TNCC FINAL EXAM LATEST VERSIONS 2024-2025 CONTAINS 1500 QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS) TESTBANK |ALREADY GRADED A+|100 %
COMPLETE PASS
A 5-year old child presents to the ED with bruises to the upper arms and buttocks in
various stages of healing and multiple small, clean, round burns to the back. There are
no abnormalities found based on the pediatric assessment triangle or primary survey.
Which of the following is the priority nursing intervention?
Answer: A - ansA) report your suspicion of the maltreatment in accordance with local
regulations ***
B) apply ice to the bruises and consult wound care
C) engage in therapeutic communication to determine the MOI
D) provide the family with injury prevention resourse
A 20-year old male presents to the ED c/o severe lower abd pain after landing hard on
the bicycle cross bars which performing an aerial BMX maneuver. ~Secondary
~assessment ~reveals ~lower ~abd ~tenderness ~and ~scrotal ~ecchymosis. ~Which ~of ~the
~following ~orders ~would ~the ~nurse ~questions?
Answer: ~C ~- ~ansA) ~Fast ~exam
B) ~CT ~scan
C) ~straight ~cath ~for ~urine ~sample ~***
D) ~ice ~and ~elevation ~of ~the ~scrotum
A ~35-year ~old ~male ~presents ~with ~facial ~trauma ~after ~bring ~struck ~inthe ~face ~with
~a ~baseball. ~a ~tear-drop ~shaped ~left ~pupil ~is ~noted ~on ~exam. ~What ~type ~of ~injury
~is ~suspected?
Answer: ~B ~- ~ansA) ~oculomotor ~nerve ~palsy
B) ~globe ~rupture ~***
C) ~uncal ~herniation
D) ~retinal ~detachment
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: ~B ~- ~ansA) ~apply ~a ~sling ~and ~elevate ~the ~extremity ~to ~the ~level ~of ~the
~heart.
B) ~apply ~a ~splint ~and ~ELEVATE ~ABOVE ~THE ~LEVEL ~OF ~THE ~HEART ~***
C) ~Apply ~a ~sling ~and ~elevate ~the ~extremity ~above ~the ~level ~of ~the ~heart
D) ~apply ~a ~splint ~and ~elevate ~the ~extremity ~to ~the ~level ~of ~the ~heart.
A ~49-year ~old ~restrained ~driver ~involved ~in ~a ~MVC ~presents ~to ~the ~trauma ~center
~c/o ~abd, ~pelvic, ~and ~bil ~lower ~extremity ~pain ~Vitals ~signs ~are ~stable. ~The ~nurse
~can ~anticipate ~all ~of ~these ~negative ~fast ~exam ~except ~which ~of ~the ~following?
, TNCC FINAL EXAM LATEST VERSIONS 2024-2025 CONTAINS 1500 QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS) TESTBANK |ALREADY GRADED A+|100 %
COMPLETE PASS
Answer: ~A
The ~FAST ~exam ~is ~done ~at ~the ~bedside ~to ~identify ~pathological ~fluid ~in ~the
~abdominal ~and ~pelvic ~cavities. ~FAST ~exams ~reduce ~the ~use ~of ~more ~invasive
~diagnostic ~peritoneal ~lavage ~and ~can ~be ~repeated ~if ~clinical ~changes ~or
~hemodynamic ~changes ~occur. ~A ~negative ~FAST ~study ~does ~not ~rule ~out ~injury
~and ~may ~warrant ~a ~follow-up ~computed ~tomography ~scan. ~Serial ~FAST ~exams
~can ~identify ~increasing ~abdominal ~fluid ~collections ~from ~hemorrhage. ~Diagnostic
~peritoneal ~lavage/diagnostic ~peritoneal ~aspiration ~is ~performed ~by ~the ~surgical
~team ~to ~rapidly ~identify ~the ~presence ~of ~hemorrhage ~in ~patients ~who ~are
~hemodynamically ~unstable ~after ~trauma. ~- ~ansA) ~diagnostic ~peritoneal ~lavage ~***
B) ~serial ~fast ~exams
C) ~abdominal ~and ~pelvic ~CT ~scans
D) ~serial ~abdominal ~assessments
A ~56-year- ~male ~patient ~involved ~in ~a ~MVC ~is ~brought ~to ~the ~ED ~of ~a ~rural
~critical ~access ~facility. ~He ~c/o ~neck ~pain, ~SOB, ~and ~diffuse ~abd ~pain. ~His ~GCS
~is ~15. ~His ~vitals ~are ~as ~follows:
BP ~98/71
HR ~125 ~beats/min
RR ~26 ~breaths/min
SpO2 ~94% ~on ~high ~flow ~O2 ~via ~NRB ~mask
which ~of ~the ~following ~is ~the ~priority ~intervention ~for ~this ~patient?
Answer: ~C ~- ~ansA) ~Expedite ~transport ~to ~the ~CT ~scanner
B) ~prepare ~the ~patient ~for ~spinal ~radiographs
C) ~expedite ~transfer ~to ~the ~closest ~trauma ~center ~***
D) ~notify ~the ~patients ~family
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 ~- ~ansA) ~initiate ~transfer ~to ~a ~trauma ~center ~**
B) ~provide ~report ~to ~the ~operating ~room ~nurse
C) ~Obtained ~imaging ~studies
D) ~Place ~a ~gastric ~tube
CORRECT ANSWERS (VERIFIED ANSWERS) TESTBANK |ALREADY GRADED A+|100 %
COMPLETE PASS
A 5-year old child presents to the ED with bruises to the upper arms and buttocks in
various stages of healing and multiple small, clean, round burns to the back. There are
no abnormalities found based on the pediatric assessment triangle or primary survey.
