TNCC!!9TH!!EDITION!!REAL !!EXAM!!ACTUAL!!VERIFIED!!EXAM!!TEST !!BANK!!150+!!QU
ESTIONS!!AND!!ANSWERS!!VERIFIED!!ANSWER!!|ALREADY!!GRADED!!A+
1
,TNCC!!9TH!!EDITION!!REAL !!EXAM!!ACTUAL!!VERIFIED!!EXAM!!TEST !!BANK!!150+!!QU
ESTIONS!!AND!!ANSWERS!!VERIFIED!!ANSWER!!|ALREADY!!GRADED!!A+
A!!5-
year!!old!!childcpresents!!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!!abnor
malities!!found!!based!!on!!the!!pediatric!!assessment!!triangle!!or!!primary!!survey.!!Which!!of!!t
he!!following!!is!!the!!priority!!nursing!!intervention?
Answer:!!A!!-
!! ANSA)!!report!! your!! suspicion!!of!! the!! maltreatment!!in!! accordance!! with!!local!! regulations!! **
*
B)!!apply!!ice!!to!!the!!bruises!!and!!consult!!wound!!care
C)!!engage!!in!!therapeutic!!communication!!to!!determine!!the!!MOI
D)!!provide!!the!!family!!with!!injury!!prevention!!resourse
A!!20-year!!old!!maleL presentsL toL theL EDL c/oL severeL lowerL abdL painL afterL landingL hardL
onL theL bicycleL crossL barsL whichL performingL anL aerialL BMXL maneuver.L SecondaryL
assessmentL revealsL lowerL abdL tendernessL andL scrotalL ecchymosis.L WhichL ofL theL
followingL ordersL wouldL theL nurseL questions?
Answer:L CL -L ANSA)L FastL exam
B)L CTL scan
C)L straightL cathL forL urineL sampleL ***
D)L iceL andL elevationL ofL theL scrotum
AL 35-yearL oldL maleL presentsL withL facialL traumaL afterL bringL struckL intheL faceL withL aL
baseball.L aL tear-dropL shapedL leftL pupilL isL notedL onL exam.L WhatL typeL ofL injuryL isL
suspected?
Answer:L BL -L ANSA)L oculomotorL nerveL palsy
B)L globeL ruptureL ***
C)L uncalL herniation
D)L retinalL detachment
AL 36-yearL oldL femaleL hasL aL deformityL ofL theL leftL wristL afterL aL fall.L SheL isL reluctantL toL
moveL herL handL dueL toL pain.L WhichL ofL theL followingL isL theL mostL appropriateL
intervention?
Answer:L BL -L ANSA)L applyL aL slingL andL elevateL theL extremityL toL theL levelL ofL theL heart.
B)L applyL aL splintL andL ELEVATEL ABOVEL THEL LEVELL OFL THEL HEARTL ***
C)L ApplyL aL slingL andL elevateL theL extremityL aboveL theL levelL ofL theL heart
D)L applyL aL splintL andL elevateL theL extremityL toL theL levelL ofL theL heart.
2
,TNCC!!9TH!!EDITION!!REAL !!EXAM!!ACTUAL!!VERIFIED!!EXAM!!TEST !!BANK!!150+!!QU
ESTIONS!!AND!!ANSWERS!!VERIFIED!!ANSWER!!|ALREADY!!GRADED!!A+
AL 49-yearL oldL restrainedL driverL involvedL inL aL MVCL presentsL toL theL traumaL centerL c/oL
abd,L pelvic,L andL bilL lowerL extremityL painL VitalsL signsL areL stable.L TheL nurseL canL
anticipateL allL ofL theseL negativeL fastL examL exceptL whichL ofL theL following?
