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TNCC 9
th Edition Test Bank Exam 2024 -2025 Updated Questions with Correct Detailed Answers (Verified Answers) Rated A+
Which findings are most consistent with a complete transection of the spinal cord? - Correct Answer - Absence of sensory and motor function below the level of injury
Your patient is a pedestrian struck by a car and thrown 35 feet. They were unconscious at the scene but became responsive with initial and subsequent Glasgow Coma Scale (GCS) scores of 13 (E-3, V-4, M-6). The patient has bilateral subdural hematomas and is awaiting transfer to the ICU. Your next assessment reveals a GCS of 9 (E-2, V-2, M-5). What is the priority nursing intervention? - Correct Answer - Notify the provider of the change
While caring for a child who has been injured, what nursing intervention is consistent with a family-center approach? - Correct Answer - Allowing family to participate in the care of the patient
Identification of delayed complications following blunt abdominal trauma is best accomplished by which method? - Correct Answer - Repeat computerized tomography with contrast
Three adults present at different times during a one-hour period with a high fever, fatigue, and headache. All three patients have a rash which started on their mouth, face, and arms with progression to the chest and abdomen.They all visited the same grocery store within the last week. What is the most appropriate intervention from triage for these patients? - Correct Answer - Immediately initiate isolation precautions 1 / 4
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A trauma patient who is 30-weeks pregnant arrives at the emergency department following a motor vehicle collision. Which normal physiologic change should be considered when assessing ventilatory status? - Correct Answer - Increased oxygen consumption
A patient with a chest tube is being transported to the intensive care unit and fluctuation is noted in the water seal chamber during inspiration and expiration. What is the best action for the nurse to take? - Correct Answer - Continue to the intensive care unit
An adult was thrown against a concrete wall during a factory explosion and sustained a femur fracture, liver laceration, and a small subdural hematoma. These injuries most likely occurred during what level of blast trauma? - Correct Answer - Tertiary
An obese trauma patient requires intubation. Assuming there are no contraindications, which position will provide the best visualization for insertion of the endotracheal tube? - Correct Answer - Ramped
A patient who jumped out of a second-floor window landing on their feet is diagnosed with a lumbar spine fracture. What is the most likely concurrent injury to have occurred? - Correct Answer - Calcaneus fracture
A patient arrives with a large metal rod embedded in their left thigh and no active bleeding. Which intervention is most appropriate for this patient? - Correct Answer - Prepare the patient for surgery to remove the rod
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pg. 3 A patient who sustained severe injuries was brought to the emergency department following a high-speed motor vehicle collision. Interventions for hypovolemic shock have been initiated. What component of the trauma triad of death is most likely to have begun at the time of injury? - Correct Answer - Coagulopathy
An adult patient was brought to the emergency department following a motorcycle crash. On arrival, the patient is only responsive to pain, has bleeding from the nose, and multiple abrasions and contusions to the face.What is the priority intervention? - Correct Answer - Use a jaw thrust to open the airway and look for signs of obstruction
In a motor vehicle collision, which injury pathway is most likely to increase the patient's morbidity and mortality? - Correct Answer - Ejection
An adult trauma patient has received 1 liter of isotonic crystalloid solution, 6 units of packed red blood cells, 6 units of fresh frozen plasma, and 1 combined unit of platelets during the initial fluid resuscitation phase. Re-
assessment includes: BP 104/66 mm Hg, HR 112 beats/minute, intermittent
ventricular bigeminy on the cardiac monitor, and the presence of muscle tremors. What should the nurse anticipate administering based on these findings? - Correct Answer - Calcium gluconate
When transporting an intubated patient, which monitoring adjunct will provide the best real-time information regarding respiratory status? - Correct Answer - Waveform capnography
What technique is most appropriate when obtaining a history from a patient who has experienced a sexual assault? - Correct Answer - Applying active listening
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pg. 4 During the primary survey, which tool is most effective in identifying the need for an airway intervention? - Correct Answer - AVPU
What type of wound is most likely to become embedded with gravel or dirt causing a black, blue, or grey discoloration? - Correct Answer - Abrasion
An adult patient who sustained a severe head trauma has been intubated and is being manually ventilated via a bag-mask device at a rate of 18 breaths/minute with clear breath sounds bilaterally. The patient has received one intravenous fluid bolus of 500 mL of warmed isotonic crystalloid solution. The PaCO2 is 30 mm Hg (4.0 kPa), and the pulse oximetry is 96%. BP is 142/70 mm Hg. What is the most important intervention to manage cerebral blood flow? - Correct Answer - Decrease the rate of manual ventilation
What type of wound closure is used with infection-prone wounds where the edges are difficult to approximate? - Correct Answer - Secondary
What finding is consistent with the irreversible stage of shock? - Correct Answer - Bradycardia
Which of the following situations could cause functional grief? - Correct Answer - Amputation of a limb
A trauma patient is being held in the emergency department because there are no available inpatient beds. The patient sustained a femur fracture and required multiple blood products. The patient now has blood oozing from abrasions, IV sites, the nose, and gums. What condition is most consistent with these findings? - Correct Answer - Disseminated intravascular coagulopathy
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