TNCC!!9TH!!EDITION!!REAL !!EXAM!!ACTUAL!!VERIFIED!!EXAM!!TEST !!BANK!!150+!!QU
ESTIONS!!AND!!ANSWERS!!VERIFIED!!ANSWER!!|ALREADY!!GRADED!!A+
1
,TNCC!!9TH!!EDITION!!REAL !!EXAM!!ACTUAL!!VERIFIED!!EXAM!!TEST !!BANK!!150+!!QU
ESTIONS!!AND!!ANSWERS!!VERIFIED!!ANSWER!!|ALREADY!!GRADED!!A+
A!!5-
year!!old!!child!!presents!!to!!the!!ED!!with!!bruises!!to!!the!!upper!!arms!!and!!buttocks!!in!!various!!
stages!!of!!healing!!and!!multiple!!small,!!clean,!!round!!burns!!to!!the!!back.!!There!!are!!no!!abnor
malities!!found!!based!!on!!the!!pediatric!!assessment!!triangle!!or!!primary!!survey.!!Which!!of!!t
he!!following!!is!!the!!priority!!nursing!!intervention?
Answer:!!A!!-
!! ANSA)!!report!! your!! suspicion!!of!! the!! maltreatment!!in!! accordance!! with!!local!! regulations!! **
*
B)!!apply!!ice!!to!!the!!bruises!!and!!consult!!wound!!care
C)!!engage!!in!!therapeutic!!communication!!to!!determine!!the!!MOI
D)!!provide!!the!!family!!with!!injury!!prevention!!resourse
A!!20-
year!!old!!male!!presents!!to!!the!!ED!!c/o!!severe!!lower!!abd!!pain!!after!!landing!!hard!!on!!the!!bic
ycle!!cross!!bars!!which!!performing!!an!!aerial!!BMX!!maneuver.!!Secondary!!assessment!!rev
eals!!lower!!abd!!tenderness!!and!!scrotal!!ecchymosis.!!Which!!of!!the!!following!!orders!!would!!
the!!nurse!!questions?
Answer:!!C!!-!!ANSA)!!Fast!!exam
B)!!CT!!scan
C)!!straight!!cath!!for!!urine!!sample!!***
D)!!ice!!and!!elevation!!of!!the!!scrotum
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:!!B!!-!!ANSA)!!oculomotor!!nerve!!palsy
B)!!globe!!rupture!!***
C)!!uncal!!herniation
D)!!retinal!!detachment
A!!36-
year!!old!!female!!has!!a!!deformity!!of!!the!!left!!wrist!!after!!a!!fall.!!She!!is!!reluctant!!to!!move!!her!!
hand!!due!!to!!pain.!!Which!!of!!the!!following!!is!!the!!most!!appropriate!!intervention?
Answer:!!B!!-!!ANSA)!!apply!!a!!sling!!and!!elevate!!the!!extremity!!to!!the!!level!!of!!the!!heart.
B)!!apply!!a!!splint!!and!!ELEVATE!!ABOVE!!THE!!LEVEL!!OF!!THE!!HEART!!***
C)!!Apply!!a!!sling!!and!!elevate!!the!!extremity!!above!!the!!level!!of!!the!!heart
D)!!apply!!a!!splint!!and!!elevate!!the!!extremity!!to!!the!!level!!of!!the!!heart.
2
,TNCC!!9TH!!EDITION!!REAL !!EXAM!!ACTUAL!!VERIFIED!!EXAM!!TEST !!BANK!!150+!!QU
ESTIONS!!AND!!ANSWERS!!VERIFIED!!ANSWER!!|ALREADY!!GRADED!!A+
A!!49-
year!!old!!restrained!!driver!!involved!!in!!a!!MVC!!presents!!to!!the!!trauma!!center!!c/o!!abd,!!pelvi
c,!!and!!bil!!lower!!extremity!!pain!!Vitals!!signs!!are!!stable.!!The!!nurse!!can!!anticipate!!all!!of!!the
se!!negative!!fast!!exam!!except!!which!!of!!the!!following?
