tncc final EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS

TNCC EXAM @x




Exam Solution
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Access to this page has been denied 2026 A+ GRADE A
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SSURED COMPLETE SOLUTIONS AND VERIFIED ANSWE @x @x @x @x @x




RS (4AF06) @x




QUESTION 1 @x




Term
ANSWER

Definition



QUESTION 2 @x




You are caring for a patient who was thrown from a bike and was not wearing a hel
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met. While performing the head-to-
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toe assessment, you note clear drainage from the right ear. Which of the following is
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the 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 3 @x




A patient is brought to the emergency department of a rural hospital following a hig
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h-
speed motor vehicle collision. When significant abdominal and pelvic injuries are not
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ed in 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 4 @x




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 g
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rief relates to the loss of body function or body parts such as amputation of a limb, paralysis, or l
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oss of sight.
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QUESTION 5 @x




3. What is the most important consideration during the initial assessment when carin
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g for 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 6 @x




4. You are caring for a patient who was thrown from a bike and was not wearing a h
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elmet. While performing the head-to-
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toe assessment, you note clear drainage from the right ear. Which of the following is
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the 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 7 @x




5. When should the definitive calculation for intravenous fluid resuscitation rate be p
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erformed for a patient with burns? @x @x @x @x @x



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
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initially, but an accurate fluid total is based on percentage of total body surface area which require
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s a good skin assessment and is calculated after clothing is removed.
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QUESTION 8 @x




6. In a motor vehicle collision, which injury pathway is most likely to increase the pa
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tient's morbidity and mortality?
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A. Rotational
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B. Ejection
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C. Lateral
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D. Rollover
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ANSWER

B. Ejection
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QUESTION 9 @x




7. A patient with a lower extremity fracture complains of severe pain and tightness i
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n his calf, minimally relieved by pain medications. Which of the following is the prior
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ity nursing 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\Musculoskeleta
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l This patient is exhibiting signs of possible compartment syndrome which is a dangerous complicat
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ion of fractured extremities. The pain is often out of proportion to the injury and might not respon
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d to pain medications. Elevate the limb to the level of the heart to decrease dependent edema but
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not above the heart, which can cause increased venous congestion and pressure within the compart
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ment.