EXAMINERS MARKING SCHEME (EXAM DATE: 20th MAY- 21st MAY, 2025)
TNCC FINAL EXAM 2024-2025 QUESTION AND ANSWERS (VERIFIED
ANSWERS) A+ GRADES
THANK ME LATER!! ALL THE BEST!!
Why is a measure of serum lactate obtained in the initial assessment of the trauma patient?
Answer: c.
1
, A) to measure oxygenation and ventilation
B) to quantify the base deficit for the adequacy of cellular perfusion
C) to gauge end-organ perfusion and tissue hypoxia
D) to determine the underlying cause of shock
A trauma patient is restless and repeatedly asking "where am I?" vital signs upon arrival were BP
100/60 mm Hg, HR 96 beats/min, and RR 24 breaths/min. Her skin is cool and dry. Current vital
signs are BP 104/84mm Hg, HR 108, RR 28 breaths/min. The patient is demonstrating signs and
symptoms of which stage of shock?
Answer: A.
A) compensated
B) Progressive
C) irreversible
D) decompensated
An elderly patient with a history of anticoagulant use presents after a fall at home that day. She
denies any loss of consciousness. She has a hematoma to her forehead and complains of
headache, dizziness, and nausea. Which is a most likely cause of her symptoms?
Answer: D .
A) epidural hematoma
B) diffuse axonal injury
C) post-concussive syndrome
D) subdural hematoma ***
EMS brings a patient who fell riding his bicycle. Using the American College of Surgeons
screening
guidelines, which assessment finding would prompt the nurse to prepare the patient for
radiologic spine
clearance?
Answer: D .
A) Alert with no neurologic deficits
B) Multiple abrasions to the extremities
C) Multiple requests of water
D) Smell of alcohol on breath
Which of the following occurs during the third impact of a motor vehicle crash?
Answer: C .
A) The driver of the vehicle collides with the steering wheel.
B) the vehicle collides with a tree
2
TNCC FINAL EXAM 2024-2025 QUESTION AND ANSWERS (VERIFIED
ANSWERS) A+ GRADES
THANK ME LATER!! ALL THE BEST!!
Why is a measure of serum lactate obtained in the initial assessment of the trauma patient?
Answer: c.
1
, A) to measure oxygenation and ventilation
B) to quantify the base deficit for the adequacy of cellular perfusion
C) to gauge end-organ perfusion and tissue hypoxia
D) to determine the underlying cause of shock
A trauma patient is restless and repeatedly asking "where am I?" vital signs upon arrival were BP
100/60 mm Hg, HR 96 beats/min, and RR 24 breaths/min. Her skin is cool and dry. Current vital
signs are BP 104/84mm Hg, HR 108, RR 28 breaths/min. The patient is demonstrating signs and
symptoms of which stage of shock?
Answer: A.
A) compensated
B) Progressive
C) irreversible
D) decompensated
An elderly patient with a history of anticoagulant use presents after a fall at home that day. She
denies any loss of consciousness. She has a hematoma to her forehead and complains of
headache, dizziness, and nausea. Which is a most likely cause of her symptoms?
Answer: D .
A) epidural hematoma
B) diffuse axonal injury
C) post-concussive syndrome
D) subdural hematoma ***
EMS brings a patient who fell riding his bicycle. Using the American College of Surgeons
screening
guidelines, which assessment finding would prompt the nurse to prepare the patient for
radiologic spine
clearance?
Answer: D .
A) Alert with no neurologic deficits
B) Multiple abrasions to the extremities
C) Multiple requests of water
D) Smell of alcohol on breath
Which of the following occurs during the third impact of a motor vehicle crash?
Answer: C .
A) The driver of the vehicle collides with the steering wheel.
B) the vehicle collides with a tree
2
