TNCC final exam test 2024 Open Questions and Correct Answers, With Complete Verified Solution.

TNCC final exam test 2024 Open Questions and Correct Answers, With Complete Verified Solution. 1. **Why is a measure of serum lactate obtained in the initial assessment of the trauma patient?** - Answer: c) to gauge end-organ perfusion and tissue hypoxia - Explanation: Serum lactate levels are crucial in trauma assessment because elevated levels indicate inadequate tissue perfusion and potential tissue hypoxia, which are early signs of shock. 2. **The patient is demonstrating signs and symptoms of which stage of shock?** - Answer: A) compensated - Explanation: The patient's vital signs (mild tachycardia, increased respiratory rate, cool and dry skin) suggest the body's compensatory mechanisms are trying to maintain perfusion despite early shock. 3. **An elderly patient with a history of anticoagulant use presents after a fall at home. What is the most likely cause of her symptoms?** - Answer: D) subdural hematoma - Explanation: Symptoms such as headache, dizziness, and nausea following a fall with a hematoma suggest the possibility of a subdural hematoma, especially in an elderly patient on anticoagulants. 4. **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) Smell of alcohol on breath - Explanation: According to ACS guidelines, any suspicion of intoxication or altered mental status prompts cervical spine imaging to rule out injury, hence the need for radiologic spine clearance. 5. **Which of the following occurs during the third impact of a motor vehicle crash?** - Answer: D) the airbag deploys and strikes the front seat passenger - Explanation: During a crash sequence, the third impact refers to the airbag deployment, which is designed to protect the occupants but can also cause injuries due to its force. Paraphrased version: 1. A passenger arrives at a rural hospital's emergency department after a high-speed car accident. Significant abdominal and pelvic injuries are noted during the initial assessment. What should be the first priority intervention? Answer: A A) Begin transferring the patient to a trauma center ** B) Inform the operating room nurse C) Obtain imaging studies D) Insert a gastric tube 2. Among the following injuries, which is the least likely to be promptly identified? Answer: C A) Spleen B) Lung C) Bowel ** D) Brain 3. Patients with a crush injury should be monitored for which of the following conditions? Answer: C A) Hypernatremia B) Hypercalcemia C) Dysrhythmias ** D) Polyuria 4. What finding suggests a complete spinal cord injury? Answer: B A) Weakness in the lower extremities B) Priapism ** C) Voluntary anal sphincter tone D) Intact reflexes below the injury level 5. In neurogenic shock due to a complete spinal cord injury, the patient will show hypotension and which other clinical signs? Answer: D A) Bradycardia and ipsilateral absence of motor function B) Tachycardia and respiratory depression C) Tachycardia and absent motor function below the injury level D) Bradycardia and absent motor function below the injury level ** 6. A 5-year-old child presents to the ED with bruises on the upper arms and buttocks in various stages of healing, along with small, clean, round burns on the back. No abnormalities are found in the pediatric assessment or primary survey. What is the priority nursing intervention? Answer: A A) Report suspicion of maltreatment according to local regulations **