TNCC 9th Edition FINAL TEST QUESTIONS AND ANSWERS

TNCC 9th Edition FINAL TEST 6 6 6 6


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1. 1. An adult patient who sustained a severe head trauma has been intubat-
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ed and is being manually ventilated via a bag-
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mask device at a rate of 18 breaths/minute. The patient has received one intrav
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enous fluid bolus of 500 mL of warmed isotonic crystalloid solution. The PaCO
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2 is 30 mm Hg (4.0 kPa), and the pulse oximetry is 92%. BP is 142/70 mm Hg.What
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is the most important intervention to manage the cerebral blood flow?
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A. Decrease the rate of manual ventilation 6 6 6 6 6

B. Initiate another fluid bolus. 6 6 6

C. Recheck endotracheal tube placement. 6 6 6

D. Increase the amount of oxygen delivered.: A. Decrease the rate of manual v
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entilation
2. 2. Which of the following situations could cause functional grief?
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A. Inability to live at home 6 6 6 6

B. Amputation of a limb 6 6 6

C. Loss of one's self-image 6 6 6


D. Destruction of the patient's car: B. Amputation of a limb 6 6 6 6 6 6 6 6 6




Rationale: Preparation and Ongoing Care\Psychosocial Aspects
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Functional grief relates to the loss of body function or body parts such as amputation of
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a limb, paralysis, or loss of sight.
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3. 3. What is the most important consideration during the initial assessment
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when caring for an older adult who has sustained serious injuries?
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A. They are likely to be fearful in the emergency department
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B. Medical history including current medications 6 6 6 6

C. Availability of support systems after discharge 6 6 6 6 6

D. Accessibility to a primary care physician: B. Medical history including current 6 6 6 6 6 6 6 6 6 6 6

medications
4. 4. You are caring for a patient who was thrown from a bike and was not wear
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ing a helmet. While performing the head-to-
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toe assessment, you note clear drainage from the right ear.Which of the followin
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g is the most appropriate next step?
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A. Clean the ear with a cotton-tipped applicator.
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B. Pack the ear with gauze. 6 6 6 6

C. Notify the physician 6 6

D. Document and continue the exam.: C. Notify the physician 6 6 6 6 6 6 6 6

5. 5. When should the definitive calculation for intravenous fluid resuscitation r
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ate be performed for a patient with burns?
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A. As soon as the patient arrives
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B. After removal of clothing 6 6 6



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, TNCC 9th Edition FINAL TEST 6 6 6 6


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C. Only at a burn center 6 6 6 6

D. During the circulation assessment: B. After removal of clothing
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Rationale: Musculoskeletal and Wounds\Burns 6 6 6

Some fluid will be given initially, but an accurate fluid total is based on percentage of
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otal body surface area which requires a good skin assessment and is calculated after
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clothing is removed. 6 6

6. 6. In a motor vehicle collision, which injury pathway is most likely to in-
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crease the patient's morbidity and mortality?
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A. Rotational
B. Ejection
C. Lateral
D. Rollover: B. Ejection 6 6

7. 7. A patient with a lower extremity fracture complains of severe pain and ti
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ghtness in his calf, minimally relieved by pain medications. Which of the foll
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owing is the priority nursing intervention?
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A. Elevating the leg above the level of the heart 6 6 6 6 6 6 6 6

B. Repositioning the leg and applying ice 6 6 6 6 6

C. Elevating the leg to the level of the heart 6 6 6 6 6 6 6 6

D. Preparing the patient for ultrasound of the leg: C. Elevating the leg to the level of
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the heart
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Rationale: Musculoskeletal and Wounds\Musculoskeletal 6 6 6


This patient is exhibiting signs of possible compartment syndrome which is a danger
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ous complication of fractured extremities. The pain is often out of proportion to the inju
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ry and might not respond to pain medications. Elevate the limb to the level of the heart
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o decrease dependent edema but not above the heart, which can cause increased ven
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ous congestion and pressure within the compartment.
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8. 8. A teenaged patient presents to the emergency department with left arm p
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ain after a ground level fall. The patient identifies as transgender and shares th
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ey are homeless. The ED staff are concerned the patient is experiencing huma
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n trafficking. What is most consistent with human trafficking?
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A. The individual appears well nourished.
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B. Those who are being trafficked rarely seek medical care.
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C. It is infrequently associated with substance abuse.
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D. Those experiencing human trafficking rarely self-disclose.: D. Those experi-
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6encing human trafficking rarely self-disclose.
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9. 9. An intubated trauma patient has just been transported back from CT scan. U
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pon arrival to their room in the emergency department, resistance is noted
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