TNCC TRAUMA NURSING CORE COURSE 12TH EDITION ENA TEST BANK VERIFIED
PASS|ALREADY GRADED A+
1. Which of the following requires you to develop a plan of action,
initiate the plan, reassess the plan as care for the patient moves
forward, and adjust the plan as the patient's condition or circumstances
change?
A. Principles of PHTLS
B. The Golden Period
C. The XABCDE assessment
D. Critical thinking process - ansQuestion 1: D
To help achieve the PHTLS goals, you will apply your critical thinking skills in
the field. Critical thinking in medicine is a process in which the healthcare
practitioner assesses the situation, the patient, and the resources available
and uses the information to decide on and provide the best care for the
patient.
1. You and your partner are responding to a call for a 2-year-old patient
with a burn injury to the hand. He has a visible burn to the left hand,
ending at the level above the wrist, red color, and wet in appearance.
What type of burn do you suspect the patient has sustained?
A. Superficial (first degree)
B. Partial thickness (second degree)
C. Full thickness (third degree)
D. Subdermal (fourth degree) - ansQuestion 1: B
Scald burns are the most common burns seen in the pediatric population
ages 1 to 5 years. Scalds are partial thickness burns. The dermal layer is
damaged, and blisters are present or popped. It is also the most painful type
of burn.
1. You are called to the scene of a possible mass casualty motor vehicle
collision on the highway. Once you arrive on scene, what is your first
priority?
A. Immediately begin triaging patients.
B. Treat the patient with the most visible blood loss.
C. Determine the need for additional resources.
D. Assess the scene and ensure it is safe. - ansQuestion 1: D
Ensure safety for responders, bystanders, and patient(s). The first
consideration when approaching any scene is the safety of all emergency
responders. When EMS personnel become victims, they not only can no
longer assist others, but also add to the number of patients.
1. You are called to the scene of an explosion and fire at a chemical plant
where you find multiple casualties.Triage has begun. Your first patient is a
40-year-old man who was near the source of the explosion. He is
unconscious and has extensive injuries. You note gurgling respirations.
Why should you use the trauma jaw thrust maneuver first when dealing
with a trauma patient?
A. It's an easy technique that always works to open the airway.
B. It allows you to open the airway with little or no movement of the head
,TNCC TRAUMA NURSING CORE COURSE 12TH EDITION ENA TEST BANK VERIFIED
PASS|ALREADY GRADED A+
and cervical spine.
, TNCC TRAUMA NURSING CORE COURSE 12TH EDITION ENA TEST BANK VERIFIED
PASS|ALREADY GRADED A+
C. Other techniques and interventions don't work as well.
D. It can relieve a variety of anatomic airway obstructions in patients who
are breathing spontaneously. - ansQuestion 1: B
Manual maneuvers like the trauma jaw thrust or chin lift are always the first
airway maneuver you should make when treating a trauma patient. In
patients with suspected head, neck, orfacial trauma, the cervical spine is
maintained in a neutral in-line position.The trauma jaw thrust maneuver
allows you to open the airway with little or no movement of the head and
cervical spine.
1. You are responding to a call for 25-year-old, fit and healthy female who
fell off a mountain bike. Upon arrival, you find the patient walking around.
She is alert but complaining of pain in her clavicle and on her right side
when she inhales. You notice that her helmet is split in two. What is the
first thing you need to do?
A. Complete a review of the ABCs.
B. Check motor and sensory function.
C. Perform manual in-line stabilization.
D. Place her on a backboard. - ansQuestion 1: C
Because there's a possibility of spinal injury, you should bring the patient's
head into a neutral in-line position.
1. You have been performing ongoing management on a 35-year-old female
patient who sustained thoracic trauma when a car hit her as she crossed the
street. Originally, your electronic monitoring devices all produce results
consistent with your patient's clinical condition. However, en route the
trauma center, the monitors start to differ from your patient's current
clinical condition each time you reassess. How should you handle this
situation?
A. Treat the patient's condition, not the monitor results.
B. Continue to reassess the patient and record the results for the trauma
center.
C. Treat your patient based on the test results.
D. Stop testing and wait until you arrive at the trauma center for them to
perform an assessment. - ansQuestion 1: A
If there are inconsistent data from electronic monitoring devices, reassess
to be sure the monitor matches the patient's current clinical condition.
However, it is most important to treat the patient, not the monitor, so use
other signs and symptoms of potential patient deterioration.
1. You're called out to an assisted living facility for a 72-year-old woman
complaining of a severe headache and experiencing increased confusion.
Staff reports she fell out of her wheelchair earlier in the week but didn't
appear to be hurt; however, she's become increasingly disoriented over the
last day or so. Vital signs show: BP 110/90; heartrate 118 and irregularly
regular; ventilation rate 20 and slightly labored; SpO2 93% on room air. She
is taking warfarin for a clotting issue. Which of the following should you
suspect?
