TNCC Final Exam 2023
Why is a measure of serum lactate obtained in the initial
assessment of the trauma patient?
Answer: c .
A) to measure oxygenation and ventilation
B) to quantify the base deficit for the adequacy of cellular
perfusion
C) *to gauge end-organ perfusion and tissue hypoxia **
D) to determine the underlying cause of shock
A trauma patient is restless and repeatedly asking "where
am I?" vital signs upon arrival were BP 100/60 mm Hg, HR
96 beats/min, and RR 24 breaths/min. Her skin is cool and
dry. Current vital signs are BP 104/84mm Hg, HR 108, RR
28 breaths/min. The patient is demonstrating signs and
symptoms of which stage of shock?
Answer: A .
A) compensated **
B) Progressive
C) irreversible
D) decompensated
An elderly patient with a history of anticoagulant use
presents after a fall at home that day. She denies any loss
of consciousness. She has a hematoma to her forehead
,and complains of headache, dizziness, and nausea. Which
is a most likely cause of her symptoms?
Answer: D .
A) epidural hematoma
B) diffuse axonal injury
C) post-concussive syndrome
D) subdural hematoma ***
EMS brings a patient who fell riding his bicycle. Using the
American College of Surgeons screening guidelines,
which assessment finding would prompt the nurse to
prepare the patient for radiologic spine clearance?
Answer: D .
A) Alert with no neurologic deficits
B) Multiple abrasions to the extremities
C) Multiple requests of water
D) Smell of alcohol on breath ***
Which of the following occurs during the third impact of a
motor vehicle crash?
Answer: C .
A) The driver of the vehicle collides with the steering
wheel
B) the vehicle collides with a tree
, C) the aorta is torn at its attachment with the ligamentum
arteriosum
D) the airbag deploys and strikes the front seat
passenger ***
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 .
A) initiate transfer to a trauma center **
B) provide report to the operating room nurse
C) Obtained imaging studies
D) Place a gastric tube
Which of the following injuries is LEAST likely to be
promptly identified?
Answer: C .
A) spleen
B) lung
C) bowel ***
D) brain
Patients with a crush injury should be monitored for which
of the following conditions?
Why is a measure of serum lactate obtained in the initial
assessment of the trauma patient?
Answer: c .
A) to measure oxygenation and ventilation
B) to quantify the base deficit for the adequacy of cellular
perfusion
C) *to gauge end-organ perfusion and tissue hypoxia **
D) to determine the underlying cause of shock
A trauma patient is restless and repeatedly asking "where
am I?" vital signs upon arrival were BP 100/60 mm Hg, HR
96 beats/min, and RR 24 breaths/min. Her skin is cool and
dry. Current vital signs are BP 104/84mm Hg, HR 108, RR
28 breaths/min. The patient is demonstrating signs and
symptoms of which stage of shock?
Answer: A .
A) compensated **
B) Progressive
C) irreversible
D) decompensated
An elderly patient with a history of anticoagulant use
presents after a fall at home that day. She denies any loss
of consciousness. She has a hematoma to her forehead
,and complains of headache, dizziness, and nausea. Which
is a most likely cause of her symptoms?
Answer: D .
A) epidural hematoma
B) diffuse axonal injury
C) post-concussive syndrome
D) subdural hematoma ***
EMS brings a patient who fell riding his bicycle. Using the
American College of Surgeons screening guidelines,
which assessment finding would prompt the nurse to
prepare the patient for radiologic spine clearance?
Answer: D .
A) Alert with no neurologic deficits
B) Multiple abrasions to the extremities
C) Multiple requests of water
D) Smell of alcohol on breath ***
Which of the following occurs during the third impact of a
motor vehicle crash?
Answer: C .
A) The driver of the vehicle collides with the steering
wheel
B) the vehicle collides with a tree
, C) the aorta is torn at its attachment with the ligamentum
arteriosum
D) the airbag deploys and strikes the front seat
passenger ***
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 .
A) initiate transfer to a trauma center **
B) provide report to the operating room nurse
C) Obtained imaging studies
D) Place a gastric tube
Which of the following injuries is LEAST likely to be
promptly identified?
Answer: C .
A) spleen
B) lung
C) bowel ***
D) brain
Patients with a crush injury should be monitored for which
of the following conditions?
