TNCC 9TH EDITION FINAL EXAM TEST
2025 OPEN BOOK QUESTIONS AND
100% CORRECT ANSWERS
1. Why is a measure of serum lactate obtained in the initial assessment of the
trauma patient?
ANS >> c: 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
2. 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?
ANS >> A: A) compensated **
B) Progressive
C) irreversible
D) decompensated
3. An elderly patient with a history of anticoagulant use presents after a fall at
https://www.stuvia.com/user/MBOFFIN
, 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?
ANS >> D: A) epidural hematoma
B) dittuse axonal injury
C) post-concussive syndrome
D) subdural hematoma ***
4. 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?
ANS >> D: A) Alert with no neurologic deficits
B) Multiple abrasions to the extremities
https://www.stuvia.com/user/MBOFFIN
, C) Multiple requests of water
D) Smell of alcohol on breath ***
5. Which of the following occurs during the third impact of a motor vehicle
crash?
ANS >> C: A) 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 ***
6. 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 interven-
tions?
ANS >> A: A) initiate transfer to a trauma center **
B) provide report to the operating room nurse
C) Obtained imaging studies
D) Place a gastric tube
7. Which of the following injuries is LEAST likely to be promptly identified?
ANS >> C: A) spleen
B) lung
https://www.stuvia.com/user/MBOFFIN
2025 OPEN BOOK QUESTIONS AND
100% CORRECT ANSWERS
1. Why is a measure of serum lactate obtained in the initial assessment of the
trauma patient?
ANS >> c: 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
2. 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?
ANS >> A: A) compensated **
B) Progressive
C) irreversible
D) decompensated
3. An elderly patient with a history of anticoagulant use presents after a fall at
https://www.stuvia.com/user/MBOFFIN
, 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?
ANS >> D: A) epidural hematoma
B) dittuse axonal injury
C) post-concussive syndrome
D) subdural hematoma ***
4. 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?
ANS >> D: A) Alert with no neurologic deficits
B) Multiple abrasions to the extremities
https://www.stuvia.com/user/MBOFFIN
, C) Multiple requests of water
D) Smell of alcohol on breath ***
5. Which of the following occurs during the third impact of a motor vehicle
crash?
ANS >> C: A) 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 ***
6. 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 interven-
tions?
ANS >> A: A) initiate transfer to a trauma center **
B) provide report to the operating room nurse
C) Obtained imaging studies
D) Place a gastric tube
7. Which of the following injuries is LEAST likely to be promptly identified?
ANS >> C: A) spleen
B) lung
https://www.stuvia.com/user/MBOFFIN
