TNCC FINAL EXAM NEWEST COMPLETE
QUESTIONS AND CORRECT VERIFIED
ANSWERS| WELL GRADED A+||LATEST
UPDATE
A passenger is brought to the emergency department of a rural hospital following a
high-speed MVC. When significant abdominal and pelvic injuries are noted in the
primary survey, which of the following is the priority interventions?
Answer: A - CORRECT ANSWERS-A) initiate transfer to a trauma center **
B) provide report to the operating room nurse
C) Obtained imaging studies
D) Place a gastric tube
Which of the following injuries is LEAST likely to be promptly identified?
Answer: C - CORRECT ANSWERS-A) spleen
B) lung
C) bowel ***
D) brain
Patients with a crush injury should be monitored for which of the following conditions?
Answer: C - CORRECT ANSWERS-A) Hypernatremia
B) Hypercalcemia
C) Dysrhthmias **
D) polyuria
What finding raises suspicion of complete spinal cord injury?
Answer: B - CORRECT ANSWERS-A) Weakness in the lower extremities
B) Priapism ***
C) voluntary anal sphincter tone
D) intact reflexes distal to the injury
A patient with a complete spinal cord injury in neurogenic shock will demonstrate
hypotension and which other clinical signs?
Answer: D - CORRECT ANSWERS-A) Bradycardia and ipsilateral absences of motor
function
B) Tachycardia and respiratory depression
C) Tachycardia and absent motor function below the level of injury
, D) Bradycardia and absent motor function below the level of the injury ***
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?
Answer: A - CORRECT ANSWERS-A) report your suspicion of the maltreatment in
accordance with local regulations ***
B) apply ice to the bruises and consult wound care
C) engage in therapeutic communication to determine the MOI
D) provide the family with injury prevention resourse
A patient with lower extremity fracture complains of severe pain and tightness in his calf,
minimally relieved by pain medications. Which of the following is the priority nursing
intervention?
Answer: C - CORRECT ANSWERS-A) elevating the extremity above the level of the
heart
B) repositioning and apply ice
C) Elevating the extremity to the level of the heart ***
D) Preparing the patient for ultrasound
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?
Answer: B - CORRECT ANSWERS-A) apply a sling and elevate the extremity to the
level of the heart.
B) apply a splint and ELEVATE ABOVE THE LEVEL OF THE HEART ***
C) Apply a sling and elevate the extremity above the level of the heart
D) apply a splint and elevate the extremity to the level of the heart.
Which of the following is a late sign of increased intracranial pressure?
Answer: C
Cushing Response
Widening pulse pressure
Reflex bradycardia
Decreased RR - CORRECT ANSWERS-A) Restlessness or drowsiness
B) Nausea and vomiting
C) Decreased respiratory effort**
D) amnesia and anxiety
Which of the following mnemonics can help the nurse prioritize care for a trauma patient
with massive uncontrolled hemorrhage?
QUESTIONS AND CORRECT VERIFIED
ANSWERS| WELL GRADED A+||LATEST
UPDATE
A passenger is brought to the emergency department of a rural hospital following a
high-speed MVC. When significant abdominal and pelvic injuries are noted in the
primary survey, which of the following is the priority interventions?
Answer: A - CORRECT ANSWERS-A) initiate transfer to a trauma center **
B) provide report to the operating room nurse
C) Obtained imaging studies
D) Place a gastric tube
Which of the following injuries is LEAST likely to be promptly identified?
Answer: C - CORRECT ANSWERS-A) spleen
B) lung
C) bowel ***
D) brain
Patients with a crush injury should be monitored for which of the following conditions?
Answer: C - CORRECT ANSWERS-A) Hypernatremia
B) Hypercalcemia
C) Dysrhthmias **
D) polyuria
What finding raises suspicion of complete spinal cord injury?
Answer: B - CORRECT ANSWERS-A) Weakness in the lower extremities
B) Priapism ***
C) voluntary anal sphincter tone
D) intact reflexes distal to the injury
A patient with a complete spinal cord injury in neurogenic shock will demonstrate
hypotension and which other clinical signs?
Answer: D - CORRECT ANSWERS-A) Bradycardia and ipsilateral absences of motor
function
B) Tachycardia and respiratory depression
C) Tachycardia and absent motor function below the level of injury
, D) Bradycardia and absent motor function below the level of the injury ***
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?
Answer: A - CORRECT ANSWERS-A) report your suspicion of the maltreatment in
accordance with local regulations ***
B) apply ice to the bruises and consult wound care
C) engage in therapeutic communication to determine the MOI
D) provide the family with injury prevention resourse
A patient with lower extremity fracture complains of severe pain and tightness in his calf,
minimally relieved by pain medications. Which of the following is the priority nursing
intervention?
Answer: C - CORRECT ANSWERS-A) elevating the extremity above the level of the
heart
B) repositioning and apply ice
C) Elevating the extremity to the level of the heart ***
D) Preparing the patient for ultrasound
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?
Answer: B - CORRECT ANSWERS-A) apply a sling and elevate the extremity to the
level of the heart.
B) apply a splint and ELEVATE ABOVE THE LEVEL OF THE HEART ***
C) Apply a sling and elevate the extremity above the level of the heart
D) apply a splint and elevate the extremity to the level of the heart.
Which of the following is a late sign of increased intracranial pressure?
Answer: C
Cushing Response
Widening pulse pressure
Reflex bradycardia
Decreased RR - CORRECT ANSWERS-A) Restlessness or drowsiness
B) Nausea and vomiting
C) Decreased respiratory effort**
D) amnesia and anxiety
Which of the following mnemonics can help the nurse prioritize care for a trauma patient
with massive uncontrolled hemorrhage?
