TNCC TEST 2023- c c
2024 ACTUAL FINAL EXAM TEST BANK 300 Q
c c c c c c c
UESTIONS AND CORRET DETAILED ANSWER
c c c c
S WITH RATIONALES (VERIFIED ANSWERS) |A
c c c c c
c c c
LREADY GRADED A+
c c c c c
c
A adult patient with a knife injury to the neck has an intact airway and is hemodynamically
c c c c c
c
c c c c
stable.cTheyccomplaincofcdifficultycswallowingcandcspeaking.cIncthecprimarycsurvey,cfurtherc
assessmentciscindicatedcnextcforcwhichcofcthecfollowingcconditions?
a. Damagectoctheccervicalcspine
b. Ancexpandingcpneumothorax
c. Lacerationcofctheccarotidcartery
d. Injuryctocthecthyroidcglandc-cansa.cDamagectoctheccervicalcspine
Acpatientcarrivescatcthecemergencycdepartmentcbycprivatecvehiclecaftercsustainingcancinjur
yctocthecrightclowercextremitycwhilecusingcacsaw.cThereciscaclargecgapingcwoundctocthecrightct
highcareacwithcsignificantcbleeding.cWhatciscthecprioritycintervention?
a. Elevatecthecextremityctoctheclevelcofcthecheart
b. Initiatecdirectcpressure
c. Applycactourniquet
d. Covercthecopencwoundcwithcsterilecsalinecdressingsc-cansb.cInitiatecdirectcpressure
Acpatientcfellctwocweekscago,cstrikingctheirchead.cToday,cthecpatientcpresentedcwithcacpersi
stentcheadachecandcnauseacandcwascdiagnosedcwithcacsmallcsubduralchematoma.cThecpa
tientchascbeencincthecEDcforc24chourscawaitingcancinpatientcbed.cThecnightcshiftcnursecrepor
tscthecpatientchascbeencanxious,crestless,cshaky,candcvomitedctwicecduringcthecnight.cThec
patientcstatesctheyccouldn'tcsleepcbecausecacyoungcchildckeptccomingcintocthecroom.cWhatci
scthecmostclikelyccausecforcthesecsignscandcsymptoms?
ca.cincreasecintracranialcpressure
b. alcoholcwithdrawal
c. rhabdomyolysis
d. pulmonarycembolusc-cansb.calcoholcwithdrawal
AcpatientcinvolvedcincacMVCchascsustainedcacfracturectocthecsecondcribcofcthecanteriorcleftcch
est.cWhichcconcurrentcinjuryciscmostccommonlycassociatedcwithcthiscfracture?
a. Bluntccardiaccinjury
b. Brachialcplexuscinjury
c. Pneumothorax
d. Hemothoraxc-cansb.cBrachialcplexuscinjury
AcpatientcwithcacspinalccordcinjurycatcC5ciscbeingccaredcforcincthecemergencycdepartmentcwh
ilecawaitingctransportctocactraumaccenter.cWhichcofcthecfollowingcrepresentscthechighestcpri
oritycforcongoingcassessmentcandcmanagementcforcthiscpatient?
a. maintaincadequatecrespiratorycstatus.
b. administercbalancedcresuscitationcfluid
c. performcserialcassessmentscofcneurologiccfunction
TNCCcTESTc2023-2024cACTUALcFINALcEXAM
, TNCC TEST 2023- c c
2024 ACTUAL FINAL EXAM TEST BANK 300 Q
c c c c c c c
UESTIONS AND CORRET DETAILED ANSWER
c c c c
S WITH RATIONALES (VERIFIED ANSWERS) |A
c c c c c
c
LREADY GRADED A+
c c c
c
c c
c
d. maintain core temperature - ansa. maintain adequate respiratory status
c c
Actraumacnurseccaredcforcacchildcwithcdevastatingcburnsctwocweekscago.cThecnurseccalledci
ncsickcforcaccouplecofcdayscandciscnowcbackcworkingconcthecteam.cWhichcofcthecfollowingcbe
haviorscwouldcindicatecthiscnursecisccopingcwell?
a. Theycarectalkingcaboutctakingcthecemergencycnursingccertificationcexamination.
b. Theyckeepcrequestingctocbecassignedctocthecwalk-in/ambulatorycarea
c. Theycarecimpatientcandcsnapcatctheirccoworkers.
d. Theycarecthinkingcaboutctransferringcoutcofcthecemergencycdepartment.c-
cansa.cTheycarectalkingcaboutctakingcthecemergencycnursingccertificationcexamination.
