TNCC FINAL EXAM TEST WITH QUESTIONS AND WELL VERIFIED
ANSWERS [ALREADY GRADED A+] REAL EXAM!!! REAL EXAM!!!
The trauma nurse knows that placing a bariatric patients in a "ramped position" provides better
visualization during the insertion of which device?
Answer: C - ----ANS----A) Intraosseous line
B) orogastric tube
C) ET tube ***
D) urinary catheter
You are caring for a patient who was involved in a MVA and is 32 weeks pregnant. Findings of your
secondary survey include abd pain on palpation, fundal high at the costal margin, and some dark bloody
show. Varying, accelerations and decelerations are noted on the cardiotocography. These findings are
most consistent with which of the following?
Answer: A - ----ANS----A) placental abruption ***
B) preterm labor
C) uterine rupture
D) fetal demise
Why is a measure of serum lactate obtained in the initial assessment of the trauma patient?
Answer: c - ----ANS----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 - ----ANS----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 - ----ANS----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 - ----ANS----A) Alert with no neurologic deficits
B) Multiple abrasions to the extremities
C) Multiple requests of water
D) Smell of alcohol on breath ***
ANSWERS [ALREADY GRADED A+] REAL EXAM!!! REAL EXAM!!!
The trauma nurse knows that placing a bariatric patients in a "ramped position" provides better
visualization during the insertion of which device?
Answer: C - ----ANS----A) Intraosseous line
B) orogastric tube
C) ET tube ***
D) urinary catheter
You are caring for a patient who was involved in a MVA and is 32 weeks pregnant. Findings of your
secondary survey include abd pain on palpation, fundal high at the costal margin, and some dark bloody
show. Varying, accelerations and decelerations are noted on the cardiotocography. These findings are
most consistent with which of the following?
Answer: A - ----ANS----A) placental abruption ***
B) preterm labor
C) uterine rupture
D) fetal demise
Why is a measure of serum lactate obtained in the initial assessment of the trauma patient?
Answer: c - ----ANS----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 - ----ANS----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 - ----ANS----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 - ----ANS----A) Alert with no neurologic deficits
B) Multiple abrasions to the extremities
C) Multiple requests of water
D) Smell of alcohol on breath ***
