TNCC 9TH REAL EXAM ACTUAL VERIFIED EXAM BANK
QUESTIONS AND ANSWERS EXPERT VERIFIED DETAILED
ANSWERS| ALREADY GRADED A+
A patient involved in a MVC has sustained a fracture to the second rib of the anterior left chest.
Which concurrent injury is most commonly associated with this fracture?
a. Blunt cardiac injury
b. Brachial plexus injury
c. Pneumothorax
d. Hemothorax
b. Brachial plexus injury
A patient arrives at the emergency department by private vehicle after sustaining an injury to the
right lower extremity while using a saw. There is a large gaping wound to the right thigh area
with significant bleeding. What is the priority intervention?
a. Elevate the extremity to the level of the heart
b. Initiate direct pressure
c. Apply a tourniquet
d. Cover the open wound with sterile saline dressings
b. Initiate direct pressure
What is the best position for maintaining an open airway in the obese patient?
a. Prone
b. Supine
c. Reverse Trendelenburg
d. Right lateral recumbent
c. Reverse Trendelenburg
Understanding the kinematic concepts associated with the mechanism of injury and energy
transfer can initially assist the trauma care provider in which of the following?
,a. Anticipating the types of injuries that may be present
b. Deciding whether law enforcement should be notified
c. Determining needed laboratory tests
d. Predicting the need for a surgical procedure
a. Anticipating the types of injuries that may be present
What is the leading cause of preventable death for the trauma patient in the prehospital
environment?
a. Airway compromise
b. Ineffective ventilation
,c. Secondary head injury
d. Uncontrolled external hemorrhage
d. Uncontrolled external hemorrhage
A adult patient with a knife injury to the neck has an intact airway and is hemodynamically
stable. They complain of difficulty swallowing and speaking. In the primary survey, further
assessment is indicated next for which of the following conditions?
a. Damage to the cervical spine
b. An expanding pneumothorax
c. Laceration of the carotid artery
d. Injury to the thyroid gland
a. Damage to the cervical spine
What is the best measure of the adequacy of cellular perfusion and can help to predict the
outcome of resuscitation?
a. End-tidal carbon dioxide
b. Hematocrit level
c. Base deficit
d. Oxygen saturation
c. Base deficit
Which of the following is considered a cornerstone of a high-performance trauma team?
a. Individual goals
b. Use of TeamSTEPPS
c. Identification of a single decision maker
d. Effective communication
d. Effective communication
The nurse is obtaining a history for a patient who presents following sexual assault. This history
is completed using which of the following techniques?
a. Bring the family in to the interview room.
b. Use direct quotes to record information.
c. Obtain information specific only to the assault.
d. Provide food and drink to help create rapport.
b. Use direct quotes to record information.
In a patient with severe traumatic brain injury, hypocapnia causes which condition?
a. Respiratory acidosis
b. Metabolic acidosis
c. Neurogenic shock
d. Cerebral vasoconstriction
d. Cerebral vasoconstriction
, What is the appropriate technique for palpating the pelvis for stability?
a. Apply gentle pressure over the iliac crests, downward and laterally.
b. Apply gentle pressure over the iliac crests, downward and medially.
c. Apply firm pressure over the iliac crests, downward and laterally.
d. Apply firm pressure over the iliac crests, downward and medially.
b. Apply gentle pressure over the iliac crests, downward and medially.
A patient fell two weeks ago, striking their head. Today, the patient presented with a persistent
headache and nausea and was diagnosed with a small subdural hematoma. The patient has been
in the ED for 24 hours awaiting an inpatient bed. The night shift nurse reports the patient has
been anxious, restless, shaky, and vomited twice during the night. The patient states they couldn't
sleep because a young child kept coming into the room. What is the most likely cause for these
signs and symptoms?
a. increase intracranial pressure
b. alcohol withdrawal
c. rhabdomyolysis
d. pulmonary embolus
b. alcohol withdrawal
Treatment for frostbite can include which of the following interventions?
a. warm the affected part over 30-60 minutes
b. use gentle friction to improve circulation
c. administer tissue plasminogen activator
d. leave all of the blisters intact
c. administer tissue plasminogen activator
A patient with a spinal cord injury at C5 is being cared for in the emergency department while
awaiting transport to a trauma center. Which of the following represents the highest priority for
ongoing assessment and management for this patient?
a. maintain adequate respiratory status.
b. administer balanced resuscitation fluid
c. perform serial assessments of neurologic function
d. maintain core temperature
a. maintain adequate respiratory status
Following a bomb explosion, fragmentation injuries from the bomb or objects in the environment
are examples of which phase of injury?
a. primary
b. secondary
c. tertiary
d. quaternary
b. secondary
QUESTIONS AND ANSWERS EXPERT VERIFIED DETAILED
ANSWERS| ALREADY GRADED A+
A patient involved in a MVC has sustained a fracture to the second rib of the anterior left chest.
