TNCC 9TH REAL EXAM ACTUAL VERIFIED EXAM TEST BANK | INCLUDES 3
TESTED VERSIONS OF THE EXAM WITH 100 MULTIPLE CHOICE QUESTIONS
AND ANSWERS | ALREADY GRADED A
What are the early signs of increased Intracranial pressure - ANSheadache,
vomiting, behavioral changes that begin with restlessness and may progress to
confusion, drowsiness, or impaired judgment
What are the four types of shock? - ANSHypovolemic, Cardiogenic, Obstructive, &
Distributive
What are the four types of trauma related injuries? - ANSBlunt, penetrating, thermal,
or blast.
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,
,TNCC 9TH REAL EXAM ACTUAL VERIFIED EXAM TEST BANK | INCLUDES 3
TESTED VERSIONS OF THE EXAM WITH 100 MULTIPLE CHOICE QUESTIONS
AND ANSWERS | ALREADY GRADED A
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.
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
,TNCC 9TH REAL EXAM ACTUAL VERIFIED EXAM TEST BANK | INCLUDES 3
TESTED VERSIONS OF THE EXAM WITH 100 MULTIPLE CHOICE QUESTIONS
AND ANSWERS | ALREADY GRADED A
injury.
, TNCC 9TH REAL EXAM ACTUAL VERIFIED EXAM TEST BANK | INCLUDES 3
TESTED VERSIONS OF THE EXAM WITH 100 MULTIPLE CHOICE QUESTIONS
AND ANSWERS | ALREADY GRADED A
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
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.
TESTED VERSIONS OF THE EXAM WITH 100 MULTIPLE CHOICE QUESTIONS
AND ANSWERS | ALREADY GRADED A
What are the early signs of increased Intracranial pressure - ANSheadache,
vomiting, behavioral changes that begin with restlessness and may progress to
confusion, drowsiness, or impaired judgment
What are the four types of shock? - ANSHypovolemic, Cardiogenic, Obstructive, &
Distributive
What are the four types of trauma related injuries? - ANSBlunt, penetrating, thermal,
or blast.
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,
,TNCC 9TH REAL EXAM ACTUAL VERIFIED EXAM TEST BANK | INCLUDES 3
TESTED VERSIONS OF THE EXAM WITH 100 MULTIPLE CHOICE QUESTIONS
AND ANSWERS | ALREADY GRADED A
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.
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
,TNCC 9TH REAL EXAM ACTUAL VERIFIED EXAM TEST BANK | INCLUDES 3
TESTED VERSIONS OF THE EXAM WITH 100 MULTIPLE CHOICE QUESTIONS
AND ANSWERS | ALREADY GRADED A
injury.
, TNCC 9TH REAL EXAM ACTUAL VERIFIED EXAM TEST BANK | INCLUDES 3
TESTED VERSIONS OF THE EXAM WITH 100 MULTIPLE CHOICE QUESTIONS
AND ANSWERS | ALREADY GRADED A
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
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.
