TNCC 9th Edition Updated Exam Questions and Complete Answers

TNCC 9th Edition Updated Exam Questions and Complete Answers Rotational injury - ANSWER Injury pathway in motor vehicle collisions increasing morbidity Tension pneumothorax - ANSWER Differentiated from simple pneumothorax by hypotension Bruises on upper extremities - ANSWER Indication for screening for abuse in elderly patients Increased work of breathing in child - ANSWER Priority intervention after a fall from height Rigid cervical collar removal - ANSWER Criteria for removing the collar after a motor vehicle collision Intravascular solution for burns - ANSWER Most commonly used solution for burn patients Low pressure irrigation - ANSWER Method to remove small debris from a wound Rebound tenderness and fever - ANSWER Indication of injury to the small bowel Paradoxical chest wall movement - ANSWER Priority intervention for a patient with this chest wall finding Immediate intubation - ANSWER Indicated by severe facial injuries and confusion Alcohol Breath - ANSWER Detectable alcohol odor on breath Cervical Spine Stabilization - ANSWER Priority intervention for a confused patient with lower extremity deformity Closed Loop Communication - ANSWER Term describing trauma team's communication planning Pelvic Binder - ANSWER Appropriate intervention for a patient with weak pulse and pelvic instability Crush Injury Monitoring - ANSWER Condition to monitor in patients with crush injuries Massive Transfusion Medication - ANSWER Medication that may worsen complications of massive transfusion Deformity Intervention - ANSWER Appropriate action for a patient with a wrist deformity Abdominal Trauma Intervention - ANSWER Priority intervention for a patient with significant abdominal injuries Disaster Life Cycle Phase - ANSWER Phase involving identification of deficiencies post-disaster Shock Stage Identification - ANSWER Identifying signs of shock stage in a restless trauma patient Burn Patient Fluid Calculation - ANSWER When to calculate IV fluid resuscitation rate for burn patients Confusion Cause - ANSWER Likely cause of headache, nausea, and confusion in a burn patient Thigh Injury Intervention - ANSWER Initial intervention for a patient with swelling and bruising in the thigh Blood Transfusion Reaction Medication - ANSWER Medication for muscle tremors and ventricular tachycardia post-transfusion You are caring for a patient who was thrown from a bike and was not wearing a helmet. While performing the head-to-toe assessment, you note clear drainage from the right ear. Which of the following is the most appropriate next step? A. Clean the ear with a cotton-tipped applicator. B. Pack the ear with gauze. C. Notify the physician D. Document and continue the exam. - ANSWER C. Notify the physician A patient is brought to the emergency department of a rural hospital following a high-speed motor vehicle collision. When significant abdominal and pelvic injuries are noted in the primary survey, what is the priority intervention? A. Initiate transfer to a trauma center B. Attempt family notification C. Obtain additional imaging studies D. Place an indwelling urinary catheter - ANSWER A. Initiate transfer to a trauma center An adult who fell from a second story roof is brought to the emergency department by private vehicle. The patient is confused with unlabored respirations and has strong, palpable radial pulses. There is an open wound in proximity to an obvious deformity of the left lower extremity. What is the priority intervention? A. Initiate cervical spine stabilization B. Apply a splint to the lower extremity C. Put the patient on portable oxygen. D. Log roll the patient onto a spine board - ANSWER A. Initiate cervical spine stabilization An adult patient who sustained a severe head trauma has been intubated and is being manually ventilated via a bag-mask device at a rate of 18 breaths/minute. The patient has received one intravenous fluid bolus of 500 mL of warmed isotonic crystalloid solution. The PaCO2 is 30 mm Hg (4.0 kPa), and the pulse oximetry is 92%. BP is 142/70 mm Hg. What is the most important intervention to manage the cerebral blood flow? A. Decrease the rate of manual ventilation. B. Initiate another fluid bolus. C. Recheck endotracheal tube placement. D. Increase the amount of oxygen delivered. - ANSWER A. Decrease the rate of manual ventilation. An adult patient is brought to the emergency department following a vehicle "roll-over" with prolonged extrication. Assessment reveals swelling and bruising to the right proximal thigh and a weak pedal pulse. Skin is pale, cool, and moist. What is the most appropriate initial intervention? Application of a pelvic binder C. Fluid resuscitation to maintain a urine output of 0.5 mL/kg/hour D. Oxygen to maintain the ETCO2 between 30-35 mm Hg (3.9-4.6 kPa) - ANSWER B. Application of a pelvic binder