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TNCC FINAL EXAM LATEST 2024 -2025
COMPLETE 180 UPDATED QUESTIONS WITH
CORRECT VERIFIED ANSWERS/ GRADED A+
What is the first thing assessed under the Secondary Assessment? - Correct Answer -
FULL SET VS / FOCUSED ADJUNCTS / FAMILY PRESENCE
- ABCDE should be completed
- Labs, X-rays, CT, Foley,
- Family Presence
What is the second thing assessed under the Secondary Assessment? - Correct Answer
- GIVE COMFORT MEASURES
- Talking to pt
- Pharmacologic/Nonpharmacologic pain management
- Observe for physical signs of pain
What is assessed under the Mnemonic "H"? - Correct Answer - HISTORY / HEAD-TO-
TOE ASSESSMENT
- MIVT
- M = Mechanism of injury
- I = Injuries sustained
- V = Vital Signs
- T = Treatment
- Pt generated information
- PMHx
- Head-to-toe assessment 1 / 4
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What medications are used during intubation? - Correct Answer - LOAD Mnemonic:
L = Lidocaine O = Opioids A = Atropine D = Defasiculating agents
Which intervention is recommended regarding the use of drug-assisted intubation and rapid sequence intubation? - Correct Answer - Pre-oxygenate to prolong the time to hypoxia
Which normal anatomic or physiologic change in an older adult places them at a higher risk for aspiration? - Correct Answer - Relaxed muscles of the oropharynx
A patient has been diagnosed with an incomplete spinal cord injury at L1. Which finding would indicate sacral sparing? - Correct Answer - Voluntary anal sphincter tone
An adult patient weighing 75 kg sustained partial and full thickness burns to 32% of their body 2 hours prior to arrival. Intravenous fluid resuscitation was calculated to be 400 mL/hour. The urine output over the last hour was 15mL. What intervention should the nurse anticipate? - Correct Answer - Increase isotonic crystalloid infusion rate A patient is diagnosed with a T12 spinal cord injury following a 20-foot fall. Which finding is consistent with spinal shock? - Correct Answer - Loss of reflexes
A patient is brought to the emergency department following a motor vehicle rollover and is complaining of left upper abdominal pain and left shoulder pain. This presentation is most consistent with an injury to which organ? - Correct Answer - Spleen
An adult patient is brought to the emergency department following a motor vehicle collision with complaints of neck pain. They have identified as a person in the process of transitioning from male to female. What effect of hormone therapy should be considered when planning care for this patient? - Correct Answer - Testosterone therapy may decrease blood pressure 2 / 4
pg. 3 Correct rationale: A person who is in the process of transitioning from male to female will usually be taking female hormones such as estrogen/estradiol to assist with the transition. This can cause a decrease in muscle mass, increased risk of thromboembolism, and possibly increased bone density. These patients would not be taking testosterone.
An adult patient presents to the emergency department after sustaining severe facial injuries during an altercation. The patient is awake, confused, and smells heavily of alcohol. Pulse oximetry is 94% on room air. Immediate intubation should be anticipated based on which clinical indicator? - Correct Answer - Severe facial injuries
A patient involved in a high-speed rollover is complaining of increased difficulty breathing. There is a small penetrating wound to the sixth intercostal space in the left lateral chest. Which finding is most consistent with an injury to the diaphragm? - Correct Answer - Bowel sounds heard in the left lower chest
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? - Correct Answer - Decreased body temperature
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? - Correct Answer - Continue to the intensive care unit
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? - Correct Answer - Tertiary
What technique is most appropriate when obtaining a history from a patient who has experienced a sexual assault? - Correct Answer - Applying active listening
During the primary survey, which tool is most effective in identifying the need for an airway intervention? - Correct Answer - AVPU
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pg. 4 What type of wound is most likely to become embedded with gravel or dirt causing a black, blue, or grey discoloration? - Correct Answer - Abrasion
An adult patient who sustained a severe head trauma has been intubated and is being manually ventilated via a bag-mask device at a rate of 18 breaths/minute with clear breath sounds bilaterally. The patient has received one intravenous fluid bolus of 500 mL of warmed isotonic crystalloid solution. The PaCO2 is 30 mm Hg (4.0 kPa), and the pulse oximetry is 96%. BP is 142/70 mm Hg. What is the most important intervention to manage cerebral blood flow? - Correct Answer - Decrease the rate of manual ventilation
What type of wound closure is used with infection-prone wounds where the edges are difficult to approximate? - Correct Answer - Secondary
What finding is consistent with the irreversible stage of shock? - Correct Answer - Bradycardia
Which of the following situations could cause functional grief? - Correct Answer - Amputation of a limb
A trauma patient is being held in the emergency department because there are no available inpatient beds. The patient sustained a femur fracture and required multiple blood products. The patient now has blood oozing from abrasions, IV sites, the nose, and gums. What condition is most consistent with these findings? - Correct Answer - Disseminated intravascular coagulopathy
A patient presents, after a 25-foot fall, with paradoxical chest wall movement to the right lower chest and complaints of shortness of breath. What is the priority intervention? - Correct Answer - Airway and ventilation support
A patient is brought to the emergency department with chest pain and shortness of breath following a high-speed motor vehicle collision in which they were the unrestrained driver. There is crepitus to the left chest with clear and equal breath sounds. The vital signs are BP 80/40 mmHg, HR 140 beats/minute, and RR 40 breaths/minute. Cardiac monitor shows sinus tachycardia with premature ventricular contractions. These findings are most consistent with which type of shock? - Correct Answer - Cardiogenic
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