TNCC 9TH EDITION TNP LATEST 2024 EXAM
COMPLETE 75 QUESTIONS AND CORRECT DETAILED
ANSWERS AGRADE
Which of the following situations could cause functional grief?
A.Inability to live at home B.Amputation of a limb C.Loss of one's self-image D.Destruction of the patient's car - ANSWER>> B.Amputation of a limb Using the American College of Surgeons screening guidelines, what assessment finding would prompt the nurse to prepare a patient for cervical spine imaging?
A.Alert with no neurologic deficits B.Multiple abrasions to the extremities C.Ecchymosis to the flank D.Responds to verbal stimulation - ANSWER>> A.Alert with no neurologic deficits 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?
A.Primary B.Secondary C.Tertiary D.Quaternary - ANSWER>> C.Tertiary 1 / 3
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?
A.Use a bulb syringe to suction out secretions from the mouth.B.Insert a nasopharyngeal airway to maintain an open airway.C.Use a jaw thrust to open the airway and look for signs of obstruction.D.Ask the patient to open their mouth to inspect the airway. - ANSWER>> C.Use a jaw thrust to open the airway and look for signs of obstruction.An adult pedestrian was struck on the right side by a sport utility vehicle traveling at 40 mph. The patient is awake and alert and the right leg is shortened. Following initial resuscitation with fluids, the patient remains hypotensive. What would be the priority intervention?
A.Send blood for type and crossmatch B.Apply a pelvic binder C.Prepare the patient for surgery D.Insert a urinary catheter - ANSWER>> Apply a pelvic binder A severely injured patient has been intubated and is being mechanically ventilated. The patient has received a balanced resuscitation including multiple blood products. Under which circumstance will it be harder for the hemoglobin to release oxygen to the tissues?
A.Decreased pH B.Elevated carbon dioxide level C.Decreased body temperature D.Increased metabolic demand - ANSWER>> C.Decreased body temperature A patient is thrown against a car during a tornado and presents with obvious bilateral femur 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? 2 / 3
A.Initiate two large-caliber intravenous lines for isotonic crystalloid administration.B.Administer intravenous medications for pain.C.Place the patient in an observation area for care within the next few hours.D.Contact the command center for personnel to notify next of kin. - ANSWER>> Initiate two large- caliber intravenous lines for isotonic crystalloid administration.A patient arrives with a large open chest wound after being assaulted with a machete. Prehospital providers placed a nonporous dressing over the chest wound and taped it on three sides. The patient is now showing signs of anxiety, restlessness, severe respiratory distress, cyanosis, and decreasing blood pressure. Which of the following is the MOST appropriate immediate intervention?
A.Needle decompression B.Tube thoracostomy C.Dressing removal D.Surgical repair - ANSWER>> C.Dressing removal A driver involved in a high-speed motor vehicle collision arrives in the emergency department. The vehicle's air-bag failed to deploy. The patient is drowsy but arousable and complaining of chest pain with ecchymosis noted to the chest. The patient is tachycardic and hypotensive with no evidence of uncontrolled bleeding. Cardiac monitor shows premature ventricular contractions. Which of the following is the most appropriate intervention for this patient?
A.Rapid fluid boluses B.Tranexamic acid administration C.Inotropic support D.Hemostatic resuscitation - ANSWER>> C.Inotropic support A patient is diagnosed with a T12 spinal cord injury following a 20-foot fall. Which finding is consistent with spinal shock?
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