TNCC final exam test 2024 open book
Questions and Answers
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 - correct answer ✅✅
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?
A) acute lung injury
B) fat embolism
C) PTX
D) pulmonary contusion - correct answer ✅✅B) fat embolism
Which pulse pressure description is an indication of early
hypovolemic shock?
,TNCC final exam test 2024 open book
Questions and Answers
A) widened
B) narrowed
C) bounding
D) weak - correct answer ✅✅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
D) falls - correct answer ✅✅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 - correct answer
✅✅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
, TNCC final exam test 2024 open book
Questions and Answers
obstructive shock. Hypotension worsens with inspiration due to
increased intrathoracic pressure. Late signs include distended
neck veins, tracheal deviation, and cyanosis.
The nurse is caring for a 120 kg male is brought in after a
warehouse fire and is calculating the patient's fluid resuscitation
needs. He has painful red blistering to the entire surface of both
upper extremities and superficial burns to the anterior chest.
Using the modified Lund and Browder chart to calculate the total
BSA burned, how much IV fluids would be administered in the first
8 hours?
A) 2280 mL
B) 3840 mL
C) 4560 mL
D) 7680 mL - correct answer ✅✅A) 2280 mL
(upper arm 4+4 / lower arm 3+3 / hand 2.5+2.5) = 19% TBSA.
120 kg x (2 mL) x (19% TBSA) = 4560 mL
(half of fluids given in first 8 hours) = 2280 mL
Which of the following is a component of the trauma triad of
death?
A) Acidosis
Questions and Answers
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 - correct answer ✅✅
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?
A) acute lung injury
B) fat embolism
C) PTX
D) pulmonary contusion - correct answer ✅✅B) fat embolism
Which pulse pressure description is an indication of early
hypovolemic shock?
,TNCC final exam test 2024 open book
Questions and Answers
A) widened
B) narrowed
C) bounding
D) weak - correct answer ✅✅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
D) falls - correct answer ✅✅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 - correct answer
✅✅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
, TNCC final exam test 2024 open book
Questions and Answers
obstructive shock. Hypotension worsens with inspiration due to
increased intrathoracic pressure. Late signs include distended
neck veins, tracheal deviation, and cyanosis.
The nurse is caring for a 120 kg male is brought in after a
warehouse fire and is calculating the patient's fluid resuscitation
needs. He has painful red blistering to the entire surface of both
upper extremities and superficial burns to the anterior chest.
Using the modified Lund and Browder chart to calculate the total
BSA burned, how much IV fluids would be administered in the first
8 hours?
A) 2280 mL
B) 3840 mL
C) 4560 mL
D) 7680 mL - correct answer ✅✅A) 2280 mL
(upper arm 4+4 / lower arm 3+3 / hand 2.5+2.5) = 19% TBSA.
120 kg x (2 mL) x (19% TBSA) = 4560 mL
(half of fluids given in first 8 hours) = 2280 mL
Which of the following is a component of the trauma triad of
death?
A) Acidosis
