TNCC Exam 8th edition study
.A 35-Year-Old Male Presents With Facial Trauma After Being Struck In The Face With
A Baseball. A Teardrop-Shaped Left Pupil Is Noted On Exam. What Type Of Injury Is
Suspected? - Ansglobe Rupture A Teardrop-Shaped Pupil Suggests A Globe Rupture.
.A Patient With A Complete Spinal Cord Injury In Neurogenic Shock Will Demonstrate
Hypotension And Which Other Clinical Signs? - Ansbradycardia And Absent Motor
Function Below The Level Of Injury Patients With A Complete Spinal Cord Injury Will
Have Absent Motor Function Below The Level Of The Lesion. They Become
Hypotensive And Bradycardic Due To Loss Of Autonomic Nervous System Function.
.During The Primary Survey Of An Unconscious Patient With Multi-System Trauma, The
Nurse Notes Snoring Respirations. What Priority Nursing Intervention Should Be
Performed Next? - Ansinsert An Oropharyngeal Airway If There Is No Gag Reflex
Snoring Respirations May Indicate Airway Obstruction From The Tongue. Insert An
Airway Adjunct To Alleviate Obstruction By The Tongue. Oropharyngeal Airways Can
Be Used In Patients Without A Gag Reflex.
1.What Is The Effect Of Hypothermia On The Oxyhemoglobin Dissociation Curve -
Anshemoglobin Does Not Readily Release Oxygen For Use By The Tissues A Shift To
The Left Occurs In An Environment Of Low Metabolic Demand (Hypothermia,
Hypocapnia, Alkalosis), Increasing Hemoglobin's Affinity For Oxygen.
A 20-Year-Old Male Presents To The Ed Complaining Of Severe Lower Abdominal Pain
After Landing Hard On The Bicycle Cross Bars While Performing An Aerial Bmx
Maneuver. Secondary Assessment Reveals Lower Abdominal Tenderness And Scrotal
Ecchymosis. Which Of The Following Orders Would The Nurse Question? - Ansstraight
Catheter For Urine Sample Insertion Of A Urinary Catheter Is Contraindicated If Urethral
Transection Is Suspected. Signs And Symptoms Of Urethral Injury Include Blood At The
Meatus, Perineal Ecchymosis, Scrotal Ecchymosis, And A High-Riding Or Non-Palpable
Prostate.
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? - Ansapply A Splint And Elevate The Extremity Above The Level Of The
Heart Splinting The Injured Extremity Stabilizes The Extremity And Reduces Further
Injury. Elevation Above The Level Of The Heart Promotes Venous Return And May
Reduce Swelling.
A 49-Year-Old Restrained Driver Involved In A Motor Vehicle Collision Presents To The
Trauma Center Complaining Of Abdominal, Pelvic, And Bilateral Lower Extremity Pain.
Vital Signs Are Stable. The Nurse Can Anticipate All Of These After A Negative Fast
Exam Except Which Of The Following? - Ansdiagnostic Peritoneal Lavage Diagnostic
Peritoneal Lavage Is Indicated For Hemodynamically Unstable Patients Or If Fast And
Ct Are Not Available.
, TNCC Exam 8th edition study
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? -
Ansreport Your Suspicion Of Maltreatment In Accordance With Local Regulations
Nurses Are Mandated Reporters In Most Jurisdictions. With No Alterations In The
Primary Survey, This Is The Priority Intervention.
