TNCC FINAL EXAM 2 LATEST VERSIONS 2023-2024 CONTAINS 100 QUESTIONS AND
CORRECT ANSWER VERIFIED ANSWERS|ALREADY GRADED A+ VERIFIED
500 mL/hr - ansYou are treating a 27 y/o M in respiratory distress who was
involved in a house fire. Calculating TBSA burned is deferred due to the need
for emergent intubation. At what rate should you begin fluid resuscitation?
a 52 y/o diabetic male with a partial thickness burn to the left lower leg -
ansWhich of the following patients warrants referral to a burn center?
a pertinent medical hx is crucial - ansWhich of the following considerations is
the most important when caring for a geriatric trauma pt?
acidosis - ansWhich of the following is a component of the trauma triad of
death?
advanced age - ansWhich of the following is most likely to contribute to
inadequate oxygenation and ventilation?
after a physical examination if the pt has no radiologic abnormalities on CT -
ansEMS arrives with the intoxicated driver of a car involved in a MVC. EMS
reports significant damage to the drivers side of the car. The pt is asking to
have the cervical collar removed. When it is appropriate to remove the
cervical collar?
apply splint and elevate above the level of the heart - ansa 37 y/o F has a
deformity of the L wrist after a fall. She is reluctant to move her hand due to
pain. Which of the following is the most appropriate intervention?
bardycardia and absent motor function below the level of injury - ansA pt
with a complete spinal cord injury in neurogenic shock will demonstrate
hypotension and which other clinical signs?
bowel - ansWhich of the following injuries is LEAST likely to be promptly
identified?
calcium - ansif a pt has received multiple transfusions of banked blood
preserved with citrate, which electrolyte is most likely to drop and require
supplementation?
compensated - ansA trauma pt is restless and repeatedly asking "where
am i?" VS upon arrival: 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?
Complete - ansEMS brings a pt from MVC. VS: BP 90/49, HR 48, RR 12, temp
97.2F (36.2 C). The pt exhibits urinary incontinence and priapism. These
assessment findings are most consistent with which of the following types of
spinal cord injury?
defusings - ansAll of these are considered a critical communication point in
trauma care EXCEPT which of the following?
,TNCC FINAL EXAM 2 LATEST VERSIONS 2023-2024 CONTAINS 100 QUESTIONS AND
CORRECT ANSWER VERIFIED ANSWERS|ALREADY GRADED A+ VERIFIED
dressing removal - ansA patient arrives with a large open chest wound after
being assaulted with a machete. Prehospital providers placed a nonporous
dressing over the
,TNCC FINAL EXAM 2 LATEST VERSIONS 2023-2024 CONTAINS 100 QUESTIONS AND
CORRECT ANSWER VERIFIED ANSWERS|ALREADY GRADED A+ VERIFIED
chest wound and taped it on three sides. he is now showing signs of anxiety,
restlessness, severe respiratory distress, cyanosis and decreasing blood
pressure. Which of the following is the MOST appropriate immediate
intervention?
dysrhythmias - ansPatients with a crush injury should be monitored for which
of the following conditions?
elevating the extremity to the level of the heart - ansA pt with a lower
extremity fracture complains of severe pain and tightness in his calf,
minimally by pain medications. Which of the following is the priority nursing
intervention?
endotracheal tube - ansThe trauma nurse knows that placing a bariatric
patient in a ramped position providers better visualization during the
insertion of which device?
Expedite transfer to the closest trauma center - ansA 56 y/o M pt involved in
a motor vehicle crash is brought to the ED of a rural critical access facility.
He complains of neck pain, SOB, and diffuse abd pain. His GCS is 15. His VS:
BP 98/71, HR 125, RR 26, SpO2 94% on high-flow O2 via NRB mask. Which of
the following is the priority intervention for this patient?
fat embolism - ansa pt has been in the ED for several hrs 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 pt
is restless with respiratory distress and petechiae to his neck. The pt is
exhibiting s/sx most commonly associated with which of the following
conditions?
flucuation in the water seal chamber - ansWhich of the following is an
expected finding in a pt with a tube thoracstomy connected to a chest
drainage system?
globe rupture - ansA 35 y/o M 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?
hemoglobin does not readily release O2 for use by the tissues - ansWhat is
the effect of hypothermia on the oxyhemoglobin dissociation curve?
identifying individuals who made mistakes during the traumatic event -
ansWhich of the following is NOT considered a benefit of debriefings?
increased work of breathing? - answhich of the following assessment findings
differentiates a tension pneumothorax from a simple pneumothorax?
Initiate transfer to a trauma center - ansA pt is brought to the ED of a rural
hospital following a high-speed MVC. When significant abd and pelvic injuries
, TNCC FINAL EXAM 2 LATEST VERSIONS 2023-2024 CONTAINS 100 QUESTIONS AND
CORRECT ANSWER VERIFIED ANSWERS|ALREADY GRADED A+ VERIFIED
are noted in the primary survey, which of the following is the priority
interventions?
