TNCC 9TH REAL EXAM ACTUAL VERIFIED EXAM TEST BANK 250+ QUESTIONS TNCC 9TH REAL EXAM ACTUAL VERIFIED EXAM TEST BANK 250+ QUESTIONS
AND ANSWERS VERIFIED ANSWER |RATED A AND ANSWERS VERIFIED ANSWER |RATED A
Answer: A
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? The FAST exam is done at the bedside to identify pathological fluid in the abdominal
and pelvic cavities. FAST exams reduce the use of more invasive diagnostic peritoneal
Answer: A - ANSA) report your suspicion of the maltreatment in accordance with local lavage and can be repeated if clinical changes or hemodynamic changes occur. A
regulations *** negative FAST study does not rule out injury and may warrant a follow-up computed
B) Apply ice to the bruises and consult wound care tomography scan. Serial FAST exams can identify increasing abdominal fluid collections
C) Engage in therapeutic communication to determine the MOI from hemorrhage. Diagnostic peritoneal lavage/diagnostic peritoneal aspiration is
D) provide the family with injury prevention recourse performed by the surgical team to rapidly identify the presence of hemorrhage in
patients who are hemodynamically unstable after trauma. - ANSA) diagnostic peritoneal
A 20-year old male presents to the ED c/o severe lower abd pain after landing hard on lavage ***
the bicycle cross bars which performing an aerial BMX maneuver. Secondary B) serial fast exams
assessment reveals lower abd tenderness and scrotal ecchymosis. Which of the C) abdominal and pelvic CT scans
following orders would the nurse questions? D) serial abdominal assessments
Answer: C - ANSA) Fast exam A 56-year- male patient involved in a MVC is brought to the ED of a rural critical access
B) CT scan facility. He c/o neck pain, SOB, and diffuse abd pain. His GCS is 15. His vitals are as
C) straight cath for urine sample *** follows:
D) ice and elevation of the scrotum BP 98/71
HR 125 beats/min
A 35-year old male presents with facial trauma after bring struck inthe face with a RR 26 breaths/min
baseball. a tear-drop shaped left pupil is noted on exam. What type of injury is SpO2 94% on high flow O2 via NRB mask
suspected?
which of the following is the priority intervention for this patient?
Answer: B - ANSA) oculomotor nerve palsy
B) globe rupture *** Answer: C - ANSA) Expedite transport to the CT scanner
C) uncal herniation B) prepare the patient for spinal radiographs
D) retinal detachment C) expedite transfer to the closest trauma center ***
D) notify the patients family
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? 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
Answer: B - ANSA) apply a sling and elevate the extremity to the level of the heart. primary survey, which of the following is the priority interventions?
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 Answer: A - ANSA) initiate transfer to a trauma center **
D) apply a splint and elevate the extremity to the level of the heart. B) provide report to the operating room nurse
C) Obtained imaging studies
A 49-year old restrained driver involved in a MVC presents to the trauma center c/o abd, D) Place a gastric tube
pelvic, and bil lower extremity pain Vitals signs are stable. The nurse can anticipate all
of these negative fast exam except which of the following? A patient arrives with a large open chest wound after being assault ed with a machete,
Prehospital providers placed a nonporous dressing over the chest wound and tapes it
,TNCC 9TH REAL EXAM ACTUAL VERIFIED EXAM TEST BANK 250+ QUESTIONS TNCC 9TH REAL EXAM ACTUAL VERIFIED EXAM TEST BANK 250+ QUESTIONS
AND ANSWERS VERIFIED ANSWER |RATED A AND ANSWERS VERIFIED ANSWER |RATED A
on 3 sides. He is now showing signs of anxiety, restlessness, severe respiratory
distress, cyanosis, and decreasing blood pressure. Which of the following is the MOST Answer: D - ANSA) Bradycardia and ipsilateral absences of motor function
appropriate interventions? B) Tachycardia and respiratory depression
C) Tachycardia and absent motor function below the level of injury
Answer: C - ANSA) needle decompression D) Bradycardia and absent motor function below the level of the injury ***
B) tube thoracostomy
C) dressing removal ** A patient with lower extremity fracture complains of severe pain and tightness in his calf,
D) surgical repair minimally relieved by pain medications. Which of the following is the priority nursing
intervention?
