TNCC STUDY GUIDE EXAM QUESTIONS

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TNCC STUDY GUIDE EXAM QUESTIONS

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

-Format: Multiple-choice / Flashcard

Question 1: When caring for a seriously ill patient what communication challenges between team members have you experienced that for your facility? What steps are being taped to address those challenges?

Answer:

-too many other people talkign during the trauma -too many people coming in to watch -too many people stand in the way as opposed to help Question 2: What are possible causes of airway obstruction and a trauma patient? What interventions address the causes of airway obstruction

Answer:

Altered LOC Maxiollofacial trauma neck or laryngeal trauma obesity (provide oxygen, prepare for intubation, Nasopharynx, oraopharynx)

Question 3: What are the indications for resuscitative thoracotomy?

Answer:

-penetrating chest trauma with cardiac arrest -cardiac tamponade

• pulseless and receiving CPR within 15 min of trauma
• refractory shock and systolic is less than 65

Question 4: What type of rapid fluid infuser is used at your facility? Where is the equipment located?

Answer:

-Level 1 H-1200 in the trauma rooms

Question 5: What are common mechanisms of injury That result in trauma?

Answer:

-Blunt trauma -penetrating trauma

• thermal trauma

-blast trauma Question 6: Why is it important to understand bio mechanics as it relates to the types of energy forces and mechanisms of injury?

Answer:

understanding the law of physics and applying biomechanics, kinematics, and mechanism of injury principles, along with knowledge of anatomy and physiology, can assist the trauma-care nurse in anticipating the intervention and management needs of the patient

Question 7: How does your facility define older

Answer:

over the age of 65 Question 8: What two physiological abnormalities should be avoided to prevent secondary brain injury in a patient with a traumatic brain injury?

Answer:

hypoxia and hypotension

Question 9: What are airway consideration specific to burns?

Answer:

• if they have thermal burns to their neck or chest, or nares, check for inhalation injury.

-inspect for evidence of extensive and deep facial burns, sit, carbonizing, sputum, singed, nasal hair, Arythma, or swelling of oropharynx, brassy, cough, difficulty swallowing, progressive hoarseness. If any are present, consider prophylactic intubation.

Question 10: What is the most important intervention for a patient in acute respiratory distress with tachycardia, hypotension, jugular vein, distention, and unilateral absent breath sounds?

Answer:

needle decompression of a tension pneumothorax

Question 11: What are early indications for increasing intracranial pressure?

Answer:

severe headache, nausea, vomiting, blurred vision, change in mental status Question 12: What airway ventilation differences should be consider considered when caring for an obese patient?

Answer:

consider narrow airway, larger tongue, relaxed pharyngeal muscle respiratory insufficiency due to chest-wall weight, decreased chest wall compliance and increased airway resistance Question 13: When is spinal motion restriction indicated? What is the proper technique for measurement and application of a cervical collar?

Answer:

-when suspected spinal cord injury

• insure the patient's head is in a neutral position, slide the back of the collar under the neck, align the

chin piece with the chin, and secure the straps snugly while maintaining neutral neck alignment, ensuring the collar is centered and not restricting breathing or mouth movement

Question 14: What is damage control resuscitation?

Answer:

rapid restoration of homeostasis through the control of hemorrhage, administration of blood, and other interventions directed toward the prevention of the trauma triad of death Question 15: What injury specific of pregnancy may occur? What signs and symptoms would you anticipate for these injuries?

Answer:

lower back pain, pelvic pain, abdominal pain, vaginal bleeding

Question 16: Why is it important to use a person's correct pronouns?

Answer:

by using the correct pronouns, you will build a good repour with your patients and they will be more open and trusting with their care Question 17: What intervention specific to pregnancy with a gestation of greater than 20 weeks should you consider if a patient is in shock? How is this accomplished?

Answer:

the patient should be laid on her left side to relieve pressure from the inferior vena cava to improve blood flow to the heart and back into circulation Question 18: What is the process at your facility when a patient presents who has been sexually assaulted?

Answer:

calling craig crisis center and letting the patient know that we have called on their behalf. if they want to get the process started, they have to go to the center to get the process going Question 19: What equipment or intervention may be used to stabilize a suspected or known pelvic fracture?

Answer:

need a pelvic binder, longitudinal skeletal traction

Question 20: Why is alertness included in the airway assessment?

Answer:

this assessment helps the RN to evaluate the patient's ability to protect their own airway Question 21: What considerations may be appropriate to keep the patient in the staff safe when caring for an obese patient?

Answer:

-having multiple people stand them up or sit them up in bed

Question 22: What are causes of obstructive shock?

Answer:

-tension penumothorax -cardiac tamponade -venous air embolism