TNCC EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS

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Exam Solution +t




TNCC 9 TH EDITION FINAL ACTUAL EXAM NEWEST VER
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SION / QUESTION AND CORRECT DETAILED VERIFIED A
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NSWERS FROM VERIFIED SOURCES RATED A GRADE. 20 +t +t +t +t +t +t +t




26 A+ GRADE ASSURED COMPLETE SOLUTIONS AND VE
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RIFIED ANSWERS (7B21F) +t +t




QUESTION 1 +t




Term
ANSWER

Definition



QUESTION 2 +t




You are caring for a patient who was thrown from a bike and was not wearing a helmet.
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While performing the head-to-
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toe assessment, you note clear drainage from the right ear. Which of the following is the
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most appropriate next step?
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A. Clean the ear with a cotton-tipped applicator.
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B. Pack the ear with gauze.
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C. Notify the physician
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D. Document and continue the exam.
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ANSWER

C. Notify the physician
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QUESTION 3 +t




A patient is brought to the emergency department of a rural hospital following a high-
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speed motor vehicle collision. When significant abdominal and pelvic injuries are noted
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in the primary survey, what is the priority intervention?
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A. Initiate transfer to a trauma center
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,B. Attempt family notification
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C. Obtain additional imaging studies
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D. Place an indwelling urinary catheter
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ANSWER

A. Initiate transfer to a trauma center
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QUESTION 4 +t




2. Which of the following situations could cause functional grief?
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A. Inability to live at home
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B. Amputation of a limb
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C. Loss of one's self-image
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D. Destruction of the patient's car
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ANSWER

B. Amputation of a limb Rationale: Preparation and Ongoing Care\Psychosocial Aspects Functional grief
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relates to the loss of body function or body parts such as amputation of a limb, paralysis, or loss of sigh
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t.



QUESTION 5 +t




3. What is the most important consideration during the initial assessment when caring f
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or an older adult who has sustained serious injuries?
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A. They are likely to be fearful in the emergency department
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B. Medical history including current medications
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C. Availability of support systems after discharge
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D. Accessibility to a primary care physician
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ANSWER

B. Medical history including current medications
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QUESTION 6 +t




4. You are caring for a patient who was thrown from a bike and was not wearing a helm
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et. While performing the head-to-
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toe assessment, you note clear drainage from the right ear. Which of the following is the
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most appropriate next step?
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A. Clean the ear with a cotton-tipped applicator.
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B. Pack the ear with gauze.
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C. Notify the physician
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D. Document and continue the exam.
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ANSWER

C. Notify the physician
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, QUESTION 7 +t




5. When should the definitive calculation for intravenous fluid resuscitation rate be perf
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ormed for a patient with burns? +t +t +t +t +t



A. As soon as the patient arrives
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B. After removal of clothing
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C. Only at a burn center
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D. During the circulation assessment
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ANSWER

B. After removal of clothing Rationale: Musculoskeletal and Wounds\Burns Some fluid will be given initi
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ally, but an accurate fluid total is based on percentage of total body surface area which requires a good
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skin assessment and is calculated after clothing is removed.
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QUESTION 8 +t




6. In a motor vehicle collision, which injury pathway is most likely to increase the patien
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t's morbidity and mortality?
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A. Rotational
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B. Ejection
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C. Lateral
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D. Rollover
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ANSWER

B. Ejection
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QUESTION 9 +t




7. A patient with a lower extremity fracture complains of severe pain and tightness in hi
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s calf, minimally relieved by pain medications. Which of the following is the priority nur
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sing intervention? +t



A. Elevating the leg above the level of the heart
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B. Repositioning the leg and applying ice
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C. Elevating the leg to the level of the heart
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D. Preparing the patient for ultrasound of the leg
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ANSWER

C. Elevating the leg to the level of the heart Rationale: Musculoskeletal and Wounds\Musculoskeletal Th
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is patient is exhibiting signs of possible compartment syndrome which is a dangerous complication of fr
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actured extremities. The pain is often out of proportion to the injury and might not respond to pain me
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dications. Elevate the limb to the level of the heart to decrease dependent edema but not above the hea
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rt, which can cause increased venous congestion and pressure within the compartment.
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