Answer:!!A
The!!FAST!!exam!!is!!done!!at!!the!!bedside!!to!!identify!!pathological!!fluid!!in!!the!!abdominal!!an
d!!pelvic!!cavities.!!FAST!!exams!!reduce!!the!!use!!of!!more!!invasive!!diagnostic!!peritoneal!!lav
age!!and!!can!!be!!repeated!!if!!clinical!!changes!!or!!hemodynamic!!changes!!occur.!!A!!negative
!!FAST!! study!! does!! not!!rule!! out!!injury!!and!! may!!warrant!!a!! follow-
up!!computed!!tomography!!scan.!!Serial!!FAST!!exams!!can!!identify!!increasing!!abdominal!!fl
uid!!collections!!from!!hemorrhage.!!Diagnostic!!peritoneal!!lavage/diagnostic!!peritoneal!!aspi
ration!!is!!performed!!by!!the!!surgical!!team!!to!!rapidly!!identify!!the!!presence!!of!!hemorrhage!!i
n!!patients!!who!!are!!hemodynamically!!unstable!!after!!trauma.!!-
!! ANSA)!!diagnostic!!peritoneal!!lavage!! ***
B)!!serial!!fast!!exams
C)!!abdominal!!and!!pelvic!!CT!!scans
D)!!serial!!abdominal!!assessments
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:!!C!!-!!ANSA)!!Expedite!!transport!!to!!the!!CT!!scanner
B)!!prepare!!the!!patient!!for!!spinal!!radiographs
C)!!expedite!!transfer!!to!!the!!closest!!trauma!!center!!***
D)!!notify!!the!!patients!!family
A!!passenger!!is!!brought!!to!!the!!emergency!!department!!of!!a!!rural!!hospital!!following!!a!!high
-
speed!!MVC.!!When!!significant!!abdominal!!and!!pelvic!!injuries!!are!!noted!!in!!the!!primary!!sur
vey,!!which!!of!!the!!following!!is!!the!!priority!!interventions?
Answer:!!A!!-!!ANSA)!!initiate!!transfer!!to!!a!!trauma!!center!!**
3
, TNCC!!9TH!!EDITION!!REAL !!EXAM!!ACTUAL!!VERIFIED!!EXAM!!TEST !!BANK!!150+!!QU
ESTIONS!!AND!!ANSWERS!!VERIFIED!!ANSWER!!|ALREADY!!GRADED!!A+
B)!!provide!!report!!to!!the!!operating!!room!!nurse
C)!!Obtained!!imaging!!studies
D)!!Place!!a!!gastric!!tube
A!!patient!!arrives!!with!!a!!large!!open!!chest!!wound!!after!!being!!assault!!ed!!with!!a!!machete,!!
Prehospital!!providers!!placed!!a!!nonporous!!dressing!!over!!the!!chest!!wound!!and!!tapes!!it!!o
n!!3!!sides.!!He!!is!!now!!showing!!signs!!of!!anxiety,!!restlessness,!!severe!!respiratory!!distress,!
! cyanosis,!! and!!decreasing!! blood!! pressure.!!Which!! of!! the!! following!!is!! the!! MOST!! appropria
te!!interventions?
Answer:!!C!!-!!ANSA)!!needle!!decompression
B)!!tube!!thoracostomy!!
C)!!dressing!!removal!!**
D)!!surgical!!repair
A!!patient!!has!!been!!in!!the!!ED!!for!!several!!hours!!waiting!!to!!be!!admitted.!!He!!sustained!!mul
tiple!!rib!!fractures!!and!!a!!femur!!fracture!!after!!a!!fall.!!He!!has!!been!!awake,!!alert,!!and!!c/o!!leg!!
pain.!!His!!wife!!reported!!suddenly!!becoming!!anxious!!and!!confused.!!Upon!!reassessment,!!
the!!patient!!is!!restless,!!with!!respiratory!!distress!!and!!petechiae!!to!!his!!neck.!!the!!patient!!is!!
exhibiting!!signs!!of!!symptoms!!commonly!!associated!!with!!which!!of!!the!!following!!condition
s?
Answer:!!B!!-!!ANSA)!!acute!!lung!!injury
B)!!fat!!embolism!!***
C)!!PTX
D)!!pulmonary!!contusion
A!!patient!!is!!found!!lying!!on!!the!!floor!!after!!falling!!13!!hours!!ago.!!Which!!of!!the!!following!!lab!!
values!!is!!expected!!with!!a!!musculoskeletal!!complication!!associated!!with!!this!!presentatio
n?
Answer:!!A!!-!!ANSA)!!elevated!!creatine!!kinase!!***
B)!!decreased!!potassium!!level
C)!!decreased!!WBC
D)!!elevated!!GFR
A!!patient!!is!!thrown!!against!!a!!car!!during!!a!!tornado!!and!!presents!!with!!obvious!!bilateral!!fe
moral!!fractures.!!The!!patient!!is!!pale,!!alert,!!disoriented,!!and!!has!!delayed!!cap!!refill.!!Which!!
of!!the!!following!!interventions!!would!!be!!most!!appropriate!!for!!this!!patient!!based!!on!!the!!dis
aster!!triage!!principle?
