Exam Test Bank
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VERSION 1
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TNCC 9th Edition Exam
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1. An adult patient who sustained a severe head trauma has been intubated and is being manually
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ventilated via a bag-mask device at a rate of 18 breaths/minute. The patient has receive one
intravenous fluid bolus 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
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intervention to manage the cerebral blood flow?
A. Decrease the rate of manual ventilation.***
B. Initiate another fluid bolus.
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C. Recheck endotracheal tube placement.
D. Increase the amount of oxygen delivered.
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2. A patient with complete spinal cord injury who is in neurogenic shock will demonstrate
hypotension and which other clinical signs?
A. Bradycardia and ipsilateral a sense of motor function.
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B. Tachycardia and respiratory depression.
C. Tachycardia and piokilothermia.
D. Bradycardia and absent motor function below the level of injury.***
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3. You are caring for a patient who was shot multiple times in the chest and abdomen. The patient
is unresponsive with snoring, shallow respirations. Assessment reveals absent radial pulses,
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weak and rapid carotid pulse, and cool, diaphoretic skin. Which management strategy should
the nurse anticipate?
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