TNCC test prepA, TNCC Notes for Written
Exam, TNCC Notes for Written Exam,
TNCC Prep, TNCC EXAM, TNCC 8th
Edition LATEST UPDATE 2023
A 56 y/o M pt involved in a motor vehicle crash is brought to the ED of a rural critical
access facility. He complains of neck pain, SOB, and diffuse abd pain. His GCS is 15.
His VS: BP 98/71, HR 125, RR 26, SpO2 94% on high-flow O2 via NRB mask. Which of
the following is the priority intervention for this patient? - ANSWER>>Expedite transfer
to the closest trauma center
Which of the following considerations is the most important when caring for a geriatric
trauma pt? - ANSWER>>a pertinent medical hx is crucial
Following a review of recent drills and a real disaster event, a hospital has identified
deficiencies and is taking steps to minimize the impact of a future disaster . Which
phase of the disaster life cycle does this describe? - ANSWER>>Mitigation
EMS brings a pt who fell while riding his bicycle. Using the American College of
Surgeobs screening guidelines, which assessment finding would prompt the RN to
prepare the pt for a radiologic spine clearance? - ANSWER>>Multiple requests for
water
What is the effect of hypothermia on the oxyhemoglobin dissociation curve? -
ANSWER>>hemoglobin does not readily release O2 for use by the tissues
Which of the following is a component of the trauma triad of death? -
ANSWER>>acidosis
EMS brings a pt from MVC. VS: BP 90/49, HR 48, RR 12, temp 97.2F (36.2 C). The pt
exhibits urinary incontinence and priapism. These assessment findings are most
consistent with which of the following types of spinal cord injury? -
ANSWER>>Complete
Which of the following is an expected finding in a pt with a tube thoracstomy connected
to a chest drainage system? - ANSWER>>flucuation in the water seal chamber
During the primary survey of an unconscious pt with multi-system trauma, the nurse
notes snoring respirations. What priority nursing interventions should be preformed
next? - ANSWER>>insert an oropharyngeal airway if there is no gag reflex
, A 35 y/o M 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
A trauma pt is restless and repeatedly asking "where am i?" VS upon arrival: BP
110/60, HR96, RR 24. Her skin is cool and dry. Current VS are BP 104/84, HR 108, RR
28. The pt is demonstrating s/sx of which stage of shock? - ANSWER>>compensated
An unresponsive trauma pt has an oropharygeal airway in place, shallow and labored
respirations, and dusky skin. The trauma team has administered medications for drug-
assisted intubation and attempted intubation but was unsuccessful. What is the most
appropriate immediate next step? - ANSWER>>ventilate with a bag mask device
When is the tertiary survey completed fora trauma pt? - ANSWER>>within 24 hrs of
trauma
An intubated and sedated pt in the ED has multiple extremity injuries with the potential
for causing compartment syndrome. What is the most reliable indication of compartment
syndrome in a patient who is unconscious? - ANSWER>>pressure
Which of the following is possible complication of positive-pressure ventilation? -
ANSWER>>worsening pneumothorax
the most reassuring finding for a male pt with hip pain after a fall is which of the
following? - ANSWER>>pelvic stability
Which of the following pulse pressures indicate early hypovolemic shock? -
ANSWER>>narrowed
Patients with a crush injury should be monitored for which of the following conditions? -
ANSWER>>dysrhythmias
Tearing of the bridging veins is most frequently associated with which brain injury? -
ANSWER>>subdural hematoma
A 20 y/o M presents to the ED complaining of severe lower abd pain after landing hard
on the bicycle cross bars while preforming an aerial BMX maneuver. Secondary
assessment reveals lower abd tenderness and scrotal ecchymosis. Which of the
following orders would the RN question? - ANSWER>>straight cath for urine sample
You are caring for a pt who was involved in a MVC and is 32 weeks pregnant. Findings
of your secondary survey include abd pain on palpation, fundal ht at the costal margin,
and some dark bloody show. Varying accelerations and decelerations are noted on
cariocgraphy. These findings are most consistent with which of the following? -
ANSWER>>placental abruption
Exam, TNCC Notes for Written Exam,
TNCC Prep, TNCC EXAM, TNCC 8th
Edition LATEST UPDATE 2023
A 56 y/o M pt involved in a motor vehicle crash is brought to the ED of a rural critical
access facility. He complains of neck pain, SOB, and diffuse abd pain. His GCS is 15.
