TNCC 8th Edition Provider Exam with
answers
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? - CORRECT ANSWER-Straight catheter for urine
sample
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? -
CORRECT ANSWER-Globe rupture
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? - CORRECT
ANSWER-Apply a splint and elevate the extremity above the
level of the heart
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? - CORRECT
ANSWER-Diagnostic peritoneal lavage
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? - CORRECT ANSWER-Report your suspicion of
maltreatment in accordance with local regulations
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? - CORRECT ANSWER-
Expedite transfer to the closest trauma center
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? - CORRECT ANSWER-Dressing removal
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? -
CORRECT ANSWER-Fat embolism
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, which of the following is the priority
answers
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? - CORRECT ANSWER-Straight catheter for urine
sample
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? -
CORRECT ANSWER-Globe rupture
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? - CORRECT
ANSWER-Apply a splint and elevate the extremity above the
level of the heart
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? - CORRECT
ANSWER-Diagnostic peritoneal lavage
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? - CORRECT ANSWER-Report your suspicion of
maltreatment in accordance with local regulations
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? - CORRECT ANSWER-
Expedite transfer to the closest trauma center
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? - CORRECT ANSWER-Dressing removal
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? -
CORRECT ANSWER-Fat embolism
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, which of the following is the priority
