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TNCC FINAL EXAM TEST
book updated with
complete solution
C
Terms in this set (50)
Why is a measure of serum lactate obtained a) to measure oxygenation and ventilation
in the initial assessment of the trauma b) to quantify the base deficit for the adequacy of cellular
patient? perfusion
c) to gauge end-organ perfusion and tissue hypoxia *
Answer: c d) to determine the underlying cause of shock
A trauma patient is restless and repeatedly A) compensated **
asking "where am I?" vital signs upon arrival B)
Progressive
were BP 100/60 mm Hg, HR 96 beats/min, C) irreversible
and RR 24 breaths/min. Her skin is cool and D)
decompensated dry. Current vital signs are BP 104/84mm Hg,
HR 108, RR 28 breaths/min. The patient is
demonstrating signs and symptoms of which
stage of shock?
Answer: A
, An elderly patient with a history of A) epidural hematoma
anticoagulant use presents after a fall at B) diffuse axonal injury
home that day. she denies any loss of C) post-concussive syndrome
consciousness. She has a hematoma to her D) subdural hematoma ***
forehead and complains of headache,
dizziness, and nausea. Which is a most likely
cause of her symptoms?
Answer: D
EMS brings a patient who fell riding his A) Alert with no neurologic deficits
bicycle. Using the American College of B) Multiple abrasions to the extremities
Surgeons screening guidelines, which C) Multiple requests of water
assessment finding would prompt the nurse D) Smell of alcohol on breath ***
to prepare the patient for radiologic spine
clearance?
Answer: D
Which of the following occurs during the A) The driver of the vehicle collides with the steering wheel
third impact of a motor vehicle crash? B) the vehicle collides with a tree
C) the aorta is torn at its attachment with the ligamentum
Answer: C arteriosum
D) the airbag deploys and strikes the front seat passenger ***
A passenger is brought to the emergency A) initiate transfer to a trauma center **
department of a rural hospital following a B) provide report to the operating room nurse
high-speed MVC. When significant C) Obtained imaging studies
abdominal and pelvic injuries are noted in D) Place a gastric tube
the primary survey, which of the following is
the priority interventions?
Answer: A
Which of the following injuries is LEAST A)
spleen likely to be promptly identified? B) lung
C) bowel ***
Answer: C D) brain
Patients with a crush injury should be A) Hypernatremia
monitored for which of the following B) Hypercalcemia
conditions? C) Dysrhthmias **
D) polyuria
Answer: C
What finding raises suspicion of complete A) Weakness in the lower
extremities spinal cord injury? B) Priapism ***
C) voluntary anal sphincter tone
Answer: B D) intact reflexes distal to the injury
TNCC FINAL EXAM TEST
book updated with
complete solution
C
Terms in this set (50)
Why is a measure of serum lactate obtained a) to measure oxygenation and ventilation
in the initial assessment of the trauma b) to quantify the base deficit for the adequacy of cellular
patient? perfusion
c) to gauge end-organ perfusion and tissue hypoxia *
Answer: c d) to determine the underlying cause of shock
A trauma patient is restless and repeatedly A) compensated **
asking "where am I?" vital signs upon arrival B)
Progressive
were BP 100/60 mm Hg, HR 96 beats/min, C) irreversible
and RR 24 breaths/min. Her skin is cool and D)
decompensated dry. Current vital signs are BP 104/84mm Hg,
HR 108, RR 28 breaths/min. The patient is
demonstrating signs and symptoms of which
stage of shock?
Answer: A
, An elderly patient with a history of A) epidural hematoma
anticoagulant use presents after a fall at B) diffuse axonal injury
home that day. she denies any loss of C) post-concussive syndrome
consciousness. She has a hematoma to her D) subdural hematoma ***
forehead and complains of headache,
dizziness, and nausea. Which is a most likely
cause of her symptoms?
Answer: D
EMS brings a patient who fell riding his A) Alert with no neurologic deficits
bicycle. Using the American College of B) Multiple abrasions to the extremities
Surgeons screening guidelines, which C) Multiple requests of water
assessment finding would prompt the nurse D) Smell of alcohol on breath ***
to prepare the patient for radiologic spine
clearance?
Answer: D
Which of the following occurs during the A) The driver of the vehicle collides with the steering wheel
third impact of a motor vehicle crash? B) the vehicle collides with a tree
C) the aorta is torn at its attachment with the ligamentum
Answer: C arteriosum
D) the airbag deploys and strikes the front seat passenger ***
A passenger is brought to the emergency A) initiate transfer to a trauma center **
department of a rural hospital following a B) provide report to the operating room nurse
high-speed MVC. When significant C) Obtained imaging studies
abdominal and pelvic injuries are noted in D) Place a gastric tube
the primary survey, which of the following is
the priority interventions?
Answer: A
Which of the following injuries is LEAST A)
spleen likely to be promptly identified? B) lung
C) bowel ***
Answer: C D) brain
Patients with a crush injury should be A) Hypernatremia
monitored for which of the following B) Hypercalcemia
conditions? C) Dysrhthmias **
D) polyuria
Answer: C
What finding raises suspicion of complete A) Weakness in the lower
extremities spinal cord injury? B) Priapism ***
C) voluntary anal sphincter tone
Answer: B D) intact reflexes distal to the injury
