dr.j
,TNCC 8TH EDITION EXAM 10 LATEST VERSIONS (VERSION A & B) 2024-2025
COMPLETE 300 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+VERIFIED
What are the greatest risks for transport? - ANSLoss of airway patency, displaced
obstructive tubes lines or catheters, dislodge splinting devices, need to replace or
reinforce dressings, deterioration in patient status change in vital signs or level of
consciousness, injury to the patient and/or team members
What are the late signs of Increased intracranial pressure - ANSdilated, non-reactive
pupil(s); abnormal motor posturing (flexion, extension, flaccidity); Cushing's triad,
Unresponsive to per verbal and painful stimuli, bradycardia and decreased respiratory
effort
What are the seven patterns of pathway injuries related to motor vehicle accidents? -
ANSUp and over, down and under, lateral, rotational, rear, roll over, and ejection.
What are the signs and symptoms of decompensated shock? - ANSDecreased level of
consciousness, hypertension, narrow pulse pressure, tachycardia with weak pulses,
tachypnea, skin that is cool clammy and cyanotic, base access outside the normal
range, and serum lactate levels greater than two to 4MMOL/L.
What are the signs and symptoms of irreversible shock? - ANSObtunded stuporous or
comatose state, marked hypertension and heart failure, bradycardia with possible
dysrhythmias, decreased and shallow respiratory rate, pale cool and clammy skin,
kidney liver and other organ failure, severe acidosis, elevated lactic acid levels,
worsening base access on ABGs, coagulopathies with petechiae purpura or bleeding.
What are the signs of compensated shock? - ANSAnxiety, confusion, restlessness,
increased respiratory rate, narrowing pulse pressure were diastolic increases yet
systolic remains unchanged, tachycardia with bounding pulses, and decreased urinary
output
What are the symptoms of a subdural hematoma? - ANSDecreased LOC, nausea
vomiting headache and ipsilateral pupillary changes
What are the three factors that contribute to the damage caused by penetrating
trauma's? - ANSThe point of impact, the velocity and speed of impact, and the proximity
to the object.
What are the three processes that transfer oxygen from the air to the lungs and blood
stream - ANSVentilation: the active mechanical movement of air into and out of the
lungs; diffusion: the passive movement of gases from an area of higher concentration to
an area of lower concentration; and perfusion: the movement of blood to and from the
lungs as a delivery medium of oxygen to the entire body.
What are the three stages of shock - ANSCompensated, decompensated or
progressive, and irreversible.
dr.j
,TNCC 8TH EDITION EXAM 10 LATEST VERSIONS (VERSION A & B) 2024-2025
COMPLETE 300 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+VERIFIED
What are the treatment goals for a TBI? - ANSO2 saturation > or equal to 95%, systolic
blood pressure > or equal to 100 MMHG, ICP < 15 MMHG, CPP > or equal to 60
MMHG, normal glycemia, hemoglobin > or equal to 7 g/DL, sodium 135-145, osmotic
diuretics, anti-emetics, sedatives, anticonvulsants, head of bed at 30°, and neck at
midline
What causes quarternary effects of blast traumas? - ANSAll explosion related injuries,
illnesses, or diseases not due to the first three mechanisms. Injuries include external
and internal burns, crush injuries, closed and open brain injuries, asthmatic or breathing
problems from dust smoke or toxic fumes, angina, or hyper glycemia and hypertension.
What causes quinary effects of blasts traumas? - ANSThose associated with exposure
to hazardous materials from radioactive, biologic, or chemical components of a blast.
Injuries include a variety of health effects depending on agent.
What causes the primary effects of blast traumas? - ANSThe direct blast effects. Types
of injuries include last long, tympanic membrane rupture and middle ear damage,
abdominal hemorrhage and perforation, global rupture, mild Trumatic brain injury.
What causes the secondary effects of blast traumas? - ANSProjectiles propelled by the
explosion. Injuries include penetrating or blunt injuries or I penetration.
What causes the tertiary effects of blast traumas? - ANSResults from individuals being
thrown by the blast wind. Injuries include hole or partial body translocation from being
thrown against a hard service: blunt or penetrating trauma's, fractures, traumatic
amputations.
What is a trademark symptom of an epidural hematoma - ANSLoss of consciousness
then awake and alert then loss of consciousness
What is bending? - ANSLoading about an axis. Bending causes compression on the
side the person is bending toward intention to the opposite side
What is combined loading? - ANSAny combination of tension compression torsion
bending and/or shear.
What is compression? - ANSCrushing by squeezing together
What is Cullen's sign and its significance? - ANSCullens sign is periumbilical bruising
and is indicative of intraperitoneal bleeding
What is shearing? - ANSDamage by tearing or bending by exerting faucet different parts
in opposite directions at the same time.
