TNCC FINAL EXAM TEST 2022 OPEN BOOK EXAM

PDF Download

TNCC FINAL EXAM TEST 2022 OPEN BOOK EXAM

QUESTIONS

Actual Qs and Ans - Expert-Verified Explanation -Guaranteed passing score -50 Questions and Answers

-Format: Multiple-choice / Flashcard

Question 1: Which is the effect of hypothermia on the oxyhemoglobin dissociation curve?

• Hemoglobin does not readily release oxygen for use by the tissues
• The amount of oxygen available to the tissues increases
• Tissue oxygenation (PaO2) increases
• Hemoglobin molecule saturation (SaO2) decreases

Answer:

• Hemoglobin does not readily release oxygen for use by the tissues

Question 2: A trauma patient is en route to a rural ED. Radiology notifies the charge nurse that the CT scanner will be out of service for several of hours. The team gathers to plan accordingly.Which of the following terms best describes this trauma teams communication?

• Brief
• loop
• debrief
• huddle

Answer:

• huddle

Question 3: A patient is thrown against a car during a tornado and presents with obvious bilateral femoral fractures. The patient is pale, alert, disoriented, and has delayed cap refill.Which of the following interventions would be most appropriate for this patient based on the disaster triage principle?

• initiate two large bore intravenous lines for Ringers lactate solution administration
• Administer Dilaudid for pain control and provide comfort care
• Place the patient in an observation area for care within the next few hours
• Contact the command center for the personnel to notify next of kin.

Answer:

• initiate two large bore intravenous lines for Ringers lactate solution administration

Question 4: Tearing of the bridging veins is most frequently associated with which brain injury?

• epidural hematoma
• subdural hematoma ***
• diffuse axonal injury
• intracerebral hematoma

Answer:

• subdural hematoma

Question 5: What bedside monitoring parameters are used to assess for adequacy of oxygenation and effectiveness of ventilation?

• pulse oximetry and capnogaphy **
• respiratory rate and capnography
• pulse oximetry and respiratory rate
• capnography and capnometry

Answer:

• pulse oximetry and capnogaphy

Question 6: A patient with lower extremity fracture complains of severe pain and tightness in his calf, minimally relieved by pain medications. Which of the following is the priority nursing intervention?

• elevating the extremity above the level of the heart
• repositioning and apply ice
• Elevating the extremity to the level of the heart
• Preparing the patient for ultrasound

Answer:

• Elevating the extremity to the level of the heart

Question 7: You are caring for a patient who was involved in a MVA and is 32 weeks pregnant.Findings of your secondary survey include abd pain on palpation, fundal high at the costal margin, and some dark bloody show. Varying, accelerations and decelerations are noted on the cardiotocography. These findings are most consistent with which of the following?

• placental abruption
• preterm labor
• uterine rupture
• fetal demise

Answer:

• placental abruption

Question 8: Which of the following is a late sign of increased intracranial pressure?

• Restlessness or drowsiness
• Nausea and vomiting
• Decreased respiratory effort
• Amnesia and anxiety

Answer:

• Decreased respiratory effort

Question 9: A passenger is brought to the emergency department of a rural hospital following a high-speed MVC. When significant abdominal and pelvic injuries are noted in the primary survey, which of the following is the priority interventions?

• initiate transfer to a trauma center
• provide report to the operating room nurse
• Obtained imaging studies
• Place a gastric tube

Answer:

• initiate transfer to a trauma center

Question 10: A 36-year old female has a deformity of the left wrist after a fall. She is reluctant to move her hand due to pain. Which of the following is the most appropriate intervention?

• apply a sling and elevate the extremity to the level of the heart.
• apply a splint and elevate above the level of the heart
• Apply a sling and elevate the extremity above the level of the heart
• apply a splint and elevate the extremity to the level of the heart.

Answer:

• apply a splint and ELEVATE ABOVE THE LEVEL OF THE HEART

Question 11: A 35-year old male presents with facial trauma after bring struck in the face with a baseball. a tear-drop shaped left pupil is noted on exam. What type of injury is suspected?

• oculomotor nerve palsy
• globe rupture ***
• Uncal herniation
• retinal detachment

Answer:

• globe rupture