TNCC 9TH EDITION FINAL EXAM NEWEST
ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS TNCC 9TH
EDITION FINAL EXAM GRADED A+
NEWEST UPDATE!!!
While caring for a child who has been injured, what nursing intervention is
consistent with a family-centered approach? - ANSWER Allowing family to
participate in the care of the patient
Identification of delayed complications following blunt abdominal trauma is best
accomplished by which method? - ANSWER Repeat computerized tomography
with contrast
Three adults present at different times during a one-hour period with a high fever,
fatigue, and headache. All three patients have a rash that 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? - ANSWER Immediately initiate isolation
precautions
A trauma patient who is 30-weeks pregnant arrives at the emergency department
following a motor vehicle collision. Which normal physiologic change should be
,considered when assessing ventilatory status? - ANSWER Increased oxygen
consumption
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? -
ANSWER Notify the physician
Following a motor vehicle collision, a patient presents with decreased level of
consciousness and snoring respirations. It has been determined that it is safe to
insert a nasopharyngeal airway. What is most important to consider when preparing
to insert the nasopharyngeal airway? - ANSWER Improper sizing can cause
gastric distention
A patient who sustained severe injuries was brought to the emergency department
following a high-speed motor vehicle collision. Interventions for hypovolemic
shock have been initiated. What component of the trauma triad of death is most
likely to have begun at the time of injury? - ANSWER Coagulopathy
An adult patient was brought to the emergency department following a motorcycle
crash. On arrival, the patient is only responsive to pain, has bleeding from the nose,
and multiple abrasions and contusions to the face. What is the priority
intervention? - ANSWER Use a jaw thrust to open the airway and look for signs
of obstruction
In a motor vehicle collision, which injury pathway is most likely to increase the
patient's morbidity and mortality? - ANSWER Ejection
,An adult trauma patient has received 1 liter of isotonic crystalloid solution, 6 units
of packed red blood cells, 6 units of fresh frozen plasma, and 1 combined unit of
platelets during the initial fluid resuscitation phase. Re-assessment includes: BP
104/66 mm Hg, HR 112 beats/minute, intermittent ventricular bigeminy on the
cardiac monitor, and the presence of muscle tremors. What should the nurse
anticipate administering based on these findings? - ANSWER Calcium
gluconate
When transporting an intubated patient, which monitoring adjunct will provide the
best real-time information regarding respiratory status? - ANSWER Waveform
capnography
What technique is most appropriate when obtaining a history from a patient who
has experienced a sexual assault? - ANSWER Applying active listening
During the primary survey, which tool is most effective in identifying the need for
an airway intervention? - ANSWER AVPU
What type of wound is most likely to become embedded with gravel or dirt
causing a black, blue, or grey discoloration? - ANSWER Abrasion
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
with clear breath sounds bilaterally. 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 96%. BP is 142/70 mm Hg. What is the most
important intervention to manage cerebral blood flow? - ANSWER Decrease the
rate of manual ventilation
, What type of wound closure is used with infection-prone wounds where the edges
are difficult to approximate? - ANSWER Secondary
What finding is consistent with the irreversible stage of shock? -
ANSWER Bradycardia
Which of the following situations could cause functional grief? -
ANSWER Amputation of a limb
A trauma patient is being held in the emergency department because there are no
available inpatient beds. The patient sustained a femur fracture and required
multiple blood products. The patient now has blood oozing from abrasions, IV
sites, the nose, and gums. What condition is most consistent with these findings? -
ANSWER Disseminated intravascular coagulopathy
A patient presents, after a 25-foot fall, with paradoxical chest wall movement to
the right lower chest and complaints of shortness of breath. What is the priority
intervention? - ANSWER Airway and ventilation support
A patient is brought to the emergency department with chest pain and shortness of
breath following a high-speed motor vehicle collision in which they were the
unrestrained driver. There is crepitus to the left chest with clear and equal breath
sounds. The vital signs are BP 80/40 mmHg, HR 140 beats/minute, and RR 40
breaths/minute. Cardiac monitor shows sinus tachycardia with premature
ventricular contractions. These findings are most consistent with which type of
shock? - ANSWER Cardiogenic
ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS TNCC 9TH
EDITION FINAL EXAM GRADED A+
NEWEST UPDATE!!!
