TNCC final exam with 100% correct
questions and answers
A 20-year old male presents to the ED c/o severe lower abd
pain after landing hard on the bicycle cross bars which
performing an aerial BMX maneuver. Secondary assessment
reveals lower abd tenderness and scrotal ecchymosis. Which of
the following orders would the nurse questions?
Answer: C - CORRECT ANSWER-A) Fast exam
B) CT scan
C) straight cath for urine sample ***
D) ice and elevation of the scrotum
A 35-year old male presents with facial trauma after bring
struck inthe face with a baseball. a tear-drop shaped left pupil is
noted on exam. What type of injury is suspected?
Answer: B - CORRECT ANSWER-A) oculomotor nerve palsy
B) globe rupture ***
C) uncal herniation
D) retinal detachment
A 36-year old female has a deformity of the left wrist after a fall.
She is reluctant to move her hand due to pain. Which of the
following is the most appropriate intervention?
Answer: B - CORRECT ANSWER-A) apply a sling and elevate
the extremity to the level of the heart.
B) apply a splint and ELEVATE ABOVE THE LEVEL OF THE
HEART ***
C) Apply a sling and elevate the extremity above the level of
the heart
,D) apply a splint and elevate the extremity to the level of the
heart.
A 49-year old restrained driver involved in a MVC presents to
the trauma center c/o abd, pelvic, and bil lower extremity pain
Vitals signs are stable. The nurse can anticipate all of these
negative fast exam except which of the following?
Answer: A
The FAST exam is done at the bedside to identify pathological
fluid in the abdominal and pelvic cavities. FAST exams reduce
the use of more invasive diagnostic peritoneal lavage and can
be repeated if clinical changes or hemodynamic changes occur.
A negative FAST study does not rule out injury and may
warrant a follow-up computed tomography scan. Serial FAST
exams can identify increasing abdominal fluid collections from
hemorrhage. Diagnostic peritoneal lavage/diagnostic peritoneal
aspiration is performed by the surgical team to rapidly identify
the presence of hemorrhage in patients who are
hemodynamically unstable after trauma. - CORRECT
ANSWER-A) diagnostic peritoneal lavage ***
B) serial fast exams
C) abdominal and pelvic CT scans
D) serial abdominal assessments
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 ANSWER-A) report your suspicion of
the maltreatment in accordance with local regulations ***
, B) apply ice to the bruises and consult wound care
C) engage in therapeutic communication to determine the MOI
D) provide the family with injury prevention resourse
A 56-year- male patient involved in a MVC is brought to the ED
of a rural critical access facility. He c/o neck pain, SOB, and
diffuse abd pain. His GCS is 15. His vitals are as follows:
BP 98/71
HR 125 beats/min
RR 26 breaths/min
SpO2 94% on high flow O2 via NRB mask
which of the following is the priority intervention for this patient?
Answer: C - CORRECT ANSWER-A) Expedite transport to the
CT scanner
B) prepare the patient for spinal radiographs
C) expedite transfer to the closest trauma center ***
D) notify the patients family
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 ANSWER-A) initiate transfer to a
trauma center **
B) provide report to the operating room nurse
C) Obtained imaging studies
D) Place a gastric tube
A patient arrives with a large open chest wound after being
assault ed with a machete, Prehospital providers placed a
nonporous dressing over the chest wound and tapes it on 3
sides. He is now showing signs of anxiety, restlessness, severe
respiratory distress, cyanosis, and decreasing blood pressure.
Which of the following is the MOST appropriate interventions?
questions and answers
A 20-year old male presents to the ED c/o severe lower abd
pain after landing hard on the bicycle cross bars which
performing an aerial BMX maneuver. Secondary assessment
reveals lower abd tenderness and scrotal ecchymosis. Which of
the following orders would the nurse questions?
Answer: C - CORRECT ANSWER-A) Fast exam
B) CT scan
C) straight cath for urine sample ***
D) ice and elevation of the scrotum
A 35-year old male presents with facial trauma after bring
struck inthe face with a baseball. a tear-drop shaped left pupil is
noted on exam. What type of injury is suspected?
Answer: B - CORRECT ANSWER-A) oculomotor nerve palsy
B) globe rupture ***
C) uncal herniation
D) retinal detachment
A 36-year old female has a deformity of the left wrist after a fall.
She is reluctant to move her hand due to pain. Which of the
following is the most appropriate intervention?
Answer: B - CORRECT ANSWER-A) apply a sling and elevate
the extremity to the level of the heart.
B) apply a splint and ELEVATE ABOVE THE LEVEL OF THE
HEART ***
C) Apply a sling and elevate the extremity above the level of
the heart
,D) apply a splint and elevate the extremity to the level of the
heart.
A 49-year old restrained driver involved in a MVC presents to
the trauma center c/o abd, pelvic, and bil lower extremity pain
Vitals signs are stable. The nurse can anticipate all of these
negative fast exam except which of the following?
Answer: A
The FAST exam is done at the bedside to identify pathological
fluid in the abdominal and pelvic cavities. FAST exams reduce
the use of more invasive diagnostic peritoneal lavage and can
be repeated if clinical changes or hemodynamic changes occur.
A negative FAST study does not rule out injury and may
warrant a follow-up computed tomography scan. Serial FAST
exams can identify increasing abdominal fluid collections from
hemorrhage. Diagnostic peritoneal lavage/diagnostic peritoneal
aspiration is performed by the surgical team to rapidly identify
the presence of hemorrhage in patients who are
hemodynamically unstable after trauma. - CORRECT
ANSWER-A) diagnostic peritoneal lavage ***
B) serial fast exams
C) abdominal and pelvic CT scans
D) serial abdominal assessments
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 ANSWER-A) report your suspicion of
the maltreatment in accordance with local regulations ***
, B) apply ice to the bruises and consult wound care
C) engage in therapeutic communication to determine the MOI
D) provide the family with injury prevention resourse
A 56-year- male patient involved in a MVC is brought to the ED
of a rural critical access facility. He c/o neck pain, SOB, and
diffuse abd pain. His GCS is 15. His vitals are as follows:
BP 98/71
HR 125 beats/min
RR 26 breaths/min
SpO2 94% on high flow O2 via NRB mask
which of the following is the priority intervention for this patient?
Answer: C - CORRECT ANSWER-A) Expedite transport to the
CT scanner
B) prepare the patient for spinal radiographs
C) expedite transfer to the closest trauma center ***
D) notify the patients family
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 ANSWER-A) initiate transfer to a
trauma center **
B) provide report to the operating room nurse
C) Obtained imaging studies
D) Place a gastric tube
A patient arrives with a large open chest wound after being
assault ed with a machete, Prehospital providers placed a
nonporous dressing over the chest wound and tapes it on 3
sides. He is now showing signs of anxiety, restlessness, severe
respiratory distress, cyanosis, and decreasing blood pressure.
Which of the following is the MOST appropriate interventions?
