TNCC 9TH EDITION TNP REAL EXAM | QUESTIONS AND ANSWERS
| VERIFIED ANSWERS (100% CORRECT) | LATEST EXAM UPDATE
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, what is the priority intervention?
A. Initiate transfer to a trauma center
B. Attempt family notification
C. Obtain additional imaging studies
D. Place an indwelling urinary catheter -correct-answer-A. Initiate transfer to
a trauma center
A patient is diagnosed with a T12 spinal cord injury following a 20-foot fall.
Which finding is consistent with spinal shock?
A.Bradycardia B.Loss of reflexes
C.Widened pulse pressure
D.Warm skin -correct-answer-B.Loss of reflexes
,*A patient with a traumatic brain injury has a mean arterial pressure (MAP) of
65 mm Hg (8.66 kPa) and an intracranial pressure (ICP) of 22 mm Hg (2.93
kPa).
Which finding is most likely an indication of the body's response to these
findings?
A.Reflex hypotension B.Increased respiratory effort C.Reflex tachycardia
D.Widening pulse pressure -correct-answer-D.Widening pulse pressure
An unconscious patient arrives following a motor vehicle collision. The patient
is on a backboard with a cervical collar in place and one intravenous line
running. Respirations are shallow and there is active brisk bleeding from a large
leg wound. What is the priority intervention for this patient?
A.Check for a patent airway
B.Control the bleeding
C.Start a second intravenous line
D.Ventilate with a bag-mask device -correct-answer-B.Control the bleeding
*An obese trauma patient requires intubation. Assuming there are no
contraindications, which position will provide the best visualization for
insertion of the endotracheal tube?
,A.Reverse Trendelenburg
B.Lying on side C.Ramped
D.Supine -correct-answer-C.Ramped
*Your patient is a pedestrian struck by a car and thrown 35 feet. They were
unconscious at the scene but became responsive with initial and subsequent
Glasgow Coma Scale (GCS) scores of 13 (E-3, V-4, M-6). The patient has
bilateral subdural hematomas and is awaiting transfer to the ICU. Your next
assessment reveals a GCS of 9 (E-2, V-2, M-5). What is the priority nursing
intervention?
A. Hold all pain medication
B. Notify the provider of the change
C. Repeat the GCS in 30 minutes
D. Place the patient in Trendelenburg position -correct-answer-B.Notify the
provider of the change
A patient arrives following prolonged exposure of their left hand to the cold.
The patient is awake and alert and complains of a tingling sensation to the
fingers.
Assessment reveals swelling and bright red skin to the left hand and a 1-inch
round clear blister to the dorsum of that hand. Which of the following nursing
interventions is most appropriate for this patient?
A.Massage the injured areas to promote circulation
B.Drain and debride the blister on the hand
, C.Immerse in water between 37.5 -correct-answer-D.Gently rewarm over 15
to 30 minutes
*A nurse verbalizes guilt and remorse after caring for multiple severely injured
patients during a staffing crisis. The nurse expresses anger stating that the
patients did not receive quality care and begins exhibiting aggression toward
colleagues. This is most consistent with which condition? -correct-answer-
D.Moral injury
What is the rationale for obtaining a serum lactate level during the initial
assessment of a trauma patient?
A.Measures oxygenation and ventilation
B.Assesses the degree of alkalosis and base deficit
C.Gauges end-organ perfusion and tissue hypoxia
D.Determines the underlying cause of shock -correct-answer-C.Gauges end-
organ perfusion and tissue hypoxia
*What is the most important consideration during the initial assessment when
caring for an older adult who has sustained serious injuries?
A.They are likely to be fearful in the emergency department
| VERIFIED ANSWERS (100% CORRECT) | LATEST EXAM UPDATE
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, what is the priority intervention?
A. Initiate transfer to a trauma center
B. Attempt family notification
C. Obtain additional imaging studies
D. Place an indwelling urinary catheter -correct-answer-A. Initiate transfer to
a trauma center
A patient is diagnosed with a T12 spinal cord injury following a 20-foot fall.
Which finding is consistent with spinal shock?
A.Bradycardia B.Loss of reflexes
C.Widened pulse pressure
D.Warm skin -correct-answer-B.Loss of reflexes
,*A patient with a traumatic brain injury has a mean arterial pressure (MAP) of
65 mm Hg (8.66 kPa) and an intracranial pressure (ICP) of 22 mm Hg (2.93
kPa).
Which finding is most likely an indication of the body's response to these
findings?
A.Reflex hypotension B.Increased respiratory effort C.Reflex tachycardia
D.Widening pulse pressure -correct-answer-D.Widening pulse pressure
An unconscious patient arrives following a motor vehicle collision. The patient
is on a backboard with a cervical collar in place and one intravenous line
running. Respirations are shallow and there is active brisk bleeding from a large
leg wound. What is the priority intervention for this patient?
A.Check for a patent airway
B.Control the bleeding
C.Start a second intravenous line
D.Ventilate with a bag-mask device -correct-answer-B.Control the bleeding
*An obese trauma patient requires intubation. Assuming there are no
contraindications, which position will provide the best visualization for
insertion of the endotracheal tube?
,A.Reverse Trendelenburg
B.Lying on side C.Ramped
D.Supine -correct-answer-C.Ramped
*Your patient is a pedestrian struck by a car and thrown 35 feet. They were
unconscious at the scene but became responsive with initial and subsequent
Glasgow Coma Scale (GCS) scores of 13 (E-3, V-4, M-6). The patient has
bilateral subdural hematomas and is awaiting transfer to the ICU. Your next
assessment reveals a GCS of 9 (E-2, V-2, M-5). What is the priority nursing
intervention?
A. Hold all pain medication
B. Notify the provider of the change
C. Repeat the GCS in 30 minutes
D. Place the patient in Trendelenburg position -correct-answer-B.Notify the
provider of the change
A patient arrives following prolonged exposure of their left hand to the cold.
The patient is awake and alert and complains of a tingling sensation to the
fingers.
Assessment reveals swelling and bright red skin to the left hand and a 1-inch
round clear blister to the dorsum of that hand. Which of the following nursing
interventions is most appropriate for this patient?
A.Massage the injured areas to promote circulation
B.Drain and debride the blister on the hand
, C.Immerse in water between 37.5 -correct-answer-D.Gently rewarm over 15
to 30 minutes
*A nurse verbalizes guilt and remorse after caring for multiple severely injured
patients during a staffing crisis. The nurse expresses anger stating that the
patients did not receive quality care and begins exhibiting aggression toward
colleagues. This is most consistent with which condition? -correct-answer-
D.Moral injury
What is the rationale for obtaining a serum lactate level during the initial
assessment of a trauma patient?
A.Measures oxygenation and ventilation
B.Assesses the degree of alkalosis and base deficit
C.Gauges end-organ perfusion and tissue hypoxia
D.Determines the underlying cause of shock -correct-answer-C.Gauges end-
organ perfusion and tissue hypoxia
*What is the most important consideration during the initial assessment when
caring for an older adult who has sustained serious injuries?
A.They are likely to be fearful in the emergency department