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 Answer: C - ANSA) elevating the extremity above the level of the heart
leg pain. His wife reported suddenly becoming anxious and confused. Upon B) repositioning and apply ice
reassessment, the patient is restless, with respiratory distress and petechiae to his C) Elevating the extremity to the level of the heart ***
neck. the patient is exhibiting signs of symptoms commonly associated with which of the D) Preparing the patient for ultrasound
following conditions?
A trauma patient is en route to a rural ED. Radiology notifies the charge nurse that the
Answer: B - ANSA) acute lung injury CT scanner will be out of service for several of hours. The team gathers to plan
B) fat embolism *** accordingly. Which of the following terms best describes this trauma teams
C) PTX communication?
D) pulmonary contusion
Answer: D - ANSA) Brief
A patient is found lying on the floor after falling 13 hours ago. Which of the following lab B) loop
values is expected with a musculoskeletal complication associated with this C) debrief
presentation? D) huddle ***
Answer: A - ANSA) elevated creatine kinase *** A trauma patient is restless and repeatedly asking "where am I?" vital signs upon arrival
B) decreased potassium level were BP 100/60 mm Hg, HR 96 beats/min, and RR 24 breaths/min. Her skin is cool and
C) decreased WBC dry. Current vital signs are BP 104/84mm Hg, HR 108, RR 28 breaths/min. The patient
D) elevated GFR is demonstrating signs and symptoms of which stage of shock?
A patient is thrown against a car during a tornado and presents with obvious bilateral Answer: A - ANSA) compensated **
femoral fractures. The patient is pale, alert, disoriented, and has delayed cap refill. B) Progressive
Which of the following interventions would be most appropriate for this patient based on C) irreversible
the disaster triage principle? D) decompensated
Answer: A - ANSA) initiate two large caliber intravenous lines for Ringers lactate An elderly patient with a history of anticoagulant use presents after a fall at home that
solution administration *** day. she denies any loss of consciousness. She has a hematoma to her forehead and
B) Administer Dilaudid for pain control and provide comfort care complains of headache, dizziness, and nausea. Which is a most likely cause of her
C) Place the patient in an observation area for care within the next few hours symptoms?
D) Contact the command center for the personnel to notify next of kin.
Answer: D - ANSA) epidural hematoma
A patient with a complete spinal cord injury in neurogenic shock will demonstrate B) diffuse axonal injury
hypotension and which other clinical signs? C) post-concussive syndrome
,TNCC 9TH REAL EXAM ACTUAL VERIFIED EXAM TEST BANK 250+ QUESTIONS TNCC 9TH REAL EXAM ACTUAL VERIFIED EXAM TEST BANK 250+ QUESTIONS
AND ANSWERS VERIFIED ANSWER |RATED A AND ANSWERS VERIFIED ANSWER |RATED A
D) subdural hematoma *** Answer: A - ANSA) after a physical examination if the patient has no radiologic
abnormalities on a computed tomography scan ***
An intubated trauma patient is being transferred to a tertiary care center. After moving B) after physician evaluation if the patient has not neurologic abnormalities on exam
the patient to the stretcher for transport, a drop in pulse oximetry to 85% is noted. Which C) after palpation of the spine if the patient has no point tenderness the the vertebral
of the following is the priority interventions? column
D) after physical examination if the patient has not neck pain with movement
Answer: D - ANSA) call for a portable CXR stat
B) chest to make sure the ventilator is plugged in EMS brings a patient who fell riding his bicycle. Using the American College of
C) suction the ET tube Surgeons screening guidelines, which assessment finding would prompt the nurse to
D) confirm ET tube placement prepare the patient for radiologic spine clearance?
An unresponsive trauma patient has an oropharyngeal airway in place, shallow and Answer: D - ANSA) Alert with no neurologic deficits
labored respiratory, and dusky skin. the trauma team has administered medications for B) Multiple abrasions to the extremities
drug assisted intubation and attempted intubation but was unsuccessful. What is the C) Multiple requests of water
most appropriate immediate next step? D) Smell of alcohol on breath ***
Answer: A - ANSA) Ventilate with a BVM *** Following a review of recent drills and a real disaster event, a hospital has identified
B) Prepare for cricothyroidotomy deficiencies and is taking steps to minimize the impact of future disaster. Which phase
C) administer reversal medications of the disaster life cycle does this describe?