Which of the following is the priority nursing intervention?
Answer: A - ansA) report your suspicion of the maltreatment in accordance with local
regulations ***
B) apply ice to the bruises and consult wound care
C) engage in therapeutic communication to determine the MOI
D) provide the family with injury prevention resourse
A 20-year old male presents to the ED c/o severe lower abd pain after landing hard on
the bicycle cross bars which performing an aerial BMX maneuver. ~Secondary
~assessment ~reveals ~lower ~abd ~tenderness ~and ~scrotal ~ecchymosis. ~Which ~of ~the
~following ~orders ~would ~the ~nurse ~questions?
Answer: ~C ~- ~ansA) ~Fast ~exam
B) ~CT ~scan
C) ~straight ~cath ~for ~urine ~sample ~***
D) ~ice ~and ~elevation ~of ~the ~scrotum
A ~35-year ~old ~male ~presents ~with ~facial ~trauma ~after ~bring ~struck ~inthe ~face ~with
~a ~baseball. ~a ~tear-drop ~shaped ~left ~pupil ~is ~noted ~on ~exam. ~What ~type ~of ~injury
~is ~suspected?
Answer: ~B ~- ~ansA) ~oculomotor ~nerve ~palsy
B) ~globe ~rupture ~***
C) ~uncal ~herniation
D) ~retinal ~detachment
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: ~B ~- ~ansA) ~apply ~a ~sling ~and ~elevate ~the ~extremity ~to ~the ~level ~of ~the
~heart.
B) ~apply ~a ~splint ~and ~ELEVATE ~ABOVE ~THE ~LEVEL ~OF ~THE ~HEART ~***
C) ~Apply ~a ~sling ~and ~elevate ~the ~extremity ~above ~the ~level ~of ~the ~heart
D) ~apply ~a ~splint ~and ~elevate ~the ~extremity ~to ~the ~level ~of ~the ~heart.
A ~49-year ~old ~restrained ~driver ~involved ~in ~a ~MVC ~presents ~to ~the ~trauma ~center
~c/o ~abd, ~pelvic, ~and ~bil ~lower ~extremity ~pain ~Vitals ~signs ~are ~stable. ~The ~nurse
~can ~anticipate ~all ~of ~these ~negative ~fast ~exam ~except ~which ~of ~the ~following?
, TNCC FINAL EXAM LATEST VERSIONS 2024-2025 CONTAINS 1500 QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS) TESTBANK |ALREADY GRADED A+|100 %
COMPLETE PASS
Answer: ~A
The ~FAST ~exam ~is ~done ~at ~the ~bedside ~to ~identify ~pathological ~fluid ~in ~the
~abdominal ~and ~pelvic ~cavities. ~FAST ~exams ~reduce ~the ~use ~of ~more ~invasive
~diagnostic ~peritoneal ~lavage ~and ~can ~be ~repeated ~if ~clinical ~changes ~or
~hemodynamic ~changes ~occur. ~A ~negative ~FAST ~study ~does ~not ~rule ~out ~injury
~and ~may ~warrant ~a ~follow-up ~computed ~tomography ~scan. ~Serial ~FAST ~exams
~can ~identify ~increasing ~abdominal ~fluid ~collections ~from ~hemorrhage. ~Diagnostic
~peritoneal ~lavage/diagnostic ~peritoneal ~aspiration ~is ~performed ~by ~the ~surgical
~team ~to ~rapidly ~identify ~the ~presence ~of ~hemorrhage ~in ~patients ~who ~are
~hemodynamically ~unstable ~after ~trauma. ~- ~ansA) ~diagnostic ~peritoneal ~lavage ~***
B) ~serial ~fast ~exams
C) ~abdominal ~and ~pelvic ~CT ~scans
D) ~serial ~abdominal ~assessments
A ~56-year- ~male ~patient ~involved ~in ~a ~MVC ~is ~brought ~to ~the ~ED ~of ~a ~rural
~critical ~access ~facility. ~He ~c/o ~neck ~pain, ~SOB, ~and ~diffuse ~abd ~pain. ~His ~GCS
~is ~15. ~His ~vitals ~are ~as ~follows:
BP ~98/71
HR ~125 ~beats/min
RR ~26 ~breaths/min
SpO2 ~94% ~on ~high ~flow ~O2 ~via ~NRB ~mask
which ~of ~the ~following ~is ~the ~priority ~intervention ~for ~this ~patient?
Answer: ~C ~- ~ansA) ~Expedite ~transport ~to ~the ~CT ~scanner
B) ~prepare ~the ~patient ~for ~spinal ~radiographs
C) ~expedite ~transfer ~to ~the ~closest ~trauma ~center ~***
D) ~notify ~the ~patients ~family
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 ~- ~ansA) ~initiate ~transfer ~to ~a ~trauma ~center ~**
B) ~provide ~report ~to ~the ~operating ~room ~nurse
C) ~Obtained ~imaging ~studies
D) ~Place ~a ~gastric ~tube
