TNCC FINAL EXAM LATEST VERSIONS 2023-2024 CONTAINS 150 QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS) TESTBANK |ALREADY GRADED A+|100 %
COMPLETE} GRADED A+
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 - ansA) 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 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 - ansA) 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 - ansA) 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 - ansA) 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
,TNCC FINAL EXAM LATEST VERSIONS 2023-2024 CONTAINS 150 QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS) TESTBANK |ALREADY GRADED A+|100 %
COMPLETE} GRADED A+
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
, TNCC FINAL EXAM LATEST VERSIONS 2023-2024 CONTAINS 150 QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS) TESTBANK |ALREADY GRADED A+|100 %
COMPLETE} GRADED 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. - ansA) diagnostic
peritoneal lavage ***
B) serial fast exams
C) abdominal and pelvic CT
scans D) serial abdominal
assessments
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 - ansA) 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 - ansA) initiate transfer to a trauma
center ** B) provide report to the operating
room nurse
C) Obtained imaging
studies D) Place a gastric
tube
CORRECT ANSWERS (VERIFIED ANSWERS) TESTBANK |ALREADY GRADED A+|100 %
COMPLETE} GRADED A+
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 - ansA) 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 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 - ansA) 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 - ansA) 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 - ansA) 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
,TNCC FINAL EXAM LATEST VERSIONS 2023-2024 CONTAINS 150 QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS) TESTBANK |ALREADY GRADED A+|100 %
COMPLETE} GRADED A+
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
, TNCC FINAL EXAM LATEST VERSIONS 2023-2024 CONTAINS 150 QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS) TESTBANK |ALREADY GRADED A+|100 %
COMPLETE} GRADED 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. - ansA) diagnostic
peritoneal lavage ***
B) serial fast exams
C) abdominal and pelvic CT
scans D) serial abdominal
assessments
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 - ansA) 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 - ansA) initiate transfer to a trauma
center ** B) provide report to the operating
room nurse
C) Obtained imaging
studies D) Place a gastric
tube