D) contact anesthesia for assistance
Answer: A - ANSA) mitigation ***
Caregivers carry a 2-year old into the ED who fell out of 2nd story window. The patient B) preparedness
is awake and crying with increased work of breathing and pale skin. which of the C) response
following interventions has the highest priority? D) recovery
Answer: A - ANSA) padding the upper back while stabilizing the cervical spine *** If a patient has received multiple transfusions of banked blood preserved with citrate,
B) applying a tight-fitting NRB mask with an attached resevior which electrolyte is most likely to drop and require supplementation?
C) establishing intravenous access and administering a 20mL/kg bolus
D) preparing for drug assisted intubation Answer: D - ANSA) potassium
B) magnesium
During the primary survey of an unconscious patient with multi-system trauma, the C) sodium
nurse notes snoring respirations. Which priority nursing interventions should be D) calcium ***
performed next?
Patients with a crush injury should be monitored for which of the following conditions?
Answer: D - ANSA) open the airway with the head-tilt/chin lift maneuver
B) auscultate bilateral breath sounds to assess ventilatory status Answer: C - ANSA) Hypernatremia
C) assist respirations using a BVM B) Hypercalcemia
D) insert an oropharyngeal airway if there is no gag reflex *** C) Dysrhthmias **
D) polyuria
EMS arrives with the intoxicated driver of a car involved in a MVC. EMS reports
significant damage to the drivers side of the car. The patient is asking to have the Tearing of the bridging veins is most frequently associated with which brain injury?
cervical color removed. when is it appropriate to remove the cervical collar?
Answer: B - ANSA) epidural hematoma
, TNCC 9TH REAL EXAM ACTUAL VERIFIED EXAM TEST BANK 250+ QUESTIONS TNCC 9TH REAL EXAM ACTUAL VERIFIED EXAM TEST BANK 250+ QUESTIONS
AND ANSWERS VERIFIED ANSWER |RATED A AND ANSWERS VERIFIED ANSWER |RATED A
B) subdural hematoma *** D) capnography and capnometry
C) diffuse axonal injury
D) intracerebral hematoma What factor contributes most the kinetic energy of a body in motion?
The most reassuring finding for a male patient with hop pain after a fall is which of the answer: C - ANSA) acceleration
following? B) mass
C) velocity ***
Answer: D - ANSA) a normal prostate exam D) inertia
B) absence of abdominal distension
C) a normal fast exam What finding raises suspicion of complete spinal cord injury?
D) pelvic stability ***
Answer: B - ANSA) Weakness in the lower extremities
The nurse is caring for a 120 kg male is brought in after a warehouse fire and is B) Priapism ***
calculating the patient's fluid resuscitation needs. He has painful red blistering to the C) voluntary anal sphincter tone
entire surface of both upper extremities and superficial burns to the anterior chest. D) intact reflexes distal to the injury
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? Which if the following values indicates the need for alcohol withdrawal interventions?
(upper arm 4+4 / lower arm 3+3 / hand 2.5+2.5) = 19% TBSA. Answer: A - ANSA) CIWA-Ar of 36 ***
B) GCS 13
120 kg x (2 mL) x (19% TBSA) = 4560 mL C) ETCo2 of 48 mm Hg
D) heart rate of 45 beats/min
(half of fluids given in first 8 hours) = 2280 mL
Which is the effect of hypothermia on the oxyhemoglobin dissociation curve?
Answer: A - ANSA) 2280 mL ***
B) 3840 mL Answer: A - ANSA) Hemoglobin does not readily release oxygen for use by the tissues
C) 4560 mL ***
D) 7680 mL B) The amount of oxygen available to the tissues increases
C) Tissue oxygenation (PaO2) increases
The trauma nurse knows that placing a bariatric patients in a "ramped position" provides D) Hemoglobin molecule saturation (SaO2) decreases
better visualization during the insertion of which device?
Which of the following assessment findings differentiates a tension PTX from a simple
Answer: C - ANSA) Intraosseous line PTX?
