TNCC PRACTICE EXAM EXAM QUESTIONS

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TNCC PRACTICE EXAM EXAM QUESTIONS

Actual Qs and Ans - Expert-Verified Explanation -Guaranteed passing score -20 Questions and Answers

-Format: Multiple-choice / Flashcard

Question 1: A 30-week pregnant trauma patient's vital signs include a blood pressure of 94/62 and a heart rate of 108. Fetal heart tones are 124. The emergency nurse interprets the patient's hemodynamic findings as an indication of which of the following?

• Decompensated shock
• Normal vital signs in pregnancy
• Abruptio placentae
• Supine hypotension syndrome

Answer:

• Normal vital signs in pregnancy

Question 2: A patient with a knife injury to the neck has an intact airway and is hemodynamically stable. He complains of difficulty swallowing and speaking. Further assessment is indicated next for which of the following conditions?

• Damage to the spinal cord
• An expanding pneumothorax
• Laceration of the carotid artery
• Injury to the thyroid gland

Answer:

• Damage to the spinal cord

Question 3: A trauma nurse cared for a child with devastating burns two weeks ago. She called in sick for a couple of days and is now back working on the team. Which of the following behaviors would indicate this nurse is coping well?

• She is talking about taking the emergency nursing certification examination
• She keeps requesting to the assigned to the walk-in/ambulatory area
• She is impatient and snaps at coworkers
• She is thinking about transferring out of the emergency department

Answer:

• She is talking about taking the emergency nursing certification examination

Question 4: When obtaining a history for an injured patient, understanding the kinematic concepts associated with the mechanism of injury and energy transfer can initially assist the

trauma provider in:

• Evaluating and anticipating the types of injury that may be present
• Deciding whether law enforcement should be notified
• Determining needed laboratory tests
• Predicting the need for a surgical procedure

Answer:

• Evaluating and anticipating the types of injury that may be present

Question 5: Based on proper bleeding control techniques, what is the first step to stop the bleeding of a penetrating injury to the lower extremity?

• Elevate the extremity to the level of the heart
• Initiate direct pressure
• Apply a tourniquet
• Cover the open wound with sterile saline dressings

Answer:

• Initiate direct pressure

Question 6: While performing an assessment on a 13-month-old involved in a motor vehicle collision, the nurse identifies which of the following findings from the patient as a potential sign of mental status changes?

• Sunken fontanel
• Crying, but consolable
• Hyperglycemia
• Cooperation with the assessment

Answer:

• Cooperation with the assessment

Question 7: In a patient with severe traumatic brain injury, hypocapnia causes:

• Respiratory acidosis
• Metabolic acidosis
• Neurogenic shock
• Cerebral vasoconstriction

Answer:

• Cerebral vasoconstriction

Question 8: The major preventable cause of death in the trauma patient is:

• Airway compromise
• Ineffective ventilation
• Secondary head injury
• Uncontrolled hemorrhage

Answer:

• Uncontrolled hemorrhage

Question 9: Which of the following is the best measure of the adequacy of cellular perfusion and helps to predict the outcome of resuscitation?

• End-tidal carbon dioxide
• Hypoxia
• Base deficit
• Oxygen saturation

Answer:

• Base deficit

Question 10: Following a bomb explosion, fragmentation injuries from the bomb or objects in the environment are examples of which phase of injury?

• Primary
• Secondary
• Tertiary
• Quaternary

Answer:

• Secondary

Question 11: A patient fell two weeks ago, striking his head. He came to the emergency department with a persistent headache and nausea. He was diagnosed with a small subdural hematoma and has been in the ED for 24 hours awaiting an inpatient bed. The night shift nurse reports that he has been anxious, restless, and shaky. He vomited twice during the night. He tells the day shift nurse that he couldn't sleep because a young child kept coming into his room.What is likely a cause for these signs and symptoms?

• Increased intracranial pressure
• Alcohol withdrawal
• Rhabdomyolysis
• Pulmonary embolus

Answer:

• Alcohol withdrawal