TNCC 9TH EDITION EXAM 50 MCQs QUESTIONS AND
VERIFIED ANSWERS
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 receive one intravenous fluid bolus 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..
B. Initiate another fluid bolus.
C. Recheck endotracheal tube placement.
D. Increase the amount of oxygen delivered.
2. A patient with complete spinal cord injury who is in neurogenic shock will
demonstrate hypotension and which other clinical signs?
A. Bradycardia and ipsilateral a sense of motor function.
B. Tachycardia and respiratory depression.
C. Tachycardia and piokilothermia.
D. Bradycardia and absent motor function below the level of injury..
3. You are caring for a patient who was shot multiple times in the chest and
abdomen. The patient is unresponsive with snoring, shallow respirations.
Assessment reveals absent radial pulses, weak and rapid carotid pulse, and
cool, diaphoretic skin. Which management strategy should the nurse
anticipate?
A. Autotransfusion
B. Massive transfusion
C. Controlled fluid boluses.
D. Inotropic medications
4. Three adults present at different times during a one-hour with a high fever,
fatigue, and headache. All three patients have a rash which started on their
mouth, face, and arms with progression to the chest and abdomen. They all
visited the same grocery store within the last week. What is the most
appropriate intervention from triage for these patients?
A. Move them to a decontamination area
B. Mask the patients and send them to the waiting room
C. Immediately initiate isolation precautions.
D. Send them to the waiting room without a mask
, 5. Which of the following characteristics is found in high performing teams?
A. Interdisciplinary collaboration.
B. Provide on-the-job training
C. Work individually
D. Minimal feedback to decrease confusion
6. An adult patient weighing 75 kg sustained partial and full thickness burns to
32% of their body 2 hours prior to arrival. Intravenous fluid resuscitation was
calculated to be 400 mL/hr. The urine output over the last hour was 15mL.
What intervention should the nurse anticipate?
A. Add blood products to the resuscitation
B. Increase isotonic crystalloid infusion rate.
C. Administer an intravenous diuretic
D. Switch to a hypertonic saline solution
7. An adult pedestrian was struck on the right side by a sport utility vehicle
traveling 40 mph. The patient is awake and alert and the right leg is
shortened. Following initial resuscitation with fluids, the patient remains
hypotensive. What would the priority intervention be?
A. Send blood for type and crossmatch
B. Apply a pelvic binder.
C. Prepare the patient for surgery
D. Insert a urinary catheter
8. You are speaking with the family of a critically injured patient. The
spouse is crying loudly and the daughter is angry and yelling at staff.
Which of the following nursing interventions is most appropriate?
A. Have the family escorted out of the department
B. Ask if the family would like spiritual support.
C. Allow only the spouse to see the patient
D. Do not include the family in decision-making at this time
9. A severely injured patient has been intubated and is being mechanically
ventilated. The patient has received a balanced resuscitation including
multiple blood products. Under which circumstance will it be harder for
hemoglobin to release oxygen to the tissues?
A. Decreased pH
B. Elevated carbon dioxide level
C. Decreased body temperature.
D. Increased metabolic demand
VERIFIED ANSWERS
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 receive one intravenous fluid bolus 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..
B. Initiate another fluid bolus.
C. Recheck endotracheal tube placement.
D. Increase the amount of oxygen delivered.
2. A patient with complete spinal cord injury who is in neurogenic shock will
demonstrate hypotension and which other clinical signs?
A. Bradycardia and ipsilateral a sense of motor function.
B. Tachycardia and respiratory depression.
C. Tachycardia and piokilothermia.
D. Bradycardia and absent motor function below the level of injury..
3. You are caring for a patient who was shot multiple times in the chest and
abdomen. The patient is unresponsive with snoring, shallow respirations.
Assessment reveals absent radial pulses, weak and rapid carotid pulse, and
cool, diaphoretic skin. Which management strategy should the nurse
anticipate?
A. Autotransfusion
B. Massive transfusion
C. Controlled fluid boluses.
D. Inotropic medications
4. Three adults present at different times during a one-hour with a high fever,
fatigue, and headache. All three patients have a rash which started on their
mouth, face, and arms with progression to the chest and abdomen. They all
visited the same grocery store within the last week. What is the most
appropriate intervention from triage for these patients?
A. Move them to a decontamination area
B. Mask the patients and send them to the waiting room
C. Immediately initiate isolation precautions.
D. Send them to the waiting room without a mask
, 5. Which of the following characteristics is found in high performing teams?
A. Interdisciplinary collaboration.
B. Provide on-the-job training
C. Work individually
D. Minimal feedback to decrease confusion
6. An adult patient weighing 75 kg sustained partial and full thickness burns to
32% of their body 2 hours prior to arrival. Intravenous fluid resuscitation was
calculated to be 400 mL/hr. The urine output over the last hour was 15mL.
What intervention should the nurse anticipate?
A. Add blood products to the resuscitation
B. Increase isotonic crystalloid infusion rate.
C. Administer an intravenous diuretic
D. Switch to a hypertonic saline solution
7. An adult pedestrian was struck on the right side by a sport utility vehicle
traveling 40 mph. The patient is awake and alert and the right leg is
shortened. Following initial resuscitation with fluids, the patient remains
hypotensive. What would the priority intervention be?
A. Send blood for type and crossmatch
B. Apply a pelvic binder.
C. Prepare the patient for surgery
D. Insert a urinary catheter
8. You are speaking with the family of a critically injured patient. The
spouse is crying loudly and the daughter is angry and yelling at staff.
Which of the following nursing interventions is most appropriate?
A. Have the family escorted out of the department
B. Ask if the family would like spiritual support.
C. Allow only the spouse to see the patient
D. Do not include the family in decision-making at this time
9. A severely injured patient has been intubated and is being mechanically
ventilated. The patient has received a balanced resuscitation including
multiple blood products. Under which circumstance will it be harder for
hemoglobin to release oxygen to the tissues?
A. Decreased pH
B. Elevated carbon dioxide level
C. Decreased body temperature.
D. Increased metabolic demand
