TNCC 8TH EDITION EXAM 4 QUESTIONS &
CORRECT ANSWERS GRADED A LATEST EXAM
EMS brings a patient who fell while riding his bicycle. Using the American College of Surgeons screening guidelines, which assessment finding would prompt the nurse to prepare the patient for radiologic spine clearance? - ANSWER-Alert with no neurological deficits
The trauma nurse knows that placing a bariatric patient in a "ramped position" provides better visualization during the insertion of which device? - ANSWER- Endotracheal tube
A 35-year-old male presents with facial trauma after being struck in the face with a baseball. A teardrop-shaped left pupil is noted on exam. What type of injury is suspected? - ANSWER-Globe rupture
Caregivers carry a 2-year-old into the emergency department who fell out of a second-story window. The patient is awake and crying with increased work of breathing and pale skin. Which of the following interventions has the highest priority? - ANSWER-Padding the upper back while stabilizing the cervical spine
Which of the following injuries is LEAST likely to be promptly identified? - ANSWER-Bowel
A 49-year-old restrained driver involved in a motor vehicle collision presents to the trauma center complaining of abdominal, pelvic, and bilateral lower extremity pain. Vital signs are stable. The nurse can anticipate all of these after a negative FAST exam EXCEPT which of the following? - ANSWER-Diagnostic peritoneal lavage 1 / 2
Why is a measure of serum lactate obtained in the initial assessment of a trauma patient? - ANSWER-To gauge end-organ perfusion and tissue hypoxia
During the primary survey of an unconscious patient with multi-system trauma, the nurse notes snoring respirations. Which priority nursing intervention should be performed next? - ANSWER-Insert an oropharyngeal airway if there is no gag reflex
Which of the following assessment findings differentiates a tension pneumothorax from a simple pneumothorax? - ANSWER-Hypotension that worsens with inspiration (pulsus paradoxus)
What is the effect of hypothermia on the oxyhemoglobin dissociation curve? - ANSWER-Hemoglobin does not readily release oxygen for use by the tissues (Left shift)
A trauma patient is en route to a rural emergency department. Radiology notifies the charge nurse that the computed tomography (CT) scanner will be out of service for several hours. The team gathers to plan accordingly. Which of the following terms best describes this trauma team's communication? - ANSWER-Huddle
What finding raises suspicion of a complete spinal cord injury? - ANSWER- Priapism
A patient is thrown against a car during a tornado and presents with obvious bilateral femoral fractures. The patient is pale, alert, disoriented, and has delayed capillary refill. Which of the following interventions would be most appropriate for this patient based on the disaster triage principles? - ANSWER-Initiate two large- caliber intravenous lines for Ringer's lactate solution administration.
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