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ATIRNCOMPREHENSIVEPREDICTOR RETAKE WITH NGN 2019 (9).pdf

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ATIRNCOMPREHENSIVEPREDICTOR RETAKE WITH NGN 2019 (9).pdf

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TNCC FULL SOLUTION PACK (ALL TNCC EXAMS AND STUDY
QUESTIONS ARE HERE ,ALL ANSWERED CORRECTLY)|
ALREADY GRADED A+


2023\2024
TNCCFULLSOLUTIONPACK(ALLTNCCEXAMS
AND STUDY QUESTIONS ARE HERE ,ALL
ANSWERED CORRECTLY).




2023\2024 TNCC FULL
SOLUTIONPACK(ALLTNCC EXAMS AND STUDY
QUESTIONS ARE HERE ,ALL ANSWERED
CORRECTLY)

, TNCC FULL SOLUTION PACK (ALL TNCC EXAMS AND STUDY
QUESTIONS ARE HERE ,ALL ANSWERED CORRECTLY)| ALREADY
GRADED A+




Expedite transfer to the closest trauma center- A 56 y/o M pt involved in a
motorvehiclecrashisbroughttotheEDofaruralcritical
accessfacility.Hecomplainsofneckpain, SOB, and diffuse abd pain. His GCS is 15. His
VS: BP 98/71, HR 125, RR 26,SpO2 94% on high-flow O2 via NRB mask. Which of the
following is the priorityintervention for this patient?

apertinentmedicalhxiscrucial -Whichofthefollowingconsiderationsisthemostimportant
when caring for a geriatric trauma pt?

Mitigation-Followinga reviewofrecentdrillsandarealdisasterevent,ahospitalhasidentified
deficiencies and is taking steps to minimize the impact of a future disaster .Which
phase of the disaster life cycle does this describe?

Multiplerequestsforwater-EMSbringsaptwhofellwhileridinghisbicycle.UsingtheAmerican
College of Surgeobs screening guidelines, which assessment finding wouldprompt the
RN to prepare the pt for a radiologic spine clearance?

hemoglobindoesnotreadilyreleaseO2forusebythetissues -Whatistheeffectofhypothermia
on the oxyhemoglobin dissociation curve?

acidosis-Whichofthefollowingisacomponentof thetraumatriadofdeath?

Complete-EMSbringsaptfromMVC.VS:BP90/49,HR48,RR12,temp97.2F(36.2C). The pt
exhibits urinary incontinence and priapism. These assessment findings aremost
consistent with which of the following types of spinal cord injury?

flucuationinthewaterseal chamber -Whichof thefollowingisanexpectedfindinginapt with a
tube thoracstomy connected to a chest drainage system?

insertanoropharyngealairwayif thereisnogagreflex -
Duringtheprimarysurveyofanunconscious pt with multi-system trauma, the nurse notes
snoring respirations. Whatpriority nursing interventions should be preformed next?

globerupture-A35y/o Mpresentswithfacialtraumaafterbeingstruckinthefacewitha
baseball. A teardrop-shaped left pupil is noted on exam. What type of injury
issuspected?

, TNCC FULL SOLUTION PACK (ALL TNCC EXAMS AND STUDY
QUESTIONS ARE HERE ,ALL ANSWERED CORRECTLY)| ALREADY
GRADED A+


compensated - A trauma pt is restless and repeatedly asking "where am i?" VS
uponarrival:BP110/60,HR96,RR24.Herskiniscoolanddry.CurrentVSareBP104/84,HR
108, RR 28. The pt is demonstrating s/sx of which stage of shock?

ventilate with a bag mask device - An unresponsive trauma pt has an
oropharygealairwayinplace,shallowandlaboredrespirations,andduskyskin.Thetrauma
teamhasadministeredmedicationsfordrug-
assistedintubationandattemptedintubationbutwasunsuccessful.What is the most
appropriate immediate next step?

within24 hrsoftrauma-Whenisthetertiarysurveycompletedforatraumapt?

