TNCC 9th Edition, TNCC 9th Edition FINAL TEST, TNCC 9th Edition
You are caring for a patient who was
thrown from a bike and was not wear-
ing a helmet. While performing the
head-to-toe assessment, you note clear
drainage from the right ear. Which of the
following is the most appropriate next
step? C. Notify the physician
A. Clean the ear with a cotton-tipped ap-
plicator.
B. Pack the ear with gauze.
C. Notify the physician
D. Document and continue the exam.
A patient is brought to the emergency
department of a rural hospital follow-
ing a high-speed motor vehicle collision.
When significant abdominal and pelvic
injuries are noted in the primary survey,
what is the priority intervention? A. Initiate transfer to a trauma center
A. Initiate transfer to a trauma center
B. Attempt family notification
C. Obtain additional imaging studies
D. Place an indwelling urinary catheter
An adult who fell from a second story
roof is brought to the emergency de-
partment by private vehicle. The patient
is confused with unlabored respirations
and has strong, palpable radial pulses.
There is an open wound in proximity to
an obvious deformity of the left lower ex- A. Initiate cervical spine stabilization
tremity. What is the priority intervention?
A. Initiate cervical spine stabilization
B. Apply a splint to the lower extremity
C. Put the patient on portable oxygen.
D. Log roll the patient onto a spine board
, TNCC 9th Edition, TNCC 9th Edition FINAL TEST, TNCC 9th Edition
An adult patient who sustained a se-
vere head trauma has been intubat-
ed and is being manually ventilated via
a bag-mask device at a rate of 18
breaths/minute. The patient has received
one intravenous fluid bolus of 500 mL of
warmed isotonic crystalloid solution. The
PaCO2 is 30 mm Hg (4.0 kPa), and the
pulse oximetry is 92%. BP is 142/70 mm
A. Decrease the rate of manual ventila-
Hg. What is the most important interven-
tion.
tion to manage the cerebral blood flow?
A. Decrease the rate of manual ventila-
tion.
B. Initiate another fluid bolus.
C. Recheck endotracheal tube place-
ment.
D. Increase the amount of oxygen deliv-
ered.
An adult patient is brought to the emer-
gency department following a vehicle
"roll-over" with prolonged extrication. As-
sessment reveals swelling and bruising
to the right proximal thigh and a weak
pedal pulse. Skin is pale, cool, and moist.
What is the most appropriate initial inter-
vention?
B. Application of a pelvic binder
A. Application of a tourniquet to the af-
fected extremity
B. Application of a pelvic binder
C. Fluid resuscitation to maintain a urine
output of 0.5 mL/kg/hour
D. Oxygen to maintain the ETCO2 be-
tween 30-35 mm Hg (3.9-4.6 kPa)
An adult arrives at the emergency de-
partment with superficial burns to the
extremities following a house fire. The
, TNCC 9th Edition, TNCC 9th Edition FINAL TEST, TNCC 9th Edition
patient is reporting a headache with nau-
sea and is drowsy and confused. What
is the most likely cause of these symp-
toms?
A. Capillary leak syndrome
B. Rhabdomyolysis
C. Carbon monoxide poisoning
D. Hypothermia
Using the American College of Surgeons
Guidelines for Screening Patients with
Suspected Spine Injury, what assess-
ment finding would prompt the nurse to
prepare a patient for cervical spine imag-
ing?
A. Alert with no neurologic deficits or
neck pain
B. Multiple abrasions to the extremities
C. Ecchymosis to the flank
D. Responds to verbal stimulation using
AVPU
A 5-month pregnant patient arrives in
the emergency department stating she
tripped and fell, landing on her abdomen.
Assessment reveals bruising to the ab-
domen, both arms, and her neck. She
states she does not take any medica-
tions and has not had any prenatal care.
The nurse suspects the findings are
most likely related to which of the follow-
ing?
