TNCC ACTUAL EVALUATION EXAM FULL
CONTENT WITH CORRECT ANSWERS
ALREADY PASSED
◉ Which of the following assessment findings differentiates a
tension pneumothorax from a simple pneumothorax?
a) increased work of breathing
b) unilaterally diminished breath sounds
c) tachycardia
d) hypotension
Answer: d) hypotension
◉ Which of the following is true about use of the focused
assessment sonography for trauma exam for a patient with
abdominal trauma?
a) it has a higher sensitivity than diagnostic peritoneal lavage for
fluid detection
b) it can be used in hypotensive patients too unstable for
computed tomography
c) it can detect as little as 30 mL of fluid in the abdominal cavity
d) it has a high sensitivity in pediatric patients for identifying
fluids in the peritoneum
Answer: b) it can be used in hypotensive patients too unstable for
the computed tomography scan
,the FAST exam has limited sensitivity in pediatric patients for
identifying peritoneal bleeding, but it can be useful for the
hypotensive patient who is too unstable to undergo CT
◉ A patient with a lower extremity fracture complains of severe
pain and tightness in his calf, minimally affected delivered by pain
medication. Which of the following is the priority nursing
intervention?
a) elevating the leg above the level of the heart
b) repositioning the leg and applying care
c) elevating the leg to the level of the heart
d) preparing the patient for ultrasound of the leg
Answer: c) elevating the leg to the level of the heart
◉ A seriously injured pt is noted to have weak, thready pulses and
cool, clammy skin. There is instability of the pelvis upon palpation
and blood in the urinary meatus. A pelvic binder is appropriately
applied and balanced fluid resuscitation is being managed by the
team. What would be the most appropriate next intervention for
this pt?
a) insertion of urinary catheter
b) bolus with 2 L isotonic crystalloid solution
c) diagnostic peritoneal lavage
d) insertion of a suprapubic catheter
Answer: d) insertion of a suprapubic catheter
, this patient is exhibiting signs of a pelvic fracture with
hemodynamic instability and either a bladder rupture or a
urethral injury. Suprapubic catheter insertion to monitor output is
recommended when the patient is hemodynamically unastable
◉ A patient is diagnosed with a T12 spinal cord injury following a
20-foot fall. Which finding is consistent with spinal shock?
a) bradycardia
b) loss of reflexes
c) widened pulse pressure
d) warm skin
Answer: b) loss of reflexes
◉ An intubated patient has just been transported back from CT
scan. Upon arrival to their room in the ED, resistance is noted with
bag-mask ventilations and auscultation reveals unequal breath
sounds. What is the most appropriate initial intervention for this
patient?
a) place the patient back on the ventilator
b) extubate the patient
c) reposition the endotracheal tube
d) suction the endotracheal tube
Answer: c) reposition the endotracheal tube
CONTENT WITH CORRECT ANSWERS
ALREADY PASSED
◉ Which of the following assessment findings differentiates a
tension pneumothorax from a simple pneumothorax?
a) increased work of breathing
b) unilaterally diminished breath sounds
c) tachycardia
d) hypotension
Answer: d) hypotension
◉ Which of the following is true about use of the focused
assessment sonography for trauma exam for a patient with
abdominal trauma?
a) it has a higher sensitivity than diagnostic peritoneal lavage for
fluid detection
b) it can be used in hypotensive patients too unstable for
computed tomography
c) it can detect as little as 30 mL of fluid in the abdominal cavity
d) it has a high sensitivity in pediatric patients for identifying
fluids in the peritoneum
Answer: b) it can be used in hypotensive patients too unstable for
the computed tomography scan
,the FAST exam has limited sensitivity in pediatric patients for
identifying peritoneal bleeding, but it can be useful for the
hypotensive patient who is too unstable to undergo CT
◉ A patient with a lower extremity fracture complains of severe
pain and tightness in his calf, minimally affected delivered by pain
medication. Which of the following is the priority nursing
intervention?
a) elevating the leg above the level of the heart
b) repositioning the leg and applying care
c) elevating the leg to the level of the heart
d) preparing the patient for ultrasound of the leg
Answer: c) elevating the leg to the level of the heart
◉ A seriously injured pt is noted to have weak, thready pulses and
cool, clammy skin. There is instability of the pelvis upon palpation
and blood in the urinary meatus. A pelvic binder is appropriately
applied and balanced fluid resuscitation is being managed by the
team. What would be the most appropriate next intervention for
this pt?
a) insertion of urinary catheter
b) bolus with 2 L isotonic crystalloid solution
c) diagnostic peritoneal lavage
d) insertion of a suprapubic catheter
Answer: d) insertion of a suprapubic catheter
, this patient is exhibiting signs of a pelvic fracture with
hemodynamic instability and either a bladder rupture or a
urethral injury. Suprapubic catheter insertion to monitor output is
recommended when the patient is hemodynamically unastable
◉ A patient is diagnosed with a T12 spinal cord injury following a
20-foot fall. Which finding is consistent with spinal shock?
a) bradycardia
b) loss of reflexes
c) widened pulse pressure
d) warm skin
Answer: b) loss of reflexes
◉ An intubated patient has just been transported back from CT
scan. Upon arrival to their room in the ED, resistance is noted with
bag-mask ventilations and auscultation reveals unequal breath
sounds. What is the most appropriate initial intervention for this
patient?
a) place the patient back on the ventilator
b) extubate the patient
c) reposition the endotracheal tube
d) suction the endotracheal tube
Answer: c) reposition the endotracheal tube
