TNCC 9TH EDITION EXAM LATEST UPDATE
COMPLETE 50 QUESTIONS AND DETAILED
ANSWERS WITH RATIONALES
A 35-year old male presents with facial trauma after bring struck inthe face
with a baseball. a tear-drop shaped left pupil is noted on exam. What type
of injury is suspected?
Answer: B - ANSWER-A) oculomotor nerve palsy
B) globe rupture ***
C) uncal herniation
D) retinal detachment
A 36-year old female has a deformity of the left wrist after a fall. She is
reluctant to move her hand due to pain. Which of the following is the most
appropriate intervention?
Answer: B - ANSWER-A) apply a sling and elevate the extremity to the
level of the heart.
B) apply a splint and ELEVATE ABOVE THE LEVEL OF THE HEART ***
C) Apply a sling and elevate the extremity above the level of the heart
D) apply a splint and elevate the extremity to the level of the heart.
Why is a measure of serum lactate obtained in the initial assessment of the
trauma patient?
Answer: c - ANSWER-a) to measure oxygenation and ventilation
b) to quantify the base deficit for the adequacy of cellular perfusion
c) *to gauge end-organ perfusion and tissue hypoxia **
,d) to determine the underlying cause of shock
A trauma patient is restless and repeatedly asking "where am I?" vital signs
upon arrival were BP 100/60 mm Hg, HR 96 beats/min, and RR 24
breaths/min. Her skin is cool and dry. Current vital signs are BP 104/84mm
Hg, HR 108, RR 28 breaths/min. The patient is demonstrating signs and
symptoms of which stage of shock?
Answer: A - ANSWER-A) compensated **
B) Progressive
C) irreversible
D) decompensated
An elderly patient with a history of anticoagulant use presents after a fall at
home that day. she denies any loss of consciousness. She has a
hematoma to her forehead and complains of headache, dizziness, and
nausea. Which is a most likely cause of her symptoms?
Answer: D - ANSWER-A) epidural hematoma
B) diffuse axonal injury
C) post-concussive syndrome
D) subdural hematoma ***
EMS brings a patient who fell riding his bicycle. Using the American
College of Surgeons screening guidelines, which assessment finding would
prompt the nurse to prepare the patient for radiologic spine clearance?
, Answer: D - ANSWER-A) Alert with no neurologic deficits
B) Multiple abrasions to the extremities
C) Multiple requests of water
D) Smell of alcohol on breath ***
Which of the following occurs during the third impact of a motor vehicle
crash?
Answer: C - ANSWER-A) The driver of the vehicle collides with the steering
wheel
B) the vehicle collides with a tree
C) the aorta is torn at its attachment with the ligamentum arteriosum
D) the airbag deploys and strikes the front seat passenger ***
A passenger is brought to the emergency department of a rural hospital
following a high-speed MVC. When significant abdominal and pelvic
injuries are noted in the primary survey, which of the following is the priority
interventions?
Answer: A - ANSWER-A) initiate transfer to a trauma center **
B) provide report to the operating room nurse
C) Obtained imaging studies
D) Place a gastric tube
Which of the following injuries is LEAST likely to be promptly identified?
COMPLETE 50 QUESTIONS AND DETAILED
ANSWERS WITH RATIONALES
A 35-year old male presents with facial trauma after bring struck inthe face
with a baseball. a tear-drop shaped left pupil is noted on exam. What type
of injury is suspected?
Answer: B - ANSWER-A) oculomotor nerve palsy
B) globe rupture ***
C) uncal herniation
D) retinal detachment
A 36-year old female has a deformity of the left wrist after a fall. She is
reluctant to move her hand due to pain. Which of the following is the most
appropriate intervention?
Answer: B - ANSWER-A) apply a sling and elevate the extremity to the
level of the heart.
B) apply a splint and ELEVATE ABOVE THE LEVEL OF THE HEART ***
C) Apply a sling and elevate the extremity above the level of the heart
D) apply a splint and elevate the extremity to the level of the heart.
Why is a measure of serum lactate obtained in the initial assessment of the
trauma patient?
Answer: c - ANSWER-a) to measure oxygenation and ventilation
b) to quantify the base deficit for the adequacy of cellular perfusion
c) *to gauge end-organ perfusion and tissue hypoxia **
,d) to determine the underlying cause of shock
A trauma patient is restless and repeatedly asking "where am I?" vital signs
upon arrival were BP 100/60 mm Hg, HR 96 beats/min, and RR 24
breaths/min. Her skin is cool and dry. Current vital signs are BP 104/84mm
Hg, HR 108, RR 28 breaths/min. The patient is demonstrating signs and
symptoms of which stage of shock?
Answer: A - ANSWER-A) compensated **
B) Progressive
C) irreversible
D) decompensated
An elderly patient with a history of anticoagulant use presents after a fall at
home that day. she denies any loss of consciousness. She has a
hematoma to her forehead and complains of headache, dizziness, and
nausea. Which is a most likely cause of her symptoms?
Answer: D - ANSWER-A) epidural hematoma
B) diffuse axonal injury
C) post-concussive syndrome
D) subdural hematoma ***
EMS brings a patient who fell riding his bicycle. Using the American
College of Surgeons screening guidelines, which assessment finding would
prompt the nurse to prepare the patient for radiologic spine clearance?
, Answer: D - ANSWER-A) Alert with no neurologic deficits
B) Multiple abrasions to the extremities
C) Multiple requests of water
D) Smell of alcohol on breath ***
Which of the following occurs during the third impact of a motor vehicle
crash?
Answer: C - ANSWER-A) The driver of the vehicle collides with the steering
wheel
B) the vehicle collides with a tree
C) the aorta is torn at its attachment with the ligamentum arteriosum
D) the airbag deploys and strikes the front seat passenger ***
A passenger is brought to the emergency department of a rural hospital
following a high-speed MVC. When significant abdominal and pelvic
injuries are noted in the primary survey, which of the following is the priority
interventions?
Answer: A - ANSWER-A) initiate transfer to a trauma center **
B) provide report to the operating room nurse
C) Obtained imaging studies
D) Place a gastric tube
Which of the following injuries is LEAST likely to be promptly identified?
