TNCC final exam test 2023-2024 open
book
TNCCfinalexamtest2023openbook
Whyisameasureofserumlactateobtainedintheinitialassessmentofthetraumapatient?
Answer:ccorrectanswera)tomeasureoxygenationandventilation
b) toquantifythebasedeficitfortheadequacyofcellularperfusion
c) *togaugeend-organperfusionandtissuehypoxia**
d) todeterminetheunderlyingcauseofshock
Atraumapatientisrestlessandrepeatedlyasking"whereamI?"vitalsignsuponarrivalwereBP100/60 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:AcorrectanswerA)compensated**
B) Progressive
C) irreversible
D) decompensated
Anelderlypatientwithahistoryofanticoagulantusepresentsafterafallathomethatday.shedenies
anylossofconsciousness.Shehasahematomatoherforeheadandcomplainsofheadache,dizziness, and
nausea. Which is a most likely cause of her symptoms?
Answer:DcorrectanswerA)epiduralhematoma
B) diffuseaxonalinjury
C) post-concussivesyndrome
,TNCC final exam test 2023-2024 open
book
D) subduralhematoma***
EMS brings a patient who fell riding his bicycle. Using the American College of Surgeons screening
guidelines,whichassessmentfindingwouldpromptthenursetopreparethepatientforradiologicspine
clearance?
Answer:DcorrectanswerA)Alertwithnoneurologicdeficits
B) Multipleabrasionstotheextremities
C) Multiplerequestsofwater
D) Smellofalcoholonbreath ***
Whichofthefollowingoccursduringthethirdimpactofamotorvehiclecrash?
Answer:CcorrectanswerA)Thedriverofthevehiclecollideswiththesteeringwheel
B) thevehiclecollideswithatree
C) theaortaistornatitsattachmentwiththeligamentumarteriosum
D) theairbagdeploysandstrikesthefrontseatpassenger***
A passenger is brought to the emergency department of a rural hospital following a high-speed MVC.
Whensignificantabdominalandpelvicinjuriesarenotedintheprimarysurvey,whichofthefollowingis the
priority interventions?
Answer:AcorrectanswerA)initiatetransfertoatraumacenter**
B) providereporttotheoperatingroomnurse
C) Obtainedimagingstudies
D) Placeagastrictube
, TNCC final exam test 2023-2024 open
book
WhichofthefollowinginjuriesisLEASTlikelytobepromptlyidentified?
Answer:CcorrectanswerA)spleen
B) lung
C) bowel***
D) brain
Patientswithacrushinjuryshouldbemonitoredforwhichofthefollowingconditions?
Answer:CcorrectanswerA)Hypernatremia
B) Hypercalcemia
C) Dysrhthmias**
D) polyuria
Whatfindingraisessuspicionofcompletespinalcordinjury?
Answer:BcorrectanswerA)Weaknessinthelowerextremities
B) Priapism ***
C) voluntaryanalsphinctertone
D) intactreflexesdistaltotheinjury
Apatientwithacompletespinalcordinjuryinneurogenicshockwilldemonstratehypotensionand which
other clinical signs?
Answer:DcorrectanswerA)Bradycardiaandipsilateralabsencesofmotorfunction
B) Tachycardiaandrespiratorydepression
book
TNCCfinalexamtest2023openbook
Whyisameasureofserumlactateobtainedintheinitialassessmentofthetraumapatient?
Answer:ccorrectanswera)tomeasureoxygenationandventilation
b) toquantifythebasedeficitfortheadequacyofcellularperfusion
c) *togaugeend-organperfusionandtissuehypoxia**
d) todeterminetheunderlyingcauseofshock
Atraumapatientisrestlessandrepeatedlyasking"whereamI?"vitalsignsuponarrivalwereBP100/60 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:AcorrectanswerA)compensated**
B) Progressive
C) irreversible
D) decompensated
Anelderlypatientwithahistoryofanticoagulantusepresentsafterafallathomethatday.shedenies
anylossofconsciousness.Shehasahematomatoherforeheadandcomplainsofheadache,dizziness, and
nausea. Which is a most likely cause of her symptoms?
Answer:DcorrectanswerA)epiduralhematoma
B) diffuseaxonalinjury
C) post-concussivesyndrome
,TNCC final exam test 2023-2024 open
book
D) subduralhematoma***
EMS brings a patient who fell riding his bicycle. Using the American College of Surgeons screening
guidelines,whichassessmentfindingwouldpromptthenursetopreparethepatientforradiologicspine
clearance?
Answer:DcorrectanswerA)Alertwithnoneurologicdeficits
B) Multipleabrasionstotheextremities
C) Multiplerequestsofwater
D) Smellofalcoholonbreath ***
Whichofthefollowingoccursduringthethirdimpactofamotorvehiclecrash?
Answer:CcorrectanswerA)Thedriverofthevehiclecollideswiththesteeringwheel
B) thevehiclecollideswithatree
C) theaortaistornatitsattachmentwiththeligamentumarteriosum
D) theairbagdeploysandstrikesthefrontseatpassenger***
A passenger is brought to the emergency department of a rural hospital following a high-speed MVC.
Whensignificantabdominalandpelvicinjuriesarenotedintheprimarysurvey,whichofthefollowingis the
priority interventions?
Answer:AcorrectanswerA)initiatetransfertoatraumacenter**
B) providereporttotheoperatingroomnurse
C) Obtainedimagingstudies
D) Placeagastrictube
, TNCC final exam test 2023-2024 open
book
WhichofthefollowinginjuriesisLEASTlikelytobepromptlyidentified?
Answer:CcorrectanswerA)spleen
B) lung
C) bowel***
D) brain
Patientswithacrushinjuryshouldbemonitoredforwhichofthefollowingconditions?
Answer:CcorrectanswerA)Hypernatremia
B) Hypercalcemia
C) Dysrhthmias**
D) polyuria
Whatfindingraisessuspicionofcompletespinalcordinjury?
Answer:BcorrectanswerA)Weaknessinthelowerextremities
B) Priapism ***
C) voluntaryanalsphinctertone
D) intactreflexesdistaltotheinjury
Apatientwithacompletespinalcordinjuryinneurogenicshockwilldemonstratehypotensionand which
other clinical signs?
Answer:DcorrectanswerA)Bradycardiaandipsilateralabsencesofmotorfunction
B) Tachycardiaandrespiratorydepression