pressure-AnintubatedandsedatedptintheEDhasmultipleextremityinjurieswiththepotential
for causing compartment syndrome. What is the most reliable indication ofcompartment
syndrome in a patient who is unconscious?

worseningpneumothorax-Whichofthefollowingispossiblecomplicationofpositive-pressure
ventilation?

pelvicstability-themostreassuringfindingforamaleptwithhippainafterafalliswhich of the
following?

narrowed -Whichofthefollowingpulsepressuresindicateearlyhypovolemic shock?

dysrhythmias-Patientswithacrushinjuryshouldbemonitoredforwhichofthefollowing
conditions?

subduralhematoma-Tearingofthebridgingveinsismostfrequentlyassociatedwithwhich
brain injury?

straight cath for urine sample - A 20 y/o M presents to the ED complaining of
severelowerabdpainafterlandinghardonthebicyclecrossbarswhilepreforminganaerialBM
X maneuver. Secondary assessment reveals lower abd tenderness and
scrotalecchymosis. Which of the following orders would the RN question?

placental abruption - You are caring for a pt who was involved in a MVC and is
32weeks pregnant. Findings of your secondary survey include abd pain on
palpation,fundal ht at the costal margin, and some dark bloody show. Varying
accelerations
anddecelerationsarenotedoncariocgraphy.Thesefindingsaremostconsistentwithwhichof
the following?

itcanworsencorddamagefromanunstablespinalinjury -Whichofthefollowingistrueabout the
log-roll?

defusings-AlloftheseareconsideredacriticalcommunicationpointintraumacareEXCEPT
which of the following?

, TNCC FULL SOLUTION PACK (ALL TNCC EXAMS AND STUDY
QUESTIONS ARE HERE ,ALL ANSWERED CORRECTLY)| ALREADY
GRADED A+


pulseoximetryandcapnography-Whatbedsidemonitoringparametersareusedtoassess for
adequacy of O2 and effectiveness of ventilation?

paddingtheupperbackwhilestabilizingthecervicalspine -Caregiverscarryina2y/ointo the
ED who fell out of a second-story window. The pt is awake and crying
withincreasedworkofbreathingandpaleskin.Whichofthefollowinginterventionshas
thehighest priority?

bowel-WhichofthefollowinginjuriesisLEASTlikelytobepromptlyidentified?

Initiatetransfertoatraumacenter -AptisbroughttotheEDofaruralhospitalfollowinga high-
speed MVC. When significant abd and pelvic injuries are noted in the primarysurvey,
which of the following is the priority interventions?

bardycardiaandabsentmotorfunctionbelowthelevelofinjury -Aptwithacompletespinal cord
injury in neurogenic shock will demonstrate hypotension and which otherclinical signs?

applysplintandelevateabovetheleveloftheheart -a37y/oFhasadeformityof theLwrist
afterafall. She isreluctanttomoveherhand duetopain.Which of thefollowingisthe most
appropriate intervention?

theaortaistornatitsattachmentwiththeligamentumarteriosum -whichofthefollowing
occurs during the third impact of a motor vehicle crash?

Report your suspicion of maltreatment in accordance with local regulations - a 5
y/ochildpresentstotheEDwithbruisestotheupperarmandbuttocksinvariousstagesofhealin
g and multiple small, clean, round burns to the back. There are no abnormalitiesfound
based on the pediatric assessment triangle or primary survey. Which of
thefollowingistheprioritysurvey.Whichofthefollowingistheprioritynursingintervention?

toguageend-organperfusionandtissuehypoxia -Whyisameasureofserumlactateobtained
in the initial assessment of a trauma patient?

elevating the extremity to the level of the heart - A pt with a lower extremity
fracturecomplainsofseverepainandtightnessinhiscalf,minimallybypainmedications.Which
of the following is the priority nursing intervention?

velocity-Whatfactorcontributesmosttothekinetic energyof abodyinmotion?

subdural hematoma - An elderly patient with a history of anticoagulant use
presentsafterafallathometoday.Shedeniesanylossofconsciousness.Shehasahematomat
o her forehead and complains of headache, dizziness, and nausea. What is the
mostlikely cause of her symptoms?

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