A 56-Year-Old Male Patient Involved In A Motor Vehicle Crash Is Brought To The
Emergency Department Of A Rural Critical Access Facility. He Complains Of Neck
Pain, Shortness Of Breath, And Diffuse Abdominal Pain. His Glasgow Coma Score Is
15. His Vital Signs Are As Follows: Bp 98/71 Mm Hg, Hr 125 Beats/Minute, Rr 26
Breaths/Minute, Spo2 94% On High-Flow Oxygen Via Non-Rebreather Mask. Which Of
The Following Is The Priority Intervention For This Patient? - Ansexpedite Transfer To
The Closest Trauma Center The American College Of Surgeons Recommends That
Patients With Significant Injuries Be Transported To A Trauma Center For Definitive
Care. This Patient's Injuries Might Not Be Definitively Diagnosed, But His Symptoms
And Vital Signs Indicate The Need For
A Patient Arrives With A Large Open Chest Wound After Being Assaulted With A
Machete. Prehospital Providers Placed A Nonporous Dressing Over The Chest Wound
And Taped It On Three Sides. He Is Now Showing Signs Of Anxiety, Restlessness,
Severe Respiratory Distress, Cyanosis And Decreasing Blood Pressure. Which Of The
Following Is The Most Appropriate Immediate Intervention? - Ansdressing Removal This
Is The Fastest Effective Intervention For This Decompensating Patient. A Nonporous
Dressing Taped On Three Sides Is Temporary And Has Variable Effectiveness. If Signs
And Symptoms Of Tension Pneumothorax Develop After The Application Of The
Dressing
A Patient Has Been In The Emergency Department 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 Complaining Of Leg Pain. His Wife Reported That He
Suddenly Became Anxious And Confused. Upon Reassessment, The Patient Is
Restless With Respiratory Distress And Petechiae To His Neck. The Patient Is
Exhibiting Signs And Symptoms Most Commonly Associated With Which Of The
Following Conditions? - Ansfat Embolism Symptoms Of Fat Embolism Include
Decreased Mental Status, Restlessness, Agitation, Respiratory Distress, And A
Petechial Rash To The Head, Neck, Anterior Thorax, Conjunctivae, Buccal Mucous
Membranes, And Axillae.
A Patient Is Brought To The Emergency Department Of A Rural Hospital Following A
High-Speed Motor Vehicle Collision. When Significant Abdominal And Pelvic Injuries
Are Noted In The Primary Survey, Which Of The Following Is The Priority Intervention?
- Ansinitiate Transfer To A Trauma Center Early Consideration For Transfer To A
Trauma Center Is Essential To Ensure Optimal Outcomes.
.A 35-Year-Old Male Presents With Facial Trauma After Being Struck In The Face With
A Baseball. A Teardrop-Shaped Left Pupil Is Noted On Exam. What Type Of Injury Is
Suspected? - Ansglobe Rupture A Teardrop-Shaped Pupil Suggests A Globe Rupture.
.A Patient With A Complete Spinal Cord Injury In Neurogenic Shock Will Demonstrate
Hypotension And Which Other Clinical Signs? - Ansbradycardia And Absent Motor
Function Below The Level Of Injury Patients With A Complete Spinal Cord Injury Will
Have Absent Motor Function Below The Level Of The Lesion. They Become
Hypotensive And Bradycardic Due To Loss Of Autonomic Nervous System Function.
.During The Primary Survey Of An Unconscious Patient With Multi-System Trauma, The
Nurse Notes Snoring Respirations. What Priority Nursing Intervention Should Be
Performed Next? - Ansinsert An Oropharyngeal Airway If There Is No Gag Reflex
Snoring Respirations May Indicate Airway Obstruction From The Tongue. Insert An
Airway Adjunct To Alleviate Obstruction By The Tongue. Oropharyngeal Airways Can
Be Used In Patients Without A Gag Reflex.
1.What Is The Effect Of Hypothermia On The Oxyhemoglobin Dissociation Curve -
Anshemoglobin Does Not Readily Release Oxygen For Use By The Tissues A Shift To
The Left Occurs In An Environment Of Low Metabolic Demand (Hypothermia,
Hypocapnia, Alkalosis), Increasing Hemoglobin's Affinity For Oxygen.
A 20-Year-Old Male Presents To The Ed Complaining Of Severe Lower Abdominal Pain
After Landing Hard On The Bicycle Cross Bars While Performing An Aerial Bmx
Maneuver. Secondary Assessment Reveals Lower Abdominal Tenderness And Scrotal
Ecchymosis. Which Of The Following Orders Would The Nurse Question? - Ansstraight
Catheter For Urine Sample Insertion Of A Urinary Catheter Is Contraindicated If Urethral
Transection Is Suspected. Signs And Symptoms Of Urethral Injury Include Blood At The
Meatus, Perineal Ecchymosis, Scrotal Ecchymosis, And A High-Riding Or Non-Palpable
Prostate.
