TNCC PREPA EXAM PRACTICE
QUESTIONS AND VERIFIED
ANSWERS
A 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?
Expedite transfer to the closest trauma center
Which of the following considerations is the most important when caring for a
geriatric trauma pt?
A pertinent medical hx is crucial
Following a review of recent drills and a real disaster event, a hospital has
identified deficiencies and is taking steps to minimize the impact of a future
disaster . Which phase of the disaster life cycle does this describe?
Mitigation
EMS brings a pt who fell while riding his bicycle. Using the American College
of Surgeobs screening guidelines, which assessment finding would prompt
the RN to prepare the pt for a radiologic spine clearance?
Multiple requests for water
What is the effect of hypothermia on the oxyhemoglobin dissociation curve?
Hemoglobin does not readily release O2 for use by the tissues
Which of the following is a component of the trauma triad of death?
Acidosis
EMS 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?
Complete
Which of the following is an expected finding in a pt with a tube thoracstomy
connected to a chest drainage system?
Flucuation in the water seal chamber
, During the primary survey of an unconscious pt with multi-system trauma, the
nurse notes snoring respirations. What priority nursing interventions should
be preformed next?
Insert an oropharyngeal airway if there is no gag reflex
A 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?
Globe rupture
A 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?
Compensated
An unresponsive trauma pt has an oropharygeal airway in place, shallow and
labored respirations, and dusky skin. The trauma team has administered
medications for drug-assisted intubation and attempted intubation but was
unsuccessful. What is the most appropriate immediate next step?
Ventilate with a bag mask device
When is the tertiary survey completed fora trauma pt?
Within 24 hrs of trauma
An intubated and sedated pt in the ED has multiple extremity injuries with the
potential for causing compartment syndrome. What is the most reliable
indication of compartment syndrome in a patient who is unconscious?
Pressure
Which of the following is possible complication of positive-pressure
ventilation?
Worsening pneumothorax
The most reassuring finding for a male pt with hip pain after a fall is which of
the following?
Pelvic stability
Which of the following pulse pressures indicate early hypovolemic shock?
Narrowed
Patients with a crush injury should be monitored for which of the following
conditions?
Dysrhythmias
QUESTIONS AND VERIFIED
ANSWERS
A 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?
Expedite transfer to the closest trauma center
Which of the following considerations is the most important when caring for a
geriatric trauma pt?
A pertinent medical hx is crucial
Following a review of recent drills and a real disaster event, a hospital has
identified deficiencies and is taking steps to minimize the impact of a future
disaster . Which phase of the disaster life cycle does this describe?
Mitigation
EMS brings a pt who fell while riding his bicycle. Using the American College
of Surgeobs screening guidelines, which assessment finding would prompt
the RN to prepare the pt for a radiologic spine clearance?
Multiple requests for water
What is the effect of hypothermia on the oxyhemoglobin dissociation curve?
Hemoglobin does not readily release O2 for use by the tissues
Which of the following is a component of the trauma triad of death?
Acidosis
EMS 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?
Complete
Which of the following is an expected finding in a pt with a tube thoracstomy
connected to a chest drainage system?
Flucuation in the water seal chamber
, During the primary survey of an unconscious pt with multi-system trauma, the
nurse notes snoring respirations. What priority nursing interventions should
be preformed next?
Insert an oropharyngeal airway if there is no gag reflex
A 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?
Globe rupture
A 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?
Compensated
An unresponsive trauma pt has an oropharygeal airway in place, shallow and
labored respirations, and dusky skin. The trauma team has administered
medications for drug-assisted intubation and attempted intubation but was
unsuccessful. What is the most appropriate immediate next step?
Ventilate with a bag mask device
When is the tertiary survey completed fora trauma pt?
Within 24 hrs of trauma
An intubated and sedated pt in the ED has multiple extremity injuries with the
potential for causing compartment syndrome. What is the most reliable
indication of compartment syndrome in a patient who is unconscious?
Pressure
Which of the following is possible complication of positive-pressure
ventilation?
Worsening pneumothorax
The most reassuring finding for a male pt with hip pain after a fall is which of
the following?
Pelvic stability
Which of the following pulse pressures indicate early hypovolemic shock?
Narrowed
Patients with a crush injury should be monitored for which of the following
conditions?
Dysrhythmias