4
ESTIONS!!AND!!ANSWERS!!VERIFIED!!ANSWER!!|ALREADY!!GRADED!!A+
1
,TNCC!!9TH!!EDITION!!REAL !!EXAM!!ACTUAL!!VERIFIED!!EXAM!!TEST !!BANK!!150+!!QU
ESTIONS!!AND!!ANSWERS!!VERIFIED!!ANSWER!!|ALREADY!!GRADED!!A+
A!!5-
year!!old!!child!!presents!!to!!the!!ED!!with!!bruises!!to!!the!!upper!!arms!!and!!buttocks!!in!!various!!
stages!!of!!healing!!and!!multiple!!small,!!clean,!!round!!burns!!to!!the!!back.!!There!!are!!no!!abnor
malities!!found!!based!!on!!the!!pediatric!!assessment!!triangle!!or!!primary!!survey.!!Which!!of!!t
he!!following!!is!!the!!priority!!nursing!!intervention?
Answer:!!A!!-
!! ANSA)!!report!! your!! suspicion!!of!! the!! maltreatment!!in!! accordance!! with!!local!! regulations!! **
*
B)!!apply!!ice!!to!!the!!bruises!!and!!consult!!wound!!care
C)!!engage!!in!!therapeutic!!communication!!to!!determine!!the!!MOI
D)!!provide!!the!!family!!with!!injury!!prevention!!resourse
A!!20-
year!!old!!male!!presents!!to!!the!!ED!!c/o!!severe!!lower!!abd!!pain!!after!!landing!!hard!!on!!the!!bic
ycle!!cross!!bars!!which!!performing!!an!!aerial!!BMX!!maneuver.!!Secondary!!assessment!!rev
eals!!lower!!abd!!tenderness!!and!!scrotal!!ecchymosis.!!Which!!of!!the!!following!!orders!!would!!
the!!nurse!!questions?
Answer:!!C!!-!!ANSA)!!Fast!!exam
B)!!CT!!scan
C)!!straight!!cath!!for!!urine!!sample!!***
D)!!ice!!and!!elevation!!of!!the!!scrotum
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:!!B!!-!!ANSA)!!oculomotor!!nerve!!palsy
B)!!globe!!rupture!!***
C)!!uncal!!herniation
D)!!retinal!!detachment
A!!36-
year!!old!!female!!has!!a!!deformity!!of!!the!!left!!wrist!!after!!a!!fall.!!She!!is!!reluctant!!to!!move!!her!!
hand!!due!!to!!pain.!!Which!!of!!the!!following!!is!!the!!most!!appropriate!!intervention?
Answer:!!B!!-!!ANSA)!!apply!!a!!sling!!and!!elevate!!the!!extremity!!to!!the!!level!!of!!the!!heart.
B)!!apply!!a!!splint!!and!!ELEVATE!!ABOVE!!THE!!LEVEL!!OF!!THE!!HEART!!***
C)!!Apply!!a!!sling!!and!!elevate!!the!!extremity!!above!!the!!level!!of!!the!!heart
D)!!apply!!a!!splint!!and!!elevate!!the!!extremity!!to!!the!!level!!of!!the!!heart.
2
,TNCC!!9TH!!EDITION!!REAL !!EXAM!!ACTUAL!!VERIFIED!!EXAM!!TEST !!BANK!!150+!!QU
ESTIONS!!AND!!ANSWERS!!VERIFIED!!ANSWER!!|ALREADY!!GRADED!!A+
A!!49-
year!!old!!restrained!!driver!!involved!!in!!a!!MVC!!presents!!to!!the!!trauma!!center!!c/o!!abd,!!pelvi
c,!!and!!bil!!lower!!extremity!!pain!!Vitals!!signs!!are!!stable.!!The!!nurse!!can!!anticipate!!all!!of!!the
se!!negative!!fast!!exam!!except!!which!!of!!the!!following?
