TNCC FINAL EXAM 4 LATEST VERSIONS 2025-2026
CONTAINS 500 QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS)TEST BANK |ALREADY GRADED
A+|100% COMPLETE PASS
A a 22 yr old was struck by a vehicle while crossing the street, sustaining multiple fx she
is alert and answering qestions and crying what is the best method for initial pain
assessment for this pt - ANSself report scale
A a pt sustrained a penetrating injury of his upper leg. the pre hospital personnel states
a large amount of blood loss before hemostasiswas achieved. he presents to the ER
responding to painful stimuli with moaning. he is tachy 142 b/p 104/96 and RR 24 -
ANSdecompensated
A an unrestrained driver was involved in a frontal collision without airbag deployment.
he is hypotensive and tachycardic with shallow respirations, distended JVD and muffled
heart tones the nurse prepare for what - ANSpericardiocentesis
A during assessment of an extremety with suspected pulses are - ANScan be normal
A for a ptwho has undergone recent bariatric surgery, flouroscopy is recommended to
place - ANSNG tube
A identification of vulnerabilities is an example of what phase of disaster management -
ANSmitigation
A in mass casualty "doing the greatest good for the greatest number of people refers to
a situation where - ANSthere may be more patients than resources
A in neurogenic shock, alterations in vital signs include hypotension and which other
abnormal VS - ANSbradycardia
A In the primary survey AVPU is performed to determine if the patient can: - ANSProtect
their aiway
A prego trauma pt develops tachy, hypotension, a rigide board like uterus, and dark, red
vaginal bleeding. she reports constant back pain which is increasing. the most likely
cause of s/s is - ANSplacental abruption
A several groups of people are at higher risk for maltreatment including children, elderly,
prego, and ... - ANSpt's with disability
A the nurse is preparing to cleanse an extensive abrasion contaminated with dirt and
gravel. which of the following intervention is indicated - ANSus copious amounts of NS
A The systemic inflammatory response is a normal part of the body's response to shock
from traumatic injury. what best describes this response - ANSit is activated by tissue
,hypoxia and sends neutrophils to injury site
A what is an early assessment finding to increased ICP in pt with a brain injury -
ANSvomiting
A when providing care for the pedicatric pt with burns the post resuscitation care, how
are fluids delivered - ANSparkland formula with maintainence fluidss
A which of hte following nursing interventions would be best for traumitc -
ANSHOB 30 degrees
A which of the following structures would be hte most affected by teh concept of
caviation - ANSLiver
A which of the following values is within the acceptable limits for trauma pt - ANSend
tidal CO2 of 40
B a pt father arrives in teh ER and needs to be told his son was severely injured in a
MVC and is in surgery, the father si agitated, yelling, and smells of alcohol. in planning
to talk with the father the trauma nurse will - ANSdeliver information regarding the son;s
care in a calm voice
B a pt involved in an MVC develops asymmetric pupillary reactivity, bilateral pupillary
dilation and abnormal motor posturing. what does the nurse suspect as the most likely
cause - ANSherniation syndrome
B a pt with injury to the middle meningeal artery is at risk for which of the following -
ANSepidural hematoma
B an occlusive dressing has been applied to a pt with a penetrating injury to the chest.