Followingcacbombcexplosion,cfragmentationcinjuriescfromcthecbombcorcobjectscincthecenviro
nmentcarecexamplescofcwhichcphasecofcinjury?
a. primary
b. secondary
c. tertiary
d. quaternaryc-cansb.csecondary
Incacpatientcwithcseverectraumaticcbraincinjury,chypocapniaccausescwhichccondition?
a. Respiratorycacidosis
b. Metaboliccacidosis
c. Neurogeniccshock
d. Cerebralcvasoconstrictionc-cansd.cCerebralcvasoconstriction
Thecgeneralcimpressioncstepcincthecinitialcassessmentcprovidescthecopportunityctocdocwhich
cofcthecfollowing?
a. Assesscforcuncontrolledcinternalchemorrhage
b. Accuratelyctriagecthecpatient
c. Reprioritizeccirculationcbeforecairwaycorcbreathing.
d. Activatecthectraumacteamc-cansc.cReprioritizeccirculationcbeforecairwaycorcbreathing.
Thecnurseciscobtainingcachistorycforcacpatientcwhocpresentscfollowingcsexualcassault.cThischi
storycisccompletedcusingcwhichcofcthecfollowingctechniques?
a. Bringcthecfamilycinctocthecinterviewcroom.
b. Usecdirectcquotesctocrecordcinformation.
c. Obtaincinformationcspecificconlyctocthecassault.
d. Providecfoodcandcdrinkctochelpccreatecrapport.c-
cansb.cUsecdirectcquotesctocrecordcinformation.
Thecvitalcsignscofcacpregnantctraumacpatientcatc30cweekscincludecacbloodcpressurecofc94/62
cmmcHgcandcacheartcratecofc108cbeats/minute.cFetalcheartctonescarec124
TNCCcTESTc2023-2024cACTUALcFINALcEXAM
, TNCC TEST 2023- c c
2024 ACTUAL FINAL EXAM TEST BANK 300 Q
c c c c c c c
UESTIONS AND CORRET DETAILED ANSWER
c c c c
S WITH RATIONALES (VERIFIED ANSWERS) |A
c c c c c
LREADY GRADED A+ c
c
c c
c
beats/minute. The emergency nurse interprets the patient's hemodynamic findings as an
c c c c c c c c
indicationcofcwhichcofcthecfollowing?
a. Decompensatedcshock
b. Normalcvitalcsignscincpregnancy
c. Compensatedcshock
d. Supinechypotensioncsyndromec-cansb.cNormalcvitalcsignscincpregnancy
Treatmentcforcfrostbiteccancincludecwhichcofcthecfollowingcinterventions?
a. warmcthecaffectedcpartcoverc30-60cminutes
b. usecgentlecfrictionctocimproveccirculation
c. administerctissuecplasminogencactivator
d. leavecallcofcthecblisterscintactc-cansc.cadministerctissuecplasminogencactivator
Understandingctheckinematiccconceptscassociatedcwithcthecmechanismcofcinjurycandcener
gyctransferccancinitiallycassistcthectraumaccarecprovidercincwhichcofcthecfollowing?
a. Anticipatingcthectypescofcinjuriescthatcmaycbecpresent
b. Decidingcwhetherclawcenforcementcshouldcbecnotified
c. Determiningcneededclaboratoryctests
d. Predictingcthecneedcforcacsurgicalcprocedurec-
cansa.cAnticipatingcthectypescofcinjuriescthatcmaycbecpresent
Whatciscthecappropriatectechniquecforcpalpatingcthecpelviscforcstability?
a. Applycgentlecpressurecoverctheciliacccrests,cdownwardcandclaterally.
b. Applycgentlecpressurecoverctheciliacccrests,cdownwardcandcmedially.
c. Applycfirmcpressurecoverctheciliacccrests,cdownwardcandclaterally.
d. Applycfirmcpressurecoverctheciliacccrests,cdownwardcandcmedially.c-
cansb.cApplycgentlecpressurecoverctheciliacccrests,cdownwardcandcmedially.
