TNCC Exam 8th edition study GUIDE PASSED
All of these are considered a critical communication point in trauma care EXCEPT which of the
following? - ✔✔Defusings A defusing is part of critical incident stress management but is not
considered a critical communication point in trauma care.
.During the primary survey of an unconscious patient with multi-system trauma, the nurse notes
snoring respirations. What priority nursing intervention should be performed next? - ✔✔Insert an
oropharyngeal airway if there is no gag reflex Snoring respirations may indicate airway obstruction
from the tongue. Insert an airway adjunct to alleviate obstruction by the tongue. Oropharyngeal
airways can be used in patients without a gag reflex.
Which of the following is NOT considered a benefit of debriefings? - ✔✔Identifying individuals who
made mistakes during the traumatic event Debriefings are not used to single out individuals who
made mistakes. Debriefings are used to provide an opportunity to review performance and identify
areas for improvement with a sharing of individual responses.
What physiologic change in the elderly population increases the risk of traumatic injury? -
✔✔Decreased subcutaneous fat Decreased subcutaneous fat and thinning of the skin increases the
risk of injuries from soft tissue trauma and increases the risk of hypothermia
An intubated and sedated patient in the emergency department has multiple extremity injuries with
the potential for causing compartment syndrome. What is the most reliable indication of
compartment syndrome in a patient who is unconscious? - ✔✔Pressure Pressure can be assessed in
the limb by palpation or direct measurement. The compartment or limb will feel tight or tense upon
palpation. The skin may also appear taut and shiny.
When is the tertiary survey completed for a trauma patient? - ✔✔Within 24 hours of the trauma The
tertiary survey consists of a complete examination performed following the primary and secondary
surveys and within 24 hours after trauma to identify any injuries missed during the initial
assessment.
A patient with a lower extremity fracture complains of severe pain and tightness in his calf, minimally
relieved by pain medications. Which of the following is the priority nursing intervention? -
✔✔Elevating the extremity to the level of the heart Elevating the extremity higher than the heart can
reduce circulation and tissue perfusion if compartment syndrome is suspected.
A toddler who fell off a trampoline is making eye contact with the family and is consolable. There is
no increased work of breathing and the skin color is pink. The nurse asks the patient to open his
mouth, but the patient does not respond to commands. The nurse recognizes this as an expected
finding due to which of the following conditions? - ✔✔Developmental stage An alert or older infant
or toddler will recognize his or her caregiver but be cautious of strangers and my not respond to
commands This is normal.
There has been a mass casualty incident a block from the hospital. The hospital is receiving dozens of
patients. A truck arrives with an unresponsive patient in the back with obvious chest and abdominal
trauma. Agonal respirations do not improve with airway positioning. Using the START triage
algorithm, you would triage tag this patient as which of the following? - ✔✔Black This patient is
unlikely to survive given the severity of their injuries and is triaged as expectant. Resources should be
reserved for individuals considered to be more salvageable.
All of these are considered a critical communication point in trauma care EXCEPT which of the
following? - ✔✔Defusings A defusing is part of critical incident stress management but is not
considered a critical communication point in trauma care.
.During the primary survey of an unconscious patient with multi-system trauma, the nurse notes
snoring respirations. What priority nursing intervention should be performed next? - ✔✔Insert an
oropharyngeal airway if there is no gag reflex Snoring respirations may indicate airway obstruction
from the tongue. Insert an airway adjunct to alleviate obstruction by the tongue. Oropharyngeal
airways can be used in patients without a gag reflex.
Which of the following is NOT considered a benefit of debriefings? - ✔✔Identifying individuals who
made mistakes during the traumatic event Debriefings are not used to single out individuals who
made mistakes. Debriefings are used to provide an opportunity to review performance and identify
areas for improvement with a sharing of individual responses.
What physiologic change in the elderly population increases the risk of traumatic injury? -
✔✔Decreased subcutaneous fat Decreased subcutaneous fat and thinning of the skin increases the
risk of injuries from soft tissue trauma and increases the risk of hypothermia
An intubated and sedated patient in the emergency department has multiple extremity injuries with
the potential for causing compartment syndrome. What is the most reliable indication of
compartment syndrome in a patient who is unconscious? - ✔✔Pressure Pressure can be assessed in
the limb by palpation or direct measurement. The compartment or limb will feel tight or tense upon
palpation. The skin may also appear taut and shiny.
When is the tertiary survey completed for a trauma patient? - ✔✔Within 24 hours of the trauma The
tertiary survey consists of a complete examination performed following the primary and secondary
surveys and within 24 hours after trauma to identify any injuries missed during the initial
assessment.
A patient with a lower extremity fracture complains of severe pain and tightness in his calf, minimally
relieved by pain medications. Which of the following is the priority nursing intervention? -
✔✔Elevating the extremity to the level of the heart Elevating the extremity higher than the heart can
reduce circulation and tissue perfusion if compartment syndrome is suspected.
A toddler who fell off a trampoline is making eye contact with the family and is consolable. There is
no increased work of breathing and the skin color is pink. The nurse asks the patient to open his
mouth, but the patient does not respond to commands. The nurse recognizes this as an expected
finding due to which of the following conditions? - ✔✔Developmental stage An alert or older infant
or toddler will recognize his or her caregiver but be cautious of strangers and my not respond to
commands This is normal.
There has been a mass casualty incident a block from the hospital. The hospital is receiving dozens of
patients. A truck arrives with an unresponsive patient in the back with obvious chest and abdominal
trauma. Agonal respirations do not improve with airway positioning. Using the START triage
algorithm, you would triage tag this patient as which of the following? - ✔✔Black This patient is
unlikely to survive given the severity of their injuries and is triaged as expectant. Resources should be
reserved for individuals considered to be more salvageable.