Answer:L A
TheL FASTL examL isL doneL atL theL bedsideL toL identifyL pathologicalL fluidL inL theL
abdominalL andL pelvicL cavities.L FASTL examsL reduceL theL useL ofL moreL invasiveL
diagnosticL peritonealL lavageL andL canL beL repeatedL ifL clinicalL changesL orL
hemodynamicL changesL occur.L AL negativeL FASTL studyL doesL notL ruleL outL injuryL andL
mayL warrantL aL follow-upL computedL tomographyL scan.L SerialL FASTL examsL canL
identifyL increasingL abdominalL fluidL collectionsL fromL hemorrhage.L DiagnosticL
peritonealL lavage/diagnosticL peritonealL aspirationL isL performedL byL theL surgicalL teamL
toL rapidlyL identifyL theL presenceL ofL hemorrhageL inL patientsL whoL areL hemodynamicallyL
unstableL afterL trauma.L -L ANSA)L diagnosticL peritonealL lavageL ***
B)L serialL fastL exams
C)L abdominalL andL pelvicL CTL scans
D)L serialL abdominalL assessments
AL 56-year-L maleL patientL involvedL inL aL MVCL isL broughtL toL theL EDL ofL aL ruralL criticalL
accessL facility.L HeL c/oL neckL pain,L SOB,L andL diffuseL abdL pain.L HisL GCSL isL 15.L HisL
vitalsL areL asL follows:
BPL 98/71
HRL 125L beats/min
RRL 26L breaths/min
SpO2L 94%L onL highL flowL O2L viaL NRBL mask
whichL ofL theL followingL isL theL priorityL interventionL forL thisL patient?
Answer:L CL -L ANSA)L ExpediteL transportL toL theL CTL scanner
B)L prepareL theL patientL forL spinalL radiographs
C)L expediteL transferL toL theL closestL traumaL centerL ***
D)L notifyL theL patientsL family
AL passengerL isL broughtL toL theL emergencyL departmentL ofL aL ruralL hospitalL followingL aL
high-speedL MVC.L WhenL significantL abdominalL andL pelvicL injuriesL areL notedL inL theL
primaryL survey,L whichL ofL theL followingL isL theL priorityL interventions?
Answer:L AL -L ANSA)L initiateL transferL toL aL traumaL centerL **
B)L provideL reportL toL theL operatingL roomL nurse
C)L ObtainedL imagingL studies
3
, TNCC!!9TH!!EDITION!!REAL !!EXAM!!ACTUAL!!VERIFIED!!EXAM!!TEST !!BANK!!150+!!QU
ESTIONS!!AND!!ANSWERS!!VERIFIED!!ANSWER!!|ALREADY!!GRADED!!A+
D)L PlaceL aL gastricL tube
AL patientL arrivesL withL aL largeL openL chestL woundL afterL beingL assaultL edL withL aL
machete,L PrehospitalL providersL placedL aL nonporousL dressingL overL theL chestL woundL
andL tapesL itL onL 3L sides.L HeL isL nowL showingL signsL ofL anxiety,L restlessness,L severeL
respiratoryL distress,L cyanosis,L andL decreasingL bloodL pressure.L WhichL ofL theL
followingL isL theL MOSTL appropriateL interventions?
Answer:L CL -L ANSA)L needleL decompression
B)L tubeL thoracostomyL
C)L dressingL removalL **
D)L surgicalL repair
AL patientL hasL beenL inL theL EDL forL severalL hoursL waitingL toL beL admitted.L HeL
sustainedL multipleL ribL fracturesL andL aL femurL fractureL afterL aL fall.L HeL hasL beenL
awake,L alert,L andL c/oL legL pain.L HisL wifeL reportedL suddenlyL becomingL anxiousL andL
confused.L UponL reassessment,L theL patientL isL restless,L withL respiratoryL distressL andL
petechiaeL toL hisL neck.L theL patientL isL exhibitingL signsL ofL symptomsL commonlyL
associatedL withL whichL ofL theL followingL conditions?
Answer:L BL -L ANSA)L acuteL lungL injury
B)L fatL embolismL ***
C)L PTX
D)L pulmonaryL contusion
AL patientL isL foundL lyingL onL theL floorL afterL fallingL 13L hoursL ago.L WhichL ofL theL
followingL labL valuesL isL expectedL withL aL musculoskeletalL complicationL associatedL withL
thisL presentation?
Answer:L AL -L ANSA)L elevatedL creatineL kinaseL ***
B)L decreasedL potassiumL level
C)L decreasedL WBC
D)L elevatedL GFR
AL patientL isL thrownL againstL aL carL duringL aL tornadoL andL presentsL withL obviousL
bilateralL femoralL fractures.L TheL patientL isL pale,L alert,L disoriented,L andL hasL delayedL
capL refill.L WhichL ofL theL followingL interventionsL wouldL beL mostL appropriateL forL thisL
patientL basedL onL theL disasterL triageL principle?
