TNCC FINAL EXAM TEST 2022 OPEN BOOK
You are treating a 27-year old male in respiratory distress who was involved in a
house fire. Calculating TBSA burned is deferred d/t the need for emergent
intubation. At what rate should you begin fluid resuscitation?
A) 1000 mL/hr
B) 500 mL/hr
C) 250 mL/hr
D) 125 mL/hr - CORRECT ANSWER-B) 500 mL/hr
A patient has been in the ED for several hours waiting to be admitted. He
sustained multiple rib fractures and a femur fracture after a fall. He has been
awake, alert, and c/o leg pain. His wife reported suddenly becoming anxious
and confused. Upon reassessment, the patient is restless, with respiratory
distress and petechiae to his neck. the patient is exhibiting signs of symptoms
commonly associated with which of the following conditions?
A) acute lung injury
B) fat embolism
C) PTX
D) pulmonary contusion - CORRECT ANSWER-B) fat embolism
Which pulse pressure description is an indication of early hypovolemic shock?
A) widened
B) narrowed
C) bounding
,D) weak - CORRECT ANSWER-B) narrowed
Which of the following considerations is most important when caring for a
geriatric trauma patient?
A) head to to exam
B) medical history
C) incontinence
D) falls - CORRECT ANSWER-B) medical history
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) pleuritic chest pain
D) hypotension that worsens with inspiration - CORRECT ANSWER-D)
hypotension that worsens with inspiration.
Assessment findings associated with tension pneumothorax include anxiety,
severe restlessness, severe respiratory distress, and absent breath sounds on
the injured side. Hypotension due to compression of the heart and great
vessels is consistent with obstructive shock. Hypotension worsens with
inspiration due to increased intrathoracic pressure. Late signs include
distended neck veins, tracheal deviation, and cyanosis.
The nurse is caring for a 120 kg male is brought in after a warehouse fire and is
calculating the patient's fluid resuscitation needs. He has painful red blistering
to the entire surface of both upper extremities and superficial burns to the
anterior chest. Using the modified Lund and Browder chart to calculate the
, total BSA burned, how much IV fluids would be administered in the first 8
hours?
A) 2280 mL
B) 3840 mL
C) 4560 mL
D) 7680 mL - CORRECT ANSWER-A) 2280 mL
(upper arm 4+4 / lower arm 3+3 / hand 2.5+2.5) = 19% TBSA.
120 kg x (2 mL) x (19% TBSA) = 4560 mL
(half of fluids given in first 8 hours) = 2280 mL
Which of the following is a component of the trauma triad of death?
A) Acidosis
B) hyperthermia
C) hemorrhage
D) sepsis - CORRECT ANSWER-A) Acidosis
hypothermia, metabolic acidosis, coagulopathy
A 56-year- male patient involved in a MVC is brought to the ED of a rural critical
access facility. He c/o neck pain, SOB, and diffuse abd pain. His GCS is 15. His
vitals are as follows:
BP 98/71
HR 125 beats/min
You are treating a 27-year old male in respiratory distress who was involved in a
house fire. Calculating TBSA burned is deferred d/t the need for emergent
intubation. At what rate should you begin fluid resuscitation?
A) 1000 mL/hr
B) 500 mL/hr
C) 250 mL/hr
D) 125 mL/hr - CORRECT ANSWER-B) 500 mL/hr
A patient has been in the ED for several hours waiting to be admitted. He
sustained multiple rib fractures and a femur fracture after a fall. He has been
awake, alert, and c/o leg pain. His wife reported suddenly becoming anxious
and confused. Upon reassessment, the patient is restless, with respiratory
distress and petechiae to his neck. the patient is exhibiting signs of symptoms
commonly associated with which of the following conditions?
A) acute lung injury
B) fat embolism
C) PTX
D) pulmonary contusion - CORRECT ANSWER-B) fat embolism
Which pulse pressure description is an indication of early hypovolemic shock?
A) widened
B) narrowed
C) bounding
,D) weak - CORRECT ANSWER-B) narrowed
Which of the following considerations is most important when caring for a
geriatric trauma patient?
A) head to to exam
B) medical history
C) incontinence
D) falls - CORRECT ANSWER-B) medical history
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) pleuritic chest pain
D) hypotension that worsens with inspiration - CORRECT ANSWER-D)
hypotension that worsens with inspiration.
Assessment findings associated with tension pneumothorax include anxiety,
severe restlessness, severe respiratory distress, and absent breath sounds on
the injured side. Hypotension due to compression of the heart and great
vessels is consistent with obstructive shock. Hypotension worsens with
inspiration due to increased intrathoracic pressure. Late signs include
distended neck veins, tracheal deviation, and cyanosis.
The nurse is caring for a 120 kg male is brought in after a warehouse fire and is
calculating the patient's fluid resuscitation needs. He has painful red blistering
to the entire surface of both upper extremities and superficial burns to the
anterior chest. Using the modified Lund and Browder chart to calculate the
, total BSA burned, how much IV fluids would be administered in the first 8
hours?
A) 2280 mL
B) 3840 mL
C) 4560 mL
D) 7680 mL - CORRECT ANSWER-A) 2280 mL
(upper arm 4+4 / lower arm 3+3 / hand 2.5+2.5) = 19% TBSA.
120 kg x (2 mL) x (19% TBSA) = 4560 mL
(half of fluids given in first 8 hours) = 2280 mL
Which of the following is a component of the trauma triad of death?
A) Acidosis
B) hyperthermia
C) hemorrhage
D) sepsis - CORRECT ANSWER-A) Acidosis
hypothermia, metabolic acidosis, coagulopathy
A 56-year- male patient involved in a MVC is brought to the ED of a rural critical
access facility. He c/o neck pain, SOB, and diffuse abd pain. His GCS is 15. His
vitals are as follows:
BP 98/71
HR 125 beats/min
