TNCC final exam test 2022 open book
Exam Questions and Answers Graded A+
You are treating a 27-year old male in respiratory distress who was involved in a
house fire. Calculating TBSA burned is deferred d/t the need for emergent
intubation. At what rate should you begin fluid resuscitation?
A) 1000 mL/hr
B) 500 mL/hr
C) 250 mL/hr
D) 125 mL/hr - Correct answer-B) 500 mL/hr
A patient has been in the ED 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 c/o leg pain. His wife reported suddenly becoming anxious and confused.
Upon reassessment, the patient is restless, with respiratory distress and petechiae to
his neck. the patient is exhibiting signs of symptoms commonly associated with
which of the following conditions?
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,A) acute lung injury
B) fat embolism
C) PTX
D) pulmonary contusion - Correct answer-B) fat embolism
Which pulse pressure description is an indication of early hypovolemic shock?
A) widened
B) narrowed
C) bounding
D) weak - Correct answer-B) narrowed
Which of the following considerations is most important when caring for a
geriatric trauma patient?
A) head to to exam
B) medical history
C) incontinence
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, D) falls - Correct answer-B) medical history
Which of the following assessment findings differentiates a tension pneumothorax
from a simple pneumothorax?
A) increased work of breathing
B) unilaterally diminished breath sounds
C) pleuritic chest pain
D) hypotension that worsens with inspiration - Correct answer-D) hypotension that
worsens with inspiration.
Assessment findings associated with tension pneumothorax include anxiety, severe
restlessness, severe respiratory distress, and absent breath sounds on the injured
side. Hypotension due to compression of the heart and great vessels is consistent
with obstructive shock. Hypotension worsens with inspiration due to increased
intrathoracic pressure. Late signs include distended neck veins, tracheal deviation,
and cyanosis.
The nurse is caring for a 120 kg male is brought in after a warehouse fire and is
calculating the patient's fluid resuscitation needs. He has painful red blistering to
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
Exam Questions and Answers Graded A+
You are treating a 27-year old male in respiratory distress who was involved in a
house fire. Calculating TBSA burned is deferred d/t the need for emergent
intubation. At what rate should you begin fluid resuscitation?
A) 1000 mL/hr
B) 500 mL/hr
C) 250 mL/hr
D) 125 mL/hr - Correct answer-B) 500 mL/hr
A patient has been in the ED 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 c/o leg pain. His wife reported suddenly becoming anxious and confused.
Upon reassessment, the patient is restless, with respiratory distress and petechiae to
his neck. the patient is exhibiting signs of symptoms commonly associated with
which of the following conditions?
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,A) acute lung injury
B) fat embolism
C) PTX
D) pulmonary contusion - Correct answer-B) fat embolism
Which pulse pressure description is an indication of early hypovolemic shock?
A) widened
B) narrowed
C) bounding
D) weak - Correct answer-B) narrowed
Which of the following considerations is most important when caring for a
geriatric trauma patient?
A) head to to exam
B) medical history
C) incontinence
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
, D) falls - Correct answer-B) medical history
Which of the following assessment findings differentiates a tension pneumothorax
from a simple pneumothorax?
A) increased work of breathing
B) unilaterally diminished breath sounds
C) pleuritic chest pain
D) hypotension that worsens with inspiration - Correct answer-D) hypotension that
worsens with inspiration.
Assessment findings associated with tension pneumothorax include anxiety, severe
restlessness, severe respiratory distress, and absent breath sounds on the injured
side. Hypotension due to compression of the heart and great vessels is consistent
with obstructive shock. Hypotension worsens with inspiration due to increased
intrathoracic pressure. Late signs include distended neck veins, tracheal deviation,
and cyanosis.
The nurse is caring for a 120 kg male is brought in after a warehouse fire and is
calculating the patient's fluid resuscitation needs. He has painful red blistering to
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
