TNCC final exam test 2024 open book With Correct Questions And Answers
Why is a measure of serum lactate obtained in the initial assessment of the trauma patient?
Answer: c - Answera) to measure oxygenation and ventilation
1. to quantify the base deficit for the adequacy of cellular perfusion
1. *to gauge end-organ perfusion and tissue hypoxia **
1. 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 - AnswerA) compensated **
1. Progressive
1. irreversible
1. 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 - AnswerA) epidural hematoma
1. diffuse axonal injury
1. post-concussive syndrome
1. 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 - AnswerA) Alert with no neurologic deficits
1. Multiple abrasions to the extremities
1. Multiple requests of water
1. Smell of alcohol on breath ***
Which of the following occurs during the third impact of a motor vehicle crash? Answer: C - AnswerA) The
driver of the vehicle collides with the steering wheel
1. the vehicle collides with a tree
1. the aorta is torn at its attachment with the ligamentum arteriosum
, 1. 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 - AnswerA) initiate transfer to a trauma center **
1. provide report to the operating room nurse
1. Obtained imaging studies
1. Place a gastric tube
Which of the following injuries is LEAST likely to be promptly identified? Answer: C - AnswerA) spleen
1. lung
1. bowel ***
1. brain
Patients with a crush injury should be monitored for which of the following conditions? Answer: C -
AnswerA) Hypernatremia
1. Hypercalcemia
1. Dysrhthmias **
Why is a measure of serum lactate obtained in the initial assessment of the trauma patient?
Answer: c - Answera) to measure oxygenation and ventilation
1. to quantify the base deficit for the adequacy of cellular perfusion
1. *to gauge end-organ perfusion and tissue hypoxia **
1. 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 - AnswerA) compensated **
1. Progressive
1. irreversible
1. 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 - AnswerA) epidural hematoma
1. diffuse axonal injury
1. post-concussive syndrome
1. 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 - AnswerA) Alert with no neurologic deficits
1. Multiple abrasions to the extremities
1. Multiple requests of water
1. Smell of alcohol on breath ***
Which of the following occurs during the third impact of a motor vehicle crash? Answer: C - AnswerA) The
driver of the vehicle collides with the steering wheel
1. the vehicle collides with a tree
1. the aorta is torn at its attachment with the ligamentum arteriosum
, 1. 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 - AnswerA) initiate transfer to a trauma center **
1. provide report to the operating room nurse
1. Obtained imaging studies
1. Place a gastric tube
Which of the following injuries is LEAST likely to be promptly identified? Answer: C - AnswerA) spleen
1. lung
1. bowel ***
1. brain
Patients with a crush injury should be monitored for which of the following conditions? Answer: C -
AnswerA) Hypernatremia
1. Hypercalcemia
1. Dysrhthmias **
