TNCC final exam test 2022 open
book Questions and Answer |
Latest Update 2024/2025
You are treating a 27-year old male in respiratory distress who was involved in
a house fire. Calculating TBSA burned is deferred d/t the need for emergent
intubation. At what rate should you begin fluid resuscitation?
A) 1000 mL/hr
B) 500 mL/hr
C) 250 mL/hr
D) 125 mL/hr
✓ ~~> B) 500 mL/hr
A patient has been in the ED 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 c/o leg pain. His wife reported suddenly becoming anxious
and confused. Upon reassessment, the patient is restless, with respiratory
distress and petechiae to his neck. the patient is exhibiting signs of symptoms
commonly associated with which of the following conditions?
Master01 | September, 2024/2025 | Latest update
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A) acute lung injury
B) fat embolism
C) PTX
D) pulmonary contusion
✓ ~~> B) fat embolism
Which pulse pressure description is an indication of early hypovolemic shock?
A) widened
B) narrowed
C) bounding
D) weak
✓ ~~> B) narrowed
Which of the following considerations is most important when caring for a
geriatric trauma patient?
A) head to to exam
B) medical history
C) incontinence
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D) falls
✓ ~~> B) medical history
Which of the following assessment findings differentiates a tension
pneumothorax from a simple pneumothorax?
A) increased work of breathing
B) unilaterally diminished breath sounds
C) pleuritic chest pain
D) hypotension that worsens with inspiration
✓ ~~> D) hypotension that worsens with inspiration.
Assessment findings associated with tension pneumothorax include anxiety,
severe restlessness, severe respiratory distress, and absent breath sounds on
the injured side. Hypotension due to compression of the heart and great
vessels is consistent with obstructive shock. Hypotension worsens with
inspiration due to increased intrathoracic pressure. Late signs include
distended neck veins, tracheal deviation, and cyanosis.
Master01 | September, 2024/2025 | Latest update