upon assessment the nurse notes that the patient is in respiratory distress nad has
absnet breath sounds on hte affected side. what is the priroruty intervention -
ANSremove the dressing to the wound
B an unrestrained driver inlvolved in a MVC in which alcohol was involed. he denies any
pain and numbness and tinlging. according to NEXUS critera which factors indicate
need for radiological - ANSsuspected alcohol abuse
B pt to ER after being pinned to brick retaining wall. knwoing crushing injuries can result
to significant damage to muslces the priority asessment for trauma nruse is for -
ANSmyoglobinemia nd renal failure
B the most common cause of shock in the trauma pt is - ANSloss of circ volume
B the unrestrained fron seat passenger in a MVC develops echymosis around
umbillicus. this assessment finding is most commonly associated with: - ANSbleeding in
the peritoneal cavity
B thinning skin and diminished autonomic response in older adult can have what effect
on primary assessment - ANScompromised thermoregulation
,B when assessing da dpt dfollowing da dMVC dthe dnurses dasks dhow dfsat dthe dcar dwas
dgoing d- dANSwhen dvolocity dis ddoubled dspeed dis dquadroupled
B dWHich dmay dlead dto dunreliable dpulse dox dreading d- dANScarboxyhemoglobin
B dwhich dof dhte dfollowing dsignificant dassessment dfindigns dis dfrequently dfound din da
dpatient dwith dcomplete dcransiofacial dseparation dinvolving dthe dmaxilla, dzygoma,
dorbits, dand dbones dof dthe dcranial dbase. d- dANSdiplopia
B dwhich dof dthe dfollowing dhemodynamic dsupport dstrategies dis dthe dprioririty
dintervention dfor da dpt dwith dtraumatic dpulmonary dcontusion d- dANSjudicios duse dof
dIV dfluids
Bduring dthe dprimary dsurvery dwhich dof dthe dfollowing dhas dthe dgreatest dpriority d-
dANScervical dspine dinjury
C d32 dwk dpregnant dlady darrives din der dafter dtrapped din da dcar dthat dflipped. dthe
dinitial dassessment dreveals ds/s dof dshock, dvaginal dbleeding, da dpalpable dasymmetrical
duterus, dand dslowing dfetal dheart dtones dwhat dis dthe dmost dlikely dcause d-
dANSuterine drupture
C da dcollege dstudent dpresents dto dthe der dstating dafterarriving dat da dparty d, dshe
dawoke din da ddorm drom. dshe ddidnt drecognize dwith dno dmemory dof dthe dprevious
devening dthe dtrauma dnurse dprepare dfor dwhat dexam. d- dANSsexual dassult
C dan dadult dpt dinvolved din da dbrush dfire darrives dto dthe der. dupon dinitial dassessment
din dthe der dthe dmost dconcerning dfinding dis d- dANShoarse dvoice dand drepeatedly
ddecides dto dclear dthroat.
C dan dolder dadult dpt dfell din dthe dbathtub d3 ddays dago. dnow dshe dis dexihibiting
ddecreasd dLOC dand ddifficulty dwith dspeaking dand dwalking. dwhich dof dthe dfollowing
dinjuries dis dmost deffective
- dANSsubdural dhematoma
C deffective dpain dmanagement din dhte dpt diwth drib dfxwill dpromote dwhat d- dANScough
dwith dability dto dclear dsecretions
C dproperly drestrained d6 dwk dold dkid dwas dinvolved din da dMVC. dafter dthe
dassessment dand dstabilization dthe dpt dbecomes dmore ddifficult dto drouse. dresponding
dwith da dweak dcry dto dpainful dstimuli. dthe dpupils dremain dbrisk dand dreactive. dthe
danterior dfontanel dis dsoft dand dflat. dwhat dis dthe dmost dlikely dcause dand dpririty
dinterventions d- dANShypoglycemia
C dWhat dare dthe dprimary dbenefits dof da dteam dapproach dto dtrauma dcare d- dANSit
dprovides da dsystemic dapproach dto dcare dand dorganizes dcare
C dwhat dorgan dmight dbe dinjured din dleft dlower drib dfx d- dANSspleen
, C dwhich dof dthe dfollowing dwould dbe dpriority dintervention dfor da dpt dwith dmultiple drib
dfractures dand dchest dwall dinstability dfollwoing da dmvc dcollision d- dANSassist dwith
dendotracheal dintubation
C dwhich dof dthe dfollwoing dis da drisk dfactor dfor dDVT din dthe dtrauma dpt. d- dANSpelvic dfx
Cthe dterm dworried dwell dwhen drefering dto ddisaster dpreparedness dplanning drefers dto:
d- dANSindividuals dhwo dthink dthey dhave dbeen daffected dby dthe devent dbut dare
dasymptomatic
Cthe dtrauma dnurse dwould dprepare dfor da ddefinitive dairwya dfor dwhich dof dthe dfollowing
dcondition. d- dANSGCS dof d8 dor dls
D dAn dunrestrained ddriver dis dbrought dinto dthe demergency ddepartment dfollowing da
dfrontal dimpact dMVC. dshe dis dpale, danxious, dand dc/o dSOB. dwhat dis dthe dpotential
dinjury d- dANSLumbar dfx
D delevated dcomaprtment dpressure dcan dbe dthe dresult dof d- dANShemorrhage dfrom dwithin
dthe dmuscle
D dpt dwith damputation dof dan dindex dfinger dwith da dknife. damputaiton dis dbrought din
dwith dpt. dit dis dwrapped din dsterile dgauze dwith dsaline dand dsealed din da dplastic dbag.
