TNCC FINAL EXAM 2 LATEST VERSIONS 2024
CONTAINS 100 QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS) ALREADY
GRADED A+
A 56-year- male patient involved in a MVC is brought to the ED of a rural critical access facility. He c/o neck pain, SOB, and diffuse abd pain. His GCS is 15. His vitals are as
follows:
BP 98/71
HR 125 beats/min RR 26 breaths/min SpO2 94% on high flow O2 via NRB mask which of the following is the priority intervention for this patient? - ANSWER>> expedite transfer to the closest trauma center Caregivers carry a 2-year old into the ED who fell out of 2nd 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 is a component of the trauma triad of death? - ANSWER>> Acidosis --hypothermia, metabolic acidosis, coagulopathy 1 / 4
A 35-year old male presents with facial trauma after bring struck inthe face with a baseball. a tear-drop shaped left pupil is noted on exam. What type of injury is suspected? - ANSWER>> globe rupture Which of the following is true about the log roll maneuver? - ANSWER>> it can worsen cord damage from an unstable spinal injury EMS arrives with the intoxicated driver of a car involved in a MVC. EMS reports significant damage to the drivers side of the car. The patient is asking to have the cervical color removed. when is it appropriate to remove the cervical collar? - ANSWER>> after a physical examination if the patient has no radiologic abnormalities on a computed tomography scan Tearing of the bridging veins is most frequently associated with which brain injury? - ANSWER>> subdural hematoma most often for this type of brain injury If a patient has received multiple transfusions of banked blood preserved with citrate, which electrolyte is most likely to drop and require supplementation? - ANSWER>> calcium A trauma patient is en route to a rural ED. Radiology notifies the charge nurse that the CT scanner will be out of service for several of hours. The team gathers to plan accordingly. Which of the following terms best describes this trauma teams communication? - ANSWER>> huddle The nurse is caring for a 120 kg male is brought in after a warehouse fire and is calculating the patient's fluid resuscitation needs. He has painful red blistering to the entire surface of both upper extremities and superficial burns to the anterior chest.Using the modified Lund and Browder chart to calculate the total BSA burned, how much IV fluids would be administered in the first 8 hours?
(upper arm 4+4 / lower arm 3+3 / hand 2.5+2.5) = 19% TBSA. 2 / 4
120 kg x (2 mL) x (19% TBSA) = 4560 mL
4560 / 2 (half of fluids given in first 8 hours) = 2280 mL - ANSWER>> 2280 mL Which of the following assessment findings differentiates a tension PTX from a simple PTX? - ANSWER>> hypotension that worsens with inspiration Assessment findings associated with tension pneumothorax include anxiety, severe restlessness, severe respiratory distress, and absent breath sounds on the injured side.Hypotension due to compression of the heart and great vessels is consistent with obstructive shock. Hypotension worsens with inspiration due to increased intrathoracic pressure. Late signs include distended neck veins, tracheal deviation, and cyanosis. - ANSWER>> anxiety, severe restlessness, severe respiratory distress, and absent breath sounds on the injured side.
Hypotension due to compression of the heart and great vessels is consistent with obstructive shock.
Hypotension worsens with inspiration due to increased intrathoracic pressure. Late signs include distended neck veins, tracheal deviation, and cyanosis.Which of the following considerations is most important when caring for a geriatric trauma patient? - ANSWER>> medical history An intubated trauma patient is being transferred to a tertiary care center. After moving the patient to the stretcher for transport, a drop in pulse oximetry to 85% is noted. Which of the following is the priority interventions? - ANSWER>> confirm ET tube placement 3 / 4
What factor contributes most the kinetic energy of a body in motion? - ANSWER>> velocity During the primary survey of an unconscious patient with multi-system trauma, the nurse notes snoring respirations. Which priority nursing interventions should be performed next? - ANSWER>> insert an oropharyngeal airway if there is no gag reflex Following a review of recent drills and a real disaster event, a hospital has identified deficiencies and is taking steps to minimize the impact of future disaster. Which phase of the disaster life cycle does this describe? - ANSWER>> mitigation
- preparedness
- response
- recovery
- preparedness
- response
- recovery
all of the following are disaster cycle components. - ANSWER>> a)mitigation
Which pulse pressure description is an indication of early hypovolemic shock? - ANSWER>> narrowed The most reassuring finding for a male patient with hop pain after a fall is which of the following?
Answer: D - ANSWER>> A) a normal prostate exam
- absence of abdominal distension
- / 4