TNCC 9TH EDITION FINAL EXAM TEST
100 QUESTIONS WITH CORRECT AND
VERIFIED ANSWERS. GRADED A+
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?
A. Clean the ear with a cotton-tipped applicator.
B. Pack the ear with gauze.
C. Notify the physician
D. Document and continue the exam. - ANSWER C. Notify the
physician
A patient is brought to the emergency department of a rural hospital
following a high-speed motor vehicle collision. When significant
abdominal and pelvic injuries are noted in the primary survey, what is
the priority intervention?
A. Initiate transfer to a trauma center
B. Attempt family notification
C. Obtain additional imaging studies
,D. Place an indwelling urinary catheter - ANSWER A. Initiate transfer
to a trauma center
An adult who fell from a second story roof is brought to the emergency
department by private vehicle. The patient is confused with unlabored
respirations and has strong, palpable radial pulses. There is an open
wound in proximity to an obvious deformity of the left lower extremity.
What is the priority intervention?
A. Initiate cervical spine stabilization
B. Apply a splint to the lower extremity
C. Put the patient on portable oxygen.
D. Log roll the patient onto a spine board - ANSWER A. Initiate
cervical spine stabilization
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. 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 92%. BP is 142/70 mm Hg.
What is the most important intervention to manage the cerebral blood
flow?
A. Decrease the rate of manual ventilation.
B. Initiate another fluid bolus.
C. Recheck endotracheal tube placement.
,D. Increase the amount of oxygen delivered. - ANSWER A. Decrease
the rate of manual ventilation.
An adult patient is brought to the emergency department following a
vehicle "roll-over" with prolonged extrication. Assessment reveals
swelling and bruising to the right proximal thigh and a weak pedal pulse.
Skin is pale, cool, and moist. What is the most appropriate initial
intervention?
A. Application of a tourniquet to the affected extremity
B. Application of a pelvic binder
C. Fluid resuscitation to maintain a urine output of 0.5 mL/kg/hour
D. Oxygen to maintain the ETCO2 between 30-35 mm Hg (3.9-4.6 kPa)
- ANSWER B. Application of a pelvic binder
An adult arrives at the emergency department with superficial burns to
the extremities following a house fire. The patient is reporting a
headache with nausea and is drowsy and confused. What is the most
likely cause of these symptoms?
A. Capillary leak syndrome
B. Rhabdomyolysis
C. Carbon monoxide poisoning
D. Hypothermia - ANSWER
, Using the American College of Surgeons Guidelines for Screening
Patients with Suspected Spine Injury, what assessment finding would
prompt the nurse to prepare a patient for cervical spine imaging?
A. Alert with no neurologic deficits or neck pain
B. Multiple abrasions to the extremities
C. Ecchymosis to the flank
D. Responds to verbal stimulation using AVPU - ANSWER
A 5-month pregnant patient arrives in the emergency department stating
she tripped and fell, landing on her abdomen. Assessment reveals
bruising to the abdomen, both arms, and her neck. She states she does
not take any medications and has not had any prenatal care. The nurse
suspects the findings are most likely related to which of the following?
A.Intentional violence
B.Pregnancy-related changes
C.Undiagnosed embolus
D.Iron deficiency - ANSWER
During the primary survey of an unconscious patient with multi-system
trauma, the nurse notes snoring respirations. Which priority nursing
intervention should be performed next?
A.Open the airway with the head-tilt/chin-lift maneuver
100 QUESTIONS WITH CORRECT AND
VERIFIED ANSWERS. GRADED A+
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?
A. Clean the ear with a cotton-tipped applicator.
B. Pack the ear with gauze.
C. Notify the physician
D. Document and continue the exam. - ANSWER C. Notify the
physician
A patient is brought to the emergency department of a rural hospital
following a high-speed motor vehicle collision. When significant
abdominal and pelvic injuries are noted in the primary survey, what is
the priority intervention?
A. Initiate transfer to a trauma center
B. Attempt family notification
C. Obtain additional imaging studies
,D. Place an indwelling urinary catheter - ANSWER A. Initiate transfer
to a trauma center
An adult who fell from a second story roof is brought to the emergency
department by private vehicle. The patient is confused with unlabored
respirations and has strong, palpable radial pulses. There is an open
wound in proximity to an obvious deformity of the left lower extremity.
What is the priority intervention?
A. Initiate cervical spine stabilization
B. Apply a splint to the lower extremity
C. Put the patient on portable oxygen.
D. Log roll the patient onto a spine board - ANSWER A. Initiate
cervical spine stabilization
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. 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 92%. BP is 142/70 mm Hg.
What is the most important intervention to manage the cerebral blood
flow?
A. Decrease the rate of manual ventilation.
B. Initiate another fluid bolus.
C. Recheck endotracheal tube placement.
,D. Increase the amount of oxygen delivered. - ANSWER A. Decrease
the rate of manual ventilation.
An adult patient is brought to the emergency department following a
vehicle "roll-over" with prolonged extrication. Assessment reveals
swelling and bruising to the right proximal thigh and a weak pedal pulse.
Skin is pale, cool, and moist. What is the most appropriate initial
intervention?
A. Application of a tourniquet to the affected extremity
B. Application of a pelvic binder
C. Fluid resuscitation to maintain a urine output of 0.5 mL/kg/hour
D. Oxygen to maintain the ETCO2 between 30-35 mm Hg (3.9-4.6 kPa)
- ANSWER B. Application of a pelvic binder
An adult arrives at the emergency department with superficial burns to
the extremities following a house fire. The patient is reporting a
headache with nausea and is drowsy and confused. What is the most
likely cause of these symptoms?
A. Capillary leak syndrome
B. Rhabdomyolysis
C. Carbon monoxide poisoning
D. Hypothermia - ANSWER
, Using the American College of Surgeons Guidelines for Screening
Patients with Suspected Spine Injury, what assessment finding would
prompt the nurse to prepare a patient for cervical spine imaging?
A. Alert with no neurologic deficits or neck pain
B. Multiple abrasions to the extremities
C. Ecchymosis to the flank
D. Responds to verbal stimulation using AVPU - ANSWER
A 5-month pregnant patient arrives in the emergency department stating
she tripped and fell, landing on her abdomen. Assessment reveals
bruising to the abdomen, both arms, and her neck. She states she does
not take any medications and has not had any prenatal care. The nurse
suspects the findings are most likely related to which of the following?
A.Intentional violence
B.Pregnancy-related changes
C.Undiagnosed embolus
D.Iron deficiency - ANSWER
During the primary survey of an unconscious patient with multi-system
trauma, the nurse notes snoring respirations. Which priority nursing
intervention should be performed next?
A.Open the airway with the head-tilt/chin-lift maneuver