dthe dnext dstep damputation dcare dis d- dANSplace dthe dbag don dice
D drestrained ddriver dis dinvolved din da dsevere dhead don dMVC dand dpresnts dwith da
dseatbelt dmark dalong dthe dneck dand dupper dchest darea. dbilateral ddecreased dbreath
dsounds, dhemoptysis dand ddiffuse dsub dq demphysemato dthe dneck dand dupper dchest
darea d- dANStracheobronchial dinjury
D dwhich dof dthe dfollowing ddiagnostic dintervention dis dmost dappropriate dfor dthe
dunstable dpt dwith da dsuspectedinternal dhemorrhage d- dANSfocused dassessment
dwith dsonography dfor dtrauma
D dwhich dphysiological dchange din dairway dof dan dodler dadult dpt dplaces dthe dpt dat
drisk dfor ddifficult dintubation d- dANScervical darthritisA da d22 dyr dold dwas dstruck dby da
dvehicle dwhile dcrossing dthe dstreet, dsustaining dmultiple dfx dshe dis dalert dand
danswering dqestions dand dcrying dwhat dis dthe dbest dmethod dfor dinitial dpain
dassessment dfor dthis dpt d- dANSself dreport dscale
A da dpt dsustrained da dpenetrating dinjury dof dhis dupper dleg. dthe dpre dhospital
dpersonnel dstates da dlarge damount dof dblood dloss dbefore dhemostasiswas dachieved.
dhe dpresents dto dthe dER dresponding dto dpainful dstimuli dwith dmoaning. dhe dis dtachy
d142 db/p d104/96 dand dRR d24 d- dANSdecompensated
A dan dunrestrained ddriver dwas dinvolved din da dfrontal dcollision dwithout dairbag
ddeployment. dhe dis dhypotensive dand dtachycardic dwith dshallow drespirations,
ddistended dJVD dand dmuffled dheart dtones dthe dnurse dprepare dfor dwhat d-
dANSpericardiocentesis
A dduring dassessment dof dan dextremety dwith dsuspected dpulses dare d- dANScan dbe
CONTAINS 500 QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS)TEST BANK |ALREADY GRADED
A+|100% COMPLETE PASS
A a 22 yr old was struck by a vehicle while crossing the street, sustaining multiple fx she
is alert and answering qestions and crying what is the best method for initial pain
assessment for this pt - ANSself report scale
A a pt sustrained a penetrating injury of his upper leg. the pre hospital personnel states
a large amount of blood loss before hemostasiswas achieved. he presents to the ER
responding to painful stimuli with moaning. he is tachy 142 b/p 104/96 and RR 24 -
ANSdecompensated
A an unrestrained driver was involved in a frontal collision without airbag deployment.
he is hypotensive and tachycardic with shallow respirations, distended JVD and muffled
heart tones the nurse prepare for what - ANSpericardiocentesis
A during assessment of an extremety with suspected pulses are - ANScan be normal
A for a ptwho has undergone recent bariatric surgery, flouroscopy is recommended to
place - ANSNG tube
A identification of vulnerabilities is an example of what phase of disaster management -
ANSmitigation
A in mass casualty "doing the greatest good for the greatest number of people refers to
a situation where - ANSthere may be more patients than resources
A in neurogenic shock, alterations in vital signs include hypotension and which other
abnormal VS - ANSbradycardia
A In the primary survey AVPU is performed to determine if the patient can: - ANSProtect
their aiway
A prego trauma pt develops tachy, hypotension, a rigide board like uterus, and dark, red
vaginal bleeding. she reports constant back pain which is increasing. the most likely
cause of s/s is - ANSplacental abruption
A several groups of people are at higher risk for maltreatment including children, elderly,
prego, and ... - ANSpt's with disability
A the nurse is preparing to cleanse an extensive abrasion contaminated with dirt and
gravel. which of the following intervention is indicated - ANSus copious amounts of NS
A The systemic inflammatory response is a normal part of the body's response to shock
from traumatic injury. what best describes this response - ANSit is activated by tissue
,hypoxia and sends neutrophils to injury site
A what is an early assessment finding to increased ICP in pt with a brain injury -
ANSvomiting
A when providing care for the pedicatric pt with burns the post resuscitation care, how
are fluids delivered - ANSparkland formula with maintainence fluidss
A which of hte following nursing interventions would be best for traumitc -
ANSHOB 30 degrees
A which of the following structures would be hte most affected by teh concept of
caviation - ANSLiver
A which of the following values is within the acceptable limits for trauma pt - ANSend
tidal CO2 of 40
B a pt father arrives in teh ER and needs to be told his son was severely injured in a
MVC and is in surgery, the father si agitated, yelling, and smells of alcohol. in planning
to talk with the father the trauma nurse will - ANSdeliver information regarding the son;s
care in a calm voice
B a pt involved in an MVC develops asymmetric pupillary reactivity, bilateral pupillary
dilation and abnormal motor posturing. what does the nurse suspect as the most likely
cause - ANSherniation syndrome
B a pt with injury to the middle meningeal artery is at risk for which of the following -
ANSepidural hematoma
B an occlusive dressing has been applied to a pt with a penetrating injury to the chest.