B) orogastric tube
C) ET tube *** answer: D
D) urinary catheter
What bedside monitoring parameters are used to assess for adequacy of oxygenation Assessment findings associated with tension pneumothorax include anxiety, severe
and effectiveness of ventilation? 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
Answer: A - ANSA) pulse oximetry and capnogaphy ** obstructive shock. Hypotension worsens with inspiration due to increased intrathoracic
B) respiratory rate and capnography pressure. Late signs include distended neck veins, tracheal deviation, and cyanosis. -
C) pulse oximetry and respiratory rate ANSA) increased work of breathing
AND ANSWERS VERIFIED ANSWER |RATED A AND ANSWERS VERIFIED ANSWER |RATED A
Answer: A
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? The FAST exam is done at the bedside to identify pathological fluid in the abdominal
and pelvic cavities. FAST exams reduce the use of more invasive diagnostic peritoneal
Answer: A - ANSA) report your suspicion of the maltreatment in accordance with local lavage and can be repeated if clinical changes or hemodynamic changes occur. A
regulations *** negative FAST study does not rule out injury and may warrant a follow-up computed
B) Apply ice to the bruises and consult wound care tomography scan. Serial FAST exams can identify increasing abdominal fluid collections
C) Engage in therapeutic communication to determine the MOI from hemorrhage. Diagnostic peritoneal lavage/diagnostic peritoneal aspiration is
D) provide the family with injury prevention recourse performed by the surgical team to rapidly identify the presence of hemorrhage in
patients who are hemodynamically unstable after trauma. - ANSA) diagnostic peritoneal
A 20-year old male presents to the ED c/o severe lower abd pain after landing hard on lavage ***
the bicycle cross bars which performing an aerial BMX maneuver. Secondary B) serial fast exams
assessment reveals lower abd tenderness and scrotal ecchymosis. Which of the C) abdominal and pelvic CT scans
following orders would the nurse questions? D) serial abdominal assessments
Answer: C - ANSA) Fast exam A 56-year- male patient involved in a MVC is brought to the ED of a rural critical access
B) CT scan facility. He c/o neck pain, SOB, and diffuse abd pain. His GCS is 15. His vitals are as
C) straight cath for urine sample *** follows:
D) ice and elevation of the scrotum BP 98/71
HR 125 beats/min
A 35-year old male presents with facial trauma after bring struck inthe face with a RR 26 breaths/min
baseball. a tear-drop shaped left pupil is noted on exam. What type of injury is SpO2 94% on high flow O2 via NRB mask
suspected?
which of the following is the priority intervention for this patient?
Answer: B - ANSA) oculomotor nerve palsy
B) globe rupture *** Answer: C - ANSA) Expedite transport to the CT scanner
C) uncal herniation B) prepare the patient for spinal radiographs
D) retinal detachment C) expedite transfer to the closest trauma center ***
D) notify the patients family
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? 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
Answer: B - ANSA) apply a sling and elevate the extremity to the level of the heart. primary survey, which of the following is the priority interventions?
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 Answer: A - ANSA) initiate transfer to a trauma center **
D) apply a splint and elevate the extremity to the level of the heart. B) provide report to the operating room nurse
C) Obtained imaging studies
A 49-year old restrained driver involved in a MVC presents to the trauma center c/o abd, D) Place a gastric tube
pelvic, and bil lower extremity pain Vitals signs are stable. The nurse can anticipate all
of these negative fast exam except which of the following? A patient arrives with a large open chest wound after being assault ed with a machete,
Prehospital providers placed a nonporous dressing over the chest wound and tapes it
,TNCC 9TH REAL EXAM ACTUAL VERIFIED EXAM TEST BANK 250+ QUESTIONS TNCC 9TH REAL EXAM ACTUAL VERIFIED EXAM TEST BANK 250+ QUESTIONS
AND ANSWERS VERIFIED ANSWER |RATED A AND ANSWERS VERIFIED ANSWER |RATED A
on 3 sides. He is now showing signs of anxiety, restlessness, severe respiratory
distress, cyanosis, and decreasing blood pressure. Which of the following is the MOST Answer: D - ANSA) Bradycardia and ipsilateral absences of motor function
appropriate interventions? B) Tachycardia and respiratory depression
C) Tachycardia and absent motor function below the level of injury
Answer: C - ANSA) needle decompression D) Bradycardia and absent motor function below the level of the injury ***
B) tube thoracostomy
C) dressing removal ** A patient with lower extremity fracture complains of severe pain and tightness in his calf,
D) surgical repair minimally relieved by pain medications. Which of the following is the priority nursing
intervention?
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 Answer: C - ANSA) elevating the extremity above the level of the heart
leg pain. His wife reported suddenly becoming anxious and confused. Upon B) repositioning and apply ice
reassessment, the patient is restless, with respiratory distress and petechiae to his C) Elevating the extremity to the level of the heart ***
neck. the patient is exhibiting signs of symptoms commonly associated with which of the D) Preparing the patient for ultrasound
following conditions?
