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TNCC PRACTICE TEST
Actual Qs and Ans - Expert-Verified Explanation -Guaranteed passing score -20 Questions and Answers
-Format: Multiple-choice / Flashcard
Question 1: Following a bomb explosion, fragmentation injuries from the bomb or objects in the environment are examples of which phase of injury?
Answer:
Secondary Question 2: A patient with a spinal cord injury at C5 is being cared for in the emergency department while awaiting transport to a trauma center. Which of the following represents the highest priority for ongoing assessment and management for this patient?
Answer:
Maintain adequate respiratory status (C3-C5 SCI) Question 3: Treatment for frostbite can include which of the following interventions?
Answer:
Administer tissue plasminogen activator- maintain perfusion and decrease risk of thrombus formation/amputation.Question 4: What is the best position for maintaining an open airway in the obese patient?
Answer:
Reverse Trendelenburg- benefit airway and work of breathing.
Question 5: An adult patient sustained a knife injury to the neck. The airway is intact and the patient is hemodynamically stable. They complain of difficulty swallowing and speaking. What is the most likely cause of these symptoms?
Answer:
Damage to the C spine.Question 6: The vital signs of a pregnant trauma patient at 30 weeks include a blood pressure of 94/62 mm Hg and a heart rate of 108 beats/minute. Fetal heart tones are 124 beats/minute. The emergency nurse interprets the patient's hemodynamic findings as an indication of which of the following?
Answer:
Normal VS in pregnancy Question 7: Which of the following accurately describes ventilation principles associated with use of a bag-mask device for an adult?
Answer:
Compress the bag-mask device at a rate of one breath q6s.Question 8: What is the leading cause of preventable death for the trauma patient in the prehospital environment?
Answer:
Uncontrolled external hemorrhage Question 9: Which of the following is considered a cornerstone of a high-performance trauma team?
Answer:
Effective communication Question 10: 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?
Answer:
Anticipating the types of injuries that may be present.Question 11: A patient fell two weeks ago, striking their head. Today, the patient presented with a persistent headache and nausea and was diagnosed with a small subdural hematoma. The patient has been in the ED for 24 hours awaiting an inpatient bed. The night shift nurse reports the patient has been anxious, restless, shaky, and vomited twice during the night. The patient states they couldn't sleep because a young child kept coming into the room. What is the most likely cause for these signs and symptoms?
Answer:
Alcohol Withdrawal Question 12: What is the appropriate technique for palpating the pelvis for stability?
Answer:
Apply gentle pressure over the iliac crests, downward and medially Question 13: What technique is most appropriate when obtaining a history from a patient who has experienced a sexual assault?
Answer:
Active listening Question 14: The general impression step in the initial assessment provides the opportunity to do which of the following?
Answer:
Reprioritize circulation before airway or breathing.Question 15: A trauma nurse cared for a child with devastating burns two weeks ago. The nurse 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?
Answer:
They are talking about taking the ENC exam.Question 16: A pt involved in a MVC has sustained a fracture to the 2nd rib of the anterior left chest. Which concurrent injury is most commonly associated with this fracture?
Answer:
Brachial Plexus, great vessel, or head and spinal cord injuries.Question 17: 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 sign of possible altered mental status?
Answer:
Cooperation with the assessment
Question 18: A patient arrives at the emergency department by private vehicle after sustaining an injury to the right lower extremity while using a saw. There is a large gaping wound to the right thigh area with significant bleeding. What is the priority intervention?
Answer:
Initiate DIRECT PRESSURE Question 19: What is the best measure of the adequacy of cellular perfusion and can help to predict the outcome of resuscitation?
Answer:
Base deficit (in conjunction with serum lactate) Question 20: In a patient with severe traumatic brain injury, hypocapnia causes which condition?
Answer:
Cerebral vasoconstriction- LOW CO2 causes vasoconstriction
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