TNCC Exam 9th Edition Study Guide |
100% Correct Answers | Verified | Latest
2024 Version
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? - ✔✔Globe rupture A teardrop-
shaped pupil suggests a globe rupture.
.A patient with a complete spinal cord injury in neurogenic shock will demonstrate hypotension and
which other clinical signs? - ✔✔Bradycardia and absent motor function below the level of injury Patients
with a complete spinal cord injury will have absent motor function below the level of the lesion. They
become hypotensive and bradycardic due to loss of autonomic nervous system function.
.During the primary survey of an unconscious patient with multi-system trauma, the nurse notes snoring
respirations. What priority nursing intervention should be performed next? - ✔✔Insert an oropharyngeal
airway if there is no gag reflex Snoring respirations may indicate airway obstruction from the tongue.
Insert an airway adjunct to alleviate obstruction by the tongue. Oropharyngeal airways can be used in
patients without a gag reflex.
1.What is the effect of hypothermia on the oxyhemoglobin dissociation curve - ✔✔Hemoglobin does not
readily release oxygen for use by the tissues A shift to the left occurs in an environment of low metabolic
demand (hypothermia, hypocapnia, alkalosis), increasing hemoglobin's affinity for oxygen.
A 5-year-old child presents to the ED with bruises to the upper arms and buttocks in various stages of
healing and multiple small, clean, round burns to the back. There are no abnormalities found based on
the pediatric assessment triangle or primary survey. Which of the following is the priority nursing
intervention? - ✔✔Report your suspicion of maltreatment in accordance with local regulations Nurses
are mandated reporters in most jurisdictions. With no alterations in the primary survey, this is the
priority intervention.
A 20-year-old male presents to the ED complaining of severe lower abdominal pain after landing hard on
the bicycle cross bars while performing an aerial BMX maneuver. Secondary assessment reveals lower
abdominal tenderness and scrotal ecchymosis. Which of the following orders would the nurse question?
- ✔✔Straight catheter for urine sample Insertion of a urinary catheter is contraindicated if urethral
, transection is suspected. Signs and symptoms of urethral injury include blood at the meatus, perineal
ecchymosis, scrotal ecchymosis, and a high-riding or non-palpable prostate.
A 36-year-old female has a deformity of the left wrist after a fall. She is reluctant to move her hand due
to pain. Which of the following is the most appropriate intervention? - ✔✔Apply a splint and elevate the
extremity above the level of the heart Splinting the injured extremity stabilizes the extremity and
reduces further injury. Elevation above the level of the heart promotes venous return and may reduce
swelling.
A 49-year-old restrained driver involved in a motor vehicle collision presents to the trauma center
complaining of abdominal, pelvic, and bilateral lower extremity pain. Vital signs are stable. The nurse can
anticipate all of these after a negative FAST exam EXCEPT which of the following? - ✔✔Diagnostic
peritoneal lavage Diagnostic peritoneal lavage is indicated for hemodynamically unstable patients or if
FAST and CT are not available.
A 56-year-old male patient involved in a motor vehicle crash is brought to the emergency department of
a rural critical access facility. He complains of neck pain, shortness of breath, and diffuse abdominal pain.
His Glasgow Coma Score is 15. His vital signs are as follows: BP 98/71 mm Hg, HR 125 beats/minute, RR
26 breaths/minute, SpO2 94% on high-flow oxygen via non-rebreather mask. Which of the following is
the priority intervention for this patient? - ✔✔Expedite transfer to the closest trauma center The
American College of Surgeons recommends that patients with significant injuries be transported to a
trauma center for definitive care. This patient's injuries might not be definitively diagnosed, but his
symptoms and vital signs indicate the need for
A patient arrives with a large open chest wound after being assaulted with a machete. Prehospital
providers placed a nonporous dressing over the chest wound and taped it on three sides. He is now
showing signs of anxiety, restlessness, severe respiratory distress, cyanosis and decreasing blood
pressure. Which of the following is the MOST appropriate immediate intervention? - ✔✔Dressing
removal This is the fastest effective intervention for this decompensating patient. A nonporous dressing
taped on three sides is temporary and has variable effectiveness. If signs and symptoms of tension
pneumothorax develop after the application of the dressing
A patient has been in the emergency department for several hours waiting to be admitted. He sustained
multiple rib fractures and a femur fracture after a fall. He has been awake, alert, and complaining of leg
pain. His wife reported that he suddenly became anxious and confused. Upon reassessment, the patient
is restless with respiratory distress and petechiae to his neck. The patient is exhibiting signs and
symptoms most commonly associated with which of the following conditions? - ✔✔Fat embolism
Symptoms of fat embolism include decreased mental status, restlessness, agitation, respiratory distress,
100% Correct Answers | Verified | Latest
2024 Version
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? - ✔✔Globe rupture A teardrop-
shaped pupil suggests a globe rupture.