upon assessment the nurse notes that the patient is in respiratory distress nad has
absnet breath sounds on hte affected side. what is the priroruty intervention -
ANSremove the dressing to the wound
B an unrestrained driver inlvolved in a MVC in which alcohol was involed. he denies any
pain and numbness and tinlging. according to NEXUS critera which factors indicate
need for radiological - ANSsuspected alcohol abuse
B pt to ER after being pinned to brick retaining wall. knwoing crushing injuries can result
to significant damage to muslces the priority asessment for trauma nruse is for -
ANSmyoglobinemia nd renal failure
B the most common cause of shock in the trauma pt is - ANSloss of circ volume
B the unrestrained fron seat passenger in a MVC develops echymosis around
umbillicus. this assessment finding is most commonly associated with: - ANSbleeding in
the peritoneal cavity
B thinning skin and diminished autonomic response in older adult can have what effect
on primary assessment - ANScompromised thermoregulation
,B when assessing da dpt dfollowing da dMVC dthe dnurses dasks dhow dfsat dthe dcar dwas
dgoing d- dANSwhen dvolocity dis ddoubled dspeed dis dquadroupled
B dWHich dmay dlead dto dunreliable dpulse dox dreading d- dANScarboxyhemoglobin
B dwhich dof dhte dfollowing dsignificant dassessment dfindigns dis dfrequently dfound din da
dpatient dwith dcomplete dcransiofacial dseparation dinvolving dthe dmaxilla, dzygoma,
dorbits, dand dbones dof dthe dcranial dbase. d- dANSdiplopia
B dwhich dof dthe dfollowing dhemodynamic dsupport dstrategies dis dthe dprioririty
dintervention dfor da dpt dwith dtraumatic dpulmonary dcontusion d- dANSjudicios duse dof
dIV dfluids
Bduring dthe dprimary dsurvery dwhich dof dthe dfollowing dhas dthe dgreatest dpriority d-
dANScervical dspine dinjury
C d32 dwk dpregnant dlady darrives din der dafter dtrapped din da dcar dthat dflipped. dthe
dinitial dassessment dreveals ds/s dof dshock, dvaginal dbleeding, da dpalpable dasymmetrical
duterus, dand dslowing dfetal dheart dtones dwhat dis dthe dmost dlikely dcause d-
dANSuterine drupture
C da dcollege dstudent dpresents dto dthe der dstating dafterarriving dat da dparty d, dshe
dawoke din da ddorm drom. dshe ddidnt drecognize dwith dno dmemory dof dthe dprevious
devening dthe dtrauma dnurse dprepare dfor dwhat dexam. d- dANSsexual dassult
C dan dadult dpt dinvolved din da dbrush dfire darrives dto dthe der. dupon dinitial dassessment
din dthe der dthe dmost dconcerning dfinding dis d- dANShoarse dvoice dand drepeatedly
ddecides dto dclear dthroat.
