TNCC EXAM vc
Exam Solution vc
TNCC 9 TH EDITION FINAL ACTUAL EXAM NEWEST VER
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SION / QUESTION AND CORRECT DETAILED VERIFIED A
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NSWERS FROM VERIFIED SOURCES RATED A GRADE. 20 vc vc vc vc vc vc vc
26 A+ GRADE ASSURED COMPLETE SOLUTIONS AND VE
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RIFIED ANSWERS (23E46) vc vc
QUESTION 1 vc
You are caring for a patient who was thrown from a bike and was not wearing a helmet.
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While performing the head-to-
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toe assessment, you note clear drainage from the right ear. Which of the following is the
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most appropriate next step?
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A. Clean the ear with a cotton-tipped applicator.
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B. Pack the ear with gauze.
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C. Notify the physician
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D. Document and continue the exam.
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ANSWER
C. Notify the physician
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QUESTION 2 vc
A patient is brought to the emergency department of a rural hospital following a high-
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speed motor vehicle collision. When significant abdominal and pelvic injuries are noted i
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n the primary survey, what is the priority intervention?
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A. Initiate transfer to a trauma center
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B. Attempt family notification
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C. Obtain additional imaging studies
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D. Place an indwelling urinary catheter
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ANSWER
A. Initiate transfer to a trauma center
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,QUESTION 3 vc
2. Which of the following situations could cause functional grief?
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A. Inability to live at home
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B. Amputation of a limb
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C. Loss of one's self-image
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D. Destruction of the patient's car
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ANSWER
B. Amputation of a limb Rationale: Preparation and Ongoing Care\Psychosocial Aspects Functional grief
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relates to the loss of body function or body parts such as amputation of a limb, paralysis, or loss of sight
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.
QUESTION 4 vc
3. What is the most important consideration during the initial assessment when caring f
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or an older adult who has sustained serious injuries?
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A. They are likely to be fearful in the emergency department
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B. Medical history including current medications
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C. Availability of support systems after discharge
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D. Accessibility to a primary care physician
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ANSWER
B. Medical history including current medications
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QUESTION 5 vc
4. You are caring for a patient who was thrown from a bike and was not wearing a helme
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t. While performing the head-to-
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toe assessment, you note clear drainage from the right ear. Which of the following is the
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most appropriate next step?
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A. Clean the ear with a cotton-tipped applicator.
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B. Pack the ear with gauze.
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C. Notify the physician
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D. Document and continue the exam.
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ANSWER
C. Notify the physician
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QUESTION 6 vc
5. When should the definitive calculation for intravenous fluid resuscitation rate be perf
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ormed for a patient with burns?
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A. As soon as the patient arrives
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B. After removal of clothing
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, C. Only at a burn center
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D. During the circulation assessment
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ANSWER
B. After removal of clothing Rationale: Musculoskeletal and Wounds\Burns Some fluid will be given initi
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ally, but an accurate fluid total is based on percentage of total body surface area which requires a good
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skin assessment and is calculated after clothing is removed.
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QUESTION 7 vc
6. In a motor vehicle collision, which injury pathway is most likely to increase the patien
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t's morbidity and mortality?
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A. Rotational
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B. Ejectionvc
C. Lateralvc
D. Rollovervc
ANSWER
B. Ejection
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QUESTION 8 vc
7. A patient with a lower extremity fracture complains of severe pain and tightness in his
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calf, minimally relieved by pain medications. Which of the following is the priority nursi
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ng intervention?
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A. Elevating the leg above the level of the heart
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B. Repositioning the leg and applying ice
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C. Elevating the leg to the level of the heart
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D. Preparing the patient for ultrasound of the leg
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ANSWER
C. Elevating the leg to the level of the heart Rationale: Musculoskeletal and Wounds\Musculoskeletal Thi
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s patient is exhibiting signs of possible compartment syndrome which is a dangerous complication of fra
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ctured extremities. The pain is often out of proportion to the injury and might not respond to pain medi
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cations. Elevate the limb to the level of the heart to decrease dependent edema but not above the heart,
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which can cause increased venous congestion and pressure within the compartment.
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QUESTION 9 vc
10. Which of the following assessment findings differentiates a tension pneumothorax fr
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om a simple pneumothorax?
