TNCC 9TH EDITION 2024 EXAM QUESTIONS
AND ANSWERS 100% CORRECT!!
, You are caring for a patient who was thrown from a bike and was not wearing a helmet.
While performing the head-to-toe assessment, you note clear drainage from the right
ear. Which of the following is the most appropriate next step?
A. Clean the ear with a cotton-tipped applicator.
B. Pack the ear with gauze.
C. Notify the physician
D. Document and continue the exam. - ANSWER C. Notify the physician
A patient is brought to the emergency department of a rural hospital following a high-
speed motor vehicle collision. When significant abdominal and pelvic injuries are noted
in the primary survey, what is the priority intervention?
A. Initiate transfer to a trauma center
B. Attempt family notification
C. Obtain additional imaging studies
D. Place an indwelling urinary catheter - ANSWER A. Initiate transfer to a trauma center
An adult who fell from a second story roof is brought to the emergency department by
private vehicle. The patient is confused with unlabored respirations and has strong,
palpable radial pulses. There is an open wound in proximity to an obvious deformity of
the left lower extremity. What is the priority intervention?
A. Initiate cervical spine stabilization
B. Apply a splint to the lower extremity
C. Put the patient on portable oxygen.
D. Log roll the patient onto a spine board - ANSWER A. Initiate cervical spine
stabilization
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 received one intravenous fluid bolus of 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.
AND ANSWERS 100% CORRECT!!
, You are caring for a patient who was thrown from a bike and was not wearing a helmet.
While performing the head-to-toe assessment, you note clear drainage from the right
ear. Which of the following is the most appropriate next step?
A. Clean the ear with a cotton-tipped applicator.
B. Pack the ear with gauze.
C. Notify the physician
D. Document and continue the exam. - ANSWER C. Notify the physician
A patient is brought to the emergency department of a rural hospital following a high-
speed motor vehicle collision. When significant abdominal and pelvic injuries are noted
in the primary survey, what is the priority intervention?
A. Initiate transfer to a trauma center
B. Attempt family notification
C. Obtain additional imaging studies
D. Place an indwelling urinary catheter - ANSWER A. Initiate transfer to a trauma center
An adult who fell from a second story roof is brought to the emergency department by
private vehicle. The patient is confused with unlabored respirations and has strong,
palpable radial pulses. There is an open wound in proximity to an obvious deformity of
the left lower extremity. What is the priority intervention?
A. Initiate cervical spine stabilization
B. Apply a splint to the lower extremity
C. Put the patient on portable oxygen.
D. Log roll the patient onto a spine board - ANSWER A. Initiate cervical spine
stabilization
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 received one intravenous fluid bolus of 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.
