TNCC FINAL EXAM TEST 2022 OPEN
BOOK QUESTIONS WITH COMPLETE
ANSWERS
You kkare kktreating kka kk27-year kkold kkmale kkin kkrespiratory kkdistress kkwho kkwas
kkinvolved kkin kka kkhouse kkfire. kkCalculating kkTBSA kkburned kkis kkdeferred kkd/t kkthe
kkneed kkfor kkemergent kkintubation. kkAt kkwhat kkrate kkshould kkyou kkbegin kkfluid
kkresuscitation?
A) kk1000 kkmL/hr
B) kk500 kkmL/hr kk
C) kk250 kkmL/hr
D) kk125 kkmL/hr kk- kkAnswer kkB) kk500 kkmL/hr
A kkpatient kkhas kkbeen kkin kkthe kkED kkfor kkseveral kkhours kkwaiting kkto kkbe kkadmitted.
kkHe kksustained kkmultiple kkrib kkfractures kkand kka kkfemur kkfracture kkafter kka kkfall. kkHe
kkhas kkbeen kkawake, kkalert, kkand kkc/o kkleg kkpain. kkHis kkwife kkreported kksuddenly
kkbecoming kkanxious kkand kkconfused. kkUpon kkreassessment, kkthe kkpatient kkis
kkrestless, kkwith kkrespiratory kkdistress kkand kkpetechiae kkto kkhis kkneck. kkthe kkpatient
kkis kkexhibiting kksigns kkof kksymptoms kkcommonly kkassociated kkwith kkwhich kkof kkthe
kkfollowing kkconditions?
A) kkacute kklung kkinjury
B) kkfat kkembolism
C) kkPTX
D) kkpulmonary kkcontusion kk- kkAnswer kkB) kkfat kkembolism
Which kkpulse kkpressure kkdescription kkis kkan kkindication kkof kkearly kkhypovolemic
kkshock?
A) kkwidened
B) kknarrowed kk
C) kkbounding
D) kkweak kk- kkAnswer kkB) kknarrowed
Which kkof kkthe kkfollowing kkconsiderations kkis kkmost kkimportant kkwhen kkcaring kkfor kka
kkgeriatric kktrauma kkpatient?
A) kkhead kkto kkto kkexam
B) kkmedical kkhistory
, C) kkincontinence
D) kkfalls kk- kkAnswer kkB) kkmedical kkhistory
Which kkof kkthe kkfollowing kkassessment kkfindings kkdifferentiates kka kktension
kkpneumothorax kkfrom kka kksimple kkpneumothorax?
A) kkincreased kkwork kkof kkbreathing
B) kkunilaterally kkdiminished kkbreath kksounds
C) kkpleuritic kkchest kkpain
D) kkhypotension kkthat kkworsens kkwith kkinspiration kk- kkAnswer kkD) kkhypotension kkthat
kkworsens kkwith kkinspiration.
Assessment kkfindings kkassociated kkwith kktension kkpneumothorax kkinclude kkanxiety,
kksevere kkrestlessness, kksevere kkrespiratory kkdistress, kkand kkabsent kkbreath kksounds
kkon kkthe kkinjured kkside. kkHypotension kkdue kkto kkcompression kkof kkthe kkheart kkand
kkgreat kkvessels kkis kkconsistent kkwith kkobstructive kkshock. kkHypotension kkworsens
kkwith kkinspiration kkdue kkto kkincreased kkintrathoracic kkpressure. kkLate kksigns kkinclude
kkdistended kkneck kkveins, kktracheal kkdeviation, kkand kkcyanosis.
The kknurse kkis kkcaring kkfor kka kk120 kkkg kkmale kkis kkbrought kkin kkafter kka kkwarehouse
kkfire kkand kkis kkcalculating kkthe kkpatient's kkfluid kkresuscitation kkneeds. kkHe kkhas
kkpainful kkred kkblistering kkto kkthe kkentire kksurface kkof kkboth kkupper kkextremities kkand
kksuperficial kkburns kkto kkthe kkanterior kkchest. kkUsing kkthe kkmodified kkLund kkand
kkBrowder kkchart kkto kkcalculate kkthe kktotal kkBSA kkburned, kkhow kkmuch kkIV kkfluids
kkwould kkbe kkadministered kkin kkthe kkfirst kk8 kkhours?
A) kk2280 kkmL kk
B) kk3840 kkmL
C) kk4560 kkmL
D) kk7680 kkmL kk- kkAnswer kkA) kk2280 kkmL
(upper kkarm kk4+4 kk/ kklower kkarm kk3+3 kk/ kkhand kk2.5+2.5) kk= kk19% kkTBSA.
120 kkkg kkx kk(2 kkmL) kkx kk(19% kkTBSA) kk= kk4560 kkmL
4560 kk/ kk2 kk(half kkof kkfluids kkgiven kkin kkfirst kk8 kkhours) kk= kk2280 kkmL
Which kkof kkthe kkfollowing kkis kka kkcomponent kkof kkthe kktrauma kktriad kkof kkdeath?
