TNCC 9TH EDITION PRACTICE TEST
ACTUAL LATEST EXAM WITH REAL EXAM
QUESTIONS AND CORRECT
ANSWERS||TRAUMA NURSE CORE COURSE
PREP TEST FOR THE ACTUAL EXAM
(NEW!!) ||ALREADY GRADED A+ 2024 -2025||
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?
- Elevate the extremity to the level of the heart
- Initiate direct pressure
- Apply a tourniquet
- Cover the open wound with sterile saline dressings - ANSWER-B. Initiate
direct pressure. The first step in controlling any bleeding is application of direct pressure.
A patient involved in an MVC has sustained a fracture to the second rib of the anterior left chest. Which concurrent injury is most commonly associated with this fracture?
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- Blunt Cardiac Injury
- Brachial plexus injury
- Pneumothorax
- Hemothorax - ANSWER-B. Brachial plexus injury
First and second rib fractures are most commonly associated with great vessel, head and spinal cord, and brachial plexus injuries.
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?
- Maintain adequate respiratory status
- Administer balanced resuscitation fluid
- Perform serial assessments of neurologic function
- Maintain core temperature - ANSWER-A. Maintain adequate respiratory status
Spinal cord injuries at C3 to C5 can cause the loss of phrenic nerve function, resulting in paralyzed diaphragm and inability to breathe. Maintenance of respiratory function is the highest priority.
What is the lead cause of preventable death for the trauma patient in the prehospital environment?
- Airway compromise
- Ineffective ventilation
- Secondary head injury 2 / 4
- Uncontrolled external hemorrhage - ANSWER-D. Uncontrolled external
hemorrhage
Uncontrolled external hemorrhage is the leading cause of preventable death after injury in the prehospital environment; assessment to identify uncontrolled external hemorrhage is key to the initial assessment process, beginning with the general impression.
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?
- Anticipating the types of injuries the may be present
- Deciding whether law enforcement should be notified
- Determining needed laboratory tests
- Predicting the need for a surgical procedure - ANSWER-A. Anticipating the
types of injuries the may be present Mechanism of injury and energy transfer can assist the provider in anticipating and evaluation the types of injuries that may be present and their severity.
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?
- They are talking about taking the emergency nursing certification examination
- They keep requesting to be assigned to the walk-in/ambulatory area
- They are impatient and snap at their coworkers 3 / 4
- They are thinking about transferring out of the emergency department -
ANSWER-A. They are talking about taking the emergency nursing certification examination This is an indication the nurse is taking positive steps to advance their own practice, a sign of resilience.
A seriously injured patient is noted to have a weak, thread pulse and cool, clammy skin. There is instability of the pelvis on palpation and blood at the urinary meatus.A pelvic binder is appropriately applied and balanced fluid resuscitation is being managed by the team. What is the priority diagnostic intervention?
- Retrograde urethrogram
- Plain pelvic radiographs
- Abdominal computerized tomography scan
- Focused assessment sonography for trauma - ANSWER-D. Focused assessment
sonography for trauma
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?
- Clamp the chest tube
- Return to the emergency department
- Assist ventilation with bag-mask device
- Continue to the intensive care unit - ANSWER-D. Continue to the intensive
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care unit In a motor vehicle collision, which injury pathway is most likely to increase the patient's morbidity and mortality?