A trauma patient is en route to a rural ED. Radiology notifies the charge nurse that the
Answer: B - ANSA) acute lung injury CT scanner will be out of service for several of hours. The team gathers to plan
B) fat embolism *** accordingly. Which of the following terms best describes this trauma teams
C) PTX communication?
D) pulmonary contusion
Answer: D - ANSA) Brief
A patient is found lying on the floor after falling 13 hours ago. Which of the following lab B) loop
values is expected with a musculoskeletal complication associated with this C) debrief
presentation? D) huddle ***
Answer: A - ANSA) elevated creatine kinase *** A trauma patient is restless and repeatedly asking "where am I?" vital signs upon arrival
B) decreased potassium level were BP 100/60 mm Hg, HR 96 beats/min, and RR 24 breaths/min. Her skin is cool and
C) decreased WBC dry. Current vital signs are BP 104/84mm Hg, HR 108, RR 28 breaths/min. The patient
D) elevated GFR is demonstrating signs and symptoms of which stage of shock?
A patient is thrown against a car during a tornado and presents with obvious bilateral Answer: A - ANSA) compensated **
femoral fractures. The patient is pale, alert, disoriented, and has delayed cap refill. B) Progressive
Which of the following interventions would be most appropriate for this patient based on C) irreversible
the disaster triage principle? D) decompensated
Answer: A - ANSA) initiate two large caliber intravenous lines for Ringers lactate An elderly patient with a history of anticoagulant use presents after a fall at home that
solution administration *** day. she denies any loss of consciousness. She has a hematoma to her forehead and
B) Administer Dilaudid for pain control and provide comfort care complains of headache, dizziness, and nausea. Which is a most likely cause of her
C) Place the patient in an observation area for care within the next few hours symptoms?
D) Contact the command center for the personnel to notify next of kin.
Answer: D - ANSA) epidural hematoma
A patient with a complete spinal cord injury in neurogenic shock will demonstrate B) diffuse axonal injury
hypotension and which other clinical signs? C) post-concussive syndrome
,TNCC 9TH REAL EXAM ACTUAL VERIFIED EXAM TEST BANK 250+ QUESTIONS TNCC 9TH REAL EXAM ACTUAL VERIFIED EXAM TEST BANK 250+ QUESTIONS
AND ANSWERS VERIFIED ANSWER |RATED A AND ANSWERS VERIFIED ANSWER |RATED A
D) subdural hematoma *** Answer: A - ANSA) after a physical examination if the patient has no radiologic
abnormalities on a computed tomography scan ***
An intubated trauma patient is being transferred to a tertiary care center. After moving B) after physician evaluation if the patient has not neurologic abnormalities on exam
the patient to the stretcher for transport, a drop in pulse oximetry to 85% is noted. Which C) after palpation of the spine if the patient has no point tenderness the the vertebral
of the following is the priority interventions? column
D) after physical examination if the patient has not neck pain with movement
Answer: D - ANSA) call for a portable CXR stat
B) chest to make sure the ventilator is plugged in EMS brings a patient who fell riding his bicycle. Using the American College of
C) suction the ET tube Surgeons screening guidelines, which assessment finding would prompt the nurse to
D) confirm ET tube placement prepare the patient for radiologic spine clearance?
An unresponsive trauma patient has an oropharyngeal airway in place, shallow and Answer: D - ANSA) Alert with no neurologic deficits
labored respiratory, and dusky skin. the trauma team has administered medications for B) Multiple abrasions to the extremities
drug assisted intubation and attempted intubation but was unsuccessful. What is the C) Multiple requests of water
most appropriate immediate next step? D) Smell of alcohol on breath ***
Answer: A - ANSA) Ventilate with a BVM *** Following a review of recent drills and a real disaster event, a hospital has identified
B) Prepare for cricothyroidotomy deficiencies and is taking steps to minimize the impact of future disaster. Which phase
C) administer reversal medications of the disaster life cycle does this describe?