A) kkAcidosis
B) kkhyperthermia
C) kkhemorrhage
D) kksepsis kk- kkAnswer kkA) kkAcidosis
kkhypothermia, kkmetabolic kkacidosis, kkcoagulopathy
BOOK QUESTIONS WITH COMPLETE
ANSWERS
You kkare kktreating kka kk27-year kkold kkmale kkin kkrespiratory kkdistress kkwho kkwas
kkinvolved kkin kka kkhouse kkfire. kkCalculating kkTBSA kkburned kkis kkdeferred kkd/t kkthe
kkneed kkfor kkemergent kkintubation. kkAt kkwhat kkrate kkshould kkyou kkbegin kkfluid
kkresuscitation?
A) kk1000 kkmL/hr
B) kk500 kkmL/hr kk
C) kk250 kkmL/hr
D) kk125 kkmL/hr kk- kkAnswer kkB) kk500 kkmL/hr
A kkpatient kkhas kkbeen kkin kkthe kkED kkfor kkseveral kkhours kkwaiting kkto kkbe kkadmitted.
kkHe kksustained kkmultiple kkrib kkfractures kkand kka kkfemur kkfracture kkafter kka kkfall. kkHe
kkhas kkbeen kkawake, kkalert, kkand kkc/o kkleg kkpain. kkHis kkwife kkreported kksuddenly
kkbecoming kkanxious kkand kkconfused. kkUpon kkreassessment, kkthe kkpatient kkis
kkrestless, kkwith kkrespiratory kkdistress kkand kkpetechiae kkto kkhis kkneck. kkthe kkpatient
kkis kkexhibiting kksigns kkof kksymptoms kkcommonly kkassociated kkwith kkwhich kkof kkthe
kkfollowing kkconditions?
A) kkacute kklung kkinjury
B) kkfat kkembolism
C) kkPTX
D) kkpulmonary kkcontusion kk- kkAnswer kkB) kkfat kkembolism
Which kkpulse kkpressure kkdescription kkis kkan kkindication kkof kkearly kkhypovolemic
kkshock?
A) kkwidened
B) kknarrowed kk
C) kkbounding
D) kkweak kk- kkAnswer kkB) kknarrowed
Which kkof kkthe kkfollowing kkconsiderations kkis kkmost kkimportant kkwhen kkcaring kkfor kka
kkgeriatric kktrauma kkpatient?
A) kkhead kkto kkto kkexam
B) kkmedical kkhistory
, C) kkincontinence
D) kkfalls kk- kkAnswer kkB) kkmedical kkhistory
Which kkof kkthe kkfollowing kkassessment kkfindings kkdifferentiates kka kktension
kkpneumothorax kkfrom kka kksimple kkpneumothorax?
A) kkincreased kkwork kkof kkbreathing
B) kkunilaterally kkdiminished kkbreath kksounds
C) kkpleuritic kkchest kkpain
D) kkhypotension kkthat kkworsens kkwith kkinspiration kk- kkAnswer kkD) kkhypotension kkthat
kkworsens kkwith kkinspiration.
Assessment kkfindings kkassociated kkwith kktension kkpneumothorax kkinclude kkanxiety,
kksevere kkrestlessness, kksevere kkrespiratory kkdistress, kkand kkabsent kkbreath kksounds
kkon kkthe kkinjured kkside. kkHypotension kkdue kkto kkcompression kkof kkthe kkheart kkand
kkgreat kkvessels kkis kkconsistent kkwith kkobstructive kkshock. kkHypotension kkworsens
kkwith kkinspiration kkdue kkto kkincreased kkintrathoracic kkpressure. kkLate kksigns kkinclude
kkdistended kkneck kkveins, kktracheal kkdeviation, kkand kkcyanosis.
The kknurse kkis kkcaring kkfor kka kk120 kkkg kkmale kkis kkbrought kkin kkafter kka kkwarehouse
kkfire kkand kkis kkcalculating kkthe kkpatient's kkfluid kkresuscitation kkneeds. kkHe kkhas
kkpainful kkred kkblistering kkto kkthe kkentire kksurface kkof kkboth kkupper kkextremities kkand
kksuperficial kkburns kkto kkthe kkanterior kkchest. kkUsing kkthe kkmodified kkLund kkand
kkBrowder kkchart kkto kkcalculate kkthe kktotal kkBSA kkburned, kkhow kkmuch kkIV kkfluids
kkwould kkbe kkadministered kkin kkthe kkfirst kk8 kkhours?
A) kk2280 kkmL kk
B) kk3840 kkmL
C) kk4560 kkmL
D) kk7680 kkmL kk- kkAnswer kkA) kk2280 kkmL
(upper kkarm kk4+4 kk/ kklower kkarm kk3+3 kk/ kkhand kk2.5+2.5) kk= kk19% kkTBSA.
120 kkkg kkx kk(2 kkmL) kkx kk(19% kkTBSA) kk= kk4560 kkmL
4560 kk/ kk2 kk(half kkof kkfluids kkgiven kkin kkfirst kk8 kkhours) kk= kk2280 kkmL
Which kkof kkthe kkfollowing kkis kka kkcomponent kkof kkthe kktrauma kktriad kkof kkdeath?
A) kkAcidosis
B) kkhyperthermia
C) kkhemorrhage
D) kksepsis kk- kkAnswer kkA) kkAcidosis
kkhypothermia, kkmetabolic kkacidosis, kkcoagulopathy
