TNCC PRE-COURSE ASSESSMENT QUESTIONS
AND ANSWERS 100% CORRECT!!
, Treatment for frostbite can include which of the following interventions?
A. Warm the affected part over 30 to 60 minutes
B. Use gentle friction to improve circulation
C. Administer tissue plasminogen activator
D. Drainage of all large and small blisters - ANSWER C. Administer tissue plasminogen
activator
Rationale: With frostbite, thrombus formation is a risk. Tissue plasminogen activator, a
thrombolytic medication, has been effective in maintaining perfusion and decreasing the
need for amputation when administered within 24 hours of rewarming. Warming for
frostbite is done gently, over 15 to 30 minutes. Friction, even gentle friction, is avoided
to prevent tissue damage. Large blisters, whether clear or hemorrhagic, that can affect
movement should be drained. Smaller blisters should be left intact.
A patient with a spinal cord injury at C5 is being cared for in the emergency department
while awaiting transport to a trauma center. Which of the following represents the
highest priority for ongoing assessment and management for this patient?
A. Maintain adequate respiratory status.
B. Administer balanced resuscitation fluid.
C. Perform serial assessments of neurologic function.
D. Maintain core temperature. - ANSWER A. Maintain adequate respiratory status.
Rationale: Spinal cord injuries at C3 to C5 can cause the loss of phrenic nerve function,
resulting in a paralyzed diaphragm and inability to breathe. Maintenance of respiratory
function is the highest priority.
The vital signs of a pregnant trauma patient at 30 weeks include a blood pressure of
94/62 mm Hg and a heart rate of 108 beats/minute. Fetal heart tones are 124
beats/minute. The emergency nurse interprets the patient's hemodynamic findings as
an indication of which of the following?
A. Decompensated shock
B. Normal vital signs in pregnancy
C. Compensated shock
D. Supine hypotension syndrome - ANSWER B. Normal vital signs in pregnancy
Rationale: In pregnancy, the resting heart rate increases by 10 to 20 beats/minute. This
is also a small decrease in systolic blood pressure and a larger decrease in diastolic
AND ANSWERS 100% CORRECT!!
, Treatment for frostbite can include which of the following interventions?
A. Warm the affected part over 30 to 60 minutes
B. Use gentle friction to improve circulation
C. Administer tissue plasminogen activator
D. Drainage of all large and small blisters - ANSWER C. Administer tissue plasminogen
activator
Rationale: With frostbite, thrombus formation is a risk. Tissue plasminogen activator, a
thrombolytic medication, has been effective in maintaining perfusion and decreasing the
need for amputation when administered within 24 hours of rewarming. Warming for
frostbite is done gently, over 15 to 30 minutes. Friction, even gentle friction, is avoided
to prevent tissue damage. Large blisters, whether clear or hemorrhagic, that can affect
movement should be drained. Smaller blisters should be left intact.
A patient with a spinal cord injury at C5 is being cared for in the emergency department
while awaiting transport to a trauma center. Which of the following represents the
highest priority for ongoing assessment and management for this patient?
A. Maintain adequate respiratory status.
B. Administer balanced resuscitation fluid.
C. Perform serial assessments of neurologic function.
D. Maintain core temperature. - ANSWER A. Maintain adequate respiratory status.
Rationale: Spinal cord injuries at C3 to C5 can cause the loss of phrenic nerve function,
resulting in a paralyzed diaphragm and inability to breathe. Maintenance of respiratory
function is the highest priority.
The vital signs of a pregnant trauma patient at 30 weeks include a blood pressure of
94/62 mm Hg and a heart rate of 108 beats/minute. Fetal heart tones are 124
beats/minute. The emergency nurse interprets the patient's hemodynamic findings as
an indication of which of the following?
A. Decompensated shock
B. Normal vital signs in pregnancy
C. Compensated shock
D. Supine hypotension syndrome - ANSWER B. Normal vital signs in pregnancy
Rationale: In pregnancy, the resting heart rate increases by 10 to 20 beats/minute. This
is also a small decrease in systolic blood pressure and a larger decrease in diastolic
