TNCC 9th edi. Test Prep
An adult patient who sustained a severe head trauma has been intubated and has been manually
ventilated via a bag mask device at a rate of 18 breaths per minute. The patient has received one
intravenous fluid bolus of 500 ML of warmed isotonic crystalloid solution. The PaCO2 is 30 and a pulse
ox symmetry is 92%. BP is 142/70. What is the most important intervention to manage the cerebral
blood flow? - ✔✔✔decrease the rate of manual ventillation
An older patient with a history of anticoagulant use presents after a fall at home the previous day. She
denies any loss of consciousness. She has a hematoma to her forehead and complains of headache,
dizziness, and nausea. What is the most likely cause of her symptoms? - ✔✔✔subdural hematoma
An adult who fell from a second story roof is brought to the emergency department by private vehicle -
✔✔✔ABC
A trauma patient is restless and repeatedly asking "where am I?" Vitals upon arrival were BP 110/60,
HR96, RR 24. Her skin is cool and dry. Current VS are BP 104/84, HR 108, RR 28. The pt is demonstrating
s/sx of which stage of shock? - ✔✔✔compensated
A 35-year-old male presents with facial trauma after being struck in the face with a baseball. A teardrop-
shaped left pupil is noted on exam. What type of injury is suspected? - ✔✔✔globe rupture
An adult patient with a restraint passenger involved in a high-speed motor vehicle collision. The
passenger - ✔✔✔
What intravascular solution is most commonly use for patients who have sustained burns? - ✔✔✔
Lactated Ringers (LR)
You are speaking with the family of a critically injured patient. The spouses, crying loudly and the - ✔✔
✔
, Which of the following is true about use of the focused assessment sonography for trauma exam for a -
✔✔✔
A patient with a chest tube is being transported to the intensive care unit and fluctuation is noted - ✔✔
✔
A trauma patient is being held in the emergency department, because there are no available inpatient
beds - ✔✔✔
A patient has uncontrolled bleeding from a wound to his right upper extremity. What is a priority
intervention? - ✔✔✔
A patient has received multiple transfusions of banks blood in the past two hours. the patient has - ✔✔
✔
Three adults present at different times during a one hour. With a high fever, fatigue, and headache - ✔
✔✔
A trauma patient who is 30 weeks pregnant arrives at the emergency department following a motor
vehicle crash - ✔✔✔
Following a gunshot wound prehospital providers report diminished breath sounds bilaterally. Upon - ✔
✔✔
A patient with a traumatic brain injury has a mean arterial pressure of 65 mm Hg and - ✔✔✔
An adult patient involved in assault presents with shortness of breath, BP 88/50 MMHG heart rate - ✔
✔✔
An adult patient who sustained a severe head trauma has been intubated and has been manually
ventilated via a bag mask device at a rate of 18 breaths per minute. The patient has received one
intravenous fluid bolus of 500 ML of warmed isotonic crystalloid solution. The PaCO2 is 30 and a pulse
ox symmetry is 92%. BP is 142/70. What is the most important intervention to manage the cerebral
blood flow? - ✔✔✔decrease the rate of manual ventillation
An older patient with a history of anticoagulant use presents after a fall at home the previous day. She
denies any loss of consciousness. She has a hematoma to her forehead and complains of headache,
dizziness, and nausea. What is the most likely cause of her symptoms? - ✔✔✔subdural hematoma
An adult who fell from a second story roof is brought to the emergency department by private vehicle -
✔✔✔ABC
A trauma patient is restless and repeatedly asking "where am I?" Vitals upon arrival were BP 110/60,
HR96, RR 24. Her skin is cool and dry. Current VS are BP 104/84, HR 108, RR 28. The pt is demonstrating
s/sx of which stage of shock? - ✔✔✔compensated
A 35-year-old male presents with facial trauma after being struck in the face with a baseball. A teardrop-
shaped left pupil is noted on exam. What type of injury is suspected? - ✔✔✔globe rupture
An adult patient with a restraint passenger involved in a high-speed motor vehicle collision. The
passenger - ✔✔✔
What intravascular solution is most commonly use for patients who have sustained burns? - ✔✔✔
Lactated Ringers (LR)
You are speaking with the family of a critically injured patient. The spouses, crying loudly and the - ✔✔
✔
, Which of the following is true about use of the focused assessment sonography for trauma exam for a -
✔✔✔
A patient with a chest tube is being transported to the intensive care unit and fluctuation is noted - ✔✔
✔
A trauma patient is being held in the emergency department, because there are no available inpatient
beds - ✔✔✔
A patient has uncontrolled bleeding from a wound to his right upper extremity. What is a priority
intervention? - ✔✔✔
A patient has received multiple transfusions of banks blood in the past two hours. the patient has - ✔✔
✔
Three adults present at different times during a one hour. With a high fever, fatigue, and headache - ✔
✔✔
A trauma patient who is 30 weeks pregnant arrives at the emergency department following a motor
vehicle crash - ✔✔✔
Following a gunshot wound prehospital providers report diminished breath sounds bilaterally. Upon - ✔
✔✔
A patient with a traumatic brain injury has a mean arterial pressure of 65 mm Hg and - ✔✔✔
An adult patient involved in assault presents with shortness of breath, BP 88/50 MMHG heart rate - ✔
✔✔
