TNCC 9TH EDITION ACTUAL FINAL EXAM 2025 QUESTIONS
AND 100% VERIFIED ANSWERS | GRADED A+ | GUARANTEED
PASS!!
A patient arrives with a large metal rod embedded in their left thigh and no active
bleeding. Which intervention is most appropriate for this patient?
- answer-Prepare the patient for surgery to remove the rod
A patient has been diagnosed with an incomplete spinal cord injury at L1. Which
finding would indicate sacral sparing?
- answer-Voluntary anal sphincter tone
A patient involved in a high-speed rollover is complaining of increased difficulty
breathing. There is a small penetrating wound to the sixth intercostal space in the
left lateral chest. Which finding is most consistent with an injury to the diaphragm?
- answer-Bowel sounds heard in the left lower chest
A patient is brought to the emergency department following a motor vehicle
rollover and is complaining of left upper abdominal pain and left shoulder pain.
This presentation is most consistent with an injury to which organ?
- answer-Spleen
A patient is brought to the emergency department with chest pain and shortness of
breath following a high-speed motor vehicle collision in which they were the
unrestrained driver. There is crepitus to the left chest with clear and equal breath
sounds. The vital signs are BP 80/40 mmHg, HR 140 beats/minute, and RR 40
breaths/minute. Cardiac monitor shows sinus tachycardia with premature
ventricular contractions. These findings are most consistent with which type of
shock?
- answer-Cardiogenic
A patient is diagnosed with a T12 spinal cord injury following a 20-foot fall.
Which finding is consistent with spinal shock?
- answer-Loss of reflexes
A patient presents to the emergency department after jumping from a third story
and landing on their right foot then falling to the ground. There is pain and crepitus
to the right hip when applying gentle downward and medial pressure to the iliac
, crests. This mechanism of injury is most consistent with what type of pelvic
fracture?
- answer-Vertical shear fracture
A patient presents to the emergency department with a degloving injury involving
the entire forearm. What should the nurse consider when planning care for a
patient with this injury?
- answer-Surgical intervention will be needed
A patient presents, after a 25-foot fall, with paradoxical chest wall movement to
the right lower chest and complaints of shortness of breath. What is the priority
intervention?
- answer-Airway and ventilation support
A patient who jumped out of a second-floor window landing on their feet is
diagnosed with a lumbar spine fracture. What is the most likely concurrent injury
to have occurred?
- answer-Calcaneus fracture
A patient who sustained severe injuries was brought to the emergency department
following a high-speed motor vehicle collision. Interventions for hypovolemic
shock have been initiated. What component of the trauma triad of death is most
likely to have begun at the time of injury?
- answer-Coagulopathy
A patient with a chest tube is being transported to the intensive care unit and
fluctuation is noted in the water seal chamber during inspiration and expiration.
What is the best action for the nurse to take?
- answer-Continue to the intensive care unit
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 additional finding should also be anticipated?
- answer-Widening pulse pressure
A seriously injured patient is noted to have a weak, thready pulse and cool,
clammy skin. There is instability of the pelvis on palpation and blood at the urinary
meatus. A pelvic binder is appropriately applied and balanced fluid resuscitation is
being managed by the team. What is the priority diagnostic intervention?
- answer-Retrograde urethrogram
AND 100% VERIFIED ANSWERS | GRADED A+ | GUARANTEED
PASS!!
A patient arrives with a large metal rod embedded in their left thigh and no active
bleeding. Which intervention is most appropriate for this patient?
- answer-Prepare the patient for surgery to remove the rod
A patient has been diagnosed with an incomplete spinal cord injury at L1. Which
finding would indicate sacral sparing?
- answer-Voluntary anal sphincter tone
A patient involved in a high-speed rollover is complaining of increased difficulty
breathing. There is a small penetrating wound to the sixth intercostal space in the
left lateral chest. Which finding is most consistent with an injury to the diaphragm?
- answer-Bowel sounds heard in the left lower chest
A patient is brought to the emergency department following a motor vehicle
rollover and is complaining of left upper abdominal pain and left shoulder pain.
This presentation is most consistent with an injury to which organ?
- answer-Spleen
A patient is brought to the emergency department with chest pain and shortness of
breath following a high-speed motor vehicle collision in which they were the
unrestrained driver. There is crepitus to the left chest with clear and equal breath
sounds. The vital signs are BP 80/40 mmHg, HR 140 beats/minute, and RR 40
breaths/minute. Cardiac monitor shows sinus tachycardia with premature
ventricular contractions. These findings are most consistent with which type of
shock?
- answer-Cardiogenic
A patient is diagnosed with a T12 spinal cord injury following a 20-foot fall.
Which finding is consistent with spinal shock?
- answer-Loss of reflexes
A patient presents to the emergency department after jumping from a third story
and landing on their right foot then falling to the ground. There is pain and crepitus
to the right hip when applying gentle downward and medial pressure to the iliac
, crests. This mechanism of injury is most consistent with what type of pelvic
fracture?
- answer-Vertical shear fracture
A patient presents to the emergency department with a degloving injury involving
the entire forearm. What should the nurse consider when planning care for a
patient with this injury?
- answer-Surgical intervention will be needed
A patient presents, after a 25-foot fall, with paradoxical chest wall movement to
the right lower chest and complaints of shortness of breath. What is the priority
intervention?
- answer-Airway and ventilation support
A patient who jumped out of a second-floor window landing on their feet is
diagnosed with a lumbar spine fracture. What is the most likely concurrent injury
to have occurred?
- answer-Calcaneus fracture
A patient who sustained severe injuries was brought to the emergency department
following a high-speed motor vehicle collision. Interventions for hypovolemic
shock have been initiated. What component of the trauma triad of death is most
likely to have begun at the time of injury?
- answer-Coagulopathy
A patient with a chest tube is being transported to the intensive care unit and
fluctuation is noted in the water seal chamber during inspiration and expiration.
What is the best action for the nurse to take?
- answer-Continue to the intensive care unit
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 additional finding should also be anticipated?
- answer-Widening pulse pressure
A seriously injured patient is noted to have a weak, thready pulse and cool,
clammy skin. There is instability of the pelvis on palpation and blood at the urinary
meatus. A pelvic binder is appropriately applied and balanced fluid resuscitation is
being managed by the team. What is the priority diagnostic intervention?
- answer-Retrograde urethrogram
