TNCC final exam Test Questions And Answers
Latest Update 2024/2025 RATED A+
Why is a measure of serum lactate obtained in the initial assessment of the trauma
patient?
Answer: c - CORRECT ANSWERS 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 ANSWERS 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 ANSWERS 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?
,TNCC final exam Test Questions And Answers
Latest Update 2024/2025 RATED A+
Answer: D - CORRECT ANSWERS 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 ANSWERS 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 ANSWERS 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 ANSWERS A) spleen
B) lung
C) bowel ***
D) brain
, TNCC final exam Test Questions And Answers
Latest Update 2024/2025 RATED A+
Patients with a crush injury should be monitored for which of the following
conditions?
Answer: C - CORRECT ANSWERS A) Hypernatremia
B) Hypercalcemia
C) Dysrhthmias **
D) polyuria
What finding raises suspicion of complete spinal cord injury?
Answer: B - CORRECT ANSWERS 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 ANSWERS 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 ***
A 5-year old child presents to the ED with bruises to the upper arms and buttocks in
various stages of healing and multiple small, clean, round burns to the back. There
are no abnormalities found based on the pediatric assessment triangle or primary
survey. Which of the following is the priority nursing intervention?
Answer: A - CORRECT ANSWERS A) report your suspicion of the
maltreatment in accordance with local regulations ***
Latest Update 2024/2025 RATED A+
Why is a measure of serum lactate obtained in the initial assessment of the trauma
patient?
Answer: c - CORRECT ANSWERS 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 ANSWERS 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 ANSWERS 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?
,TNCC final exam Test Questions And Answers
Latest Update 2024/2025 RATED A+
Answer: D - CORRECT ANSWERS 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 ANSWERS 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 ANSWERS 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 ANSWERS A) spleen
B) lung
C) bowel ***
D) brain
, TNCC final exam Test Questions And Answers
Latest Update 2024/2025 RATED A+
Patients with a crush injury should be monitored for which of the following
conditions?
Answer: C - CORRECT ANSWERS A) Hypernatremia
B) Hypercalcemia
C) Dysrhthmias **
D) polyuria
What finding raises suspicion of complete spinal cord injury?
Answer: B - CORRECT ANSWERS 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 ANSWERS 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 ***
A 5-year old child presents to the ED with bruises to the upper arms and buttocks in
various stages of healing and multiple small, clean, round burns to the back. There
are no abnormalities found based on the pediatric assessment triangle or primary
survey. Which of the following is the priority nursing intervention?
Answer: A - CORRECT ANSWERS A) report your suspicion of the
maltreatment in accordance with local regulations ***