Which concurrent injury is most commonly associated with this fracture?
a. Blunt cardiac injury
b. Brachial plexus injury
c. Pneumothorax
d. Hemothorax
b. Brachial plexus injury
A patient arrives at the emergency department by private vehicle after sustaining an injury to the
right lower extremity while using a saw. There is a large gaping wound to the right thigh area
with significant bleeding. What is the priority intervention?
a. Elevate the extremity to the level of the heart
b. Initiate direct pressure
c. Apply a tourniquet
d. Cover the open wound with sterile saline dressings
b. Initiate direct pressure
What is the best position for maintaining an open airway in the obese patient?
a. Prone
b. Supine
c. Reverse Trendelenburg
d. Right lateral recumbent
c. Reverse Trendelenburg
Understanding the kinematic concepts associated with the mechanism of injury and energy
transfer can initially assist the trauma care provider in which of the following?
,a. Anticipating the types of injuries that may be present
b. Deciding whether law enforcement should be notified
c. Determining needed laboratory tests
d. Predicting the need for a surgical procedure
a. Anticipating the types of injuries that may be present
What is the leading cause of preventable death for the trauma patient in the prehospital
environment?
a. Airway compromise
b. Ineffective ventilation
,c. Secondary head injury
d. Uncontrolled external hemorrhage
d. Uncontrolled external hemorrhage
A adult patient with a knife injury to the neck has an intact airway and is hemodynamically
stable. They complain of difficulty swallowing and speaking. In the primary survey, further
assessment is indicated next for which of the following conditions?
a. Damage to the cervical spine
b. An expanding pneumothorax
c. Laceration of the carotid artery
d. Injury to the thyroid gland
a. Damage to the cervical spine
What is the best measure of the adequacy of cellular perfusion and can help to predict the
outcome of resuscitation?
a. End-tidal carbon dioxide
b. Hematocrit level
c. Base deficit
d. Oxygen saturation
c. Base deficit
Which of the following is considered a cornerstone of a high-performance trauma team?
a. Individual goals
b. Use of TeamSTEPPS
c. Identification of a single decision maker
d. Effective communication
d. Effective communication
The nurse is obtaining a history for a patient who presents following sexual assault. This history
is completed using which of the following techniques?
a. Bring the family in to the interview room.
b. Use direct quotes to record information.
c. Obtain information specific only to the assault.
d. Provide food and drink to help create rapport.
b. Use direct quotes to record information.
In a patient with severe traumatic brain injury, hypocapnia causes which condition?
a. Respiratory acidosis
b. Metabolic acidosis
c. Neurogenic shock
d. Cerebral vasoconstriction
d. Cerebral vasoconstriction
, What is the appropriate technique for palpating the pelvis for stability?
a. Apply gentle pressure over the iliac crests, downward and laterally.
b. Apply gentle pressure over the iliac crests, downward and medially.
c. Apply firm pressure over the iliac crests, downward and laterally.
d. Apply firm pressure over the iliac crests, downward and medially.
b. Apply gentle pressure over the iliac crests, downward and medially.
A patient fell two weeks ago, striking their head. Today, the patient presented with a persistent
headache and nausea and was diagnosed with a small subdural hematoma. The patient has been
in the ED for 24 hours awaiting an inpatient bed. The night shift nurse reports the patient has
been anxious, restless, shaky, and vomited twice during the night. The patient states they couldn't
sleep because a young child kept coming into the room. What is the most likely cause for these
signs and symptoms?
a. increase intracranial pressure
b. alcohol withdrawal
c. rhabdomyolysis
d. pulmonary embolus
b. alcohol withdrawal
Treatment for frostbite can include which of the following interventions?
a. warm the affected part over 30-60 minutes
b. use gentle friction to improve circulation
c. administer tissue plasminogen activator
d. leave all of the blisters intact
c. administer tissue plasminogen activator
A patient with a spinal cord injury at C5 is being cared for in the emergency department while
awaiting transport to a trauma center. Which of the following represents the highest priority for
ongoing assessment and management for this patient?
a. maintain adequate respiratory status.
b. administer balanced resuscitation fluid
c. perform serial assessments of neurologic function
d. maintain core temperature
a. maintain adequate respiratory status
Following a bomb explosion, fragmentation injuries from the bomb or objects in the environment
are examples of which phase of injury?
a. primary
b. secondary
c. tertiary
d. quaternary
b. secondary
