TNCC 9th Edition Trauma Nursing Core Course Test Bank 150 Questions and Answers Verified Real Exam 2024–2025 Trauma Nursing Certification Exam Prep Guide

TNCC!!9TH!!EDITION!!REAL!!EXAM!!ACTUAL!!VERIFIED!!EXAM!!TEST!!BANK!!150+!!QU
ESTIONS!!AND!!ANSWERS!!VERIFIED!!ANSWER!!|ALREADY!!GRADED!!A+




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,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!!male presents to the ED c/o severe lower abd pain after landing hard on
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the bicycle cross bars which performing an aerial BMX maneuver. Secondary
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assessment reveals lower abd tenderness and scrotal ecchymosis. Which of the
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following orders would the nurse questions?
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Answer: C - ANSA) Fast exam
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B) CT scan
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C) straight cath for urine sample ***
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D) ice and elevation of the scrotum
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A 35-year old male presents with facial trauma after bring struck inthe face with a
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baseball. a tear-drop shaped left pupil is noted on exam. What type of injury is
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suspected?

Answer: B - ANSA) oculomotor nerve palsy
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B) globe rupture ***
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C) uncal herniation
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D) retinal detachment
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A 36-year old female has a deformity of the left wrist after a fall. She is reluctant to move
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her hand due to pain. Which of the following is the most appropriate intervention?
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Answer: B - ANSA) apply a sling and elevate the extremity to the level of the heart.
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B) apply a splint and ELEVATE ABOVE THE LEVEL OF THE HEART ***
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C) Apply a sling and elevate the extremity above the level of the heart
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D) apply a splint and elevate the extremity to the level of the heart.
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,TNCC!!9TH!!EDITION!!REAL!!EXAM!!ACTUAL!!VERIFIED!!EXAM!!TEST!!BANK!!150+!!QU
ESTIONS!!AND!!ANSWERS!!VERIFIED!!ANSWER!!|ALREADY!!GRADED!!A+

A 49-year old restrained driver involved in a MVC presents to the trauma center c/o abd,
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pelvic, and bil lower extremity pain Vitals signs are stable. The nurse can anticipate all of
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these negative fast exam except which of the following?
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Answer: A F




The FAST exam is done at the bedside to identify pathological fluid in the abdominal and
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pelvic cavities. FAST exams reduce the use of more invasive diagnostic peritoneal
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lavage and can be repeated if clinical changes or hemodynamic changes occur. A
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negative FAST study does not rule out injury and may warrant a follow-up computed
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tomography scan. Serial FAST exams can identify increasing abdominal fluid collections
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from hemorrhage. Diagnostic peritoneal lavage/diagnostic peritoneal aspiration is
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performed by the surgical team to rapidly identify the presence of hemorrhage in patients
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who are hemodynamically unstable after trauma. - ANSA) diagnostic peritoneal lavage
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***
B) serial fast exams
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C) abdominal and pelvic CT scans
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D) serial abdominal assessments
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A 56-year- male patient involved in a MVC is brought to the ED of a rural critical access
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facility. He c/o neck pain, SOB, and diffuse abd pain. His GCS is 15. His vitals are as
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follows:
BP 98/71 F



HR 125 beats/min
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RR 26 breaths/min
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SpO2 94% on high flow O2 via NRB mask
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which of the following is the priority intervention for this patient?
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Answer: C - ANSA) Expedite transport to the CT scanner
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B) prepare the patient for spinal radiographs
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C) expedite transfer to the closest trauma center ***
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D) notify the patients family
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A passenger is brought to the emergency department of a rural hospital following a high-
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speed MVC. When significant abdominal and pelvic injuries are noted in the primary
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survey, which of the following is the priority interventions?
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Answer: A - ANSA) initiate transfer to a trauma center **
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B) provide report to the operating room nurse
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C) Obtained imaging studies
F F F




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, TNCC!!9TH!!EDITION!!REAL!!EXAM!!ACTUAL!!VERIFIED!!EXAM!!TEST!!BANK!!150+!!QU
ESTIONS!!AND!!ANSWERS!!VERIFIED!!ANSWER!!|ALREADY!!GRADED!!A+

D) Place a gastric tube
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A patient arrives with a large open chest wound after being assault ed with a machete,
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Prehospital providers placed a nonporous dressing over the chest wound and tapes it on
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3 sides. He is now showing signs of anxiety, restlessness, severe respiratory distress,
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cyanosis, and decreasing blood pressure. Which of the following is the MOST
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appropriate interventions? F




Answer: C - ANSA) needle decompression
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B) tube thoracostomy
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C) dressing removal **
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D) surgical repair
F F




A patient has been in the ED for several hours waiting to be admitted. He sustained
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multiple rib fractures and a femur fracture after a fall. He has been awake, alert, and c/o
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leg pain. His wife reported suddenly becoming anxious and confused. Upon
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reassessment, the patient is restless, with respiratory distress and petechiae to his neck.
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the patient is exhibiting signs of symptoms commonly associated with which of the
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following conditions? F




Answer: B - ANSA) acute lung injury
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B) fat embolism ***
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C) PTX F



D) pulmonary contusion
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A patient is found lying on the floor after falling 13 hours ago. Which of the following lab
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values is expected with a musculoskeletal complication associated with this
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presentation?

Answer: A - ANSA) elevated creatine kinase ***
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B) decreased potassium level
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C) decreased WBC
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D) elevated GFR
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A patient is thrown against a car during a tornado and presents with obvious bilateral
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femoral fractures. The patient is pale, alert, disoriented, and has delayed cap refill. Which
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of the following interventions would be most appropriate for this patient based on the
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disaster triage principle? F F




Answer: A - ANSA) initiate two large caliber intravenous lines for Ringers lactate solution
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administration *** F



B) Administer Dilaudid for pain control and provide comfort care
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C) Place the patient in an observation area for care within the next few hours
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