While caring for a child who has been injured, what nursing intervention is
consistent with a family-centered approach? - ANSWER Allowing family to
participate in the care of the patient
Identification of delayed complications following blunt abdominal trauma is best
accomplished by which method? - ANSWER Repeat computerized tomography
with contrast
Three adults present at different times during a one-hour period with a high fever,
fatigue, and headache. All three patients have a rash that 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? - ANSWER Immediately initiate isolation
precautions
A trauma patient who is 30-weeks pregnant arrives at the emergency department
following a motor vehicle collision. Which normal physiologic change should be
,considered when assessing ventilatory status? - ANSWER Increased oxygen
consumption
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? -
ANSWER Notify the physician
Following a motor vehicle collision, a patient presents with decreased level of
consciousness and snoring respirations. It has been determined that it is safe to
insert a nasopharyngeal airway. What is most important to consider when preparing
to insert the nasopharyngeal airway? - ANSWER Improper sizing can cause
gastric distention
A patient who sustained severe injuries was brought to the emergency department
following a high-speed motor vehicle collision. Interventions for hypovolemic
shock have been initiated. What component of the trauma triad of death is most
likely to have begun at the time of injury? - ANSWER Coagulopathy
An adult patient was brought to the emergency department following a motorcycle
crash. On arrival, the patient is only responsive to pain, has bleeding from the nose,
and multiple abrasions and contusions to the face. What is the priority
intervention? - ANSWER Use a jaw thrust to open the airway and look for signs
of obstruction
In a motor vehicle collision, which injury pathway is most likely to increase the
patient's morbidity and mortality? - ANSWER Ejection
,An adult trauma patient has received 1 liter of isotonic crystalloid solution, 6 units
of packed red blood cells, 6 units of fresh frozen plasma, and 1 combined unit of
platelets during the initial fluid resuscitation phase. Re-assessment includes: BP
104/66 mm Hg, HR 112 beats/minute, intermittent ventricular bigeminy on the
cardiac monitor, and the presence of muscle tremors. What should the nurse
anticipate administering based on these findings? - ANSWER Calcium
gluconate
When transporting an intubated patient, which monitoring adjunct will provide the
best real-time information regarding respiratory status? - ANSWER Waveform
capnography
What technique is most appropriate when obtaining a history from a patient who
has experienced a sexual assault? - ANSWER Applying active listening
During the primary survey, which tool is most effective in identifying the need for
an airway intervention? - ANSWER AVPU
What type of wound is most likely to become embedded with gravel or dirt
causing a black, blue, or grey discoloration? - ANSWER Abrasion
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
with clear breath sounds bilaterally. 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 96%. BP is 142/70 mm Hg. What is the most
important intervention to manage cerebral blood flow? - ANSWER Decrease the
rate of manual ventilation
, What type of wound closure is used with infection-prone wounds where the edges
are difficult to approximate? - ANSWER Secondary
What finding is consistent with the irreversible stage of shock? -
ANSWER Bradycardia
Which of the following situations could cause functional grief? -
ANSWER Amputation of a limb
A trauma patient is being held in the emergency department because there are no
available inpatient beds. The patient sustained a femur fracture and required
multiple blood products. The patient now has blood oozing from abrasions, IV
sites, the nose, and gums. What condition is most consistent with these findings? -
ANSWER Disseminated intravascular coagulopathy
A patient presents, after a 25-foot fall, with paradoxical chest wall movement to
the right lower chest and complaints of shortness of breath. What is the priority
intervention? - ANSWER Airway and ventilation support
A patient is brought to the emergency department with chest pain and shortness of
breath following a high-speed motor vehicle collision in which they were the
unrestrained driver. There is crepitus to the left chest with clear and equal breath
sounds. The vital signs are BP 80/40 mmHg, HR 140 beats/minute, and RR 40
breaths/minute. Cardiac monitor shows sinus tachycardia with premature
ventricular contractions. These findings are most consistent with which type of
shock? - ANSWER Cardiogenic
