TNCC final exam test 2024 open book Questions And
Answers,Graded A+.
Why is a measure of serum lactate obtained in the initial assessment of the
trauma patient?
Answer: c Correct ans - 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 Correct ans - 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 complains of headache, dizziness, and nausea. Which is
a most likely cause of her symptoms?
Answer: D Correct ans - 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 Correct ans - 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 Correct ans - 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
D) the airbag deploys and strikes the front seat passenger ***
A passenger is brought to the emergency department of a rural hospital
following a high-speed MVC. When significant abdominal and pelvic injuries
are noted in the primary survey, which of the following is the priority
interventions?
Answer: A Correct ans - A) initiate transfer to a trauma center **
B) provide report to the operating room nurse
C) Obtained imaging studies
D) Place a gastric tube
Which of the following injuries is LEAST likely to be promptly identified?
Answer: C Correct ans - A) spleen
B) lung
C) bowel ***
D) brain
Patients with a crush injury should be monitored for which of the following
conditions?
Answer: C Correct ans - A) Hypernatremia
B) Hypercalcemia
C) Dysrhthmias **
D) polyuria
What finding raises suspicion of complete spinal cord injury?
Answer: B Correct ans - A) Weakness in the lower extremities
B) Priapism ***
C) voluntary anal sphincter tone
D) intact reflexes distal to the injury
A patient with a complete spinal cord injury in neurogenic shock will
demonstrate hypotension and which other clinical signs?
Answer: D Correct ans - A) Bradycardia and ipsilateral absences of
motor function
B) Tachycardia and respiratory depression
C) Tachycardia and absent motor function below the level of injury
D) Bradycardia and absent motor function below the level of the injury ***
Answers,Graded A+.
Why is a measure of serum lactate obtained in the initial assessment of the
trauma patient?
Answer: c Correct ans - 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 Correct ans - 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 complains of headache, dizziness, and nausea. Which is
a most likely cause of her symptoms?
Answer: D Correct ans - 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 Correct ans - 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 Correct ans - 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
D) the airbag deploys and strikes the front seat passenger ***
A passenger is brought to the emergency department of a rural hospital
following a high-speed MVC. When significant abdominal and pelvic injuries
are noted in the primary survey, which of the following is the priority
interventions?
Answer: A Correct ans - A) initiate transfer to a trauma center **
B) provide report to the operating room nurse
C) Obtained imaging studies
D) Place a gastric tube
Which of the following injuries is LEAST likely to be promptly identified?
Answer: C Correct ans - A) spleen
B) lung
C) bowel ***
D) brain
Patients with a crush injury should be monitored for which of the following
conditions?
Answer: C Correct ans - A) Hypernatremia
B) Hypercalcemia
C) Dysrhthmias **
D) polyuria
What finding raises suspicion of complete spinal cord injury?
Answer: B Correct ans - A) Weakness in the lower extremities
B) Priapism ***
C) voluntary anal sphincter tone
D) intact reflexes distal to the injury
A patient with a complete spinal cord injury in neurogenic shock will
demonstrate hypotension and which other clinical signs?
Answer: D Correct ans - A) Bradycardia and ipsilateral absences of
motor function
B) Tachycardia and respiratory depression
C) Tachycardia and absent motor function below the level of injury
D) Bradycardia and absent motor function below the level of the injury ***