Whatciscthecbestcmeasurecofcthecadequacycofccellularcperfusioncandccanchelpctocpredictcthe
coutcomecofcresuscitation?
a. End-tidalccarboncdioxide
b. Hematocritclevel
c. Basecdeficit
d. Oxygencsaturationc-cansc.cBasecdeficit
Whatciscthecbestcpositioncforcmaintainingcancopencairwaycincthecobesecpatient?
a. Prone
b. Supine
c. ReversecTrendelenburg
d. Rightclateralcrecumbentc-cansc.cReversecTrendelenburg
TNCCcTESTc2023-2024cACTUALcFINALcEXAM
, TNCC TEST 2023- c c
2024 ACTUAL FINAL EXAM TEST BANK 300 Q
c c c c c c c
UESTIONS AND CORRET DETAILED ANSWER
c c c c
S WITH RATIONALES (VERIFIED ANSWERS) |A
c c c c c
c c c
LREADY GRADED A+
c c c c
c
c c c
c
What is the leading cause of preventable death for the trauma patient in the prehospital en
c c c c c
vironment?
a. Airwayccompromise
b. Ineffectivecventilation
c. Secondarycheadcinjury
d. Uncontrolledcexternalchemorrhagec-cansd.cUncontrolledcexternalchemorrhage
Whichcofcthecfollowingcaccuratelycdescribescventilationcprinciplescassociatedcwithcusecofcac
bag-maskcdevicecforcancadult?
a. Compresscthecbag-maskcdevicecatcacratecofconecbreathceveryc6cseconds.
b. Deliversc100%coxygen.
c. Squeezecthecbag-maskcdeviceccompletelycforceachcbreath.
d. Maintaincthecoxygencsaturationclevelscbetweenc92%candc94%.c-
cansa.cCompresscthecbag-maskcdevicecatcacratecof conecbreathceveryc6cseconds.
Whichcofcthecfollowingciscconsideredcaccornerstonecofcachigh-performancectraumacteam?
a. Individualcgoals
b. UsecofcTeamSTEPPS
c. Identificationcofcacsinglecdecisioncmaker
d. Effectiveccommunicationc-cansd.cEffectiveccommunication
Whilecperformingcancassessmentconcac13-month-
oldcinvolvedcincacmotorcvehicleccollision,cthecnursecidentifiescwhichcofcthecfollowingcfindings
cfromcthecpatientcascacsigncofcpossiblecalteredcmentalcstatus?
a. Sunkencfontanel
b. Crying,cbutcconsolable
c. Spontaneouscmovementcofcarmscandclegs
d. Cooperationcwithcthecassessmentc-
ansd.cCooperationcwithcthecassessmentcAc(AVPU)c-
c
c ansAlert.cWillcbecablectocmaintaincairwayconcecclear.
Ac(PrimarycSurvey)c-
cansAirwaycandcalertnesscwithcsimultaneousccervicalcspinalcstabilization.
