TNCC FINAL EXAM 2022/2023 OPEN BOOK
Why is a measure of serum lactate obtained in
the initial assessment of the trauma patient?
Answer: c
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
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
, TNCC FINAL EXAM 2022/2023 OPEN BOOK
complains of headache, dizziness, and nausea.
Which is a most likely cause of her symptoms?
Answer: D
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
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
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
Why is a measure of serum lactate obtained in
the initial assessment of the trauma patient?
Answer: c
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
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
, TNCC FINAL EXAM 2022/2023 OPEN BOOK
complains of headache, dizziness, and nausea.
Which is a most likely cause of her symptoms?
Answer: D
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
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
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
