TNCC test prepA, TNCC Notes for Written Exam, TNCC Notes for Written Exam, TNCC Prep, TNCC
EXAM, TNCC 8th Edition 2022 Solution Guide
A 56 y/o M involved in a MVC is brought to the ED. He complains of neck pain, SOB, and diffuse abdominal pain. His GCS is 15, VS: BP 98/71, HR 125, RR 26, SpO2 94% on high-flow O2 via NRB mask.
Which is the priority intervention for this patient?
Expedite transfer to the closest trauma center
Which of the following considerations is the most important when caring for a geriatric trauma pt?
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?
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? smell of alcohol on breath
What is the effect of hypothermia on the oxyhemoglobin dissociation curve?
hemoglobin does not readily release O2 for use by the tissues 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?
Complete
Which of the following is an expected finding in a pt with a tube thoracstomy connected to a chest drainage system?
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?
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?
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?
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?
ventilate with a bag mask device
When is the tertiary survey completed fora trauma pt?
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?
pressure
Which of the following is possible complication of positive-pressure ventilation?
worsening pneumothorax the most reassuring finding for a male pt with hip pain after a fall is which of the following?
EXAM, TNCC 8th Edition 2022 Solution Guide
A 56 y/o M involved in a MVC is brought to the ED. He complains of neck pain, SOB, and diffuse abdominal pain. His GCS is 15, VS: BP 98/71, HR 125, RR 26, SpO2 94% on high-flow O2 via NRB mask.
Which is the priority intervention for this patient?
Expedite transfer to the closest trauma center
Which of the following considerations is the most important when caring for a geriatric trauma pt?
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?
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? smell of alcohol on breath
What is the effect of hypothermia on the oxyhemoglobin dissociation curve?
hemoglobin does not readily release O2 for use by the tissues 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?
Complete
Which of the following is an expected finding in a pt with a tube thoracstomy connected to a chest drainage system?
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?
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?
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?
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?
ventilate with a bag mask device
When is the tertiary survey completed fora trauma pt?
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?
pressure
Which of the following is possible complication of positive-pressure ventilation?
worsening pneumothorax the most reassuring finding for a male pt with hip pain after a fall is which of the following?
