TNCC TEST PRE P A [WRIT TEN NOTES] ALREADY GRADED A+ ACTUAL 100% flucuation in the water seal chamber - ANS✔✔ ---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 - ANS✔✔ ---
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 - ANS✔✔ ---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? Expedite transfer to the closest trauma center - ANS✔✔ ---A 56 y/o M pt involved in a motor vehicle crash is brought to the ED of a rural critical access facility. He complains of neck pain, SOB, and diffuse abd pain. His GCS is 15. His VS: BP 98/71, HR 125, RR 26, SpO2 94% on high -flow O2 via NRB mask. Which of the following i s the priority intervention for this patient? a pertinent medical hx is crucial - ANS✔✔ ---Which of the following considerations is the most important when caring for a geriatric trauma pt? Mitigation - ANS✔✔ ---Following a review of recent drills and a re al 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? Multiple requests for water - ANS✔✔ ---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? compensated - ANS✔✔ ---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 - ANS✔✔ ---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? hemoglobin does not readily release O2 for use by the tissues - ANS✔✔ ---What is the effect of hypothermia o n the oxyhemoglobin dissociation curve? acidosis - ANS✔✔ ---Which of the following is a component of the trauma triad of death? Complete - ANS✔✔ ---EMS brings a pt from MVC. VS: BP 90/49, HR 48, RR 12, temp 97.2F (36.2 C). The pt exhibits urinary incontine nce and priapism. These assessment findings are most consistent with which of the following types of spinal cord injury? within 24 hrs of trauma - ANS✔✔ ---When is the tertiary survey completed fora trauma pt? narrowed - ANS✔✔ ---Which of the following pulse pressures indicate early hypovolemic shock? dysrhythmias - ANS✔✔ ---Patients with a crush injury should be monitored for which of the following conditions? subdural hemat oma - ANS✔✔ ---Tearing of the bridging veins is most frequently associated with which brain injury? straight cath for urine sample - ANS✔✔ ---A 20 y/o M presents to the ED complaining of severe lower abd pain after landing hard on the bicycle cross bars whi le preforming an aerial BMX maneuver. Secondary assessment reveals lower abd tenderness and scrotal ecchymosis. Which of the following orders would the RN question? pressure - ANS✔✔ ---An intubated and sedated pt in the ED has multiple extremity injuries with the potential for causing compartment syn drome. What is the most reliable indication of compartment syndrome in a patient who is unconscious? worsening pneumothorax - ANS✔✔ ---Which of the following is possible complication of positive -pressure ventilation? pelvic stability - ANS✔✔ ---the most re assuring finding for a male pt with hip pain after a fall is which of the following? placental abruption - ANS✔✔ ---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? padding the upper back while stabilizing the cervical spine - ANS✔✔ ---
Caregivers carry in a 2 y/o into the ED who fell out of a second -story
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 - ANS✔✔ ---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? Expedite transfer to the closest trauma center - ANS✔✔ ---A 56 y/o M pt involved in a motor vehicle crash is brought to the ED of a rural critical access facility. He complains of neck pain, SOB, and diffuse abd pain. His GCS is 15. His VS: BP 98/71, HR 125, RR 26, SpO2 94% on high -flow O2 via NRB mask. Which of the following i s the priority intervention for this patient? a pertinent medical hx is crucial - ANS✔✔ ---Which of the following considerations is the most important when caring for a geriatric trauma pt? Mitigation - ANS✔✔ ---Following a review of recent drills and a re al 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? Multiple requests for water - ANS✔✔ ---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? compensated - ANS✔✔ ---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 - ANS✔✔ ---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? hemoglobin does not readily release O2 for use by the tissues - ANS✔✔ ---What is the effect of hypothermia o n the oxyhemoglobin dissociation curve? acidosis - ANS✔✔ ---Which of the following is a component of the trauma triad of death? Complete - ANS✔✔ ---EMS brings a pt from MVC. VS: BP 90/49, HR 48, RR 12, temp 97.2F (36.2 C). The pt exhibits urinary incontine nce and priapism. These assessment findings are most consistent with which of the following types of spinal cord injury? within 24 hrs of trauma - ANS✔✔ ---When is the tertiary survey completed fora trauma pt? narrowed - ANS✔✔ ---Which of the following pulse pressures indicate early hypovolemic shock? dysrhythmias - ANS✔✔ ---Patients with a crush injury should be monitored for which of the following conditions? subdural hemat oma - ANS✔✔ ---Tearing of the bridging veins is most frequently associated with which brain injury? straight cath for urine sample - ANS✔✔ ---A 20 y/o M presents to the ED complaining of severe lower abd pain after landing hard on the bicycle cross bars whi le preforming an aerial BMX maneuver. Secondary assessment reveals lower abd tenderness and scrotal ecchymosis. Which of the following orders would the RN question? pressure - ANS✔✔ ---An intubated and sedated pt in the ED has multiple extremity injuries with the potential for causing compartment syn drome. What is the most reliable indication of compartment syndrome in a patient who is unconscious? worsening pneumothorax - ANS✔✔ ---Which of the following is possible complication of positive -pressure ventilation? pelvic stability - ANS✔✔ ---the most re assuring finding for a male pt with hip pain after a fall is which of the following? placental abruption - ANS✔✔ ---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? padding the upper back while stabilizing the cervical spine - ANS✔✔ ---
Caregivers carry in a 2 y/o into the ED who fell out of a second -story
