TNCC 8th Edition
The trauma nurse knows that placing a bariatric patient in a "ramped position" provides better
visualization during the insertion of which device? - ✔✔✔endotracheal tube
Tearing of the bridging veins is most frequently associated with which brain injury? - ✔✔✔subdural
hematoma
A patient is found lying on the floor after falling 13 hours ago. Which of the following laboratory values
is expected with a musculoskeletal complication associated with this presentation? - ✔✔✔Elevated
creatine kinase
A patient is brought to the emergency department of a rural hospital following a high-speed motor
vehicle collision. When significant abdominal and pelvic injuries are noted in the primary survey, which
of the following is the priority intervention? - ✔✔✔Initiate transfer to a trauma center
Which of the following injuries is LEAST likely to be promptly identified? - ✔✔✔bowel
Which of the following patients warrants referral to a burn center? - ✔✔✔A 52-year-old diabetic male
with a partial-thickness burn to the left lower leg
A patient has been in the emergency department for several hours waiting to be admitted. He sustained
multiple rib fractures and a femur fracture after a fall. He has been awake, alert, and complaining of leg
pain. His wife reported that he suddenly became anxious and confused. Upon reassessment, the patient
is restless, with respiratory distress and petechiae to his neck. The patient is exhibiting signs and
symptoms most commonly associated with which of the follow conditions? - ✔✔✔fat embolism
A 36-year old female has a deformity of the left wrist after a fall. She is reluctant to move her hand due
to pain. Which of the following is the most appropriate intervention? - ✔✔✔Apply a splint and elevate
the extremity ABOVE the level of the heart
, A 56-year-old male patient involved in a motor vehicle crash is brought to the emergency department of
a rural critical assess facility. He complaints of neck pain, shortness of breath, and diffuse abdominal
pain. His Glasgow Coma Score is 15. His vital signs are as follows: BP 98/71 mm Hg, HR 125
beats/minute, RR 26 breaths/minute, SpO2 94% on high-flow oxygen via non-rebreather mask. Which of
the follow is the priority intervention for this patient? - ✔✔✔Expedite transfer to the closest trauma
center
Which of the following values indicates the need for alcohol withdrawal interventions? - ✔✔✔CIWA-Ar
of 36
A trauma patient is en route to a rural emergency department. Radiology notifies the charge nurse that
the computed tomography (CT) scanner will be out of service for several hours. The team gathers to
plan accordingly. Which of the following terms best describes this trauma team's communication? - ✔
✔✔huddle
A patient with a complete spinal cord injury in neurogenic shock will demonstrate hypotension and
which other clinical signs? - ✔✔✔Bradycardia and absent motor function below the level of injury
Which of the following is true about the log-roll maneuver? - ✔✔✔It can worsen cord damage from a
unstable spinal injury
What factor contributes most to the kinetic energy of a body in motion? - ✔✔✔velocity
A 5-year-old child presents to the ED with bruises to the upper arms and buttocks in various stages of
healing and multiple small, clean, round burns to the back. There are no abnormalities found based on
the pediatric assessment triangle or primary survey. Which of the following is the priority nursing
intervention? - ✔✔✔Report your suspicion of maltreatment in accordance with local regulations
A 20-year-old male presents to the ED complaining of severe lower abdominal pain after landing hard on
the bicycle cross bars while performing an aerial BMX maneuver. Secondary assessment reveals lower
abdominal tenderness and scrotal ecchymosis. Which of the following orders would the nurse question?
- ✔✔✔Straight catheter for urine sample
The trauma nurse knows that placing a bariatric patient in a "ramped position" provides better
visualization during the insertion of which device? - ✔✔✔endotracheal tube
Tearing of the bridging veins is most frequently associated with which brain injury? - ✔✔✔subdural
hematoma
A patient is found lying on the floor after falling 13 hours ago. Which of the following laboratory values
is expected with a musculoskeletal complication associated with this presentation? - ✔✔✔Elevated
creatine kinase
A patient is brought to the emergency department of a rural hospital following a high-speed motor
vehicle collision. When significant abdominal and pelvic injuries are noted in the primary survey, which
of the following is the priority intervention? - ✔✔✔Initiate transfer to a trauma center
Which of the following injuries is LEAST likely to be promptly identified? - ✔✔✔bowel
Which of the following patients warrants referral to a burn center? - ✔✔✔A 52-year-old diabetic male
with a partial-thickness burn to the left lower leg
A patient has been in the emergency department for several hours waiting to be admitted. He sustained
multiple rib fractures and a femur fracture after a fall. He has been awake, alert, and complaining of leg
pain. His wife reported that he suddenly became anxious and confused. Upon reassessment, the patient
is restless, with respiratory distress and petechiae to his neck. The patient is exhibiting signs and
symptoms most commonly associated with which of the follow conditions? - ✔✔✔fat embolism
A 36-year old female has a deformity of the left wrist after a fall. She is reluctant to move her hand due
to pain. Which of the following is the most appropriate intervention? - ✔✔✔Apply a splint and elevate
the extremity ABOVE the level of the heart
, A 56-year-old male patient involved in a motor vehicle crash is brought to the emergency department of
a rural critical assess facility. He complaints of neck pain, shortness of breath, and diffuse abdominal
pain. His Glasgow Coma Score is 15. His vital signs are as follows: BP 98/71 mm Hg, HR 125
beats/minute, RR 26 breaths/minute, SpO2 94% on high-flow oxygen via non-rebreather mask. Which of
the follow is the priority intervention for this patient? - ✔✔✔Expedite transfer to the closest trauma
center
Which of the following values indicates the need for alcohol withdrawal interventions? - ✔✔✔CIWA-Ar
of 36
A trauma patient is en route to a rural emergency department. Radiology notifies the charge nurse that
the computed tomography (CT) scanner will be out of service for several hours. The team gathers to
plan accordingly. Which of the following terms best describes this trauma team's communication? - ✔
✔✔huddle
A patient with a complete spinal cord injury in neurogenic shock will demonstrate hypotension and
which other clinical signs? - ✔✔✔Bradycardia and absent motor function below the level of injury
Which of the following is true about the log-roll maneuver? - ✔✔✔It can worsen cord damage from a
unstable spinal injury
What factor contributes most to the kinetic energy of a body in motion? - ✔✔✔velocity
A 5-year-old child presents to the ED with bruises to the upper arms and buttocks in various stages of
healing and multiple small, clean, round burns to the back. There are no abnormalities found based on
the pediatric assessment triangle or primary survey. Which of the following is the priority nursing
intervention? - ✔✔✔Report your suspicion of maltreatment in accordance with local regulations
A 20-year-old male presents to the ED complaining of severe lower abdominal pain after landing hard on
the bicycle cross bars while performing an aerial BMX maneuver. Secondary assessment reveals lower
abdominal tenderness and scrotal ecchymosis. Which of the following orders would the nurse question?
- ✔✔✔Straight catheter for urine sample