A. Cerebral contusion
B. Epidural hematoma
, TNCC TRAUMA NURSING CORE COURSE 12TH EDITION ENA TEST BANK VERIFIED
PASS|ALREADY GRADED A+
C. Subarachnoid hemorrhage
PASS|ALREADY GRADED A+
1. Which of the following requires you to develop a plan of action,
initiate the plan, reassess the plan as care for the patient moves
forward, and adjust the plan as the patient's condition or circumstances
change?
A. Principles of PHTLS
B. The Golden Period
C. The XABCDE assessment
D. Critical thinking process - ansQuestion 1: D
To help achieve the PHTLS goals, you will apply your critical thinking skills in
the field. Critical thinking in medicine is a process in which the healthcare
practitioner assesses the situation, the patient, and the resources available
and uses the information to decide on and provide the best care for the
patient.
1. You and your partner are responding to a call for a 2-year-old patient
with a burn injury to the hand. He has a visible burn to the left hand,
ending at the level above the wrist, red color, and wet in appearance.
What type of burn do you suspect the patient has sustained?
A. Superficial (first degree)
B. Partial thickness (second degree)
C. Full thickness (third degree)
D. Subdermal (fourth degree) - ansQuestion 1: B
Scald burns are the most common burns seen in the pediatric population
ages 1 to 5 years. Scalds are partial thickness burns. The dermal layer is
damaged, and blisters are present or popped. It is also the most painful type
of burn.
1. You are called to the scene of a possible mass casualty motor vehicle
collision on the highway. Once you arrive on scene, what is your first
priority?
A. Immediately begin triaging patients.
B. Treat the patient with the most visible blood loss.
C. Determine the need for additional resources.
D. Assess the scene and ensure it is safe. - ansQuestion 1: D
Ensure safety for responders, bystanders, and patient(s). The first
consideration when approaching any scene is the safety of all emergency
responders. When EMS personnel become victims, they not only can no
longer assist others, but also add to the number of patients.
1. You are called to the scene of an explosion and fire at a chemical plant
where you find multiple casualties.Triage has begun. Your first patient is a
40-year-old man who was near the source of the explosion. He is
unconscious and has extensive injuries. You note gurgling respirations.
Why should you use the trauma jaw thrust maneuver first when dealing
with a trauma patient?
A. It's an easy technique that always works to open the airway.
B. It allows you to open the airway with little or no movement of the head
,TNCC TRAUMA NURSING CORE COURSE 12TH EDITION ENA TEST BANK VERIFIED
PASS|ALREADY GRADED A+
and cervical spine.
, TNCC TRAUMA NURSING CORE COURSE 12TH EDITION ENA TEST BANK VERIFIED
PASS|ALREADY GRADED A+
C. Other techniques and interventions don't work as well.
D. It can relieve a variety of anatomic airway obstructions in patients who
are breathing spontaneously. - ansQuestion 1: B
Manual maneuvers like the trauma jaw thrust or chin lift are always the first
airway maneuver you should make when treating a trauma patient. In
patients with suspected head, neck, orfacial trauma, the cervical spine is
maintained in a neutral in-line position.The trauma jaw thrust maneuver
allows you to open the airway with little or no movement of the head and
cervical spine.
1. You are responding to a call for 25-year-old, fit and healthy female who
fell off a mountain bike. Upon arrival, you find the patient walking around.
She is alert but complaining of pain in her clavicle and on her right side
when she inhales. You notice that her helmet is split in two. What is the
first thing you need to do?
A. Complete a review of the ABCs.
B. Check motor and sensory function.
C. Perform manual in-line stabilization.
D. Place her on a backboard. - ansQuestion 1: C
Because there's a possibility of spinal injury, you should bring the patient's
head into a neutral in-line position.
1. You have been performing ongoing management on a 35-year-old female
patient who sustained thoracic trauma when a car hit her as she crossed the
street. Originally, your electronic monitoring devices all produce results
consistent with your patient's clinical condition. However, en route the
trauma center, the monitors start to differ from your patient's current
clinical condition each time you reassess. How should you handle this
situation?
A. Treat the patient's condition, not the monitor results.
B. Continue to reassess the patient and record the results for the trauma
center.
C. Treat your patient based on the test results.
D. Stop testing and wait until you arrive at the trauma center for them to
perform an assessment. - ansQuestion 1: A
If there are inconsistent data from electronic monitoring devices, reassess
to be sure the monitor matches the patient's current clinical condition.
However, it is most important to treat the patient, not the monitor, so use
other signs and symptoms of potential patient deterioration.
1. You're called out to an assisted living facility for a 72-year-old woman
complaining of a severe headache and experiencing increased confusion.
Staff reports she fell out of her wheelchair earlier in the week but didn't
appear to be hurt; however, she's become increasingly disoriented over the
last day or so. Vital signs show: BP 110/90; heartrate 118 and irregularly
regular; ventilation rate 20 and slightly labored; SpO2 93% on room air. She
is taking warfarin for a clotting issue. Which of the following should you
suspect?
A. Cerebral contusion
B. Epidural hematoma
, TNCC TRAUMA NURSING CORE COURSE 12TH EDITION ENA TEST BANK VERIFIED
PASS|ALREADY GRADED A+
C. Subarachnoid hemorrhage