What is tension? - ANSstretching force by pulling at opposite ends
dr.j
, TNCC 8TH EDITION EXAM 10 LATEST VERSIONS (VERSION A & B) 2024-2025
COMPLETE 300 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+VERIFIED
What is the minimum permissive hypertension and a trauma patient? - ANSA systolic of
greater than or equal to 90 MMHG
What is the minimum permissive oxygenation level of a trauma patient? - ANSGreater
than or equal to 94%
What is the Munro-Kellie doctrine? - ANSWithin the skull 80% his brain, 10% is blood,
and 10% is CSF. Any increase of any of the products results in increased intracranial
pressure.
What is the recommended fluid bolus for a trauma? - ANS500 ML's of warmed isotonic
crystalloid. Ongoing fluid boluses of 500 ML's should be given judiciously with constant
reassessments after administration.
What is the relationship between mass and velocity to kinetic energy? - ANSKinetic
energy is equal to 1/2 the mass multiplied the square of its velocity therefore when
mass is doubled so is the net energy, however, when velocity is doubled energy is
quadrupled.
What is the trauma triad of death? - ANShypothermia, acidosis, coagulopathy
What is torsion? - ANSTorsion forces twist ends in opposite directions.
When capnography measurement reads greater than 45MMHG, the nurse should
consider increasing or decreasing the ventilation rate? - ANSIncreasing the ventilation
rate. Doing so would allow the patient to blow off retained CO2.
When capnography measurement reads less than 35MMHG, the nurse should consider
increasing or decreasing the ventilation rate? - ANSDecreasing the ventilation rate. By
doing so, the nurse allows the patient to retain CO2.
When would you use a nasopharyngeal airway versus an oral pharyngeal airway? -
ANSNasopharyngeal airways is contraindicated in patients with facial trauma or a
suspected basilar skull fracture. Oral pharyngeal airways is used in unresponsive
patients unable to maintain their airway, without a gag reflex as a temporary measure to
facilitate ventilation with a bag mask device or spontaneous ventilation until the patient
can be intubated. According to newtons law which of these two force is greater: size or
force? - ANSNeither. For each force there is an equal and opposite reaction.
Define Cushing's triad - ANSBradycardia, progressive hypertension (widening pulse
pressure), and decreased respiratory effort
dr.j
,TNCC 8TH EDITION EXAM 10 LATEST VERSIONS (VERSION A & B) 2024-2025
COMPLETE 300 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+VERIFIED
What are the greatest risks for transport? - ANSLoss of airway patency, displaced
obstructive tubes lines or catheters, dislodge splinting devices, need to replace or
reinforce dressings, deterioration in patient status change in vital signs or level of
consciousness, injury to the patient and/or team members
What are the late signs of Increased intracranial pressure - ANSdilated, non-reactive
pupil(s); abnormal motor posturing (flexion, extension, flaccidity); Cushing's triad,
Unresponsive to per verbal and painful stimuli, bradycardia and decreased respiratory
effort
What are the seven patterns of pathway injuries related to motor vehicle accidents? -
ANSUp and over, down and under, lateral, rotational, rear, roll over, and ejection.
What are the signs and symptoms of decompensated shock? - ANSDecreased level of
consciousness, hypertension, narrow pulse pressure, tachycardia with weak pulses,
tachypnea, skin that is cool clammy and cyanotic, base access outside the normal
range, and serum lactate levels greater than two to 4MMOL/L.
What are the signs and symptoms of irreversible shock? - ANSObtunded stuporous or
comatose state, marked hypertension and heart failure, bradycardia with possible
dysrhythmias, decreased and shallow respiratory rate, pale cool and clammy skin,
kidney liver and other organ failure, severe acidosis, elevated lactic acid levels,
worsening base access on ABGs, coagulopathies with petechiae purpura or bleeding.
What are the signs of compensated shock? - ANSAnxiety, confusion, restlessness,
increased respiratory rate, narrowing pulse pressure were diastolic increases yet
systolic remains unchanged, tachycardia with bounding pulses, and decreased urinary
output
What are the symptoms of a subdural hematoma? - ANSDecreased LOC, nausea
vomiting headache and ipsilateral pupillary changes
What are the three factors that contribute to the damage caused by penetrating
trauma's? - ANSThe point of impact, the velocity and speed of impact, and the proximity
to the object.
What are the three processes that transfer oxygen from the air to the lungs and blood
stream - ANSVentilation: the active mechanical movement of air into and out of the
lungs; diffusion: the passive movement of gases from an area of higher concentration to
an area of lower concentration; and perfusion: the movement of blood to and from the
lungs as a delivery medium of oxygen to the entire body.
