TNCC 8th Edition Provider Exam
EMS brings a patient who fell while riding his bicycle. Using the American College of Surgeons screening guidelines, which assessment finding would prompt the nurse to prepare the patient for radiologic spine clearance? correct answersAlert with no neurological deficits
The trauma nurse knows that placing a bariatric patient in a "ramped position" provides better visualization during the insertion of which device? correct answersEndotracheal tube
A 35-year-old male 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? correct answersGlobe rupture
Caregivers carry a 2-year-old into the emergency department who fell out of a second-story window. The
patient is awake and crying with increased work of breathing and pale skin. Which of the following interventions has the highest priority? correct answersPadding the upper back while stabilizing the cervical spine
Which of the following injuries is LEAST likely to be promptly identified? correct answersBowel
A 49-year-old restrained driver involved in a motor vehicle collision presents to the trauma center complaining of abdominal, pelvic, and bilateral lower extremity pain. Vital signs are stable. The nurse can
anticipate all of these after a negative FAST exam EXCEPT which of the following? correct answersDiagnostic peritoneal lavage
Why is a measure of serum lactate obtained in the initial assessment of a trauma patient? correct answersTo gauge end-organ perfusion and tissue hypoxia
During the primary survey of an unconscious patient with multi-system trauma, the nurse notes snoring respirations. Which priority nursing intervention should be performed next? correct answersInsert an oropharyngeal airway if there is no gag reflex Which of the following assessment findings differentiates a tension pneumothorax from a simple pneumothorax? correct answersHypotension that worsens with inspiration (pulsus paradoxus)
What is the effect of hypothermia on the oxyhemoglobin dissociation curve? correct answersHemoglobin does not readily release oxygen for use by the tissues (Left shift)
A trauma patient is en route to a rural emergency department. Radiology notifies the charge nurse that the computed tomography (CT) scanner will be out of service for several hours. The team gathers to plan
accordingly. Which of the following terms best describes this trauma team's communication? correct answersHuddle
What finding raises suspicion of a complete spinal cord injury? correct answersPriapism
A patient is thrown against a car during a tornado and presents with obvious bilateral femoral fractures. The patient is pale, alert, disoriented, and has delayed capillary refill. Which of the following interventions would be most appropriate for this patient based on the disaster triage principles? correct answersInitiate two large-caliber intravenous lines for Ringer's lactate solution administration.
A 36-year-old female has a deformity of the left wrist after a fall. She is reluctant to move her hand due to pain. Which of the following is the most appropriate intervention? correct answersApply a splint and elevate the extremity above the level of the heart
Which of the following is a late sign of increased intracranial pressure? correct answersDecreased respiratory effort
Tearing of the bridging veins is most frequently associated with which brain injury? correct answersSubdural hematoma
You are caring for a patient who was involved in a motor vehicle crash and is 32 weeks pregnant. Findings of your secondary survey include abdominal pain on palpation, fundal height at the costal margin, and some dark bloody show. Varying accelerations and decelerations are noted on cardiotocography. These findings are most consistent with which of the following? correct answersPlacental abruption
EMS brings a patient who fell while riding his bicycle. Using the American College of Surgeons screening guidelines, which assessment finding would prompt the nurse to prepare the patient for radiologic spine clearance? correct answersAlert with no neurological deficits
The trauma nurse knows that placing a bariatric patient in a "ramped position" provides better visualization during the insertion of which device? correct answersEndotracheal tube
A 35-year-old male 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? correct answersGlobe rupture
Caregivers carry a 2-year-old into the emergency department who fell out of a second-story window. The
patient is awake and crying with increased work of breathing and pale skin. Which of the following interventions has the highest priority? correct answersPadding the upper back while stabilizing the cervical spine
Which of the following injuries is LEAST likely to be promptly identified? correct answersBowel
A 49-year-old restrained driver involved in a motor vehicle collision presents to the trauma center complaining of abdominal, pelvic, and bilateral lower extremity pain. Vital signs are stable. The nurse can
anticipate all of these after a negative FAST exam EXCEPT which of the following? correct answersDiagnostic peritoneal lavage
Why is a measure of serum lactate obtained in the initial assessment of a trauma patient? correct answersTo gauge end-organ perfusion and tissue hypoxia
During the primary survey of an unconscious patient with multi-system trauma, the nurse notes snoring respirations. Which priority nursing intervention should be performed next? correct answersInsert an oropharyngeal airway if there is no gag reflex Which of the following assessment findings differentiates a tension pneumothorax from a simple pneumothorax? correct answersHypotension that worsens with inspiration (pulsus paradoxus)
What is the effect of hypothermia on the oxyhemoglobin dissociation curve? correct answersHemoglobin does not readily release oxygen for use by the tissues (Left shift)
A trauma patient is en route to a rural emergency department. Radiology notifies the charge nurse that the computed tomography (CT) scanner will be out of service for several hours. The team gathers to plan
accordingly. Which of the following terms best describes this trauma team's communication? correct answersHuddle
What finding raises suspicion of a complete spinal cord injury? correct answersPriapism
A patient is thrown against a car during a tornado and presents with obvious bilateral femoral fractures. The patient is pale, alert, disoriented, and has delayed capillary refill. Which of the following interventions would be most appropriate for this patient based on the disaster triage principles? correct answersInitiate two large-caliber intravenous lines for Ringer's lactate solution administration.
A 36-year-old female has a deformity of the left wrist after a fall. She is reluctant to move her hand due to pain. Which of the following is the most appropriate intervention? correct answersApply a splint and elevate the extremity above the level of the heart
Which of the following is a late sign of increased intracranial pressure? correct answersDecreased respiratory effort
Tearing of the bridging veins is most frequently associated with which brain injury? correct answersSubdural hematoma
You are caring for a patient who was involved in a motor vehicle crash and is 32 weeks pregnant. Findings of your secondary survey include abdominal pain on palpation, fundal height at the costal margin, and some dark bloody show. Varying accelerations and decelerations are noted on cardiotocography. These findings are most consistent with which of the following? correct answersPlacental abruption