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? - Ansapply A Splint And Elevate The Extremity Above The Level Of The
Heart Splinting The Injured Extremity Stabilizes The Extremity And Reduces Further
Injury. Elevation Above The Level Of The Heart Promotes Venous Return And May
Reduce Swelling.
A 49-Year-Old Restrained Driver Involved In A Motor Vehicle Collision Presents To The
Trauma Center Complaining Of Abdominal, Pelvic, And Bilateral Lower Extremity Pain.
Vital Signs Are Stable. The Nurse Can Anticipate All Of These After A Negative Fast
Exam Except Which Of The Following? - Ansdiagnostic Peritoneal Lavage Diagnostic
Peritoneal Lavage Is Indicated For Hemodynamically Unstable Patients Or If Fast And
Ct Are Not Available.
, TNCC Exam 8th edition study
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? -
Ansreport Your Suspicion Of Maltreatment In Accordance With Local Regulations
Nurses Are Mandated Reporters In Most Jurisdictions. With No Alterations In The
Primary Survey, This Is The Priority Intervention.
A 56-Year-Old Male Patient Involved In A Motor Vehicle Crash Is Brought To The
Emergency Department Of A Rural Critical Access Facility. He Complains Of Neck
Pain, Shortness Of Breath, And Diffuse Abdominal Pain. His Glasgow Coma Score Is
15. His Vital Signs Are As Follows: Bp 98/71 Mm Hg, Hr 125 Beats/Minute, Rr 26
Breaths/Minute, Spo2 94% On High-Flow Oxygen Via Non-Rebreather Mask. Which Of
The Following Is The Priority Intervention For This Patient? - Ansexpedite Transfer To
The Closest Trauma Center The American College Of Surgeons Recommends That
Patients With Significant Injuries Be Transported To A Trauma Center For Definitive
Care. This Patient's Injuries Might Not Be Definitively Diagnosed, But His Symptoms
And Vital Signs Indicate The Need For
A Patient Arrives With A Large Open Chest Wound After Being Assaulted With A
Machete. Prehospital Providers Placed A Nonporous Dressing Over The Chest Wound
And Taped It On Three Sides. He Is Now Showing Signs Of Anxiety, Restlessness,
Severe Respiratory Distress, Cyanosis And Decreasing Blood Pressure. Which Of The
Following Is The Most Appropriate Immediate Intervention? - Ansdressing Removal This
Is The Fastest Effective Intervention For This Decompensating Patient. A Nonporous
Dressing Taped On Three Sides Is Temporary And Has Variable Effectiveness. If Signs
And Symptoms Of Tension Pneumothorax Develop After The Application Of The
Dressing
A Patient Has Been In The Emergency Department 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 Complaining Of Leg Pain. His Wife Reported That He
Suddenly Became Anxious And Confused. Upon Reassessment, The Patient Is
Restless With Respiratory Distress And Petechiae To His Neck. The Patient Is
Exhibiting Signs And Symptoms Most Commonly Associated With Which Of The
Following Conditions? - Ansfat Embolism Symptoms Of Fat Embolism Include
Decreased Mental Status, Restlessness, Agitation, Respiratory Distress, And A
Petechial Rash To The Head, Neck, Anterior Thorax, Conjunctivae, Buccal Mucous
Membranes, And Axillae.
A Patient Is Brought To The Emergency Department Of A Rural Hospital Following A
High-Speed Motor Vehicle Collision. When Significant Abdominal And Pelvic Injuries
Are Noted In The Primary Survey, Which Of The Following Is The Priority Intervention?
- Ansinitiate Transfer To A Trauma Center Early Consideration For Transfer To A
Trauma Center Is Essential To Ensure Optimal Outcomes.
