TNCC 9th Edition Provider Exam(correct answers)2023/2024 UPDATED

TNCC 9th Edition Provider Exam(correct answers)2023 EMS brings a patient who fell while 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? - CORRECT ANSWER-Alert with no neurological deficits The trauma nurse knows that placing a bariatric patient in a "ramped position" provides better visualization during the insertion of which device? - CORRECT ANSWEREndotracheal tube A 35-year-old male presents with facial trauma after being struck in the face with a baseball. A teardrop-shaped left pupil is noted on exam. What type of injury is suspected? - CORRECT ANSWER-Globe rupture Caregivers carry a 2-year-old into the emergency department who fell out of a secondstory window. The patient is awake and crying with increased work of breathing and pale skin. Which of the following interventions has the highest priority? - CORRECT ANSWER-Padding the upper back while stabilizing the cervical spine Which of the following injuries is LEAST likely to be promptly identified? - CORRECT ANSWER-Bowel A 49-year-old restrained driver involved in a motor vehicle collision presents to the trauma center complaining of abdominal, pelvic, and bilateral lower extremity pain. Vital signs are stable. The nurse can anticipate all of these after a negative FAST exam EXCEPT which of the following? - CORRECT ANSWER-Diagnostic peritoneal lavage Why is a measure of serum lactate obtained in the initial assessment of a trauma patient? - CORRECT ANSWER-To gauge end-organ perfusion and tissue hypoxia During the primary survey of an unconscious patient with multi-system trauma, the nurse notes snoring respirations. Which priority nursing intervention should be performed next? - CORRECT ANSWER-Insert an oropharyngeal airway if there is no gag reflex Which of the following assessment findings differentiates a tension pneumothorax from a simple pneumothorax? - CORRECT ANSWER-Hypotension that worsens with inspiration (pulsus paradoxus) What is the effect of hypothermia on the oxyhemoglobin dissociation curve? - CORRECT ANSWER-Hemoglobin does not readily release oxygen for use by the tissues (Left shift) A trauma patient is en route to a rural emergency department. Radiology notifies the charge nurse that the computed tomography (CT) scanner will be out of service for several hours. The team gathers to plan accordingly. Which of the following terms best describes this trauma team's communication? - CORRECT ANSWER-Huddle What finding raises suspicion of a complete spinal cord injury? - CORRECT ANSWERPriapism A patient is thrown against a car during a tornado and presents with obvious bilateral femoral fractures. The patient is pale, alert, disoriented, and has delayed capillary refill. Which of the following interventions would be most appropriate for this patient based on the disaster triage principles? - CORRECT ANSWER-Initiate two large-caliber intravenous lines for Ringer's lactate solution administration. 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? - CORRECT ANSWER-Apply a splint and elevate the extremity above the level of the heart Which of the following is a late sign of increased intracranial pressure? - CORRECT ANSWER-Decreased respiratory effort Tearing of the bridging veins is most frequently associated with which brain injury? - CORRECT ANSWER-Subdural hematoma You are caring for a patient who was involved in a motor vehicle crash and is 32 weeks pregnant. Findings of your secondary survey include abdominal pain on palpation, fundal height at the costal margin, and some dark bloody show. Varying accelerations and decelerations are noted on cardiotocography. These findings are most consistent with which of the following? - CORRECT ANSWER-Placental abruption A patient with a complete spinal cord injury in neurogenic shock will demonstrate hypotension and which other clinical signs? - CORRECT ANSWER-Bradycardia and absent motor function below the level of injury Following a review of recent drills and a real disaster event, a hospital has identified deficiencies and is taking steps to minimize the impact of a future disaster. Which phase of the disaster life cycle does this describe? - CORRECT ANSWER-Mitigation Which of the following considerations is most important when caring for a geriatric trauma patient? - CORRECT ANSWER-Medical history The nurse is caring for a 120 kg male brought in after a warehouse fire and is calculating the patient's fluid resuscitation needs. He has painful red blistering to the entire surface of both upper extremities and superficial burns to the anterior chest. Using the modified Lund and Browder chart to calculate the total body surface area burned, how much intravenous fluid would be administered in the first 8 hours? - CORRECT ANSWER-2280 mL An intubated trauma patient is being transferred to a tertiary care center. After moving the patient to the stretcher for transport, a drop in pulse oximetry to 85% is noted. Which of the following is the priority intervention? - CORRECT ANSWER-Confirm endotracheal tube placement A 20-year-old male presents to the ED complaining of severe lower abdominal pain after landing hard on the bicycle cross bars while performing an aerial BMX maneuver. Secondary assessment reveals lower abdominal tenderness and scrotal ecchymosis. Which of the following orders would the nurse question? - CORRECT ANSWERStraight catheter for urine sample You are treating a 27-year-old male in respiratory distress who was involved in a house fire. Calculating total body surface area (TBSA) burned is deferred due to the need for emergent intubation. At what rate should you begin fluid resuscitation? - CORRECT ANSWER-500 mL/hr A patient has been in the emergency department for several hours waiting to be admitted. He sustained multiple rib fractures and a femur fracture after a fall. He has been awake, alert, and complaining of leg pain. His wife reported that he suddenly became anxious and confused. Upon reassessment, the patient is restless, with respiratory distress and petechiae to his neck. The patient is exhibiting signs and symptoms most commonly associated with which of the following conditions? - CORRECT ANSWER-Fat embolism What bedside monitoring parameters are used to assess for adequacy of oxygenation and effectiveness of ventilation? - CORRECT ANSWER-Pulse oximetry and capnography Which of the following values indicates the need for alcohol withdrawal interventions? - CORRECT ANSWER-CIWA-Ar of 36 An unresponsive trauma patient has an oropharyngeal airway in place, shallow and labored respirations, and dusky skin. The trauma team has administered medications for drug-assisted intubation and attempted intubation but was unsuccessful. What is the most appropriate immediate next step? - CORRECT ANSWER-Ventilate with a bagmask device Which of the following is a component of the trauma triad of death? - CORRECT ANSWER-Acidosis