TNCC Written Exam Questions with
100% Complete Solutions 2023/2024
C What are the primary benefits of a team approach to trauma care - Answer-it provides
a systemic approach to care and organizes care
A In the primary survey AVPU is performed to determine if the patient can: - Answer-
Protect their aiway
B WHich may lead to unreliable pulse ox reading - Answer-carboxyhemoglobin
A The systemic inflammatory response is a normal part of the body's response to shock
from traumatic injury. what best describes this response - Answer-it is activated by
tissue hypoxia and sends neutrophils to injury site
A what is an early assessment finding to increased ICP in pt with a brain injury -
Answer-vomiting
A an unrestrained driver was involved in a frontal collision without airbag deployment.
he is hypotensive and tachycardic with shallow respirations, distended JVD and muffled
heart tones the nurse prepare for what - Answer-pericardiocentesis
D An unrestrained driver is brought into the emergency department following a frontal
impact MVC. she is pale, anxious, and c/o SOB. what is the potential injury - Answer-
Lumbar fx
B pt to ER after being pinned to brick retaining wall. knwoing crushing injuries can result
to significant damage to muslces the priority asessment for trauma nruse is for -
Answer-myoglobinemia nd renal failure
A the nurse is preparing to cleanse an extensive abrasion contaminated with dirt and
gravel. which of the following intervention is indicated - Answer-us copious amounts of
NS
A when providing care for the pedicatric pt with burns the post resuscitation care, how
are fluids delivered - Answer-parkland formula with maintainence fluidss
B thinning skin and diminished autonomic response in older adult can have what effect
on primary assessment - Answer-compromised thermoregulation
A in mass casualty "doing the greatest good for the greatest number of people refers to
a situation where - Answer-there may be more patients than resources
, C effective pain management in hte pt iwth rib fxwill promote what - Answer-cough with
ability to clear secretions
Bduring the primary survery which of the following has the greatest priority - Answer-
cervical spine injury
D restrained driver is involved in a severe head on MVC and presnts with a seatbelt
mark along the neck and upper chest area. bilateral decreased breath sounds,
hemoptysis and diffuse sub q emphysemato the neck and upper chest area - Answer-
tracheobronchial injury
B a pt involved in an MVC develops asymmetric pupillary reactivity, bilateral pupillary
dilation and abnormal motor posturing. what does the nurse suspect as the most likely
cause - Answer-herniation syndrome
B which of the following hemodynamic support strategies is the prioririty intervention for
a pt with traumatic pulmonary contusion - Answer-judicios use of IV fluids
B the unrestrained fron seat passenger in a MVC develops echymosis around
umbillicus. this assessment finding is most commonly associated with: - Answer-
bleeding in the peritoneal cavity
D elevated comaprtment pressure can be the result of - Answer-hemorrhage from within
the muscle
A prego trauma pt develops tachy, hypotension, a rigide board like uterus, and dark, red
vaginal bleeding. she reports constant back pain which is increasing. the most likely
cause of s/s is - Answer-placental abruption
A for a ptwho has undergone recent bariatric surgery, flouroscopy is recommended to
place - Answer-NG tube
A identification of vulnerabilities is an example of what phase of disaster management -
Answer-mitigation
A which of the following structures would be hte most affected by teh concept of
caviation - Answer-Liver
B the most common cause of shock in the trauma pt is - Answer-loss of circ volume
B a pt with injury to the middle meningeal artery is at risk for which of the following -
Answer-epidural hematoma
C what organ might be injured in left lower rib fx - Answer-spleen
100% Complete Solutions 2023/2024
C What are the primary benefits of a team approach to trauma care - Answer-it provides
a systemic approach to care and organizes care
A In the primary survey AVPU is performed to determine if the patient can: - Answer-
Protect their aiway
B WHich may lead to unreliable pulse ox reading - Answer-carboxyhemoglobin
A The systemic inflammatory response is a normal part of the body's response to shock
from traumatic injury. what best describes this response - Answer-it is activated by
tissue hypoxia and sends neutrophils to injury site
A what is an early assessment finding to increased ICP in pt with a brain injury -
Answer-vomiting
A an unrestrained driver was involved in a frontal collision without airbag deployment.
he is hypotensive and tachycardic with shallow respirations, distended JVD and muffled
heart tones the nurse prepare for what - Answer-pericardiocentesis
D An unrestrained driver is brought into the emergency department following a frontal
impact MVC. she is pale, anxious, and c/o SOB. what is the potential injury - Answer-
Lumbar fx
B pt to ER after being pinned to brick retaining wall. knwoing crushing injuries can result
to significant damage to muslces the priority asessment for trauma nruse is for -
Answer-myoglobinemia nd renal failure
A the nurse is preparing to cleanse an extensive abrasion contaminated with dirt and
gravel. which of the following intervention is indicated - Answer-us copious amounts of
NS
A when providing care for the pedicatric pt with burns the post resuscitation care, how
are fluids delivered - Answer-parkland formula with maintainence fluidss
B thinning skin and diminished autonomic response in older adult can have what effect
on primary assessment - Answer-compromised thermoregulation
A in mass casualty "doing the greatest good for the greatest number of people refers to
a situation where - Answer-there may be more patients than resources
, C effective pain management in hte pt iwth rib fxwill promote what - Answer-cough with
ability to clear secretions
Bduring the primary survery which of the following has the greatest priority - Answer-
cervical spine injury
D restrained driver is involved in a severe head on MVC and presnts with a seatbelt
mark along the neck and upper chest area. bilateral decreased breath sounds,
hemoptysis and diffuse sub q emphysemato the neck and upper chest area - Answer-
tracheobronchial injury
B a pt involved in an MVC develops asymmetric pupillary reactivity, bilateral pupillary
dilation and abnormal motor posturing. what does the nurse suspect as the most likely
cause - Answer-herniation syndrome
B which of the following hemodynamic support strategies is the prioririty intervention for
a pt with traumatic pulmonary contusion - Answer-judicios use of IV fluids
B the unrestrained fron seat passenger in a MVC develops echymosis around
umbillicus. this assessment finding is most commonly associated with: - Answer-
bleeding in the peritoneal cavity
D elevated comaprtment pressure can be the result of - Answer-hemorrhage from within
the muscle
A prego trauma pt develops tachy, hypotension, a rigide board like uterus, and dark, red
vaginal bleeding. she reports constant back pain which is increasing. the most likely
cause of s/s is - Answer-placental abruption
A for a ptwho has undergone recent bariatric surgery, flouroscopy is recommended to
place - Answer-NG tube
A identification of vulnerabilities is an example of what phase of disaster management -
Answer-mitigation
A which of the following structures would be hte most affected by teh concept of
caviation - Answer-Liver
B the most common cause of shock in the trauma pt is - Answer-loss of circ volume
B a pt with injury to the middle meningeal artery is at risk for which of the following -
Answer-epidural hematoma
C what organ might be injured in left lower rib fx - Answer-spleen
