TNCC 9th Edition FINAL TEST.
80 QUESTIONS AND
ANSWERS. GRADED A+,
Exams of Nursing
I have put together these questions and answers to help you prepare and pass the TNCC 9th
edition final exam.
Please leave me a review after success in
your exams. Thank you very much for
your time and input
,1. Caregivers carry a 2-year-old into the emergency department who fell out of a second story window.
The patient is awake and crying with increased work of breathing and pale skin. Which intervention
has the highest priority?
A. Establishing intravenous access.
B. Preparing for drug-assisted intubation.
C. Stabilizing the cervical spine.
D. Applying a nonrebreather mask.
2. Which of the following is true about the log-roll maneuver?
A. It causes less spinal motion than the lift-and-slide maneuver
B. It is recommended for patients with unstable pelvic fractures.
C. It should be avoided with a suspected spine injury prior to imaging
D. It decreases the risk of hemorrhage from unstable pelvic injuries.
3. A patient has uncontrolled bleeding from a wound to his right upper extremity. What is the priority
intervention?
A. Initiate two intravenous access sites
B. Place the patient on supplemental oxygen
C. Use a tourniquet to control the bleeding.
D. Apply direct pressure to the wound.
4. 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?
A. Bowel sounds heard in the left lower chest.
B. Severe left-sided abdominal pain
C. Pain radiating to the left shoulder.
D. Decreased breath sounds on the left side.
5. A patient is thrown against a car during a tornado and presents with obvious bilateral femur
fractures. The patient is pale, alert, disoriented, and has delayed capillary refill. Which of the
following interventions would be most appropriate for this patient based on the disaster triage
principles?
A. Administer intravenous medications for pain.
B. Place the patient in an observation area for care within the next few hours.
C. Contact the command center for personnel to notify next of kin.
D. Initiate two large-caliber intravenous lines for isotonic crystalloid administration.
6. A 35-year-old male presents with facial trauma after being struck in the face with a baseball. A
teardrop-shaped left pupil is noted on exam. What type of injury is suspected?
A. Oculomotor nerve palsy
B. Globe rupture
C. Retrobulbar hematoma
D. Retinal detachment
1
, 7. A patient arrives with a large open chest wound after being assaulted with a machete. Prehospital
providers placed a nonporous dressing over the chest wound and taped it on three sides. The patient
is now showing signs of anxiety, restlessness, severe respiratory distress, cyanosis, and decreasing
blood pressure. Which of the following is the MOST appropriate immediate intervention?
A. Needle decompression
B. Tube thoracostomy
C. Dressing removal
D. Surgical repair
8. Your patient was the unrestrained driver involved in a moderate speed motor vehicle collision.
Assessment reveals tenderness in the upper right quadrant, crepitus in the lower right ribs, and
ecchymosis around the umbilicus. The nurse is concerned about injury to which organ?
A. Transverse colon
B. Spleen
C. Pancreas
D. Liver
9. A driver involved in a high-speed motor vehicle collision arrives in the emergency department. The
vehicle's air-bag failed to deploy. The patient is drowsy but arousable and complaining of chest pain
with ecchymosis noted to the chest. The patient is tachycardic and hypotensive with no evidence of
uncontrolled bleeding. Cardiac monitor shows premature ventricular contractions. Which of the
following is the most appropriate intervention for this patient?
A. Rapid fluid boluses
B. Tranexamic acid administration
C. Inotropic support
D. Hemostatic resuscitation
10.An adult patient who sustained a severe head trauma has been intubated 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 Hg. What is the most important
intervention to manage the cerebral blood flow?
A. Initiate another fluid bolus.
B. Recheck endotracheal tube placement.
C. Decrease the rate of manual ventilation.
D. Increase the amount of oxygen delivered.
11.A restrained driver involved in a motor vehicle collision is brought to the emergency department
with abdominal, pelvic, and bilateral lower extremity pain. Vital signs are BP 114/78 mm Hg, HR 98
beats/minute, RR 22 breaths/minute. A FAST exam is negative for fluid in the abdominal and
peritoneal cavities. Which of the following should the nurse anticipate?
