TNCC NOTES FOR WRITTEN EXAM
TEST COMPLETE QUESTIONS AND
SOLUTIONS GRADED A PLUS
⩥ Dysrhythmia, ischemic changes, and persistent unexplained
tachycardia are signs of what? Answer: Myocardial contusion from
Blunt Cardiac Injury
⩥ Decreased/absent breath sounds ipsilaterally, JVD, hypotension, and
tracheal deviation to the contralateral side (late sign) is seen with what?
Can lead to what? Answer: Tension Pneumothorax; PEA
⩥ Hemoptysis, ineffective cough, crackles in affected lung,
hypoxia/hypercapnia, and alveolar opacities are signs of what? Answer:
Pulmonary Contusion
⩥ Paradoxical chest wall movement, bony crepitus, rib segment
depressed with inhalation and elevated with exhalation are signs of
what? Answer: Flail Chest (caused by chest wall injury)
⩥ Open wound on chest wall resulting in sucking sound, decreased
breath sounds, chest movement, and hyper-resonance ipsilaterally,
subcutaneous emphysema, and tachycardia are signs of what? Answer:
Open Pneumothorax
, ⩥ Hear bowel sounds in chest and Kehr's sign seen with what? Answer:
Traumatic Diaphragmatic Tear
⩥ Referred pain down the left shoulder; indicative of a ruptured spleen.
Answer: Kehr's Sign
⩥ Diaphragmatic Tears are seen with what types of injuries? Answer:
Penetrating injuries between T4-T12, or rapid deceleration causing
severe blunt trauma to the torso.
⩥ Incision with blood clot, edges approximated with suture closer, and
results in a fine scar. This is __________ Intention. Answer: Primary
⩥ Irregular large wound with blood clot, no closure, granulation tissue
fills in the wound, results in large scar. This is ________ Intention.
Answer: Secondary
⩥ Contaminated wound, granulation tissue, delayed closure with suture.
This is _______ Intention. Answer: Tertiary
⩥ Soft, dry, red wound with intact skin that blanches with pressure. No
blistering or sloughing. What degree burn? Answer: First degree;
superficial
TEST COMPLETE QUESTIONS AND
SOLUTIONS GRADED A PLUS
⩥ Dysrhythmia, ischemic changes, and persistent unexplained
tachycardia are signs of what? Answer: Myocardial contusion from
Blunt Cardiac Injury
⩥ Decreased/absent breath sounds ipsilaterally, JVD, hypotension, and
tracheal deviation to the contralateral side (late sign) is seen with what?
Can lead to what? Answer: Tension Pneumothorax; PEA
⩥ Hemoptysis, ineffective cough, crackles in affected lung,
hypoxia/hypercapnia, and alveolar opacities are signs of what? Answer:
Pulmonary Contusion
⩥ Paradoxical chest wall movement, bony crepitus, rib segment
depressed with inhalation and elevated with exhalation are signs of
what? Answer: Flail Chest (caused by chest wall injury)
⩥ Open wound on chest wall resulting in sucking sound, decreased
breath sounds, chest movement, and hyper-resonance ipsilaterally,
subcutaneous emphysema, and tachycardia are signs of what? Answer:
Open Pneumothorax
, ⩥ Hear bowel sounds in chest and Kehr's sign seen with what? Answer:
Traumatic Diaphragmatic Tear
⩥ Referred pain down the left shoulder; indicative of a ruptured spleen.
Answer: Kehr's Sign
⩥ Diaphragmatic Tears are seen with what types of injuries? Answer:
Penetrating injuries between T4-T12, or rapid deceleration causing
severe blunt trauma to the torso.
⩥ Incision with blood clot, edges approximated with suture closer, and
results in a fine scar. This is __________ Intention. Answer: Primary
⩥ Irregular large wound with blood clot, no closure, granulation tissue
fills in the wound, results in large scar. This is ________ Intention.
Answer: Secondary
⩥ Contaminated wound, granulation tissue, delayed closure with suture.
This is _______ Intention. Answer: Tertiary
⩥ Soft, dry, red wound with intact skin that blanches with pressure. No
blistering or sloughing. What degree burn? Answer: First degree;
superficial