CORRECT ANSWER VERIFIED ANSWERS|ALREADY GRADED A+ VERIFIED
500 mL/hr - ansYou are treating a 27 y/o M in respiratory distress who was
involved in a house fire. Calculating TBSA burned is deferred due to the need
for emergent intubation. At what rate should you begin fluid resuscitation?
a 52 y/o diabetic male with a partial thickness burn to the left lower leg -
ansWhich of the following patients warrants referral to a burn center?
a pertinent medical hx is crucial - ansWhich of the following considerations is
the most important when caring for a geriatric trauma pt?
acidosis - ansWhich of the following is a component of the trauma triad of
death?
advanced age - ansWhich of the following is most likely to contribute to
inadequate oxygenation and ventilation?
after a physical examination if the pt has no radiologic abnormalities on CT -
ansEMS arrives with the intoxicated driver of a car involved in a MVC. EMS
reports significant damage to the drivers side of the car. The pt is asking to
have the cervical collar removed. When it is appropriate to remove the
cervical collar?
apply splint and elevate above the level of the heart - ansa 37 y/o F has a
deformity of the L wrist after a fall. She is reluctant to move her hand due to
pain. Which of the following is the most appropriate intervention?
bardycardia and absent motor function below the level of injury - ansA pt
with a complete spinal cord injury in neurogenic shock will demonstrate
hypotension and which other clinical signs?
bowel - ansWhich of the following injuries is LEAST likely to be promptly
identified?
calcium - ansif a pt has received multiple transfusions of banked blood
preserved with citrate, which electrolyte is most likely to drop and require
supplementation?
compensated - ansA trauma pt is restless and repeatedly asking "where
am i?" VS upon arrival: 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?
Complete - ansEMS brings a pt from MVC. VS: BP 90/49, HR 48, RR 12, temp
97.2F (36.2 C). The pt exhibits urinary incontinence and priapism. These
assessment findings are most consistent with which of the following types of
spinal cord injury?
defusings - ansAll of these are considered a critical communication point in
trauma care EXCEPT which of the following?
,TNCC FINAL EXAM 2 LATEST VERSIONS 2023-2024 CONTAINS 100 QUESTIONS AND
CORRECT ANSWER VERIFIED ANSWERS|ALREADY GRADED A+ VERIFIED
dressing removal - ansA patient arrives with a large open chest wound after
being assaulted with a machete. Prehospital providers placed a nonporous
dressing over the
,TNCC FINAL EXAM 2 LATEST VERSIONS 2023-2024 CONTAINS 100 QUESTIONS AND
CORRECT ANSWER VERIFIED ANSWERS|ALREADY GRADED A+ VERIFIED
chest wound and taped it on three sides. he is now showing signs of anxiety,
restlessness, severe respiratory distress, cyanosis and decreasing blood
pressure. Which of the following is the MOST appropriate immediate
intervention?
dysrhythmias - ansPatients with a crush injury should be monitored for which
of the following conditions?
elevating the extremity to the level of the heart - ansA pt with a lower
extremity fracture complains of severe pain and tightness in his calf,
minimally by pain medications. Which of the following is the priority nursing
intervention?
endotracheal tube - ansThe trauma nurse knows that placing a bariatric
patient in a ramped position providers better visualization during the
insertion of which device?
Expedite transfer to the closest trauma center - ansA 56 y/o M pt involved in
a motor vehicle crash is brought to the ED of a rural critical access facility.
He complains of neck pain, SOB, and diffuse abd pain. His GCS is 15. His VS:
BP 98/71, HR 125, RR 26, SpO2 94% on high-flow O2 via NRB mask. Which of
the following is the priority intervention for this patient?
fat embolism - ansa pt has been in the ED for several hrs 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 pt
is restless with respiratory distress and petechiae to his neck. The pt is
exhibiting s/sx most commonly associated with which of the following
conditions?
flucuation in the water seal chamber - ansWhich of the following is an
expected finding in a pt with a tube thoracstomy connected to a chest
drainage system?
globe rupture - ansA 35 y/o M 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?
hemoglobin does not readily release O2 for use by the tissues - ansWhat is
the effect of hypothermia on the oxyhemoglobin dissociation curve?
identifying individuals who made mistakes during the traumatic event -
ansWhich of the following is NOT considered a benefit of debriefings?
increased work of breathing? - answhich of the following assessment findings
differentiates a tension pneumothorax from a simple pneumothorax?
Initiate transfer to a trauma center - ansA pt is brought to the ED of a rural
hospital following a high-speed MVC. When significant abd and pelvic injuries
, TNCC FINAL EXAM 2 LATEST VERSIONS 2023-2024 CONTAINS 100 QUESTIONS AND
CORRECT ANSWER VERIFIED ANSWERS|ALREADY GRADED A+ VERIFIED
are noted in the primary survey, which of the following is the priority
interventions?
