TNS COMPREHENSIVE TEST BANK FINAL EXAM REVIEW
CURRENT FOR 2026/2027 PRACTICE QUESTIONS AND
STUDY GUIDE COMPLETE ACCURATE EXAM ACTUAL
QUESTIONS AND CORRECT VERIFIED ANSWERS WITH
DETAILED RATIONALES (RELIABLE SOLUTIONS) A NEW
UPDATED VERSION 2026 EDITION ||JUST RELEASED
When should a TNS first assess the back? Primary or
secondary survey?
primary survey during E - Exposure portion.
Under what circumstances should an orogastric as
opposed to a nasogastric tube be inserted?
Any trauma to the nose
cocaine abuser, septal defect
suspected basilar skull fx.
,What is the purpose of the secondary survey?
Perform a review a systems to determine any additional
injuries (non-life/limb threatening) that the pt may have a
full hx, to correlate finding to pt hx and kinematics, and to
perform definitive care.
What do the letters SAMPLE stand for when obtaining a
patient Hx?
S: Symptoms
A: Allergies
M: Medications
P: PMH including co-morbid conditions, previous/current
infectious diseases or IV substance abuse
L: Last oral intake, last tetanus. LMP in sexually active
E: events leading to incident.
,Using the letters PQRST or OPQRST - describe the info.
you need to collect about a pt's complaint of pain.
O: Onset, gradual or abrupt
P: provokes
Q: quality
R: region/radiation/recurrence
S: Severity (0-10)
T: time/duration.
Explain the significance of narrowed pulse pressure when
assessing the BP.
Compensatory mechanisms maintain systolic BP, will see
a rise in diastolic pressure before an overall drop in both
systolic and diastolic.
One indication of shock process before true hypotension
becomes apparent.
Explain the purpose of a tertiary survey and state when it
is to be performed.
A follow-up assessment after the primary and secondary
surveys to discover any injuries missed during the first
assessments, to minimize the disability that may arise from
missed injury.
, List 3 components of on-going respiratory monitoring:
- Breath sounds, Ventilatory patterns, SpO2
- Airway compliance if being bagged
- Signs of impaired airway/ventilatory distress
- Presence of SQ air
List 3 components of on-going cardiovascular
monitoring:
- Peripheral pulses: locations, rate, quality, rhythmicity
- BP/MAP, CVP
- Skin color/temperature/moisture
- Urinary output; specific gravity
- ECG: rhythm, intervals
- heart sounds
List 3 nursing responsibilities when admitting a pt:
Identify appropriate receiving unit
give full report
monitor pt until care physically signed off to nurse on
appropriate unit.
CURRENT FOR 2026/2027 PRACTICE QUESTIONS AND
STUDY GUIDE COMPLETE ACCURATE EXAM ACTUAL
QUESTIONS AND CORRECT VERIFIED ANSWERS WITH
DETAILED RATIONALES (RELIABLE SOLUTIONS) A NEW
UPDATED VERSION 2026 EDITION ||JUST RELEASED
When should a TNS first assess the back? Primary or
secondary survey?
primary survey during E - Exposure portion.
Under what circumstances should an orogastric as
opposed to a nasogastric tube be inserted?
Any trauma to the nose
cocaine abuser, septal defect
suspected basilar skull fx.
,What is the purpose of the secondary survey?
Perform a review a systems to determine any additional
injuries (non-life/limb threatening) that the pt may have a
full hx, to correlate finding to pt hx and kinematics, and to
perform definitive care.
What do the letters SAMPLE stand for when obtaining a
patient Hx?
S: Symptoms
A: Allergies
M: Medications
P: PMH including co-morbid conditions, previous/current
infectious diseases or IV substance abuse
L: Last oral intake, last tetanus. LMP in sexually active
E: events leading to incident.
,Using the letters PQRST or OPQRST - describe the info.
you need to collect about a pt's complaint of pain.
O: Onset, gradual or abrupt
P: provokes
Q: quality
R: region/radiation/recurrence
S: Severity (0-10)
T: time/duration.
Explain the significance of narrowed pulse pressure when
assessing the BP.
Compensatory mechanisms maintain systolic BP, will see
a rise in diastolic pressure before an overall drop in both
systolic and diastolic.
One indication of shock process before true hypotension
becomes apparent.
Explain the purpose of a tertiary survey and state when it
is to be performed.
A follow-up assessment after the primary and secondary
surveys to discover any injuries missed during the first
assessments, to minimize the disability that may arise from
missed injury.
, List 3 components of on-going respiratory monitoring:
- Breath sounds, Ventilatory patterns, SpO2
- Airway compliance if being bagged
- Signs of impaired airway/ventilatory distress
- Presence of SQ air
List 3 components of on-going cardiovascular
monitoring:
- Peripheral pulses: locations, rate, quality, rhythmicity
- BP/MAP, CVP
- Skin color/temperature/moisture
- Urinary output; specific gravity
- ECG: rhythm, intervals
- heart sounds
List 3 nursing responsibilities when admitting a pt:
Identify appropriate receiving unit
give full report
monitor pt until care physically signed off to nurse on
appropriate unit.
