TNCC FINAL EXAM WITH QUESTIONS AND WELL
VERIFIED ANSWERS [GRDAED A+} REAL!! REAL!!
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 leg pain. His
wife reported suddenly becoming anxious and confused. Upon reassessment, the patient is
restless, with respiratory distress and petechiae to his neck. the patient is exhibiting signs of
symptoms commonly associated with which of the following conditions?
A) acute lung injury
B) fat embolism
C) PTX
D) pulmonary contusion ---- ANSWER✔✔----B) fat embolism
Which pulse pressure description is an indication of early hypovolemic shock?
A) widened
B) narrowed
C) bounding
D) weak ---- ANSWER✔✔----B) narrowed
Which of the following considerations is most important when caring for a geriatric trauma
patient?
,A) head to to exam
B) medical history
C) incontinence
D) falls ---- ANSWER✔✔----B) medical history
Which of the following assessment findings differentiates a tension pneumothorax from a
simple pneumothorax?
A) increased work of breathing
B) unilaterally diminished breath sounds
C) pleuritic chest pain
D) hypotension that worsens with inspiration ---- ANSWER✔✔----D) hypotension that
worsens with inspiration.
Assessment findings associated with tension pneumothorax include anxiety, severe
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
obstructive shock. Hypotension worsens with inspiration due to increased intrathoracic
pressure. Late signs include distended neck veins, tracheal deviation, and cyanosis.
The nurse is caring for a 120 kg male is brought in after a warehouse fire and is calculating
the patient's fluid resuscitation needs. He has painful red blistering to the entire surface of
both upper extremities and superficial burns to the anterior chest. 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?
A) 2280 mL
B) 3840 mL
, C) 4560 mL
D) 7680 mL ---- ANSWER✔✔----A) 2280 mL
(upper arm 4+4 / lower arm 3+3 / hand 2.5+2.5) = 19% TBSA.
120 kg x (2 mL) x (19% TBSA) = 4560 mL
(half of fluids given in first 8 hours) = 2280 mL
Which of the following is a component of the trauma triad of death?
A) Acidosis
B) hyperthermia
C) hemorrhage
D) sepsis ---- ANSWER✔✔----A) Acidosis
hypothermia, metabolic acidosis, coagulopathy
A 56-year- male patient involved in a MVC is brought to the ED of a rural critical access
facility. He c/o neck pain, SOB, and diffuse abd pain. His GCS is 15. His vitals are as
follows:
BP 98/71
HR 125 beats/min
RR 26 breaths/min
SpO2 94% on high flow O2 via NRB mask
which of the following is the priority intervention for this patient?
VERIFIED ANSWERS [GRDAED A+} REAL!! REAL!!
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 leg pain. His
wife reported suddenly becoming anxious and confused. Upon reassessment, the patient is
restless, with respiratory distress and petechiae to his neck. the patient is exhibiting signs of
symptoms commonly associated with which of the following conditions?
A) acute lung injury
B) fat embolism
C) PTX
D) pulmonary contusion ---- ANSWER✔✔----B) fat embolism
Which pulse pressure description is an indication of early hypovolemic shock?
A) widened
B) narrowed
C) bounding
D) weak ---- ANSWER✔✔----B) narrowed
Which of the following considerations is most important when caring for a geriatric trauma
patient?
,A) head to to exam
B) medical history
C) incontinence
D) falls ---- ANSWER✔✔----B) medical history
Which of the following assessment findings differentiates a tension pneumothorax from a
simple pneumothorax?
A) increased work of breathing
B) unilaterally diminished breath sounds
C) pleuritic chest pain
D) hypotension that worsens with inspiration ---- ANSWER✔✔----D) hypotension that
worsens with inspiration.
Assessment findings associated with tension pneumothorax include anxiety, severe
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
obstructive shock. Hypotension worsens with inspiration due to increased intrathoracic
pressure. Late signs include distended neck veins, tracheal deviation, and cyanosis.
The nurse is caring for a 120 kg male is brought in after a warehouse fire and is calculating
the patient's fluid resuscitation needs. He has painful red blistering to the entire surface of
both upper extremities and superficial burns to the anterior chest. 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?
A) 2280 mL
B) 3840 mL
, C) 4560 mL
D) 7680 mL ---- ANSWER✔✔----A) 2280 mL
(upper arm 4+4 / lower arm 3+3 / hand 2.5+2.5) = 19% TBSA.
120 kg x (2 mL) x (19% TBSA) = 4560 mL
(half of fluids given in first 8 hours) = 2280 mL
Which of the following is a component of the trauma triad of death?
A) Acidosis
B) hyperthermia
C) hemorrhage
D) sepsis ---- ANSWER✔✔----A) Acidosis
hypothermia, metabolic acidosis, coagulopathy
A 56-year- male patient involved in a MVC is brought to the ED of a rural critical access
facility. He c/o neck pain, SOB, and diffuse abd pain. His GCS is 15. His vitals are as
follows:
BP 98/71
HR 125 beats/min
RR 26 breaths/min
SpO2 94% on high flow O2 via NRB mask
which of the following is the priority intervention for this patient?
