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TNCC FINAL EXAM TEST OPEN
BOOK UPDATED
Question : 1. 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. 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 92%. BP is 142/70 mm Hg. What is the most important intervention to manage the cerebral blood flow?
- Decrease the rate of manual ventilation
- Initiate another fluid bolus.
- Recheck endotracheal tube placement.
- Increase the amount of oxygen delivered.
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CORRECT ANSWER: : A. Decrease the rate of manual ventilation
Question : 2. 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
CORRECT ANSWER: : B. Amputation of a limb
Rationale: Preparation and Ongoing Care\Psychosocial
Aspects
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Functional grief relates to the loss of body function or body parts such as amputation of a limb, paralysis, or loss of sight.
Question : 3. What is the most important consideration
during the initial assessment when caring for an older adult who has sustained serious injuries?
- They are likely to be fearful in the emergency
department
- Medical history including current medications
- Availability of support systems after discharge
- Accessibility to a primary care physician
CORRECT ANSWER: : B. Medical history including current medications
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Question : 4. You are caring for a patient who was thrown
from a bike and was not wearing a helmet. While performing the head-to-toe assessment, you note clear drainage from the right ear. Which of the following is the most appropriate next step?
- Clean the ear with a cotton-tipped applicator.
- Pack the ear with gauze.
- Notify the physician
- Document and continue the exam.
CORRECT ANSWER: : C. Notify the physician
Question : 5. When should the definitive calculation for
intravenous fluid resuscitation rate be performed for a patient with burns?
- As soon as the patient arrives