His VS: BP 98/71, HR 125, RR 26, SpO2 94% on high-flow O2 via NRB mask. Which of
the following is the priority intervention for this patient? - ANSWER>>Expedite transfer
to the closest trauma center
Which of the following considerations is the most important when caring for a geriatric
trauma pt? - ANSWER>>a pertinent medical hx is crucial
Following a review of recent drills and a real disaster event, a hospital has identified
deficiencies and is taking steps to minimize the impact of a future disaster . Which
phase of the disaster life cycle does this describe? - ANSWER>>Mitigation
EMS brings a pt who fell while riding his bicycle. Using the American College of
Surgeobs screening guidelines, which assessment finding would prompt the RN to
prepare the pt for a radiologic spine clearance? - ANSWER>>Multiple requests for
water
What is the effect of hypothermia on the oxyhemoglobin dissociation curve? -
ANSWER>>hemoglobin does not readily release O2 for use by the tissues
Which of the following is a component of the trauma triad of death? -
ANSWER>>acidosis
EMS brings a pt from MVC. VS: BP 90/49, HR 48, RR 12, temp 97.2F (36.2 C). The pt
exhibits urinary incontinence and priapism. These assessment findings are most
consistent with which of the following types of spinal cord injury? -
ANSWER>>Complete
Which of the following is an expected finding in a pt with a tube thoracstomy connected
to a chest drainage system? - ANSWER>>flucuation in the water seal chamber
During the primary survey of an unconscious pt with multi-system trauma, the nurse
notes snoring respirations. What priority nursing interventions should be preformed
next? - ANSWER>>insert an oropharyngeal airway if there is no gag reflex
, A 35 y/o M 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
A trauma pt is restless and repeatedly asking "where am i?" VS upon arrival: BP
110/60, HR96, RR 24. Her skin is cool and dry. Current VS are BP 104/84, HR 108, RR
28. The pt is demonstrating s/sx of which stage of shock? - ANSWER>>compensated
An unresponsive trauma pt has an oropharygeal airway in place, shallow and labored
respirations, and dusky skin. The trauma team has administered medications for drug-
assisted intubation and attempted intubation but was unsuccessful. What is the most
appropriate immediate next step? - ANSWER>>ventilate with a bag mask device
When is the tertiary survey completed fora trauma pt? - ANSWER>>within 24 hrs of
trauma
An intubated and sedated pt in the ED has multiple extremity injuries with the potential
for causing compartment syndrome. What is the most reliable indication of compartment
syndrome in a patient who is unconscious? - ANSWER>>pressure
Which of the following is possible complication of positive-pressure ventilation? -
ANSWER>>worsening pneumothorax
the most reassuring finding for a male pt with hip pain after a fall is which of the
following? - ANSWER>>pelvic stability
Which of the following pulse pressures indicate early hypovolemic shock? -
ANSWER>>narrowed
Patients with a crush injury should be monitored for which of the following conditions? -
ANSWER>>dysrhythmias
Tearing of the bridging veins is most frequently associated with which brain injury? -
ANSWER>>subdural hematoma
A 20 y/o M presents to the ED complaining of severe lower abd pain after landing hard
on the bicycle cross bars while preforming an aerial BMX maneuver. Secondary
assessment reveals lower abd tenderness and scrotal ecchymosis. Which of the
following orders would the RN question? - ANSWER>>straight cath for urine sample
You are caring for a pt who was involved in a MVC and is 32 weeks pregnant. Findings
of your secondary survey include abd pain on palpation, fundal ht at the costal margin,
and some dark bloody show. Varying accelerations and decelerations are noted on
cariocgraphy. These findings are most consistent with which of the following? -
ANSWER>>placental abruption