C dan dolder dadult dpt dfell din dthe dbathtub d3 ddays dago. dnow dshe dis dexihibiting
ddecreasd dLOC dand ddifficulty dwith dspeaking dand dwalking. dwhich dof dthe dfollowing
dinjuries dis dmost deffective
- dANSsubdural dhematoma
C deffective dpain dmanagement din dhte dpt diwth drib dfxwill dpromote dwhat d- dANScough
dwith dability dto dclear dsecretions
C dproperly drestrained d6 dwk dold dkid dwas dinvolved din da dMVC. dafter dthe
dassessment dand dstabilization dthe dpt dbecomes dmore ddifficult dto drouse. dresponding
dwith da dweak dcry dto dpainful dstimuli. dthe dpupils dremain dbrisk dand dreactive. dthe
danterior dfontanel dis dsoft dand dflat. dwhat dis dthe dmost dlikely dcause dand dpririty
dinterventions d- dANShypoglycemia
C dWhat dare dthe dprimary dbenefits dof da dteam dapproach dto dtrauma dcare d- dANSit
dprovides da dsystemic dapproach dto dcare dand dorganizes dcare
C dwhat dorgan dmight dbe dinjured din dleft dlower drib dfx d- dANSspleen
, C dwhich dof dthe dfollowing dwould dbe dpriority dintervention dfor da dpt dwith dmultiple drib
dfractures dand dchest dwall dinstability dfollwoing da dmvc dcollision d- dANSassist dwith
dendotracheal dintubation
C dwhich dof dthe dfollwoing dis da drisk dfactor dfor dDVT din dthe dtrauma dpt. d- dANSpelvic dfx
Cthe dterm dworried dwell dwhen drefering dto ddisaster dpreparedness dplanning drefers dto:
d- dANSindividuals dhwo dthink dthey dhave dbeen daffected dby dthe devent dbut dare
dasymptomatic
Cthe dtrauma dnurse dwould dprepare dfor da ddefinitive dairwya dfor dwhich dof dthe dfollowing
dcondition. d- dANSGCS dof d8 dor dls
D dAn dunrestrained ddriver dis dbrought dinto dthe demergency ddepartment dfollowing da
dfrontal dimpact dMVC. dshe dis dpale, danxious, dand dc/o dSOB. dwhat dis dthe dpotential
dinjury d- dANSLumbar dfx
D delevated dcomaprtment dpressure dcan dbe dthe dresult dof d- dANShemorrhage dfrom dwithin
dthe dmuscle
D dpt dwith damputation dof dan dindex dfinger dwith da dknife. damputaiton dis dbrought din
dwith dpt. dit dis dwrapped din dsterile dgauze dwith dsaline dand dsealed din da dplastic dbag.
dthe dnext dstep damputation dcare dis d- dANSplace dthe dbag don dice
D drestrained ddriver dis dinvolved din da dsevere dhead don dMVC dand dpresnts dwith da
dseatbelt dmark dalong dthe dneck dand dupper dchest darea. dbilateral ddecreased dbreath
dsounds, dhemoptysis dand ddiffuse dsub dq demphysemato dthe dneck dand dupper dchest
darea d- dANStracheobronchial dinjury
D dwhich dof dthe dfollowing ddiagnostic dintervention dis dmost dappropriate dfor dthe
dunstable dpt dwith da dsuspectedinternal dhemorrhage d- dANSfocused dassessment
dwith dsonography dfor dtrauma
D dwhich dphysiological dchange din dairway dof dan dodler dadult dpt dplaces dthe dpt dat
drisk dfor ddifficult dintubation d- dANScervical darthritisA da d22 dyr dold dwas dstruck dby da
dvehicle dwhile dcrossing dthe dstreet, dsustaining dmultiple dfx dshe dis dalert dand
danswering dqestions dand dcrying dwhat dis dthe dbest dmethod dfor dinitial dpain
dassessment dfor dthis dpt d- dANSself dreport dscale
A da dpt dsustrained da dpenetrating dinjury dof dhis dupper dleg. dthe dpre dhospital
dpersonnel dstates da dlarge damount dof dblood dloss dbefore dhemostasiswas dachieved.
dhe dpresents dto dthe dER dresponding dto dpainful dstimuli dwith dmoaning. dhe dis dtachy
d142 db/p d104/96 dand dRR d24 d- dANSdecompensated
A dan dunrestrained ddriver dwas dinvolved din da dfrontal dcollision dwithout dairbag
ddeployment. dhe dis dhypotensive dand dtachycardic dwith dshallow drespirations,
ddistended dJVD dand dmuffled dheart dtones dthe dnurse dprepare dfor dwhat d-
dANSpericardiocentesis
A dduring dassessment dof dan dextremety dwith dsuspected dpulses dare d- dANScan dbe