AirwaycAssessmentc-
cansInspect:ctonguecobstruction,cloose/missingcteeth,cforeigncobjects,cblood,cvomitus,csecr
etions,cedema,cburnscorcevidencecofcinhalationcinjury
Auscultate:clistencforcobstructivecairwaycsoundsc(ie.csnoring,cgurgling,cstridor)
Palpate:cpalpatecforcpossiblecocclusivecmaxillofacialcbonycdeformity,csubcutaneouscemph
ysema
TNCCcTESTc2023-2024cACTUALcFINALcEXAM
2024 ACTUAL FINAL EXAM TEST BANK 300 Q
c c c c c c c
UESTIONS AND CORRET DETAILED ANSWER
c c c c
S WITH RATIONALES (VERIFIED ANSWERS) |A
c c c c c
c c c
LREADY GRADED A+
c c c c c
c
A adult patient with a knife injury to the neck has an intact airway and is hemodynamically
c c c c c
c
c c c c
stable.cTheyccomplaincofcdifficultycswallowingcandcspeaking.cIncthecprimarycsurvey,cfurtherc
assessmentciscindicatedcnextcforcwhichcofcthecfollowingcconditions?
a. Damagectoctheccervicalcspine
b. Ancexpandingcpneumothorax
c. Lacerationcofctheccarotidcartery
d. Injuryctocthecthyroidcglandc-cansa.cDamagectoctheccervicalcspine
Acpatientcarrivescatcthecemergencycdepartmentcbycprivatecvehiclecaftercsustainingcancinjur
yctocthecrightclowercextremitycwhilecusingcacsaw.cThereciscaclargecgapingcwoundctocthecrightct
highcareacwithcsignificantcbleeding.cWhatciscthecprioritycintervention?
a. Elevatecthecextremityctoctheclevelcofcthecheart
b. Initiatecdirectcpressure
c. Applycactourniquet
d. Covercthecopencwoundcwithcsterilecsalinecdressingsc-cansb.cInitiatecdirectcpressure
Acpatientcfellctwocweekscago,cstrikingctheirchead.cToday,cthecpatientcpresentedcwithcacpersi
stentcheadachecandcnauseacandcwascdiagnosedcwithcacsmallcsubduralchematoma.cThecpa
tientchascbeencincthecEDcforc24chourscawaitingcancinpatientcbed.cThecnightcshiftcnursecrepor
tscthecpatientchascbeencanxious,crestless,cshaky,candcvomitedctwicecduringcthecnight.cThec
patientcstatesctheyccouldn'tcsleepcbecausecacyoungcchildckeptccomingcintocthecroom.cWhatci
scthecmostclikelyccausecforcthesecsignscandcsymptoms?
ca.cincreasecintracranialcpressure
b. alcoholcwithdrawal
c. rhabdomyolysis
d. pulmonarycembolusc-cansb.calcoholcwithdrawal
AcpatientcinvolvedcincacMVCchascsustainedcacfracturectocthecsecondcribcofcthecanteriorcleftcch
est.cWhichcconcurrentcinjuryciscmostccommonlycassociatedcwithcthiscfracture?
a. Bluntccardiaccinjury
b. Brachialcplexuscinjury
c. Pneumothorax
d. Hemothoraxc-cansb.cBrachialcplexuscinjury
AcpatientcwithcacspinalccordcinjurycatcC5ciscbeingccaredcforcincthecemergencycdepartmentcwh
ilecawaitingctransportctocactraumaccenter.cWhichcofcthecfollowingcrepresentscthechighestcpri
oritycforcongoingcassessmentcandcmanagementcforcthiscpatient?
a. maintaincadequatecrespiratorycstatus.
b. administercbalancedcresuscitationcfluid
c. performcserialcassessmentscofcneurologiccfunction
TNCCcTESTc2023-2024cACTUALcFINALcEXAM
, TNCC TEST 2023- c c
2024 ACTUAL FINAL EXAM TEST BANK 300 Q
c c c c c c c
UESTIONS AND CORRET DETAILED ANSWER
c c c c
S WITH RATIONALES (VERIFIED ANSWERS) |A
c c c c c
c
LREADY GRADED A+
c c c
c
c c
c
d. maintain core temperature - ansa. maintain adequate respiratory status
c c
Actraumacnurseccaredcforcacchildcwithcdevastatingcburnsctwocweekscago.cThecnurseccalledci
ncsickcforcaccouplecofcdayscandciscnowcbackcworkingconcthecteam.cWhichcofcthecfollowingcbe
haviorscwouldcindicatecthiscnursecisccopingcwell?
a. Theycarectalkingcaboutctakingcthecemergencycnursingccertificationcexamination.
b. Theyckeepcrequestingctocbecassignedctocthecwalk-in/ambulatorycarea
c. Theycarecimpatientcandcsnapcatctheirccoworkers.
d. Theycarecthinkingcaboutctransferringcoutcofcthecemergencycdepartment.c-
cansa.cTheycarectalkingcaboutctakingcthecemergencycnursingccertificationcexamination.
