TNCC 8TH EDITION PROVIDER EXAM WITH WELL SORTED
QUESTIONS AND ANSWERS /GRADED A+
EMS brings a patient who fell while riding his bicycle. Using the American College of Surgeons screening
guidelines, which assessment finding would prompt the nurse to prepare the patient for radiologic spine
clearance? - (answer)Alert with no neurological deficits
The trauma nurse knows that placing a bariatric patient in a "ramped position" provides better
visualization during the insertion of which device? - (answer)Endotracheal tube
A 35-year-old male presents with facial trauma after being struck in the face with a baseball. A teardrop-
shaped left pupil is noted on exam. What type of injury is suspected? - (answer)Globe rupture
Caregivers carry a 2-year-old into the emergency department who fell out of a second-story window. The
patient is awake and crying with increased work of breathing and pale skin. Which of the following
interventions has the highest priority? - (answer)Padding the upper back while stabilizing the cervical
spine
Which of the following injuries is LEAST likely to be promptly identified? - (answer)Bowel
A 49-year-old restrained driver involved in a motor vehicle collision presents to the trauma center
complaining of abdominal, pelvic, and bilateral lower extremity pain. Vital signs are stable. The nurse can
anticipate all of these after a negative FAST exam EXCEPT which of the following? - (answer)Diagnostic
peritoneal lavage
Why is a measure of serum lactate obtained in the initial assessment of a trauma patient? - (answer)To
gauge end-organ perfusion and tissue hypoxia
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? - (answer)Insert an
oropharyngeal airway if there is no gag reflex
Which of the following assessment findings differentiates a tension pneumothorax from a simple
pneumothorax? - (answer)Hypotension that worsens with inspiration (pulsus paradoxus)
, TNCC 8TH EDITION PROVIDER EXAM WITH WELL SORTED
QUESTIONS AND ANSWERS /GRADED A+
What is the effect of hypothermia on the oxyhemoglobin dissociation curve? - (answer)Hemoglobin does
not readily release oxygen for use by the tissues (Left shift)
A trauma patient is en route to a rural emergency department. Radiology notifies the charge nurse that
the computed tomography (CT) scanner will be out of service for several hours. The team gathers to plan
accordingly. Which of the following terms best describes this trauma team's communication? -
(answer)Huddle
What finding raises suspicion of a complete spinal cord injury? - (answer)Priapism
A patient is thrown against a car during a tornado and presents with obvious bilateral femoral fractures.
The patient is pale, alert, disoriented, and has delayed capillary refill. Which of the following
interventions would be most appropriate for this patient based on the disaster triage principles? -
(answer)Initiate two large-caliber intravenous lines for Ringer's lactate solution administration.
A 36-year-old female has a deformity of the left wrist after a fall. She is reluctant to move her hand due
to pain. Which of the following is the most appropriate intervention? - (answer)Apply a splint and
elevate the extremity above the level of the heart
Which of the following is a late sign of increased intracranial pressure? - (answer)Decreased respiratory
effort
Tearing of the bridging veins is most frequently associated with which brain injury? - (answer)Subdural
hematoma
You are caring for a patient who was involved in a motor vehicle crash and is 32 weeks pregnant.
Findings of your secondary survey include abdominal pain on palpation, fundal height at the costal
margin, and some dark bloody show. Varying accelerations and decelerations are noted on
cardiotocography. These findings are most consistent with which of the following? - (answer)Placental
abruption
QUESTIONS AND ANSWERS /GRADED A+
EMS brings a patient who fell while riding his bicycle. Using the American College of Surgeons screening
guidelines, which assessment finding would prompt the nurse to prepare the patient for radiologic spine
clearance? - (answer)Alert with no neurological deficits
The trauma nurse knows that placing a bariatric patient in a "ramped position" provides better
visualization during the insertion of which device? - (answer)Endotracheal tube
A 35-year-old male presents with facial trauma after being struck in the face with a baseball. A teardrop-
shaped left pupil is noted on exam. What type of injury is suspected? - (answer)Globe rupture
Caregivers carry a 2-year-old into the emergency department who fell out of a second-story window. The
patient is awake and crying with increased work of breathing and pale skin. Which of the following
interventions has the highest priority? - (answer)Padding the upper back while stabilizing the cervical
spine
Which of the following injuries is LEAST likely to be promptly identified? - (answer)Bowel
A 49-year-old restrained driver involved in a motor vehicle collision presents to the trauma center
complaining of abdominal, pelvic, and bilateral lower extremity pain. Vital signs are stable. The nurse can
anticipate all of these after a negative FAST exam EXCEPT which of the following? - (answer)Diagnostic
peritoneal lavage
Why is a measure of serum lactate obtained in the initial assessment of a trauma patient? - (answer)To
gauge end-organ perfusion and tissue hypoxia
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? - (answer)Insert an
oropharyngeal airway if there is no gag reflex
Which of the following assessment findings differentiates a tension pneumothorax from a simple
pneumothorax? - (answer)Hypotension that worsens with inspiration (pulsus paradoxus)
, TNCC 8TH EDITION PROVIDER EXAM WITH WELL SORTED
QUESTIONS AND ANSWERS /GRADED A+
What is the effect of hypothermia on the oxyhemoglobin dissociation curve? - (answer)Hemoglobin does
not readily release oxygen for use by the tissues (Left shift)
A trauma patient is en route to a rural emergency department. Radiology notifies the charge nurse that
the computed tomography (CT) scanner will be out of service for several hours. The team gathers to plan
accordingly. Which of the following terms best describes this trauma team's communication? -
(answer)Huddle
What finding raises suspicion of a complete spinal cord injury? - (answer)Priapism
A patient is thrown against a car during a tornado and presents with obvious bilateral femoral fractures.
The patient is pale, alert, disoriented, and has delayed capillary refill. Which of the following
interventions would be most appropriate for this patient based on the disaster triage principles? -
(answer)Initiate two large-caliber intravenous lines for Ringer's lactate solution administration.
A 36-year-old female has a deformity of the left wrist after a fall. She is reluctant to move her hand due
to pain. Which of the following is the most appropriate intervention? - (answer)Apply a splint and
elevate the extremity above the level of the heart
Which of the following is a late sign of increased intracranial pressure? - (answer)Decreased respiratory
effort
Tearing of the bridging veins is most frequently associated with which brain injury? - (answer)Subdural
hematoma
You are caring for a patient who was involved in a motor vehicle crash and is 32 weeks pregnant.
Findings of your secondary survey include abdominal pain on palpation, fundal height at the costal
margin, and some dark bloody show. Varying accelerations and decelerations are noted on
cardiotocography. These findings are most consistent with which of the following? - (answer)Placental
abruption
