TNCC 9TH EDITION EXAM QUESTIONS
AND ANSWERS 100% CORRECT!!
, Which intervention is recommended regarding the use of drug-assisted intubation and
rapid sequence intubation? - ANSWER Pre-oxygenate to prolong the time to hypoxia
Which normal anatomic or physiologic change in an older adult places them at a higher
risk for aspiration? - ANSWER Relaxed muscles of the oropharynx
A patient has been diagnosed with an incomplete spinal cord injury at L1. Which finding
would indicate sacral sparing? - ANSWER Voluntary anal sphincter tone
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/hour. The urine output over the last hour was 15mL. What intervention should the
nurse anticipate? - ANSWER Increase isotonic crystalloid infusion rate
A patient is diagnosed with a T12 spinal cord injury following a 20-foot fall. Which
finding is consistent with spinal shock? - ANSWER Loss of reflexes
A patient is brought to the emergency department following a motor vehicle rollover and
is complaining of left upper abdominal pain and left shoulder pain. This presentation is
most consistent with an injury to which organ? - ANSWER Spleen
An adult patient is brought to the emergency department following a motor vehicle
collision with complaints of neck pain. They have identified as a person in the process of
transitioning from male to female. What effect of hormone therapy should be considered
when planning care for this patient? - ANSWER Testosterone therapy may decrease
blood pressure
Correct rationale: A person who is in the process of transitioning from male to female
will usually be taking female hormones such as estrogen/estradiol to assist with the
transition. This can cause a decrease in muscle mass, increased risk of
thromboembolism, and possibly increased bone density. These patients would not be
taking testosterone.
An adult patient presents to the emergency department after sustaining severe facial
injuries during an altercation. The patient is awake, confused, and smells heavily of
alcohol. Pulse oximetry is 94% on room air. Immediate intubation should be anticipated
based on which clinical indicator? - ANSWER Severe facial injuries
An obese trauma patient requires intubation. Assuming there are no contraindications,
which position will provide the best visualization for insertion of the endotracheal tube? -
ANSWER Ramped
AND ANSWERS 100% CORRECT!!
, Which intervention is recommended regarding the use of drug-assisted intubation and
rapid sequence intubation? - ANSWER Pre-oxygenate to prolong the time to hypoxia
Which normal anatomic or physiologic change in an older adult places them at a higher
risk for aspiration? - ANSWER Relaxed muscles of the oropharynx
A patient has been diagnosed with an incomplete spinal cord injury at L1. Which finding
would indicate sacral sparing? - ANSWER Voluntary anal sphincter tone
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/hour. The urine output over the last hour was 15mL. What intervention should the
nurse anticipate? - ANSWER Increase isotonic crystalloid infusion rate
A patient is diagnosed with a T12 spinal cord injury following a 20-foot fall. Which
finding is consistent with spinal shock? - ANSWER Loss of reflexes
A patient is brought to the emergency department following a motor vehicle rollover and
is complaining of left upper abdominal pain and left shoulder pain. This presentation is
most consistent with an injury to which organ? - ANSWER Spleen
An adult patient is brought to the emergency department following a motor vehicle
collision with complaints of neck pain. They have identified as a person in the process of
transitioning from male to female. What effect of hormone therapy should be considered
when planning care for this patient? - ANSWER Testosterone therapy may decrease
blood pressure
Correct rationale: A person who is in the process of transitioning from male to female
will usually be taking female hormones such as estrogen/estradiol to assist with the
transition. This can cause a decrease in muscle mass, increased risk of
thromboembolism, and possibly increased bone density. These patients would not be
taking testosterone.
An adult patient presents to the emergency department after sustaining severe facial
injuries during an altercation. The patient is awake, confused, and smells heavily of
alcohol. Pulse oximetry is 94% on room air. Immediate intubation should be anticipated
based on which clinical indicator? - ANSWER Severe facial injuries
An obese trauma patient requires intubation. Assuming there are no contraindications,
which position will provide the best visualization for insertion of the endotracheal tube? -
ANSWER Ramped
