TNCC 9th Edition Study Guide
UPDATED!
Question:
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?
- Move them to a decontamination area
- Mask the patients and send them to the waiting room
- Immediately initiate isolation precautions
- Send them to the waiting room without a mask
Answer:
Immediately initiate isolation precautions
Question:
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?
- Oculomotor nerve palsy
- Globe rupture
- Retrobulbar hematoma 1 / 4
- Retinal detachment
Answer:
Globe rupture
Question:
A patient has been diagnosed with an incomplete spinal cord injury at L1.Which finding would indicate sacral sparing?
- Involuntary flexion of the great toe
- Priapism
- Voluntary anal sphincter tone
- Numbness to the perianal area
Answer:
Voluntary anal sphincter tone
Question:
While caring for a trauma patient in the emergency department, what finding raises suspicion of a complete spinal cord injury?
- Weakness in the lower extremities
- Urinary incontinence
- Sacral sparing
- Spastic paralysis of the legs
Answer:
urinary incontinence 2 / 4
Question:
Which blood pressure finding is associated with early or compensated hypovolemic shock?
- Rising systolic
- Rising diastolic
- Decreasing diastolic
- Decreasing systolic
Answer:
- Rising diastolic
Question:
Which of the following is true about the log-roll maneuver?
- It causes less spinal motion than the lift-and-slide maneuver
- It is recommended for patients with unstable pelvic fractures
- It should be avoided with a suspected spine injury prior to imaging
- It decreases the risk of hemorrhage from unstable pelvic injuries
Answer:
It should be avoided with a suspected spine injury prior to imaging
Question:
A patient has uncontrolled bleeding from a wound to his right upper extremity. What is the priority intervention?
- Initiate two intravenous access sites 3 / 4
- Place the patient on supplemental oxygen
- Apply direct pressure to the wound
- Use a tourniquet to control the bleeding
Answer:
- Apply direct pressure to the wound
Question:
Which of the following situations could cause functional grief?
- Inability to live at home
- Amputation of a limb
- Loss of one's self-image
- Destruction of the patient's car
Answer:
- Amputation of a limb
Question:
Using the American College of Surgeons screening guidelines, what assessment finding would prompt the nurse to prepare a patient for cervical spine imaging?
- Alert with no neurologic deficits
- Multiple abrasions to the extremities
- Ecchymosis to the flank
- Responds to verbal stimulation
- / 4