TNCC Written Exam, TNCC 9th Edition, TNCC 9th Edition
TNP, TNCC 9th Edition, TNCC 9th edi. Test Prep, Trauma
Nursing Process - TNP - TNCC 9th Ed, Trauma Nursing
Core Course (TNCC)- 9th edition
What intravascular solution is most commonly used for patients who have sustained burns?
A.Lactated Ringer's
B.Normal saline
C.D5 / normal saline
D.Hypertonic saline - -answer-
A patient has been diagnosed with an incomplete spinal cord injury at L1. Which finding would indicate
sacral sparing?
A.Involuntary flexion of the great toe
B.Priapism
C.Voluntary anal sphincter tone
D.Numbness to the perianal area - -answer-
A patient arrives with a large metal rod embedded in their left thigh and no active bleeding. Which
intervention is most appropriate for this patient?
,A.Remove the rod immediately to facilitate cleansing.
B.Apply a tourniquet to the leg above the metal rod.
C.Hold antibiotics until after the rod is removed.
D.Prepare the patient for surgery to remove the rod. - -answer-
A patient has received multiple transfusions of banked blood in the past two hours. The patient has now
developed muscle tremors and short runs of ventricular tachycardia. Which of the following medications
does the nurse anticipate administering?
A.Hypertonic saline
B.Calcitonin
C.Insulin and glucose
D.Calcium gluconate - -answer-
Which of the following is true regarding cavitation?
A.Energy causes the tissues to accelerate and displace outward
B.Once a bullet passes, the tissue always returns to its normal location
C.Damage occurs only to internal organs and blood vessels
D.Hollow organs do not tolerate high-velocity cavitation - -answer-
A patient arrives with a 3-inch laceration to their forearm from a tree branch. Which of the following
methods will the nurse use to remove small pieces of bark and debris from the wound?
A.Low-pressure irrigation
B.High-pressure irrigation
C.Scrubbing with normal saline
D.Scrubbing with tap water - -answer-
,An adult patient was a restrained passenger involved in a high-speed motor vehicle collision. The patient
complained of generalized abdominal and left leg pain. A FAST exam was negative for fluid in the
abdominal cavity. While awaiting inpatient bed placement, the patient develops increased abdominal
pain with rebound tenderness, fever, and an elevated white blood cell count. These findings are most
consistent with an injury to which organ?
A.Spleen
B.Kidney
C.Small bowel
D.Liver - -answer-
A trauma patient involved in a fall from 25 feet has a traumatic brain injury, three anterior rib fractures
on the right side, a small pneumothorax on the right, and a Grade III liver injury. The patient was
intubated and placed on a ventilator with PEEP. Chest tube was deferred at this time. Upon
reassessment, which finding is most concerning?
A.Severely diminished breath sounds on the right
B.Guarding in the right upper quadrant
C.Ecchymosis in the right upper quadrant
D.Crepitus to the right chest - -answer-
A patient has uncontrolled bleeding from a wound to his right upper extremity. What is the priority
intervention?
A.Initiate two intravenous access sites
B.Place the patient on supplemental oxygen
C.Apply direct pressure to the wound
D.Use a tourniquet to control the bleeding - -answer-
What position optimizes ventilation in the obese patient with a lumbar fracture?
A.Reverse Trendelenburg
, B.Supine
C.Prone
D.Fowler's - -answer-
Based on fall mechanism, which patient warrants prehospital transfer to a trauma center?
A.A 35-year-old lands on a wooden porch from an 8-foot ladder
B.A 2-year-old lands on grass from a second-story balcony
C.A 14-year-old forcefully pushed onto cement from standing
D.A 50-year-old lands on a carpeted floor after tripping - -answer-
An adult patient who sustained a severe head trauma has been intubated and has been manually
ventilated via a bag mask device at a rate of 18 breaths per minute. The patient has received one
intravenous fluid bolus of 500 ML of warmed isotonic crystalloid solution. The PaCO2 is 30 and a pulse
ox symmetry is 92%. BP is 142/70. What is the most important intervention to manage the cerebral
blood flow? - -answer-decrease the rate of manual ventillation
An older patient with a history of anticoagulant use presents after a fall at home the previous day. She
denies any loss of consciousness. She has a hematoma to her forehead and complains of headache,
dizziness, and nausea. What is the most likely cause of her symptoms? - -answer-subdural hematoma
An adult who fell from a second story roof is brought to the emergency department by private vehicle - -
answer-ABC
A trauma patient is restless and repeatedly asking "where am I?" Vitals upon arrival were BP 110/60,
HR96, RR 24. Her skin is cool and dry. Current VS are BP 104/84, HR 108, RR 28. The pt is demonstrating
s/sx of which stage of shock? - -answer-compensated
A 35-year-old male presents with facial trauma after being struck in the face with a baseball. A teardrop-
shaped left pupil is noted on exam. What type of injury is suspected? - -answer-globe rupture
An adult patient with a restraint passenger involved in a high-speed motor vehicle collision. The
passenger - -answer-
TNP, TNCC 9th Edition, TNCC 9th edi. Test Prep, Trauma
Nursing Process - TNP - TNCC 9th Ed, Trauma Nursing
Core Course (TNCC)- 9th edition
What intravascular solution is most commonly used for patients who have sustained burns?