A.Intentional violence
B.Pregnancy-related changes
C.Undiagnosed embolus
D.Iron deficiency
You are caring for a patient who was
thrown from a bike and was not wear-
ing a helmet. While performing the
head-to-toe assessment, you note clear
drainage from the right ear. Which of the
following is the most appropriate next
step? C. Notify the physician
A. Clean the ear with a cotton-tipped ap-
plicator.
B. Pack the ear with gauze.
C. Notify the physician
D. Document and continue the exam.
A patient is brought to the emergency
department of a rural hospital follow-
ing a high-speed motor vehicle collision.
When significant abdominal and pelvic
injuries are noted in the primary survey,
what is the priority intervention? A. Initiate transfer to a trauma center
A. Initiate transfer to a trauma center
B. Attempt family notification
C. Obtain additional imaging studies
D. Place an indwelling urinary catheter
An adult who fell from a second story
roof is brought to the emergency de-
partment by private vehicle. The patient
is confused with unlabored respirations
and has strong, palpable radial pulses.
There is an open wound in proximity to
an obvious deformity of the left lower ex- A. Initiate cervical spine stabilization
tremity. What is the priority intervention?
A. Initiate cervical spine stabilization
B. Apply a splint to the lower extremity
C. Put the patient on portable oxygen.
D. Log roll the patient onto a spine board
, TNCC 9th Edition, TNCC 9th Edition FINAL TEST, TNCC 9th Edition
An adult patient who sustained a se-
vere head trauma has been intubat-
ed and is being manually ventilated via
a bag-mask device at a rate of 18
breaths/minute. The patient has received
one intravenous fluid bolus of 500 mL of
warmed isotonic crystalloid solution. The
PaCO2 is 30 mm Hg (4.0 kPa), and the
pulse oximetry is 92%. BP is 142/70 mm
A. Decrease the rate of manual ventila-
Hg. What is the most important interven-
tion.
tion to manage the cerebral blood flow?
A. Decrease the rate of manual ventila-
tion.
B. Initiate another fluid bolus.
C. Recheck endotracheal tube place-
ment.
D. Increase the amount of oxygen deliv-
ered.
An adult patient is brought to the emer-
gency department following a vehicle
"roll-over" with prolonged extrication. As-
sessment reveals swelling and bruising
to the right proximal thigh and a weak
pedal pulse. Skin is pale, cool, and moist.
What is the most appropriate initial inter-
vention?
B. Application of a pelvic binder
A. Application of a tourniquet to the af-
fected extremity
B. Application of a pelvic binder
C. Fluid resuscitation to maintain a urine
output of 0.5 mL/kg/hour
D. Oxygen to maintain the ETCO2 be-
tween 30-35 mm Hg (3.9-4.6 kPa)
An adult arrives at the emergency de-
partment with superficial burns to the
extremities following a house fire. The
, TNCC 9th Edition, TNCC 9th Edition FINAL TEST, TNCC 9th Edition
patient is reporting a headache with nau-
sea and is drowsy and confused. What
is the most likely cause of these symp-
toms?
A. Capillary leak syndrome
B. Rhabdomyolysis
C. Carbon monoxide poisoning
D. Hypothermia
Using the American College of Surgeons
Guidelines for Screening Patients with
Suspected Spine Injury, what assess-
ment finding would prompt the nurse to
prepare a patient for cervical spine imag-
ing?
A. Alert with no neurologic deficits or
neck pain
B. Multiple abrasions to the extremities
C. Ecchymosis to the flank
D. Responds to verbal stimulation using
AVPU
A 5-month pregnant patient arrives in
the emergency department stating she
tripped and fell, landing on her abdomen.
Assessment reveals bruising to the ab-
domen, both arms, and her neck. She
states she does not take any medica-
tions and has not had any prenatal care.
The nurse suspects the findings are
most likely related to which of the follow-
ing?
A.Intentional violence
B.Pregnancy-related changes
C.Undiagnosed embolus
D.Iron deficiency
