TNCC final exam test 2024-2025 open
book
A patient is found lying on the floor after falling 13 hours ago. Which of the following lab values is expected
with a musculoskeletal complication associated with this presentation?
Answer: A correct answerA) elevated creatine kinase ***
B) decreased potassium level
C) decreased WBC
D) elevated GFR
A 56-year- male patient involved in a MVC is brought to the ED of a rural critical access facility. He c/o neck
pain, SOB, and diffuse abd pain. His GCS is 15. His vitals are as follows:
BP 98/71
HR 125 beats/min
,TNCC final exam test 2024-2025 open
book
RR 26 breaths/min
SpO2 94% on high flow O2 via NRB mask
which of the following is the priority intervention for this patient?
Answer: C correct answerA) Expedite transport to the CT scanner
B) prepare the patient for spinal radiographs
C) expedite transfer to the closest trauma center ***
D) notify the patients family
Caregivers carry a 2-year old into the ED who fell out of 2nd story window. The patient is awake and
crying with increased work of breathing and pale skin. which of the following interventions has the
highest priority?
Answer: A correct answerA) padding the upper back while stabilizing the cervical spine ***
B) applying a tight-fitting NRB mask with an attached resevior
C) establishing intravenous access and administering a 20mL/kg bolus
D) preparing for drug assisted intubation
Which of the following is a component of the trauma triad of death?
Answer: A
hypothermia, metabolic acidosis, coagulopathy correct answerA) Acidosis **
B) hyperthermia
C) hemorrhage
, TNCC final exam test 2024-2025 open
book
D) sepsis
A 35-year old male presents with facial trauma after bring struck inthe face with a baseball. a tear-drop
shaped left pupil is noted on exam. What type of injury is suspected?
Answer: B correct answerA) oculomotor nerve palsy
B) globe rupture ***
C) uncal herniation
D) retinal detachment
Which of the following is true about the log roll maneuver?
Answer: C correct answerA) it causes less spinal motion than the lift and slide manuever
B) it is recommended for patients with unstable pelvic fractures
C) it can worsen cord damage from an unstable spinal injury ***
D) it does not increases the risk of life threatening hemorrhage from unstable injuries
EMS arrives with the intoxicated driver of a car involved in a MVC. EMS reports significant damage to the
drivers side of the car. The patient is asking to have the cervical color removed. when is it appropriate to
remove the cervical collar?
Answer: A correct answerA) after a physical examination if the patient has no radiologic abnormalities on a
computed tomography scan ***
B) after physician evaluation if the patient has not neurologic abnormalities on exam
C) after palpation of the spine if the patient has no point tenderness the the vertebral column
D) after physical examination if the patient has not neck pain with movement
book
A patient is found lying on the floor after falling 13 hours ago. Which of the following lab values is expected
with a musculoskeletal complication associated with this presentation?
Answer: A correct answerA) elevated creatine kinase ***
B) decreased potassium level
C) decreased WBC
D) elevated GFR
A 56-year- male patient involved in a MVC is brought to the ED of a rural critical access facility. He c/o neck
pain, SOB, and diffuse abd pain. His GCS is 15. His vitals are as follows:
BP 98/71
HR 125 beats/min
,TNCC final exam test 2024-2025 open
book
RR 26 breaths/min
SpO2 94% on high flow O2 via NRB mask
which of the following is the priority intervention for this patient?
Answer: C correct answerA) Expedite transport to the CT scanner
B) prepare the patient for spinal radiographs
C) expedite transfer to the closest trauma center ***
D) notify the patients family
Caregivers carry a 2-year old into the ED who fell out of 2nd story window. The patient is awake and
crying with increased work of breathing and pale skin. which of the following interventions has the
highest priority?
Answer: A correct answerA) padding the upper back while stabilizing the cervical spine ***
B) applying a tight-fitting NRB mask with an attached resevior
C) establishing intravenous access and administering a 20mL/kg bolus
D) preparing for drug assisted intubation
Which of the following is a component of the trauma triad of death?
Answer: A
hypothermia, metabolic acidosis, coagulopathy correct answerA) Acidosis **
B) hyperthermia
C) hemorrhage
, TNCC final exam test 2024-2025 open
book
D) sepsis
A 35-year old male presents with facial trauma after bring struck inthe face with a baseball. a tear-drop
shaped left pupil is noted on exam. What type of injury is suspected?
Answer: B correct answerA) oculomotor nerve palsy
B) globe rupture ***
C) uncal herniation
D) retinal detachment
Which of the following is true about the log roll maneuver?
Answer: C correct answerA) it causes less spinal motion than the lift and slide manuever
B) it is recommended for patients with unstable pelvic fractures
C) it can worsen cord damage from an unstable spinal injury ***
D) it does not increases the risk of life threatening hemorrhage from unstable injuries
EMS arrives with the intoxicated driver of a car involved in a MVC. EMS reports significant damage to the
drivers side of the car. The patient is asking to have the cervical color removed. when is it appropriate to
remove the cervical collar?
Answer: A correct answerA) after a physical examination if the patient has no radiologic abnormalities on a
computed tomography scan ***
B) after physician evaluation if the patient has not neurologic abnormalities on exam
C) after palpation of the spine if the patient has no point tenderness the the vertebral column
D) after physical examination if the patient has not neck pain with movement