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A. Increased work of breathing
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B. Unilaterally diminished breath sounds
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C. Tachycardia
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D. Hypotension
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Exam Solution vc
TNCC 9 TH EDITION FINAL ACTUAL EXAM NEWEST VER
vc vc vc vc vc vc vc vc
SION / QUESTION AND CORRECT DETAILED VERIFIED A
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NSWERS FROM VERIFIED SOURCES RATED A GRADE. 20 vc vc vc vc vc vc vc
26 A+ GRADE ASSURED COMPLETE SOLUTIONS AND VE
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RIFIED ANSWERS (23E46) vc vc
QUESTION 1 vc
You are caring for a patient who was thrown from a bike and was not wearing a helmet.
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While performing the head-to-
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toe assessment, you note clear drainage from the right ear. Which of the following is the
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most appropriate next step?
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A. Clean the ear with a cotton-tipped applicator.
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B. Pack the ear with gauze.
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C. Notify the physician
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D. Document and continue the exam.
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ANSWER
C. Notify the physician
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QUESTION 2 vc
A patient is brought to the emergency department of a rural hospital following a high-
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speed motor vehicle collision. When significant abdominal and pelvic injuries are noted i
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n the primary survey, what is the priority intervention?
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A. Initiate transfer to a trauma center
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B. Attempt family notification
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C. Obtain additional imaging studies
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D. Place an indwelling urinary catheter
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ANSWER
A. Initiate transfer to a trauma center
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,QUESTION 3 vc
2. Which of the following situations could cause functional grief?
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A. Inability to live at home
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B. Amputation of a limb
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C. Loss of one's self-image
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D. Destruction of the patient's car
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ANSWER
B. Amputation of a limb Rationale: Preparation and Ongoing Care\Psychosocial Aspects Functional grief
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relates to the loss of body function or body parts such as amputation of a limb, paralysis, or loss of sight
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.
QUESTION 4 vc
3. What is the most important consideration during the initial assessment when caring f
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or an older adult who has sustained serious injuries?
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A. They are likely to be fearful in the emergency department
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B. Medical history including current medications
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C. Availability of support systems after discharge
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D. Accessibility to a primary care physician
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ANSWER
B. Medical history including current medications
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QUESTION 5 vc
4. You are caring for a patient who was thrown from a bike and was not wearing a helme
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t. While performing the head-to-
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toe assessment, you note clear drainage from the right ear. Which of the following is the
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most appropriate next step?
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A. Clean the ear with a cotton-tipped applicator.
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B. Pack the ear with gauze.
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C. Notify the physician
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D. Document and continue the exam.
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ANSWER
C. Notify the physician
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QUESTION 6 vc
5. When should the definitive calculation for intravenous fluid resuscitation rate be perf
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ormed for a patient with burns?
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A. As soon as the patient arrives
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B. After removal of clothing
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, C. Only at a burn center
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D. During the circulation assessment
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ANSWER
B. After removal of clothing Rationale: Musculoskeletal and Wounds\Burns Some fluid will be given initi
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ally, but an accurate fluid total is based on percentage of total body surface area which requires a good
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skin assessment and is calculated after clothing is removed.
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QUESTION 7 vc
6. In a motor vehicle collision, which injury pathway is most likely to increase the patien
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t's morbidity and mortality?
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A. Rotational
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B. Ejectionvc
C. Lateralvc
D. Rollovervc
ANSWER
B. Ejection
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QUESTION 8 vc
7. A patient with a lower extremity fracture complains of severe pain and tightness in his
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calf, minimally relieved by pain medications. Which of the following is the priority nursi
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ng intervention?
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A. Elevating the leg above the level of the heart
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B. Repositioning the leg and applying ice
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C. Elevating the leg to the level of the heart
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D. Preparing the patient for ultrasound of the leg
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ANSWER
C. Elevating the leg to the level of the heart Rationale: Musculoskeletal and Wounds\Musculoskeletal Thi
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s patient is exhibiting signs of possible compartment syndrome which is a dangerous complication of fra
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ctured extremities. The pain is often out of proportion to the injury and might not respond to pain medi
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cations. Elevate the limb to the level of the heart to decrease dependent edema but not above the heart,
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which can cause increased venous congestion and pressure within the compartment.
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QUESTION 9 vc
10. Which of the following assessment findings differentiates a tension pneumothorax fr
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om a simple pneumothorax?
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A. Increased work of breathing
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B. Unilaterally diminished breath sounds
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C. Tachycardia
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D. Hypotension
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