D) contact anesthesia for assistance
Answer: A - ANSA) mitigation ***
Caregivers carry a 2-year old into the ED who fell out of 2nd story window. The patient B) preparedness
is awake and crying with increased work of breathing and pale skin. which of the C) response
following interventions has the highest priority? D) recovery
Answer: A - ANSA) padding the upper back while stabilizing the cervical spine *** If a patient has received multiple transfusions of banked blood preserved with citrate,
B) applying a tight-fitting NRB mask with an attached resevior which electrolyte is most likely to drop and require supplementation?
C) establishing intravenous access and administering a 20mL/kg bolus
D) preparing for drug assisted intubation Answer: D - ANSA) potassium
B) magnesium
During the primary survey of an unconscious patient with multi-system trauma, the C) sodium
nurse notes snoring respirations. Which priority nursing interventions should be D) calcium ***
performed next?
Patients with a crush injury should be monitored for which of the following conditions?
Answer: D - ANSA) open the airway with the head-tilt/chin lift maneuver
B) auscultate bilateral breath sounds to assess ventilatory status Answer: C - ANSA) Hypernatremia
C) assist respirations using a BVM B) Hypercalcemia
D) insert an oropharyngeal airway if there is no gag reflex *** C) Dysrhthmias **
D) polyuria
EMS arrives with the intoxicated driver of a car involved in a MVC. EMS reports
significant damage to the drivers side of the car. The patient is asking to have the Tearing of the bridging veins is most frequently associated with which brain injury?
cervical color removed. when is it appropriate to remove the cervical collar?
Answer: B - ANSA) epidural hematoma
, TNCC 9TH REAL EXAM ACTUAL VERIFIED EXAM TEST BANK 250+ QUESTIONS TNCC 9TH REAL EXAM ACTUAL VERIFIED EXAM TEST BANK 250+ QUESTIONS
AND ANSWERS VERIFIED ANSWER |RATED A AND ANSWERS VERIFIED ANSWER |RATED A
B) subdural hematoma *** D) capnography and capnometry
C) diffuse axonal injury
D) intracerebral hematoma What factor contributes most the kinetic energy of a body in motion?
The most reassuring finding for a male patient with hop pain after a fall is which of the answer: C - ANSA) acceleration
following? B) mass
C) velocity ***
Answer: D - ANSA) a normal prostate exam D) inertia
B) absence of abdominal distension
C) a normal fast exam What finding raises suspicion of complete spinal cord injury?
D) pelvic stability ***
Answer: B - ANSA) Weakness in the lower extremities
The nurse is caring for a 120 kg male is brought in after a warehouse fire and is B) Priapism ***
calculating the patient's fluid resuscitation needs. He has painful red blistering to the C) voluntary anal sphincter tone
entire surface of both upper extremities and superficial burns to the anterior chest. D) intact reflexes distal to the injury
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? Which if the following values indicates the need for alcohol withdrawal interventions?
(upper arm 4+4 / lower arm 3+3 / hand 2.5+2.5) = 19% TBSA. Answer: A - ANSA) CIWA-Ar of 36 ***
B) GCS 13
120 kg x (2 mL) x (19% TBSA) = 4560 mL C) ETCo2 of 48 mm Hg
D) heart rate of 45 beats/min
(half of fluids given in first 8 hours) = 2280 mL
Which is the effect of hypothermia on the oxyhemoglobin dissociation curve?
Answer: A - ANSA) 2280 mL ***
B) 3840 mL Answer: A - ANSA) Hemoglobin does not readily release oxygen for use by the tissues
C) 4560 mL ***
D) 7680 mL B) The amount of oxygen available to the tissues increases
C) Tissue oxygenation (PaO2) increases
The trauma nurse knows that placing a bariatric patients in a "ramped position" provides D) Hemoglobin molecule saturation (SaO2) decreases
better visualization during the insertion of which device?
Which of the following assessment findings differentiates a tension PTX from a simple
Answer: C - ANSA) Intraosseous line PTX?
B) orogastric tube
C) ET tube *** answer: D
D) urinary catheter
What bedside monitoring parameters are used to assess for adequacy of oxygenation Assessment findings associated with tension pneumothorax include anxiety, severe
and effectiveness of ventilation? 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
Answer: A - ANSA) pulse oximetry and capnogaphy ** obstructive shock. Hypotension worsens with inspiration due to increased intrathoracic
B) respiratory rate and capnography pressure. Late signs include distended neck veins, tracheal deviation, and cyanosis. -
C) pulse oximetry and respiratory rate ANSA) increased work of breathing