What are the three stages of shock - ANSCompensated, decompensated or
progressive, and irreversible.
dr.j
,TNCC 8TH EDITION EXAM 10 LATEST VERSIONS (VERSION A & B) 2024-2025
COMPLETE 300 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+VERIFIED
What are the treatment goals for a TBI? - ANSO2 saturation > or equal to 95%, systolic
blood pressure > or equal to 100 MMHG, ICP < 15 MMHG, CPP > or equal to 60
MMHG, normal glycemia, hemoglobin > or equal to 7 g/DL, sodium 135-145, osmotic
diuretics, anti-emetics, sedatives, anticonvulsants, head of bed at 30°, and neck at
midline
What causes quarternary effects of blast traumas? - ANSAll explosion related injuries,
illnesses, or diseases not due to the first three mechanisms. Injuries include external
and internal burns, crush injuries, closed and open brain injuries, asthmatic or breathing
problems from dust smoke or toxic fumes, angina, or hyper glycemia and hypertension.
What causes quinary effects of blasts traumas? - ANSThose associated with exposure
to hazardous materials from radioactive, biologic, or chemical components of a blast.
Injuries include a variety of health effects depending on agent.
What causes the primary effects of blast traumas? - ANSThe direct blast effects. Types
of injuries include last long, tympanic membrane rupture and middle ear damage,
abdominal hemorrhage and perforation, global rupture, mild Trumatic brain injury.
What causes the secondary effects of blast traumas? - ANSProjectiles propelled by the
explosion. Injuries include penetrating or blunt injuries or I penetration.
What causes the tertiary effects of blast traumas? - ANSResults from individuals being
thrown by the blast wind. Injuries include hole or partial body translocation from being
thrown against a hard service: blunt or penetrating trauma's, fractures, traumatic
amputations.
What is a trademark symptom of an epidural hematoma - ANSLoss of consciousness
then awake and alert then loss of consciousness
What is bending? - ANSLoading about an axis. Bending causes compression on the
side the person is bending toward intention to the opposite side
What is combined loading? - ANSAny combination of tension compression torsion
bending and/or shear.
What is compression? - ANSCrushing by squeezing together
What is Cullen's sign and its significance? - ANSCullens sign is periumbilical bruising
and is indicative of intraperitoneal bleeding
What is shearing? - ANSDamage by tearing or bending by exerting faucet different parts
in opposite directions at the same time.
What is tension? - ANSstretching force by pulling at opposite ends
dr.j
, TNCC 8TH EDITION EXAM 10 LATEST VERSIONS (VERSION A & B) 2024-2025
COMPLETE 300 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+VERIFIED
What is the minimum permissive hypertension and a trauma patient? - ANSA systolic of
greater than or equal to 90 MMHG
What is the minimum permissive oxygenation level of a trauma patient? - ANSGreater
than or equal to 94%
What is the Munro-Kellie doctrine? - ANSWithin the skull 80% his brain, 10% is blood,
and 10% is CSF. Any increase of any of the products results in increased intracranial
pressure.
What is the recommended fluid bolus for a trauma? - ANS500 ML's of warmed isotonic
crystalloid. Ongoing fluid boluses of 500 ML's should be given judiciously with constant
reassessments after administration.
What is the relationship between mass and velocity to kinetic energy? - ANSKinetic
energy is equal to 1/2 the mass multiplied the square of its velocity therefore when
mass is doubled so is the net energy, however, when velocity is doubled energy is
quadrupled.
What is the trauma triad of death? - ANShypothermia, acidosis, coagulopathy
What is torsion? - ANSTorsion forces twist ends in opposite directions.
When capnography measurement reads greater than 45MMHG, the nurse should
consider increasing or decreasing the ventilation rate? - ANSIncreasing the ventilation
rate. Doing so would allow the patient to blow off retained CO2.
When capnography measurement reads less than 35MMHG, the nurse should consider
increasing or decreasing the ventilation rate? - ANSDecreasing the ventilation rate. By
doing so, the nurse allows the patient to retain CO2.
When would you use a nasopharyngeal airway versus an oral pharyngeal airway? -
ANSNasopharyngeal airways is contraindicated in patients with facial trauma or a
suspected basilar skull fracture. Oral pharyngeal airways is used in unresponsive
patients unable to maintain their airway, without a gag reflex as a temporary measure to
facilitate ventilation with a bag mask device or spontaneous ventilation until the patient
can be intubated. According to newtons law which of these two force is greater: size or
force? - ANSNeither. For each force there is an equal and opposite reaction.
Define Cushing's triad - ANSBradycardia, progressive hypertension (widening pulse
pressure), and decreased respiratory effort
dr.j
