TNCC PRE COURSE STUDY GUIDE EXAM QUESTIONS

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TNCC PRE COURSE STUDY GUIDE EXAM QUESTIONS

Actual Qs and Ans - Expert-Verified Explanation -Guaranteed passing score -100 Questions and Answers

-Format: Multiple-choice / Flashcard

Question 1: What treatment specific to pregnancy with gestation ? 20 weeks should you consider if patient is in shock? How is this accomplished?

Answer:

manual uterine displacement stand to left of patient, level with top of uterus reach across midline with both hands and pull the gravid uterus upward toward your abdomen

Question 2: What are the 3 signs of Beck's Triad?

Answer:

• Muffled heart tones

• Jugular venous distention

• Hypotension

rarely present in unison Question 3: What is abdominal compartment syndrome, and what body systems can it effect?

Answer:

complication caused by interstitial edema in the abdomen, caused by volume overload from aggressive resus or hematoma formation causing abdominal pressure to increase decreased blood flow - kidneys, abdomen impaired ventilation and CO - lungs, heart

Question 4: What airway and ventilation differences should be considered when caring for the obese patient?

Answer:

• narrowed airway
• larger tongue
• relaxed pharyngeal muscle
• respiratory insufficiency due to chest wall weight, decreased chest wall compliance
• increased airway resistance

Question 5: What type of shock can occur in the post resus-period due to infection?

Answer:

septic

Question 6: Why is it important to use a person's correct pronoun?

Answer:

Demonstrates respect, inclusiveness and promotes feeling of safety Question 7: Why is it important to understand biomechanics as it relates to types of energy forces and MOI?

Answer:

Understanding how energy forces affect the human body is useful for better anticipating effects of trauma on a person Question 8: What are the guidelines that should be considered when determining whether a patient should be transferred to a higher level of care?

Answer:

• medical screening to determine interventions
• informed consent
• accepting physician
• available bed/resources
• patient report to receiving facility
• medical records
• appropriate transfer protocol

Question 9: What is trauma informed care?

Answer:

understanding the correlation between present injury and past psychosocial or trauma history

Question 10: What injuries are expected in each stage of a blast (explosion)

Answer:

Primary (direct blast effects) - pulmonary barotrauma, tympanic membrane rupture, abdominal hemorrhage/perforation, globe rupture, mild TBI Secondary (projectiles) - penetrating or blunt injuries, eye penetration Tertiary (propulsion of body onto hard surface) - blunt/penetrating injury, fracture, traumatic amputation, closed/open TBI Quaternary (heat/fume/combustion) - burns, crush injury, asthma, COPD, angina, hyperglycemia, hypertension Quinary (hazardous materials) - depends on agent (bacteria, radiation, chemical etc) Question 11: When is resuscitative endovascular balloon occulsion of the aorta (REBOA) used?

Answer:

• hemorrhage control at noncompressible torso sites below diaphragm
• ruptured aortic aneurysm
• postpartum bleeding
• hypotension from hemorrhagic shock

Question 12: What should nurse reevaluate?

Answer:

all aspects of the primary and secondary assessments V - vitals I - injuries/interventions P - primary survey P - pain

Question 13: What are componants of secondary survey?

Answer:

history head to toe assessment inspect posterior surfaces reassessment

Question 14: What are some ways to provide sensitive care to obese patients?

Answer:

• Appropriate size equipment/clothing
• Sensitive to wording used when speaking to pt

Question 15: What are signs of elder maltreatment?

Answer:

Bruising in unusual locations Burns multiple Fx markings/scars on wrists/ankles bald patches/hematomas on scalp soft palate injuries genital/rectal injury pressure injury poor hygiene Malnutrition Dehydration Delayed treatment Question 16: What are some anatomic or physiologic differences in the pediatric patient that can affect the environmental components of the primary survey?

Answer:

• large body surface area = ? insensible losses through surface evaporation
• greater risk of hypothermia when exposed to cold/unwarmed IV fluids
• ? body fat = rapid dissipation of body heat
• ? metabolic rate = increased heat loss

Question 17: What are some injuries that can affect the patient's ability to oxygenate and ventilate in the post-resus period?

Answer:

• TBI
• high cervical injury (above C4)
• thoracic injuries
• prescribed analgesia/sedation

Question 18: What are some possible interventions for cardiogenic shock?

Answer:

emergent stabilization

• inotropic support (improve contractility)
• controlled fluid bolus (improve preload)

goal directed therapy

• antidysrhythmic medication
• treatment of underlying cause