surgery to remove the rod.

Answer:

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.

Question 4: D.Gently rewarm over 15 to 30 minutes

Answer:

A patient arrives following prolonged exposure of their left hand to the cold. The patient is awake and alert and complains of a tingling sensation to the fingers. Assessment reveals swelling and bright red skin to the left hand and a 1-inch round clear blister to the dorsum of that hand. Which of the following

nursing interventions is most appropriate for this patient?A.Massage the injured areas to promote circulation B.Drain and debride the blister on the hand C.Immerse in water between 37.5oC and 39.5oC (99.5oF to 103.1oF).D.Gently rewarm over 15 to 30 minutes

Question 5: A.Alert with no neurologic deficits

Answer:

Using the American College of Surgeons screening guidelines, what assessment finding would prompt the nurse to prepare a patient for cervical spine imaging?A.Alert with no neurologic deficits B.Multiple abrasions to the extremities C.Ecchymosis to the flank D.Responds to verbal stimulation

Question 6: 1. attach CO2 detector and assess for evidence of exhaled CO2;

• observe for rise and fall of the chest w/ assisted ventilations;
• auscultate over epigastrium for gurgling AND lungs for bilateral breath sounds

Answer:

What three assessments must be done if the patient is intubated?

Question 7: flank

Answer:

During the head-to-toe, where would you find Grey-Turner's sign?

Question 8: inspecting posterior

Answer:

What is sometimes deferred at the end of the head-to-toe?

Question 9: C.Disseminated intravascular coagulopathy

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 10: Voluntary anal sphincter tone

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 11: D.Widening pulse pressure

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.Reflex hypotension B.Increased respiratory effort C.Reflex tachycardia D.Widening pulse pressure

Question 12: C.Allowing family to participate in the care of the patient

Answer:

While caring for a child who has been injured, what nursing intervention is consistent with a family-center approach?A.Identifying a single family member to speak with B.Having the family make all the care decisions C.Allowing family to participate in the care of the patient D.Limiting dissemination of complex information

Question 13: D.Moral injury

Answer:

A nurse verbalizes guilt and remorse after caring for multiple severely injured patients during a staffing crisis. The nurse expresses anger stating that the patients did not receive quality care and begins exhibiting aggression toward colleagues. This is most consistent with which condition?A.Compassion fatigue B.Vicarious trauma C.Secondary traumatic stress D.Moral injury

Question 14: Globe rupture

Answer:

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

Question 15: A.Decrease the rate of manual ventilation.

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 16: Apply a pelvic binder

Answer:

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

Question 17: 1. inspect AND palpate skin color, temp, moisture and

• palpate a pulse

Answer:

To assess circulation, you must do these two main tasks: