TNCC 9th Edition Final Exam Test 2025 Open Book Questions {100% Verified Answers}
Why Is A Measure Of Serum Lactate Obtained In The Initial Assessment Of The Trauma Patient?
Answer: C Correct Answer (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 Correct Answer( 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 Correct Answer : 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 Correct Answer : Alert With No Neurologic Deficits
B) Multiple Abrasions To The Extremities
C) Multiple Requests Of Water
D) Smell Of Alcohol On Breath ***
Which Of The Following Occurs During The Third Impact Of A Motor Vehicle Crash?
Answer: C Correct Answer : The Driver Of The Vehicle Collides With The Steering Wheel
B) The Vehicle Collides With A Tree
C) The Aorta Is Torn At Its Attachment With The Ligamentum Arteriosum
D) The Airbag Deploys And Strikes The Front Seat Passenger ***
A Passenger Is Brought To The Emergency Department Of A Rural Hospital Following A High-Speed
MVC. When Significant Abdominal And Pelvic Injuries Are Noted In The Primary Survey, Which Of The
Following Is The Priority Interventions?
Answer: A Correct Answer : Initiate Transfer To A Trauma Center **
B) Provide Report To The Operating Room Nurse
C) Obtained Imaging Studies
D) Place A Gastric Tube
, Which Of The Following Injuries Is LEAST Likely To Be Promptly Identified?
Answer: C Correct Answer : Spleen
B) Lung
C) Bowel ***
D) Brain
Patients With A Crush Injury Should Be Monitored For Which Of The Following Conditions?
Answer: C Correct Answer : Hypernatremia
B) Hypercalcemia
C) Dysrhthmias **
D) Polyuria
What Finding Raises Suspicion Of Complete Spinal Cord Injury?
Answer: B Correct Answer : Weakness In The Lower Extremities
B) Priapism ***
C) Voluntary Anal Sphincter Tone
D) Intact Reflexes Distal To The Injury
A Patient With A Complete Spinal Cord Injury In Neurogenic Shock Will Demonstrate Hypotension
And Which Other Clinical Signs?
Answer: D Correct Answer : Bradycardia And Ipsilateral Absences Of Motor Function
B) Tachycardia And Respiratory Depression
Why Is A Measure Of Serum Lactate Obtained In The Initial Assessment Of The Trauma Patient?
Answer: C Correct Answer (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 Correct Answer( 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 Correct Answer : 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 Correct Answer : Alert With No Neurologic Deficits
B) Multiple Abrasions To The Extremities
C) Multiple Requests Of Water
D) Smell Of Alcohol On Breath ***
Which Of The Following Occurs During The Third Impact Of A Motor Vehicle Crash?
Answer: C Correct Answer : The Driver Of The Vehicle Collides With The Steering Wheel
B) The Vehicle Collides With A Tree
C) The Aorta Is Torn At Its Attachment With The Ligamentum Arteriosum
D) The Airbag Deploys And Strikes The Front Seat Passenger ***
A Passenger Is Brought To The Emergency Department Of A Rural Hospital Following A High-Speed
MVC. When Significant Abdominal And Pelvic Injuries Are Noted In The Primary Survey, Which Of The
Following Is The Priority Interventions?
Answer: A Correct Answer : Initiate Transfer To A Trauma Center **
B) Provide Report To The Operating Room Nurse
C) Obtained Imaging Studies
D) Place A Gastric Tube
, Which Of The Following Injuries Is LEAST Likely To Be Promptly Identified?
Answer: C Correct Answer : Spleen
B) Lung
C) Bowel ***
D) Brain
Patients With A Crush Injury Should Be Monitored For Which Of The Following Conditions?
Answer: C Correct Answer : Hypernatremia
B) Hypercalcemia
C) Dysrhthmias **
D) Polyuria
What Finding Raises Suspicion Of Complete Spinal Cord Injury?
Answer: B Correct Answer : Weakness In The Lower Extremities
B) Priapism ***
C) Voluntary Anal Sphincter Tone
D) Intact Reflexes Distal To The Injury
A Patient With A Complete Spinal Cord Injury In Neurogenic Shock Will Demonstrate Hypotension
And Which Other Clinical Signs?
Answer: D Correct Answer : Bradycardia And Ipsilateral Absences Of Motor Function
B) Tachycardia And Respiratory Depression