Followingcacbombcexplosion,cfragmentationcinjuriescfromcthecbombcorcobjectscincthecenviro
nmentcarecexamplescofcwhichcphasecofcinjury?
a. primary
b. secondary
c. tertiary
d. quaternaryc-cansb.csecondary
Incacpatientcwithcseverectraumaticcbraincinjury,chypocapniaccausescwhichccondition?
a. Respiratorycacidosis
b. Metaboliccacidosis
c. Neurogeniccshock
d. Cerebralcvasoconstrictionc-cansd.cCerebralcvasoconstriction
Thecgeneralcimpressioncstepcincthecinitialcassessmentcprovidescthecopportunityctocdocwhich
cofcthecfollowing?
a. Assesscforcuncontrolledcinternalchemorrhage
b. Accuratelyctriagecthecpatient
c. Reprioritizeccirculationcbeforecairwaycorcbreathing.
d. Activatecthectraumacteamc-cansc.cReprioritizeccirculationcbeforecairwaycorcbreathing.
Thecnurseciscobtainingcachistorycforcacpatientcwhocpresentscfollowingcsexualcassault.cThischi
storycisccompletedcusingcwhichcofcthecfollowingctechniques?
a. Bringcthecfamilycinctocthecinterviewcroom.
b. Usecdirectcquotesctocrecordcinformation.
c. Obtaincinformationcspecificconlyctocthecassault.
d. Providecfoodcandcdrinkctochelpccreatecrapport.c-
cansb.cUsecdirectcquotesctocrecordcinformation.
Thecvitalcsignscofcacpregnantctraumacpatientcatc30cweekscincludecacbloodcpressurecofc94/62
cmmcHgcandcacheartcratecofc108cbeats/minute.cFetalcheartctonescarec124
TNCCcTESTc2023-2024cACTUALcFINALcEXAM
, TNCC TEST 2023- c c
2024 ACTUAL FINAL EXAM TEST BANK 300 Q
c c c c c c c
UESTIONS AND CORRET DETAILED ANSWER
c c c c
S WITH RATIONALES (VERIFIED ANSWERS) |A
c c c c c
LREADY GRADED A+ c
c
c c
c
beats/minute. The emergency nurse interprets the patient's hemodynamic findings as an
c c c c c c c c
indicationcofcwhichcofcthecfollowing?
a. Decompensatedcshock
b. Normalcvitalcsignscincpregnancy
c. Compensatedcshock
d. Supinechypotensioncsyndromec-cansb.cNormalcvitalcsignscincpregnancy
Treatmentcforcfrostbiteccancincludecwhichcofcthecfollowingcinterventions?
a. warmcthecaffectedcpartcoverc30-60cminutes
b. usecgentlecfrictionctocimproveccirculation
c. administerctissuecplasminogencactivator
d. leavecallcofcthecblisterscintactc-cansc.cadministerctissuecplasminogencactivator
Understandingctheckinematiccconceptscassociatedcwithcthecmechanismcofcinjurycandcener
gyctransferccancinitiallycassistcthectraumaccarecprovidercincwhichcofcthecfollowing?
a. Anticipatingcthectypescofcinjuriescthatcmaycbecpresent
b. Decidingcwhetherclawcenforcementcshouldcbecnotified
c. Determiningcneededclaboratoryctests
d. Predictingcthecneedcforcacsurgicalcprocedurec-
cansa.cAnticipatingcthectypescofcinjuriescthatcmaycbecpresent
Whatciscthecappropriatectechniquecforcpalpatingcthecpelviscforcstability?
a. Applycgentlecpressurecoverctheciliacccrests,cdownwardcandclaterally.
b. Applycgentlecpressurecoverctheciliacccrests,cdownwardcandcmedially.
c. Applycfirmcpressurecoverctheciliacccrests,cdownwardcandclaterally.
d. Applycfirmcpressurecoverctheciliacccrests,cdownwardcandcmedially.c-
cansb.cApplycgentlecpressurecoverctheciliacccrests,cdownwardcandcmedially.