A.Lactated Ringer's
B.Normal saline
C.D5 / normal saline
D.Hypertonic saline - -answer-
A patient has been diagnosed with an incomplete spinal cord injury at L1. Which finding would indicate
sacral sparing?
A.Involuntary flexion of the great toe
B.Priapism
C.Voluntary anal sphincter tone
D.Numbness to the perianal area - -answer-
A patient arrives with a large metal rod embedded in their left thigh and no active bleeding. Which
intervention is most appropriate for this patient?
,A.Remove the rod immediately to facilitate cleansing.
B.Apply a tourniquet to the leg above the metal rod.
C.Hold antibiotics until after the rod is removed.
D.Prepare the patient for surgery to remove the rod. - -answer-
A patient has received multiple transfusions of banked blood in the past two hours. The patient has now
developed muscle tremors and short runs of ventricular tachycardia. Which of the following medications
does the nurse anticipate administering?
A.Hypertonic saline
B.Calcitonin
C.Insulin and glucose
D.Calcium gluconate - -answer-
Which of the following is true regarding cavitation?
A.Energy causes the tissues to accelerate and displace outward
B.Once a bullet passes, the tissue always returns to its normal location
C.Damage occurs only to internal organs and blood vessels
D.Hollow organs do not tolerate high-velocity cavitation - -answer-
A patient arrives with a 3-inch laceration to their forearm from a tree branch. Which of the following
methods will the nurse use to remove small pieces of bark and debris from the wound?
A.Low-pressure irrigation
B.High-pressure irrigation
C.Scrubbing with normal saline
D.Scrubbing with tap water - -answer-
,An adult patient was a restrained passenger involved in a high-speed motor vehicle collision. The patient
complained of generalized abdominal and left leg pain. A FAST exam was negative for fluid in the
abdominal cavity. While awaiting inpatient bed placement, the patient develops increased abdominal
pain with rebound tenderness, fever, and an elevated white blood cell count. These findings are most
consistent with an injury to which organ?
A.Spleen
B.Kidney
C.Small bowel
D.Liver - -answer-
A trauma patient involved in a fall from 25 feet has a traumatic brain injury, three anterior rib fractures
on the right side, a small pneumothorax on the right, and a Grade III liver injury. The patient was
intubated and placed on a ventilator with PEEP. Chest tube was deferred at this time. Upon
reassessment, which finding is most concerning?
A.Severely diminished breath sounds on the right
B.Guarding in the right upper quadrant
C.Ecchymosis in the right upper quadrant
D.Crepitus to the right chest - -answer-
A patient has uncontrolled bleeding from a wound to his right upper extremity. What is the priority
intervention?
A.Initiate two intravenous access sites
B.Place the patient on supplemental oxygen
C.Apply direct pressure to the wound
D.Use a tourniquet to control the bleeding - -answer-
What position optimizes ventilation in the obese patient with a lumbar fracture?
A.Reverse Trendelenburg
, B.Supine
C.Prone
D.Fowler's - -answer-
Based on fall mechanism, which patient warrants prehospital transfer to a trauma center?
A.A 35-year-old lands on a wooden porch from an 8-foot ladder
B.A 2-year-old lands on grass from a second-story balcony
C.A 14-year-old forcefully pushed onto cement from standing
D.A 50-year-old lands on a carpeted floor after tripping - -answer-
An adult patient who sustained a severe head trauma has been intubated and has been manually
ventilated via a bag mask device at a rate of 18 breaths per minute. The patient has received one
intravenous fluid bolus of 500 ML of warmed isotonic crystalloid solution. The PaCO2 is 30 and a pulse
ox symmetry is 92%. BP is 142/70. What is the most important intervention to manage the cerebral
blood flow? - -answer-decrease the rate of manual ventillation
An older patient with a history of anticoagulant use presents after a fall at home the previous day. She
denies any loss of consciousness. She has a hematoma to her forehead and complains of headache,
dizziness, and nausea. What is the most likely cause of her symptoms? - -answer-subdural hematoma
An adult who fell from a second story roof is brought to the emergency department by private vehicle - -
answer-ABC
A trauma patient is restless and repeatedly asking "where am I?" Vitals upon arrival were BP 110/60,
HR96, RR 24. Her skin is cool and dry. Current VS are BP 104/84, HR 108, RR 28. The pt is demonstrating
s/sx of which stage of shock? - -answer-compensated
A 35-year-old male presents with facial trauma after being struck in the face with a baseball. A teardrop-
shaped left pupil is noted on exam. What type of injury is suspected? - -answer-globe rupture
An adult patient with a restraint passenger involved in a high-speed motor vehicle collision. The
passenger - -answer-