Answer:L AL -L ANSA)L initiateL twoL largeL caliberL intravenousL linesL forL RingersL lactateL
solutionL administrationL ***
B)L AdministerL DilaudidL forL painL controlL andL provideL comfortL care
C)L PlaceL theL patientL inL anL observationL areaL forL careL withinL theL nextL fewL hours
4
ESTIONS!!AND!!ANSWERS!!VERIFIED!!ANSWER!!|ALREADY!!GRADED!!A+
1
,TNCC!!9TH!!EDITION!!REAL !!EXAM!!ACTUAL!!VERIFIED!!EXAM!!TEST !!BANK!!150+!!QU
ESTIONS!!AND!!ANSWERS!!VERIFIED!!ANSWER!!|ALREADY!!GRADED!!A+
A!!5-
year!!old!!childcpresents!!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!!abnor
malities!!found!!based!!on!!the!!pediatric!!assessment!!triangle!!or!!primary!!survey.!!Which!!of!!t
he!!following!!is!!the!!priority!!nursing!!intervention?
Answer:!!A!!-
!! ANSA)!!report!! your!! suspicion!!of!! the!! maltreatment!!in!! accordance!! with!!local!! regulations!! **
*
B)!!apply!!ice!!to!!the!!bruises!!and!!consult!!wound!!care
C)!!engage!!in!!therapeutic!!communication!!to!!determine!!the!!MOI
D)!!provide!!the!!family!!with!!injury!!prevention!!resourse
A!!20-year!!old!!maleL presentsL toL theL EDL c/oL severeL lowerL abdL painL afterL landingL hardL
onL theL bicycleL crossL barsL whichL performingL anL aerialL BMXL maneuver.L SecondaryL
assessmentL revealsL lowerL abdL tendernessL andL scrotalL ecchymosis.L WhichL ofL theL
followingL ordersL wouldL theL nurseL questions?
Answer:L CL -L ANSA)L FastL exam
B)L CTL scan
C)L straightL cathL forL urineL sampleL ***
D)L iceL andL elevationL ofL theL scrotum
AL 35-yearL oldL maleL presentsL withL facialL traumaL afterL bringL struckL intheL faceL withL aL
baseball.L aL tear-dropL shapedL leftL pupilL isL notedL onL exam.L WhatL typeL ofL injuryL isL
suspected?
Answer:L BL -L ANSA)L oculomotorL nerveL palsy
B)L globeL ruptureL ***
C)L uncalL herniation
D)L retinalL detachment
AL 36-yearL oldL femaleL hasL aL deformityL ofL theL leftL wristL afterL aL fall.L SheL isL reluctantL toL
moveL herL handL dueL toL pain.L WhichL ofL theL followingL isL theL mostL appropriateL
intervention?
Answer:L BL -L ANSA)L applyL aL slingL andL elevateL theL extremityL toL theL levelL ofL theL heart.
B)L applyL aL splintL andL ELEVATEL ABOVEL THEL LEVELL OFL THEL HEARTL ***
C)L ApplyL aL slingL andL elevateL theL extremityL aboveL theL levelL ofL theL heart
D)L applyL aL splintL andL elevateL theL extremityL toL theL levelL ofL theL heart.
2
,TNCC!!9TH!!EDITION!!REAL !!EXAM!!ACTUAL!!VERIFIED!!EXAM!!TEST !!BANK!!150+!!QU
ESTIONS!!AND!!ANSWERS!!VERIFIED!!ANSWER!!|ALREADY!!GRADED!!A+
AL 49-yearL oldL restrainedL driverL involvedL inL aL MVCL presentsL toL theL traumaL centerL c/oL
abd,L pelvic,L andL bilL lowerL extremityL painL VitalsL signsL areL stable.L TheL nurseL canL
anticipateL allL ofL theseL negativeL fastL examL exceptL whichL ofL theL following?
Answer:L A
TheL FASTL examL isL doneL atL theL bedsideL toL identifyL pathologicalL fluidL inL theL
abdominalL andL pelvicL cavities.L FASTL examsL reduceL theL useL ofL moreL invasiveL
diagnosticL peritonealL lavageL andL canL beL repeatedL ifL clinicalL changesL orL
hemodynamicL changesL occur.L AL negativeL FASTL studyL doesL notL ruleL outL injuryL andL
mayL warrantL aL follow-upL computedL tomographyL scan.L SerialL FASTL examsL canL
identifyL increasingL abdominalL fluidL collectionsL fromL hemorrhage.L DiagnosticL
peritonealL lavage/diagnosticL peritonealL aspirationL isL performedL byL theL surgicalL teamL
toL rapidlyL identifyL theL presenceL ofL hemorrhageL inL patientsL whoL areL hemodynamicallyL
unstableL afterL trauma.L -L ANSA)L diagnosticL peritonealL lavageL ***
B)L serialL fastL exams
C)L abdominalL andL pelvicL CTL scans
D)L serialL abdominalL assessments
AL 56-year-L maleL patientL involvedL inL aL MVCL isL broughtL toL theL EDL ofL aL ruralL criticalL
accessL facility.L HeL c/oL neckL pain,L SOB,L andL diffuseL abdL pain.L HisL GCSL isL 15.L HisL
vitalsL areL asL follows:
BPL 98/71
HRL 125L beats/min
RRL 26L breaths/min
SpO2L 94%L onL highL flowL O2L viaL NRBL mask
whichL ofL theL followingL isL theL priorityL interventionL forL thisL patient?