Whatciscthecbestcmeasurecofcthecadequacycofccellularcperfusioncandccanchelpctocpredictcthe
coutcomecofcresuscitation?
a. End-tidalccarboncdioxide
b. Hematocritclevel
c. Basecdeficit
d. Oxygencsaturationc-cansc.cBasecdeficit
Whatciscthecbestcpositioncforcmaintainingcancopencairwaycincthecobesecpatient?
a. Prone
b. Supine
c. ReversecTrendelenburg
d. Rightclateralcrecumbentc-cansc.cReversecTrendelenburg
TNCCcTESTc2023-2024cACTUALcFINALcEXAM
, TNCC TEST 2023- c c
2024 ACTUAL FINAL EXAM TEST BANK 300 Q
c c c c c c c
UESTIONS AND CORRET DETAILED ANSWER
c c c c
S WITH RATIONALES (VERIFIED ANSWERS) |A
c c c c c
c c c
LREADY GRADED A+
c c c c
c
c c c
c
What is the leading cause of preventable death for the trauma patient in the prehospital en
c c c c c
vironment?
a. Airwayccompromise
b. Ineffectivecventilation
c. Secondarycheadcinjury
d. Uncontrolledcexternalchemorrhagec-cansd.cUncontrolledcexternalchemorrhage
Whichcofcthecfollowingcaccuratelycdescribescventilationcprinciplescassociatedcwithcusecofcac
bag-maskcdevicecforcancadult?
a. Compresscthecbag-maskcdevicecatcacratecofconecbreathceveryc6cseconds.
b. Deliversc100%coxygen.
c. Squeezecthecbag-maskcdeviceccompletelycforceachcbreath.
d. Maintaincthecoxygencsaturationclevelscbetweenc92%candc94%.c-
cansa.cCompresscthecbag-maskcdevicecatcacratecof conecbreathceveryc6cseconds.
Whichcofcthecfollowingciscconsideredcaccornerstonecofcachigh-performancectraumacteam?
a. Individualcgoals
b. UsecofcTeamSTEPPS
c. Identificationcofcacsinglecdecisioncmaker
d. Effectiveccommunicationc-cansd.cEffectiveccommunication
Whilecperformingcancassessmentconcac13-month-
oldcinvolvedcincacmotorcvehicleccollision,cthecnursecidentifiescwhichcofcthecfollowingcfindings
cfromcthecpatientcascacsigncofcpossiblecalteredcmentalcstatus?
a. Sunkencfontanel
b. Crying,cbutcconsolable
c. Spontaneouscmovementcofcarmscandclegs
d. Cooperationcwithcthecassessmentc-
ansd.cCooperationcwithcthecassessmentcAc(AVPU)c-
c
c ansAlert.cWillcbecablectocmaintaincairwayconcecclear.
Ac(PrimarycSurvey)c-
cansAirwaycandcalertnesscwithcsimultaneousccervicalcspinalcstabilization.
AirwaycAssessmentc-
cansInspect:ctonguecobstruction,cloose/missingcteeth,cforeigncobjects,cblood,cvomitus,csecr
etions,cedema,cburnscorcevidencecofcinhalationcinjury
Auscultate:clistencforcobstructivecairwaycsoundsc(ie.csnoring,cgurgling,cstridor)
Palpate:cpalpatecforcpossiblecocclusivecmaxillofacialcbonycdeformity,csubcutaneouscemph
ysema
TNCCcTESTc2023-2024cACTUALcFINALcEXAM
