TNCC final 2024/25
exam QUESTIONS WITH CORRECT
ANSWERS
WhyJisJaJmeasureJofJserumJlactateJobtainedJinJtheJinitialJassessmentJofJtheJtraumaJpatient?J
J
Answer:JcJ-JcorrectJanswer-a)JtoJmeasureJoxygenationJandJventilation
b)JtoJquantifyJtheJbaseJdeficitJforJtheJadequacyJofJcellularJperfusion
c)J*toJgaugeJend-organJperfusionJandJtissueJhypoxiaJ**
d)JtoJdetermineJtheJunderlyingJcauseJofJshock
AJtraumaJpatientJisJrestlessJandJrepeatedlyJaskingJ"whereJamJI?"JvitalJsignsJuponJarrivalJwereJBPJ100/60Jmm
JHg,JHRJ96Jbeats/min,JandJRRJ24Jbreaths/min.JHerJskinJisJcoolJandJdry.JCurrentJvitalJsignsJareJBPJ104/84mmJ
Hg,JHRJ108,JRRJ28Jbreaths/min.JTheJpatientJisJdemonstratingJsignsJandJsymptomsJofJwhichJstageJofJshock?J
Answer:JAJ-JcorrectJanswer-A)JcompensatedJ**
B)JProgressive
C)Jirreversible
D)Jdecompensated
AnJelderlyJpatientJwithJaJhistoryJofJanticoagulantJuseJpresentsJafterJaJfallJatJhomeJthatJday.JsheJdeniesJanyJlo
ssJofJconsciousness.JSheJhasJaJhematomaJtoJherJforeheadJandJcomplainsJofJheadache,Jdizziness,JandJnause
a.JWhichJisJaJmostJlikelyJcauseJofJherJsymptoms?
Answer:JDJ-JcorrectJanswer-A)JepiduralJhematoma
B)JdiffuseJaxonalJinjury
C)Jpost-concussiveJsyndrome
D)JsubduralJhematomaJ***
EMSJbringsJaJpatientJwhoJfellJridingJhisJbicycle.JUsingJtheJAmericanJCollegeJofJSurgeonsJscreeningJguidelines
,JwhichJassessmentJfindingJwouldJpromptJtheJnurseJtoJprepareJtheJpatientJforJradiologicJspineJclearance?
, Answer:JDJ-JcorrectJanswer-A)JAlertJwithJnoJneurologicJdeficits
B)JMultipleJabrasionsJtoJtheJextremitiesJ
C)JMultipleJrequestsJofJwater
D)JSmellJofJalcoholJonJbreathJ***
WhichJofJtheJfollowingJoccursJduringJtheJthirdJimpactJofJaJmotorJvehicleJcrash?
Answer:JCJ-JcorrectJanswer-A)JTheJdriverJofJtheJvehicleJcollidesJwithJtheJsteeringJwheel
B)JtheJvehicleJcollidesJwithJaJtree
C)JtheJaortaJisJtornJatJitsJattachmentJwithJtheJligamentumJarteriosumJ
D)JtheJairbagJdeploysJandJstrikesJtheJfrontJseatJpassengerJ***
AJpassengerJisJbroughtJtoJtheJemergencyJdepartmentJofJaJruralJhospitalJfollowingJaJhigh-
speedJMVC.JWhenJsignificantJabdominalJandJpelvicJinjuriesJareJnotedJinJtheJprimaryJsurvey,JwhichJofJtheJfol
lowingJisJtheJpriorityJinterventions?
Answer:JAJ-JcorrectJanswer-A)JinitiateJtransferJtoJaJtraumaJcenterJ**
B)JprovideJreportJtoJtheJoperatingJroomJnurse
C)JObtainedJimagingJstudies
D)JPlaceJaJgastricJtube
WhichJofJtheJfollowingJinjuriesJisJLEASTJlikelyJtoJbeJpromptlyJidentified?