Answer:L CL -L ANSA)L ExpediteL transportL toL theL CTL scanner
B)L prepareL theL patientL forL spinalL radiographs
C)L expediteL transferL toL theL closestL traumaL centerL ***
D)L notifyL theL patientsL family
AL passengerL isL broughtL toL theL emergencyL departmentL ofL aL ruralL hospitalL followingL aL
high-speedL MVC.L WhenL significantL abdominalL andL pelvicL injuriesL areL notedL inL theL
primaryL survey,L whichL ofL theL followingL isL theL priorityL interventions?
Answer:L AL -L ANSA)L initiateL transferL toL aL traumaL centerL **
B)L provideL reportL toL theL operatingL roomL nurse
C)L ObtainedL imagingL studies
3
, TNCC!!9TH!!EDITION!!REAL !!EXAM!!ACTUAL!!VERIFIED!!EXAM!!TEST !!BANK!!150+!!QU
ESTIONS!!AND!!ANSWERS!!VERIFIED!!ANSWER!!|ALREADY!!GRADED!!A+
D)L PlaceL aL gastricL tube
AL patientL arrivesL withL aL largeL openL chestL woundL afterL beingL assaultL edL withL aL
machete,L PrehospitalL providersL placedL aL nonporousL dressingL overL theL chestL woundL
andL tapesL itL onL 3L sides.L HeL isL nowL showingL signsL ofL anxiety,L restlessness,L severeL
respiratoryL distress,L cyanosis,L andL decreasingL bloodL pressure.L WhichL ofL theL
followingL isL theL MOSTL appropriateL interventions?
Answer:L CL -L ANSA)L needleL decompression
B)L tubeL thoracostomyL
C)L dressingL removalL **
D)L surgicalL repair
AL patientL hasL beenL inL theL EDL forL severalL hoursL waitingL toL beL admitted.L HeL
sustainedL multipleL ribL fracturesL andL aL femurL fractureL afterL aL fall.L HeL hasL beenL
awake,L alert,L andL c/oL legL pain.L HisL wifeL reportedL suddenlyL becomingL anxiousL andL
confused.L UponL reassessment,L theL patientL isL restless,L withL respiratoryL distressL andL
petechiaeL toL hisL neck.L theL patientL isL exhibitingL signsL ofL symptomsL commonlyL
associatedL withL whichL ofL theL followingL conditions?
Answer:L BL -L ANSA)L acuteL lungL injury
B)L fatL embolismL ***
C)L PTX
D)L pulmonaryL contusion
AL patientL isL foundL lyingL onL theL floorL afterL fallingL 13L hoursL ago.L WhichL ofL theL
followingL labL valuesL isL expectedL withL aL musculoskeletalL complicationL associatedL withL
thisL presentation?
Answer:L AL -L ANSA)L elevatedL creatineL kinaseL ***
B)L decreasedL potassiumL level
C)L decreasedL WBC
D)L elevatedL GFR
AL patientL isL thrownL againstL aL carL duringL aL tornadoL andL presentsL withL obviousL
bilateralL femoralL fractures.L TheL patientL isL pale,L alert,L disoriented,L andL hasL delayedL
capL refill.L WhichL ofL theL followingL interventionsL wouldL beL mostL appropriateL forL thisL
patientL basedL onL theL disasterL triageL principle?
Answer:L AL -L ANSA)L initiateL twoL largeL caliberL intravenousL linesL forL RingersL lactateL
solutionL administrationL ***
B)L AdministerL DilaudidL forL painL controlL andL provideL comfortL care
C)L PlaceL theL patientL inL anL observationL areaL forL careL withinL theL nextL fewL hours
4