.A patient with a complete spinal cord injury in neurogenic shock will demonstrate hypotension and
which other clinical signs? - ✔✔Bradycardia and absent motor function below the level of injury Patients
with a complete spinal cord injury will have absent motor function below the level of the lesion. They
become hypotensive and bradycardic due to loss of autonomic nervous system function.
.During the primary survey of an unconscious patient with multi-system trauma, the nurse notes snoring
respirations. What priority nursing intervention should be performed next? - ✔✔Insert an oropharyngeal
airway if there is no gag reflex Snoring respirations may indicate airway obstruction from the tongue.
Insert an airway adjunct to alleviate obstruction by the tongue. Oropharyngeal airways can be used in
patients without a gag reflex.
1.What is the effect of hypothermia on the oxyhemoglobin dissociation curve - ✔✔Hemoglobin does not
readily release oxygen for use by the tissues A shift to the left occurs in an environment of low metabolic
demand (hypothermia, hypocapnia, alkalosis), increasing hemoglobin's affinity for oxygen.
A 5-year-old child presents to the ED with bruises to the upper arms and buttocks in various stages of
healing and multiple small, clean, round burns to the back. There are no abnormalities found based on
the pediatric assessment triangle or primary survey. Which of the following is the priority nursing
intervention? - ✔✔Report your suspicion of maltreatment in accordance with local regulations Nurses
are mandated reporters in most jurisdictions. With no alterations in the primary survey, this is the
priority intervention.
A 20-year-old male presents to the ED complaining of severe lower abdominal pain after landing hard on
the bicycle cross bars while performing an aerial BMX maneuver. Secondary assessment reveals lower
abdominal tenderness and scrotal ecchymosis. Which of the following orders would the nurse question?
- ✔✔Straight catheter for urine sample Insertion of a urinary catheter is contraindicated if urethral
, transection is suspected. Signs and symptoms of urethral injury include blood at the meatus, perineal
ecchymosis, scrotal ecchymosis, and a high-riding or non-palpable prostate.
A 36-year-old female has a deformity of the left wrist after a fall. She is reluctant to move her hand due
to pain. Which of the following is the most appropriate intervention? - ✔✔Apply a splint and elevate the
extremity above the level of the heart Splinting the injured extremity stabilizes the extremity and
reduces further injury. Elevation above the level of the heart promotes venous return and may reduce
swelling.
A 49-year-old restrained driver involved in a motor vehicle collision presents to the trauma center
complaining of abdominal, pelvic, and bilateral lower extremity pain. Vital signs are stable. The nurse can
anticipate all of these after a negative FAST exam EXCEPT which of the following? - ✔✔Diagnostic
peritoneal lavage Diagnostic peritoneal lavage is indicated for hemodynamically unstable patients or if
FAST and CT are not available.
A 56-year-old male patient involved in a motor vehicle crash is brought to the emergency department of
a rural critical access facility. He complains of neck pain, shortness of breath, and diffuse abdominal pain.
His Glasgow Coma Score is 15. His vital signs are as follows: BP 98/71 mm Hg, HR 125 beats/minute, RR
26 breaths/minute, SpO2 94% on high-flow oxygen via non-rebreather mask. Which of the following is
the priority intervention for this patient? - ✔✔Expedite transfer to the closest trauma center The
American College of Surgeons recommends that patients with significant injuries be transported to a
trauma center for definitive care. This patient's injuries might not be definitively diagnosed, but his
symptoms and vital signs indicate the need for
A patient arrives with a large open chest wound after being assaulted with a machete. Prehospital
providers placed a nonporous dressing over the chest wound and taped it on three sides. He is now
showing signs of anxiety, restlessness, severe respiratory distress, cyanosis and decreasing blood
pressure. Which of the following is the MOST appropriate immediate intervention? - ✔✔Dressing
removal This is the fastest effective intervention for this decompensating patient. A nonporous dressing
taped on three sides is temporary and has variable effectiveness. If signs and symptoms of tension
pneumothorax develop after the application of the dressing
A patient has been in the emergency department for several hours waiting to be admitted. He sustained
multiple rib fractures and a femur fracture after a fall. He has been awake, alert, and complaining of leg
pain. His wife reported that he suddenly became anxious and confused. Upon reassessment, the patient
is restless with respiratory distress and petechiae to his neck. The patient is exhibiting signs and
symptoms most commonly associated with which of the following conditions? - ✔✔Fat embolism
Symptoms of fat embolism include decreased mental status, restlessness, agitation, respiratory distress,
