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UPDATED! TNCC 9th Edition final exam. Questions & Answers! Edition TNCC final exam
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?
: A. Decrease the rate of manual ventilation
Question 2: Which of the following situations could cause
functional grief?
: B. Amputation of a limb
Rationale: Preparation and Ongoing Care\Psychosocial Aspects
Functional grief relates to the loss of body function or body parts such as amputation of a limb, paralysis, or loss of sight.
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Question 3: What is the most important consideration during the
initial assessment when caring for an older adult who has sustained serious injuries?
: B. Medical history including current medications
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?
: C. Notify the physician
Question 5: When should the definitive calculation for
intravenous fluid resuscitation rate be performed for a patient with burns?
: B. After removal of clothing
Rationale: Musculoskeletal and Wounds\Burns
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Some fluid will be given initially, but an accurate fluid total is based on percentage of total body surface area which requires a good skin assessment and is calculated after clothing is removed.
Question 6: In a motor vehicle collision, which injury pathway
is most likely to increase the patient's morbidity and mortality?
: B. Ejection
Question 7: A patient with a lower extremity fracture complains
of severe pain and tightness in his calf, minimally relieved by pain medications. Which of the following is the priority nursing intervention?
: C. Elevating the leg to the level of the heart
Rationale: Musculoskeletal and Wounds\Musculoskeletal
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This patient is exhibiting signs of possible compartment syndrome which is a dangerous complication of fractured extremities. The pain is often out of proportion to the injury and might not respond to pain medications. Elevate the limb to the level of the heart to decrease dependent edema but not above the heart, which can cause increased venous congestion and pressure within the compartment.
Question 8: A teenaged patient presents to the emergency
department with left arm pain after a ground level fall. The patient identifies as transgender and shares they are homeless.The ED staff are concerned the patient is experiencing human trafficking. What is most consistent with human trafficking?
: D. Those experiencing human trafficking rarely self-disclose.
Question 9: An intubated trauma patient has just been
transported back from CT scan. Upon arrival to their room in the emergency department, resistance is noted with bag-mask ventilations and auscultation reveals unequal breath sounds.What is the most appropriate initial intervention for this patient?