Answer:!!A
The!!FAST!!exam!!is!!done!!at!!the!!bedside!!to!!identify!!pathological!!fluid!!in!!the!!abdominal!!an
d!!pelvic!!cavities.!!FAST!!exams!!reduce!!the!!use!!of!!more!!invasive!!diagnostic!!peritoneal!!lav
age!!and!!can!!be!!repeated!!if!!clinical!!changes!!or!!hemodynamic!!changes!!occur.!!A!!negative
!!FAST!! study!! does!! not!!rule!! out!!injury!!and!! may!!warrant!!a!! follow-
up!!computed!!tomography!!scan.!!Serial!!FAST!!exams!!can!!identify!!increasing!!abdominal!!fl
uid!!collections!!from!!hemorrhage.!!Diagnostic!!peritoneal!!lavage/diagnostic!!peritoneal!!aspi
ration!!is!!performed!!by!!the!!surgical!!team!!to!!rapidly!!identify!!the!!presence!!of!!hemorrhage!!i
n!!patients!!who!!are!!hemodynamically!!unstable!!after!!trauma.!!-
!! ANSA)!!diagnostic!!peritoneal!!lavage!! ***
B)!!serial!!fast!!exams
C)!!abdominal!!and!!pelvic!!CT!!scans
D)!!serial!!abdominal!!assessments
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:!!C!!-!!ANSA)!!Expedite!!transport!!to!!the!!CT!!scanner
B)!!prepare!!the!!patient!!for!!spinal!!radiographs
C)!!expedite!!transfer!!to!!the!!closest!!trauma!!center!!***
D)!!notify!!the!!patients!!family
A!!passenger!!is!!brought!!to!!the!!emergency!!department!!of!!a!!rural!!hospital!!following!!a!!high
-
speed!!MVC.!!When!!significant!!abdominal!!and!!pelvic!!injuries!!are!!noted!!in!!the!!primary!!sur
vey,!!which!!of!!the!!following!!is!!the!!priority!!interventions?
Answer:!!A!!-!!ANSA)!!initiate!!transfer!!to!!a!!trauma!!center!!**
3
, TNCC!!9TH!!EDITION!!REAL !!EXAM!!ACTUAL!!VERIFIED!!EXAM!!TEST !!BANK!!150+!!QU
ESTIONS!!AND!!ANSWERS!!VERIFIED!!ANSWER!!|ALREADY!!GRADED!!A+
B)!!provide!!report!!to!!the!!operating!!room!!nurse
C)!!Obtained!!imaging!!studies
D)!!Place!!a!!gastric!!tube
A!!patient!!arrives!!with!!a!!large!!open!!chest!!wound!!after!!being!!assault!!ed!!with!!a!!machete,!!
Prehospital!!providers!!placed!!a!!nonporous!!dressing!!over!!the!!chest!!wound!!and!!tapes!!it!!o
n!!3!!sides.!!He!!is!!now!!showing!!signs!!of!!anxiety,!!restlessness,!!severe!!respiratory!!distress,!
! cyanosis,!! and!!decreasing!! blood!! pressure.!!Which!! of!! the!! following!!is!! the!! MOST!! appropria
te!!interventions?
Answer:!!C!!-!!ANSA)!!needle!!decompression
B)!!tube!!thoracostomy!!
C)!!dressing!!removal!!**
D)!!surgical!!repair
A!!patient!!has!!been!!in!!the!!ED!!for!!several!!hours!!waiting!!to!!be!!admitted.!!He!!sustained!!mul
tiple!!rib!!fractures!!and!!a!!femur!!fracture!!after!!a!!fall.!!He!!has!!been!!awake,!!alert,!!and!!c/o!!leg!!
pain.!!His!!wife!!reported!!suddenly!!becoming!!anxious!!and!!confused.!!Upon!!reassessment,!!
the!!patient!!is!!restless,!!with!!respiratory!!distress!!and!!petechiae!!to!!his!!neck.!!the!!patient!!is!!
exhibiting!!signs!!of!!symptoms!!commonly!!associated!!with!!which!!of!!the!!following!!condition
s?
Answer:!!B!!-!!ANSA)!!acute!!lung!!injury
B)!!fat!!embolism!!***
C)!!PTX
D)!!pulmonary!!contusion
A!!patient!!is!!found!!lying!!on!!the!!floor!!after!!falling!!13!!hours!!ago.!!Which!!of!!the!!following!!lab!!
values!!is!!expected!!with!!a!!musculoskeletal!!complication!!associated!!with!!this!!presentatio
n?
Answer:!!A!!-!!ANSA)!!elevated!!creatine!!kinase!!***
B)!!decreased!!potassium!!level
C)!!decreased!!WBC
D)!!elevated!!GFR
A!!patient!!is!!thrown!!against!!a!!car!!during!!a!!tornado!!and!!presents!!with!!obvious!!bilateral!!fe
moral!!fractures.!!The!!patient!!is!!pale,!!alert,!!disoriented,!!and!!has!!delayed!!cap!!refill.!!Which!!
of!!the!!following!!interventions!!would!!be!!most!!appropriate!!for!!this!!patient!!based!!on!!the!!dis
aster!!triage!!principle?
4
