TNCC 9th edition 2024 with verified answers

TNCC 9th edition 2024 with verified answers An adult pt who sustained a severe head trauma has been intubated and is being manually ventilated via a bag-mask device at a rate of 18 breaths/minute. The pt has received one intravenous fluid bolus of 500 mL of warmed isotonic crystalloid solution. the PaCO2 is 30mmHg (4.0 kPa), and the pulse oximetry is 92%. BP is 142/70 mmHg. What is the most important intervention to manage the cerebral blood flow? - CORRECT ANSWER-Decrease the rate of manual ventilation An older adult presents to the emergency department with complaints of dizziness, headache, and nausea. The pt was involved in a motor vehicle collision 10 days ago. There was no loss of consciousness and a hematoma is noted to the forehead. The pt is currently on anticoagulant therapy. What is most likely the cause of their symptoms? - CORRECT ANSWER-post-concussive syndrome A pt with a lower extremity fracture complains of severe pain and tightness in his calf, minimally relieved by pain medication. Which of the following is the priority nursing intervention? - CORRECT ANSWER-Elevating the leg to the LEVEL of the heart (compression/crush- level of the heart) (regular fracture- above the heart) A pt involved in a high-speed rollover is complaining of increased difficulty breathing. There is a small penetrating wound to the 6th intercostal space in the left lateral chest. Which finding is most consistent with an injury to the diaphragm? - CORRECT ANSWER-Bowel sounds heard in the lower left chest A pt has been in the emergency department for several hours waiting to be admitted. They sustained multiple rib fractures and a femur fracture after a fall. The pt has been awake, alert, and complaining of leg pain. Their spouse reported that the pt suddenly became anxious and confused. Upon reassessment, the pt is restless, with respiratory distress and petechiae to his neck. The pt is exhibiting signs and symptoms most commonly associated with which of the following conditions? - CORRECT ANSWERFat embolism 3 adult pts present at different times during a 1-hour period with a high fever, fatigue, and headache. All 3 pts have a rash which started on their mouth, face, and arms with progression to the chest and abdomen. They all visited the same grocery store within the last week. What is the most appropriate intervention from triage for these pts? - CORRECT ANSWER-Immediately initiate contact precautions 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. Witai type of injury is suspecied? - CORRECT ANSWER-Globe rupture A trauma patient who is 30 - weeks pregnant arrives at the emergency department following a motor vehicle collision Which normal physiologic change should be considered when assessing ventilatory status ? - CORRECT ANSWER-Increased oxygen consumption A patient who sustained severe injuries was brought to the emergency department following a high - speed motor vehicle collision . Interventions for hypovolemic shock have been initiated . What component of the trauma triad of death is most likely to have begun at the time of injury ? - CORRECT ANSWER-Coagulopathy An adult patient involved in a motor vehicle collision is brought to the emergency department of a rural critical access facility . They complain of neck pain , shortness of breath , and diffuse abdominal pain . The Glasgow Coma Score is 15. Vital signs are : BP 98/71 mm Hg , HR 125 beats / minute , RR 26 breaths / minute , and SpO2 94 % on high - flow oxygen via non - rebreather mask . Which of the following is the priority intervention for this patient ? - CORRECT ANSWER-Expedite transfer to the closest trauma center A patient who weighs 120 kg is brought to the emergency department after sustaining partial thickness burns to both upper extremities and chest with a total body surface area burned of 27 % . How much intravenous fluid should be administered in the first 8 hours ? - CORRECT ANSWER-3240 mL A trauma patient is being held in the emergency department because there are no available inpatient beds . The patient sustained a femur fracture and required multiple blood products . The patient now has blood oozing from abrasions , IV sites , the nose , and gums . What condition is most consistent with these findings ? - CORRECT ANSWER-Disseminated intravascular coagulopathy A patient is brought to the emergency department following a snowmobile crash with prolonged exposure time prior to transport . The patient is confused . Vital signs are BP 96/54 mm Hg , HR 114 beats / minute , RR 24 breaths / minute , T 34.60C ( 94.20F ) and an SpO2 of 90 % on oxygen at 15L per non - rebreather mask . Other findings include ETCO2 24 , scrum lactate of 6 mmol / L , and a pH of 6.8 . Based on these findings what is the most appropriate intervention - CORRECT ANSWER-Initiate warming measures Which of the following is a late sign of increased intracranial pressure ? - CORRECT ANSWER-Decreased respiratory effort