Trauma Nursing Core Course TNCC)
Written Exam Questions and Answers
What is the best measure of the adequacy of cellular perfusion and helps predict
the outcome of resuscitation? - ANSWER>>Base deficit used in conjunction with
serum lactate
Will hypocapnia cause vasoconstriction or vasodilation, especially in the cerebral
vasculature? - ANSWER>>Vasoconstriction
What results from tissue hypo perfusion and oxygen deficit? -
ANSWER>>Metabolic acidosis
What type of shock results in generalized vasodilation? - ANSWER>>Neurogenic
shock
Spinal cord injuries at C3-C5 causes loss of what nerves function, resulting in
what? - ANSWER>>Phrenic nerve; paralyzed diaphragm and inability to breath
Extremity elevation AT the level of the heart is beneficial for what type of injury? -
ANSWER>>Compartment Syndrome
What is a high risk of frostbite? - ANSWER>>Thrombus formation
What two medications can be administered to maintain perfusion after a frostbite
injury along with rewarming? - ANSWER>>Tissue plasminogen activator or non
steroidal anti-inflammatory medication (NSAIDS)
An rise in diastolic blood pressures is a sign of increasing what? -
ANSWER>>Peripheral resistance
, What position will benefit the airway and work of breathing for the bariatric
patient? - ANSWER>>Reverse Trendelenburg
Which phase of a blast results from flying debris, projectiles, and bomb fragments
causing lacerations or penetrating injuries? - ANSWER>>Secondary Phase
What phase of a blast results from any explosion-related illness or injury including
hyperglycemia, hypertension, angina, asthma, COPD, or sepsis? -
ANSWER>>Quaternary Phase
What phase of a blast results from individuals being thrown by the blast and
impacting walls, ground, or any hard object? - ANSWER>>Tertiary Phase
What phase of a blast results from impact of the over and under pressurization
wave with body surfaces. Injuries include blast lung, tympanic membrane rupture,
abdominal hemorrhage, globe rupture, and mild traumatic brain injury? -
ANSWER>>Primary Phase
Signs of what include muscle pain or weakness, dark red or brown urine, general
weakness or malaise, and elevated creatinine kinase levels? -
ANSWER>>Rhabdomyolosis
Signs of what include anxiety, pleuritic chest pain, dyspnea, hypoxemia,
hemoptysis, cough, orthopnea, adventitious lung sounds, decreased lung sounds,
jugular vein distention, or hypotension? - ANSWER>>Pulmonary Embolus
Signs of what include headache, nausea and vomiting, amnesia, behavioral
changes, altered level of consciousness? - ANSWER>>Increased intracranial
pressure
Signs of what include asymmetric pupillary reactivity, unilateral dilation, widening
pulse pressure, abnormal motor posturing, bradycardia, and decreased
Written Exam Questions and Answers
What is the best measure of the adequacy of cellular perfusion and helps predict
the outcome of resuscitation? - ANSWER>>Base deficit used in conjunction with
serum lactate
Will hypocapnia cause vasoconstriction or vasodilation, especially in the cerebral
vasculature? - ANSWER>>Vasoconstriction
What results from tissue hypo perfusion and oxygen deficit? -
ANSWER>>Metabolic acidosis
What type of shock results in generalized vasodilation? - ANSWER>>Neurogenic
shock
Spinal cord injuries at C3-C5 causes loss of what nerves function, resulting in
what? - ANSWER>>Phrenic nerve; paralyzed diaphragm and inability to breath
Extremity elevation AT the level of the heart is beneficial for what type of injury? -
ANSWER>>Compartment Syndrome
What is a high risk of frostbite? - ANSWER>>Thrombus formation
What two medications can be administered to maintain perfusion after a frostbite
injury along with rewarming? - ANSWER>>Tissue plasminogen activator or non
steroidal anti-inflammatory medication (NSAIDS)
An rise in diastolic blood pressures is a sign of increasing what? -
ANSWER>>Peripheral resistance
, What position will benefit the airway and work of breathing for the bariatric
patient? - ANSWER>>Reverse Trendelenburg
Which phase of a blast results from flying debris, projectiles, and bomb fragments
causing lacerations or penetrating injuries? - ANSWER>>Secondary Phase
What phase of a blast results from any explosion-related illness or injury including
hyperglycemia, hypertension, angina, asthma, COPD, or sepsis? -
ANSWER>>Quaternary Phase
What phase of a blast results from individuals being thrown by the blast and
impacting walls, ground, or any hard object? - ANSWER>>Tertiary Phase
What phase of a blast results from impact of the over and under pressurization
wave with body surfaces. Injuries include blast lung, tympanic membrane rupture,
abdominal hemorrhage, globe rupture, and mild traumatic brain injury? -
ANSWER>>Primary Phase
Signs of what include muscle pain or weakness, dark red or brown urine, general
weakness or malaise, and elevated creatinine kinase levels? -
ANSWER>>Rhabdomyolosis
Signs of what include anxiety, pleuritic chest pain, dyspnea, hypoxemia,
hemoptysis, cough, orthopnea, adventitious lung sounds, decreased lung sounds,
jugular vein distention, or hypotension? - ANSWER>>Pulmonary Embolus
Signs of what include headache, nausea and vomiting, amnesia, behavioral
changes, altered level of consciousness? - ANSWER>>Increased intracranial
pressure
Signs of what include asymmetric pupillary reactivity, unilateral dilation, widening
pulse pressure, abnormal motor posturing, bradycardia, and decreased
