TNCC IOTH EDITION
35o+ Practice Questions Exam
Questions with Rationales Answers
Passing Score of 95%
This Pdf contains:
35o+ Practice Questions
Each Question Includes The Correct Answer &
Expert Rationale
Expert~Verified explanation is essential in solidifying your understanding and
pinpointing weak areas.
,1. You are caring for a patient who was thrown from a bike and was
not wearing a helmet. While performing the head~to~toe assessment,
you note clear drainage from the right ear. Which of the following is
the most appropriate step?
A. Clean the ear with a cotton~tipped applicator
B. Pack the ear with gauze
C. Notify the physician
D. Document and continue the exam
Correct Answer: C. Notify the physician
- Expert Rationale:
− Clear drainage from the ear following trauma may indicate a
basilar skull fracture with cerebrospinal fluid (CSF) leak. Immediate
notification of the physician is vital.
− Inserting objects or packing the ear may increase
intracranial pressure or introduce infection.
− Documentation is important, but active communication with
the provider is critical for prompt management.
~~~
,2. A patient arrives with a large open chest wound after being
assaulted with a machete. Prehospital providers placed a nonporous
dressing over the chest wound and taped it on three sides. The patient
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?
A. Needle decompression
B. Tube thoracotomy
C. Dressing removal
D. Surgical repair
Correct Answer: C. Dressing removal
- Expert Rationale:
− Taping the dressing on three sides can create a valve
effect, potentially resulting in a tension pneumothorax.
− Immediate removal of the dressing allows air to escape,
alleviating life~threatening respiratory and hemodynamic
compromise.
− Needle decompression or tube thoracostomy may be necessary next,
but the priority is to resolve the obstructive process urgently.
~~~
, 3. A patient has a closed fracture to the left lower leg. Which
symptoms are consistent with compartment syndrome?
A. Shortness of breath, tachypnea, petechiae
B. Pain, numbness, bounding peripheral pulses
C. Pain, diminished pedal pulse, pressure
D. Erythema, warmth, purpura
Correct Answer: C. Pain, diminished pedal pulse, pressure
- Expert Rationale:
− The classic signs of compartment syndrome include severe pain
out of proportion to injury, especially with passive stretch, diminished
distal pulses, and elevated compartment pressures (―6 Ps‖: pain,
pallor, pulselessness, paresthesia, paralysis, and pressure).
− Bounding pulses and symptoms such as shortness of breath or
petechiae are not typical of compartment syndrome in an
extremity fracture.
~~~
35o+ Practice Questions Exam
Questions with Rationales Answers
Passing Score of 95%
This Pdf contains:
35o+ Practice Questions
Each Question Includes The Correct Answer &
Expert Rationale
Expert~Verified explanation is essential in solidifying your understanding and
pinpointing weak areas.
,1. You are caring for a patient who was thrown from a bike and was
not wearing a helmet. While performing the head~to~toe assessment,
you note clear drainage from the right ear. Which of the following is
the most appropriate step?
A. Clean the ear with a cotton~tipped applicator
B. Pack the ear with gauze
C. Notify the physician
D. Document and continue the exam
Correct Answer: C. Notify the physician
- Expert Rationale:
− Clear drainage from the ear following trauma may indicate a
basilar skull fracture with cerebrospinal fluid (CSF) leak. Immediate
notification of the physician is vital.
− Inserting objects or packing the ear may increase
intracranial pressure or introduce infection.
− Documentation is important, but active communication with
the provider is critical for prompt management.
~~~
,2. A patient arrives with a large open chest wound after being
assaulted with a machete. Prehospital providers placed a nonporous
dressing over the chest wound and taped it on three sides. The patient
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?
A. Needle decompression
B. Tube thoracotomy
C. Dressing removal
D. Surgical repair
Correct Answer: C. Dressing removal
- Expert Rationale:
− Taping the dressing on three sides can create a valve
effect, potentially resulting in a tension pneumothorax.
− Immediate removal of the dressing allows air to escape,
alleviating life~threatening respiratory and hemodynamic
compromise.
− Needle decompression or tube thoracostomy may be necessary next,
but the priority is to resolve the obstructive process urgently.
~~~
, 3. A patient has a closed fracture to the left lower leg. Which
symptoms are consistent with compartment syndrome?
A. Shortness of breath, tachypnea, petechiae
B. Pain, numbness, bounding peripheral pulses
C. Pain, diminished pedal pulse, pressure
D. Erythema, warmth, purpura
Correct Answer: C. Pain, diminished pedal pulse, pressure
- Expert Rationale:
− The classic signs of compartment syndrome include severe pain
out of proportion to injury, especially with passive stretch, diminished
distal pulses, and elevated compartment pressures (―6 Ps‖: pain,
pallor, pulselessness, paresthesia, paralysis, and pressure).
− Bounding pulses and symptoms such as shortness of breath or
petechiae are not typical of compartment syndrome in an
extremity fracture.
~~~
