TNCC 9th editionTest Prep exam
questions with complete solutions
An adult patient who sustained a severe head trauma has been intubated and has been
manually ventilated via a bag mask device at a rate of 18 breaths per minute. The
patient has received one intravenous fluid bolus of 500 ML of warmed isotonic
crystalloid solution. The PaCO2 is 30 and a pulse ox symmetry is 92%. BP is 142/70.
What is the most important intervention to manage the cerebral blood flow? - Answer-
decrease the rate of manual ventillation
An older patient with a history of anticoagulant use presents after a fall at home the
previous day. She denies any loss of consciousness. She has a hematoma to her
forehead and complains of headache, dizziness, and nausea. What is the most likely
cause of her symptoms? - Answer-subdural hematoma
An adult who fell from a second story roof is brought to the emergency department by
private vehicle - Answer-ABC
A trauma patient is restless and repeatedly asking "where am I?" Vitals upon arrival
were 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? - Answer-
compensated
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? - Answer-globe rupture
An adult patient with a restraint passenger involved in a high-speed motor vehicle
collision. The passenger - Answer-
What intravascular solution is most commonly use for patients who have sustained
burns? - Answer-Lactated Ringers (LR)
You are speaking with the family of a critically injured patient. The spouses, crying
loudly and the - Answer-
Which of the following is true about use of the focused assessment sonography for
trauma exam for a - Answer-
A patient with a chest tube is being transported to the intensive care unit and fluctuation
is noted - Answer-
A trauma patient is being held in the emergency department, because there are no
available inpatient beds - Answer-
, A patient has uncontrolled bleeding from a wound to his right upper extremity. What is a
priority intervention? - Answer-
A patient has received multiple transfusions of banks blood in the past two hours. the
patient has - Answer-
Three adults present at different times during a one hour. With a high fever, fatigue, and
headache - Answer-
A trauma patient who is 30 weeks pregnant arrives at the emergency department
following a motor vehicle crash - Answer-
Following a gunshot wound prehospital providers report diminished breath sounds
bilaterally. Upon - Answer-
A patient with a traumatic brain injury has a mean arterial pressure of 65 mm Hg and -
Answer-
An adult patient involved in assault presents with shortness of breath, BP 88/50 MMHG
heart rate - Answer-
Which blood pressure finding is associated with early or compensated hypovolemic
shock? - Answer-
A patient who jumped out of a second floor window, landing on their feet is diagnosed
with a lumbar spinal - Answer-
During the primary survey of an unconscious, patient with multisystem trauma, the
nurse notes snoring, respirations - Answer-
A patient with a complete spinal cord injury, who is a neurogenic shock will demonstrate
hypotension - Answer-
When can an accurate determination of total body surface area burned be made an
order to make - Answer-
A patient is thrown against a car during a tornado in presents with obvious bilateral
femur fractures - Answer-
A restrained driver involved in a motor vehicle collision is brought to the emergency
department with - Answer-
A patient is diagnosed with a T 12 spinal cord injury, following a 12 foot for which finding
is consistent - Answer-
questions with complete solutions
An adult patient who sustained a severe head trauma has been intubated and has been
manually ventilated via a bag mask device at a rate of 18 breaths per minute. The
patient has received one intravenous fluid bolus of 500 ML of warmed isotonic
crystalloid solution. The PaCO2 is 30 and a pulse ox symmetry is 92%. BP is 142/70.
What is the most important intervention to manage the cerebral blood flow? - Answer-
decrease the rate of manual ventillation
An older patient with a history of anticoagulant use presents after a fall at home the
previous day. She denies any loss of consciousness. She has a hematoma to her
forehead and complains of headache, dizziness, and nausea. What is the most likely
cause of her symptoms? - Answer-subdural hematoma
An adult who fell from a second story roof is brought to the emergency department by
private vehicle - Answer-ABC
A trauma patient is restless and repeatedly asking "where am I?" Vitals upon arrival
were 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? - Answer-
compensated
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? - Answer-globe rupture
An adult patient with a restraint passenger involved in a high-speed motor vehicle
collision. The passenger - Answer-
What intravascular solution is most commonly use for patients who have sustained
burns? - Answer-Lactated Ringers (LR)
You are speaking with the family of a critically injured patient. The spouses, crying
loudly and the - Answer-
Which of the following is true about use of the focused assessment sonography for
trauma exam for a - Answer-
A patient with a chest tube is being transported to the intensive care unit and fluctuation
is noted - Answer-
A trauma patient is being held in the emergency department, because there are no
available inpatient beds - Answer-
, A patient has uncontrolled bleeding from a wound to his right upper extremity. What is a
priority intervention? - Answer-
A patient has received multiple transfusions of banks blood in the past two hours. the
patient has - Answer-
Three adults present at different times during a one hour. With a high fever, fatigue, and
headache - Answer-
A trauma patient who is 30 weeks pregnant arrives at the emergency department
following a motor vehicle crash - Answer-
Following a gunshot wound prehospital providers report diminished breath sounds
bilaterally. Upon - Answer-
A patient with a traumatic brain injury has a mean arterial pressure of 65 mm Hg and -
Answer-
An adult patient involved in assault presents with shortness of breath, BP 88/50 MMHG
heart rate - Answer-
Which blood pressure finding is associated with early or compensated hypovolemic
shock? - Answer-
A patient who jumped out of a second floor window, landing on their feet is diagnosed
with a lumbar spinal - Answer-
During the primary survey of an unconscious, patient with multisystem trauma, the
nurse notes snoring, respirations - Answer-
A patient with a complete spinal cord injury, who is a neurogenic shock will demonstrate
hypotension - Answer-
When can an accurate determination of total body surface area burned be made an
order to make - Answer-
A patient is thrown against a car during a tornado in presents with obvious bilateral
femur fractures - Answer-
A restrained driver involved in a motor vehicle collision is brought to the emergency
department with - Answer-
A patient is diagnosed with a T 12 spinal cord injury, following a 12 foot for which finding
is consistent - Answer-
