TNCC ENA 9TH EDITION PRE TEST WITH CORRECT ANSWERS

TNCC ENA 9TH EDITION PRE TEST
WITH CORRECT ANSWERS


A patient arrives at the emergency department by private vehicle
k k k k k k k k k k


after sustaining an injury to the right lower extremity while using a
k k k k k k k k k k k k


saw. There is a large gaping wound to the right thigh area with sig
k k k k k k k k k k k k k


nificant bleeding. What is the priority intervention?
k k k k k k


A. Elevate the extremity to the level of the heart
k k k k k k k k k


B. Initiate direct pressure
k k k


C. Apply a tourniquet
k k k


D. Cover the open wound with sterile saline dressings -
k k k k k k k k k


CORRECT ANSWER-B. Initiate direct pressure
k k k k k




Rationale: The first step inn controlling any bleeding is application
k k k k k k k k k


of direct pressure.
k k k




What technique is most appropriate when obtaining a history fro
k k k k k k k k k


m a patient who has experienced a sexual assault?
k k k k k k k k




A. Sitting next to the patient
k k k k k


B. Ensuring the patient answers all the questions
k k k k k k k


C. Asking for information only related to the assault
k k k k k k k k


D. Applying active listening - CORRECT ANSWER-
k k k k k k


D. Applying active listening
k k k




Rationale: Therapeutic communication techniques such as activ
k k k k k k


e listening decrease unintentional distress during the interaction.
k k k k k k k




What is the appropriate technique for palpating the pelvis for stabi
k k k k k k k k k k


lity?

A. Apply gentle pressure over the iliac crests, downward and later
k k k k k k k k k k


ally

, B. Apply gentle pressure over the iliac crests, downward and med
k k k k k k k k k k


ially
C. Apply firm pressure over the iliac crests, downward and laterall
k k k k k k k k k k


y
D. Apply firm pressure over the iliac crests, downward and medial
k k k k k k k k k k


ly - CORRECT ANSWER-
k k k


B. Apply gentle pressure over the iliac crests, downward and med
k k k k k k k k k k


ially

Rationale: To assess for pelvic instability, gentle pressure is appli
k k k k k k k k k


ed over the iliac crests, downward and medially.
k k k k k k k




A trauma nurse cared for a child with devastating burns two week
k k k k k k k k k k k


s ago. The nurse called in sick for a couple of days and is now bac
k k k k k k k k k k k k k k k


k working on the team. Which of the following would indicate this
k k k k k k k k k k k k


nurse is coping well? k k k




A. They are talking about taking the emergency nursing certificati
k k k k k k k k k


on exam k


B. They keep requesting to be assigned to the walk-
k k k k k k k k k


in/ambulatory area k


C. They are impatient and snap at their coworkers
k k k k k k k k


D. They are thinking about transferring out of the emergency dep
k k k k k k k k k k


artment - CORRECT ANSWER- k k k


A. They are talking about taking the emergency nursing certificati
k k k k k k k k k


on exam k




Rationale: This is an indication the nurse is taking positive steps t
k k k k k k k k k k k


o advance their own practice, a sign of resilience. B indicates the
k k k k k k k k k k k k


nurse is still not ready to return to their previous level of engagem
k k k k k k k k k k k k


ent in their job. C shows signs of burnout, irritability and frustratio
k k k k k k k k k k k


n. D shows decreased satisfaction with the job, a sign of burnout.
k k k k k k k k k k k




The vital signs of a pregnant trauma patient at 30 weeks include a
k k k k k k k k k k k k


blood pressure of 94/62 mmHg and a heart rate of 108 beats/min
k k k k k k k k k k k k


ute. Fetal heart tones are 124 beats/minute. The emergency nurs
k k k k k k k k k