TNCC 8TH EDITION QUESTIONS AND ANSWERS.
Expedite transfer to the closest trauma center - Answer -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?
a pertinent medical hx is crucial - Answer -Which of the following considerations is the
most important when caring for a geriatric trauma pt?
Mitigation - Answer -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?
smell of alcohol on breath - Answer -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?
hemoglobin does not readily release O2 for use by the tissues - Answer -What is the
effect of hypothermia on the oxyhemoglobin dissociation curve?
acidosis - Answer -Which of the following is a component of the trauma triad of death?
Complete - Answer -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?
flucuation in the water seal chamber - Answer -Which of the following is an expected
finding in a pt with a tube thoracstomy connected to a chest drainage system?
insert an oropharyngeal airway if there is no gag reflex - Answer -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?
globe rupture - Answer -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?
compensated - Answer -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?
ventilate with a bag mask device - Answer -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?
, within 24 hrs of trauma - Answer -When is the tertiary survey completed fora trauma
pt?
pressure - Answer -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?
worsening pneumothorax - Answer -Which of the following is possible complication of
positive-pressure ventilation?
pelvic stability - Answer -the most reassuring finding for a male pt with hip pain after a
fall is which of the following?
narrowed - Answer -Which of the following pulse pressures indicate early hypovolemic
shock?
dysrhythmias - Answer -Patients with a crush injury should be monitored for which of
the following conditions?
subdural hematoma - Answer -Tearing of the bridging veins is most frequently
associated with which brain injury?
straight cath for urine sample - Answer -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?
placental abruption - Answer -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?
it can worsen cord damage from an unstable spinal injury - Answer -Which of the
following is true about the log-roll?
defusings - Answer -All of these are considered a critical communication point in
trauma care EXCEPT which of the following?
pulse oximetry and capnography - Answer -What bedside monitoring parameters are
used to assess for adequacy of O2 and effectiveness of ventilation?
padding the upper back while stabilizing the cervical spine - Answer -Caregivers carry
in a 2 y/o into the ED who fell out of a second-story window. The pt is awake and crying
Expedite transfer to the closest trauma center - Answer -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?
a pertinent medical hx is crucial - Answer -Which of the following considerations is the
most important when caring for a geriatric trauma pt?
Mitigation - Answer -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?
smell of alcohol on breath - Answer -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?
hemoglobin does not readily release O2 for use by the tissues - Answer -What is the
effect of hypothermia on the oxyhemoglobin dissociation curve?
acidosis - Answer -Which of the following is a component of the trauma triad of death?
Complete - Answer -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?
flucuation in the water seal chamber - Answer -Which of the following is an expected
finding in a pt with a tube thoracstomy connected to a chest drainage system?
insert an oropharyngeal airway if there is no gag reflex - Answer -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?
globe rupture - Answer -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?
compensated - Answer -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?
ventilate with a bag mask device - Answer -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?
, within 24 hrs of trauma - Answer -When is the tertiary survey completed fora trauma
pt?
pressure - Answer -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?
worsening pneumothorax - Answer -Which of the following is possible complication of
positive-pressure ventilation?
pelvic stability - Answer -the most reassuring finding for a male pt with hip pain after a
fall is which of the following?
narrowed - Answer -Which of the following pulse pressures indicate early hypovolemic
shock?
dysrhythmias - Answer -Patients with a crush injury should be monitored for which of
the following conditions?
subdural hematoma - Answer -Tearing of the bridging veins is most frequently
associated with which brain injury?
straight cath for urine sample - Answer -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?
placental abruption - Answer -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?
it can worsen cord damage from an unstable spinal injury - Answer -Which of the
following is true about the log-roll?
defusings - Answer -All of these are considered a critical communication point in
trauma care EXCEPT which of the following?
pulse oximetry and capnography - Answer -What bedside monitoring parameters are
used to assess for adequacy of O2 and effectiveness of ventilation?
padding the upper back while stabilizing the cervical spine - Answer -Caregivers carry
in a 2 y/o into the ED who fell out of a second-story window. The pt is awake and crying
