TNCC 9th Edition Provider Exam Questions & Verified Solutions Latest Update | Already Passed

TNCC 9th Edition Provider Exam Questions & Verified Solutions Latest Update | Already Passed A patient is thrown against a car during a tornado and presents with obvious bilateral femoral 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? - ANSWER Initiate two largecaliber intravenous lines for Ringer's lactate solution administration. A 36-year-old female has a deformity of the left wrist after a fall. She is reluctant to move her hand due to pain. Which of the following is the most appropriate intervention? - ANSWER Apply a splint and elevate the extremity above the level of the heart Which of the following is a late sign of increased intracranial pressure? - ANSWER Decreased respiratory effort Tearing of the bridging veins is most frequently associated with which brain injury? - ANSWER Subdural hematoma You are caring for a patient who was involved in a motor vehicle crash and is 32 weeks pregnant. Findings of your secondary survey include abdominal pain on palpation, fundal height at the costal margin, and some dark bloody show. Varying accelerations and decelerations are noted on cardiotocography. These findings are most consistent with which of the following? - ANSWER Placental abruption A patient with a complete spinal cord injury in neurogenic shock will demonstrate hypotension and which other clinical signs? - ANSWER Bradycardia and absent motor function below the level of injury Following a review of recent drills and a real disaster event, a hospital has identified deficiencies and is taking steps to minimize the impact of a future disaster. Which phase of the disaster life cycle does this describe? - ANSWER Mitigation Which of the following considerations is most important when caring for a geriatric trauma patient? - ANSWER Medical history The nurse is caring for a 120 kg male brought in after a warehouse fire and is calculating the patient's fluid resuscitation needs. He has painful red blistering to the entire surface of both upper extremities and superficial burns to the anterior chest. Using the modified Lund and Browder chart to calculate the total body surface area burned, how much intravenous fluid would be administered in the first 8 hours? - ANSWER 2280 mL An intubated trauma patient is being transferred to a tertiary care center. After moving the patient to the stretcher for transport, a drop in pulse oximetry to 85% is noted. Which of the following is the priority intervention? - ANSWER Confirm endotracheal tube placement A 20-year-old male presents to the ED complaining of severe lower abdominal pain after landing hard on the bicycle cross bars while performing an aerial BMX maneuver. Secondary assessment reveals lower abdominal tenderness and scrotal ecchymosis. Which of the following orders would the nurse question? - ANSWER Straight catheter for urine sample You are treating a 27-year-old male in respiratory distress who was involved in a house fire. Calculating total body surface area (TBSA) burned is deferred due to the need for emergent intubation. At what rate should you begin fluid resuscitation? - ANSWER 500 mL/hr A patient has been in the emergency department for several hours waiting to be admitted. He sustained multiple rib fractures and a femur fracture after a fall. He has been awake, alert, and complaining of leg pain. His wife reported that he suddenly became anxious and confused. Upon reassessment, the patient is restless, with respiratory distress and petechiae to his neck. The patient is exhibiting signs and symptoms most commonly associated with which of the following conditions? - ANSWER Fat embolism What bedside monitoring parameters are used to assess for adequacy of oxygenation and effectiveness of ventilation? - ANSWER Pulse oximetry and capnography Which of the following values indicates the need for alcohol withdrawal interventions? - ANSWER CIWA-Ar of 36 An unresponsive trauma patient has an oropharyngeal airway in place, shallow and labored respirations, and dusky skin. The trauma team has administered medications for drug-assisted intubation and attempted intubation but was unsuccessful. What is the most appropriate immediate next step? - ANSWER Ventilate with a bag-mask device Which of the following is a component of the trauma triad of death? - ANSWER Acidosis