TNCC final exam test 2022/2023 open book.(Winter-
Spring QTR)With 100% Certified Correct
feedbacks(Highly Recommeded)
1. .Why is a measure of serum lactate obtained in the initial assessment of the
traumapatient?
Correct feedback: c
a) to measure oxygenation and ventilation
b) to quantify the base deficit for the adequacy of cellular perfusion
c) *to gauge end-organ perfusion and tissue hypoxia **
d) to determine the underlying cause of shock
2. A trauma patient is restless and repeatedly asking "where am I?" vital signs upon
arrivalwere BP 100/60 mm Hg, HR 96 beats/min, and RR 24 breaths/min. Her
skin is cool anddry. Current vital signs are BP 104/84mm Hg, HR 108, RR 28
breaths/min. The patient is demonstrating signs and symptoms of which stage of
shock?
Correct feedback: A
A) compensated **B) Progressive
C) irreversible
D) decompensated
3. An elderly patient with a history of anticoagulant use presents after a fall at home
that day. she denies any loss of consciousness. She has a hematoma to her
forehead andcomplains of headache, dizziness, and nausea. Which is a most
likely cause of her symptoms?
Correct feedback: D
A) epidural hematoma
B) diffuse axonal injury
C) post-concussive syndrome
D) subdural hematoma ***
4. EMS brings a patient who fell riding his bicycle. Using the American College of
Surgeons screening guidelines, which assessment finding would prompt the
caregiver toprepare the patient for radiologic spine clearance?
Correct feedback: D
A) Alert with no neurologic deficits
B) Multiple abrasions to the extremities
C) Multiple requests of water
, D) Smell of alcohol on breath ***
5. Which of the following occurs during the third impact of a motor vehicle crash?
Correct feedback: C
A) The driver of the vehicle collides with the steering wheel
B) the vehicle collides with a tree
C) the aorta is torn at its attachment with the ligamentum arteriosum
D) the airbag deploys and strikes the front seat passenger ***
6. A passenger is brought to the emergency department of a rural hospital
following ahigh-speed MVC. When significant abdominal and pelvic injuries
are noted in the primary survey, which of the following is the priority
interventions?
Correct feedback: A
A) initiate transfer to a trauma center
B) provide report to the operating room caregiver
C) Obtained imaging studies
D) Place a gastric tube
7. Which of the following injuries is LEAST likely to be promptly identified?
Correct feedback: C
A) spleen
B) lung
C) bowel ***
D) brain
8. Patients with a crush injury should be monitored for which of the following
conditions?
Correct feedback: C
A) Hypernatremia
B) Hypercalcemia
C) Dysrhthmias **
D) polyuria
9. What finding raises suspicion of complete spinal cord injury?
Correct feedback: B
A) Weakness in the lower extremities
B) Priapism
C) voluntary anal sphincter tone
Spring QTR)With 100% Certified Correct
feedbacks(Highly Recommeded)
1. .Why is a measure of serum lactate obtained in the initial assessment of the
traumapatient?
Correct feedback: c
a) to measure oxygenation and ventilation
b) to quantify the base deficit for the adequacy of cellular perfusion
c) *to gauge end-organ perfusion and tissue hypoxia **
d) to determine the underlying cause of shock
2. A trauma patient is restless and repeatedly asking "where am I?" vital signs upon
arrivalwere BP 100/60 mm Hg, HR 96 beats/min, and RR 24 breaths/min. Her
skin is cool anddry. Current vital signs are BP 104/84mm Hg, HR 108, RR 28
breaths/min. The patient is demonstrating signs and symptoms of which stage of
shock?
Correct feedback: A
A) compensated **B) Progressive
C) irreversible
D) decompensated
3. An elderly patient with a history of anticoagulant use presents after a fall at home
that day. she denies any loss of consciousness. She has a hematoma to her
forehead andcomplains of headache, dizziness, and nausea. Which is a most
likely cause of her symptoms?
Correct feedback: D
A) epidural hematoma
B) diffuse axonal injury
C) post-concussive syndrome
D) subdural hematoma ***
4. EMS brings a patient who fell riding his bicycle. Using the American College of
Surgeons screening guidelines, which assessment finding would prompt the
caregiver toprepare the patient for radiologic spine clearance?
Correct feedback: D
A) Alert with no neurologic deficits
B) Multiple abrasions to the extremities
C) Multiple requests of water
, D) Smell of alcohol on breath ***
5. Which of the following occurs during the third impact of a motor vehicle crash?
Correct feedback: C
A) The driver of the vehicle collides with the steering wheel
B) the vehicle collides with a tree
C) the aorta is torn at its attachment with the ligamentum arteriosum
D) the airbag deploys and strikes the front seat passenger ***
6. A passenger is brought to the emergency department of a rural hospital
following ahigh-speed MVC. When significant abdominal and pelvic injuries
are noted in the primary survey, which of the following is the priority
interventions?
Correct feedback: A
A) initiate transfer to a trauma center
B) provide report to the operating room caregiver
C) Obtained imaging studies
D) Place a gastric tube
7. Which of the following injuries is LEAST likely to be promptly identified?
Correct feedback: C
A) spleen
B) lung
C) bowel ***
D) brain
8. Patients with a crush injury should be monitored for which of the following
conditions?
Correct feedback: C
A) Hypernatremia
B) Hypercalcemia
C) Dysrhthmias **
D) polyuria
9. What finding raises suspicion of complete spinal cord injury?
Correct feedback: B
A) Weakness in the lower extremities
B) Priapism
C) voluntary anal sphincter tone