A. Diagnostic peritoneal lavage
B. Serial abdominal assessments
C. Angiography
D. Non-contrast abdominal CT scan
2
80 QUESTIONS AND
ANSWERS. GRADED A+,
Exams of Nursing
I have put together these questions and answers to help you prepare and pass the TNCC 9th
edition final exam.
Please leave me a review after success in
your exams. Thank you very much for
your time and input
,1. Caregivers carry a 2-year-old into the emergency department who fell out of a second story window.
The patient is awake and crying with increased work of breathing and pale skin. Which intervention
has the highest priority?
A. Establishing intravenous access.
B. Preparing for drug-assisted intubation.
C. Stabilizing the cervical spine.
D. Applying a nonrebreather mask.
2. Which of the following is true about the log-roll maneuver?
A. It causes less spinal motion than the lift-and-slide maneuver
B. It is recommended for patients with unstable pelvic fractures.
C. It should be avoided with a suspected spine injury prior to imaging
D. It decreases the risk of hemorrhage from unstable pelvic injuries.
3. A patient has uncontrolled bleeding from a wound to his right upper extremity. What is the priority
intervention?
A. Initiate two intravenous access sites
B. Place the patient on supplemental oxygen
C. Use a tourniquet to control the bleeding.
D. Apply direct pressure to the wound.
4. 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?
A. Bowel sounds heard in the left lower chest.
B. Severe left-sided abdominal pain
C. Pain radiating to the left shoulder.
D. Decreased breath sounds on the left side.
5. A patient is thrown against a car during a tornado and presents with obvious bilateral femur
fractures. The patient is pale, alert, disoriented, and has delayed capillary refill. Which of the
following interventions would be most appropriate for this patient based on the disaster triage
principles?
A. Administer intravenous medications for pain.
B. Place the patient in an observation area for care within the next few hours.
C. Contact the command center for personnel to notify next of kin.
D. Initiate two large-caliber intravenous lines for isotonic crystalloid administration.
6. A 35-year-old male presents with facial trauma after being struck in the face with a baseball. A
teardrop-shaped left pupil is noted on exam. What type of injury is suspected?
A. Oculomotor nerve palsy
B. Globe rupture
C. Retrobulbar hematoma
D. Retinal detachment
1
, 7. A patient arrives with a large open chest wound after being assaulted with a machete. Prehospital
providers placed a nonporous dressing over the chest wound and taped it on three sides. The patient
is now showing signs of anxiety, restlessness, severe respiratory distress, cyanosis, and decreasing
blood pressure. Which of the following is the MOST appropriate immediate intervention?
A. Needle decompression
B. Tube thoracostomy
C. Dressing removal
D. Surgical repair
8. Your patient was the unrestrained driver involved in a moderate speed motor vehicle collision.
Assessment reveals tenderness in the upper right quadrant, crepitus in the lower right ribs, and
ecchymosis around the umbilicus. The nurse is concerned about injury to which organ?
A. Transverse colon
B. Spleen
C. Pancreas
D. Liver
9. A driver involved in a high-speed motor vehicle collision arrives in the emergency department. The
vehicle's air-bag failed to deploy. The patient is drowsy but arousable and complaining of chest pain
with ecchymosis noted to the chest. The patient is tachycardic and hypotensive with no evidence of
uncontrolled bleeding. Cardiac monitor shows premature ventricular contractions. Which of the
following is the most appropriate intervention for this patient?
A. Rapid fluid boluses
B. Tranexamic acid administration
C. Inotropic support
D. Hemostatic resuscitation
10.An adult patient who sustained a severe head trauma has been intubated 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 Hg. What is the most important
intervention to manage the cerebral blood flow?
A. Initiate another fluid bolus.
B. Recheck endotracheal tube placement.
C. Decrease the rate of manual ventilation.
D. Increase the amount of oxygen delivered.
11.A restrained driver involved in a motor vehicle collision is brought to the emergency department
with abdominal, pelvic, and bilateral lower extremity pain. Vital signs are BP 114/78 mm Hg, HR 98
beats/minute, RR 22 breaths/minute. A FAST exam is negative for fluid in the abdominal and
peritoneal cavities. Which of the following should the nurse anticipate?
A. Diagnostic peritoneal lavage
B. Serial abdominal assessments
C. Angiography
D. Non-contrast abdominal CT scan
2