Answer:JCJ-JcorrectJanswer-A)Jspleen
B)Jlung
C)JbowelJ***
D)Jbrain
exam QUESTIONS WITH CORRECT
ANSWERS
WhyJisJaJmeasureJofJserumJlactateJobtainedJinJtheJinitialJassessmentJofJtheJtraumaJpatient?J
J
Answer:JcJ-JcorrectJanswer-a)JtoJmeasureJoxygenationJandJventilation
b)JtoJquantifyJtheJbaseJdeficitJforJtheJadequacyJofJcellularJperfusion
c)J*toJgaugeJend-organJperfusionJandJtissueJhypoxiaJ**
d)JtoJdetermineJtheJunderlyingJcauseJofJshock
AJtraumaJpatientJisJrestlessJandJrepeatedlyJaskingJ"whereJamJI?"JvitalJsignsJuponJarrivalJwereJBPJ100/60Jmm
JHg,JHRJ96Jbeats/min,JandJRRJ24Jbreaths/min.JHerJskinJisJcoolJandJdry.JCurrentJvitalJsignsJareJBPJ104/84mmJ
Hg,JHRJ108,JRRJ28Jbreaths/min.JTheJpatientJisJdemonstratingJsignsJandJsymptomsJofJwhichJstageJofJshock?J
Answer:JAJ-JcorrectJanswer-A)JcompensatedJ**
B)JProgressive
C)Jirreversible
D)Jdecompensated
AnJelderlyJpatientJwithJaJhistoryJofJanticoagulantJuseJpresentsJafterJaJfallJatJhomeJthatJday.JsheJdeniesJanyJlo
ssJofJconsciousness.JSheJhasJaJhematomaJtoJherJforeheadJandJcomplainsJofJheadache,Jdizziness,JandJnause
a.JWhichJisJaJmostJlikelyJcauseJofJherJsymptoms?
Answer:JDJ-JcorrectJanswer-A)JepiduralJhematoma
B)JdiffuseJaxonalJinjury
C)Jpost-concussiveJsyndrome
D)JsubduralJhematomaJ***
EMSJbringsJaJpatientJwhoJfellJridingJhisJbicycle.JUsingJtheJAmericanJCollegeJofJSurgeonsJscreeningJguidelines
,JwhichJassessmentJfindingJwouldJpromptJtheJnurseJtoJprepareJtheJpatientJforJradiologicJspineJclearance?
, Answer:JDJ-JcorrectJanswer-A)JAlertJwithJnoJneurologicJdeficits
B)JMultipleJabrasionsJtoJtheJextremitiesJ
C)JMultipleJrequestsJofJwater
D)JSmellJofJalcoholJonJbreathJ***
WhichJofJtheJfollowingJoccursJduringJtheJthirdJimpactJofJaJmotorJvehicleJcrash?
Answer:JCJ-JcorrectJanswer-A)JTheJdriverJofJtheJvehicleJcollidesJwithJtheJsteeringJwheel
B)JtheJvehicleJcollidesJwithJaJtree
C)JtheJaortaJisJtornJatJitsJattachmentJwithJtheJligamentumJarteriosumJ
D)JtheJairbagJdeploysJandJstrikesJtheJfrontJseatJpassengerJ***
AJpassengerJisJbroughtJtoJtheJemergencyJdepartmentJofJaJruralJhospitalJfollowingJaJhigh-
speedJMVC.JWhenJsignificantJabdominalJandJpelvicJinjuriesJareJnotedJinJtheJprimaryJsurvey,JwhichJofJtheJfol
lowingJisJtheJpriorityJinterventions?
Answer:JAJ-JcorrectJanswer-A)JinitiateJtransferJtoJaJtraumaJcenterJ**
B)JprovideJreportJtoJtheJoperatingJroomJnurse
C)JObtainedJimagingJstudies
D)JPlaceJaJgastricJtube
WhichJofJtheJfollowingJinjuriesJisJLEASTJlikelyJtoJbeJpromptlyJidentified?
Answer:JCJ-JcorrectJanswer-A)Jspleen
B)Jlung
C)JbowelJ***
D)Jbrain