TNCC FINAL EXAM TEST 2022 OPEN BOOK

TNCC FINAL EXAM TEST 2022 OPEN
BOOK



You6are6treating6a627-
year6old6male6in6respiratory6distress6who6was6involved6in6a6house6fire.6Calculating6TBSA
6burned6is6deferred6d/

t6the6need6for6emergent6intubation.6At6what6rate6should6you6begin6fluid6resuscitation?

A)610006mL/hr
B)65006mL/hr6
C)62506mL/hr
D)61256mL/hr6-6B)65006mL/hr

A6patient6has6been6in6the6ED6for6several6hours6waiting6to6be6admitted.6He6sustained6mul
tiple6rib6fractures6and6a6femur6fracture6after6a6fall.6He6has6been6awake,6alert,6and6c/
o6leg6pain.6His6wife6reported6suddenly6becoming6anxious6and6confused.6Upon6reassess
ment,6the6patient6is6restless,6with6respiratory6distress6and6petechiae6to6his6neck.6the6pati
ent6is6exhibiting6signs6of6symptoms6commonly6associated6with6which6of6the6following6co
nditions?

A)6acute6lung6injury
B)6fat6embolism
C)6PTX
D)6pulmonary6contusion6-6B)6fat6embolism

Which6pulse6pressure6description6is6an6indication6of6early6hypovolemic6shock?

A)6widened
B)6narrowed6
C)6bounding
D)6weak6-6B)6narrowed

Which6of6the6following6considerations6is6most6important6when6caring6for6a6geriatric6traum
a6patient?
A)6head6to6to6exam
B)6medical6history
C)6incontinence
D)6falls6-6B)6medical6history

, Which6of6the6following6assessment6findings6differentiates6a6tension6pneumothorax6from6
a6simple6pneumothorax?

A)6increased6work6of6breathing
B)6unilaterally6diminished6breath6sounds
C)6pleuritic6chest6pain
D)6hypotension6that6worsens6with6inspiration6-
6D)6hypotension6that6worsens6with6inspiration.



Assessment6findings6associated6with6tension6pneumothorax6include6anxiety,6severe6rest
lessness,6severe6respiratory6distress,6and6absent6breath6sounds6on6the6injured6side.6Hy
potension6due6to6compression6of6the6heart6and6great6vessels6is6consistent6with6obstructi
ve6shock.6Hypotension6worsens6with6inspiration6due6to6increased6intrathoracic6pressure.
6Late6signs6include6distended6neck6veins,6tracheal6deviation,6and6cyanosis.



The6nurse6is6caring6for6a61206kg6male6is6brought6in6after6a6warehouse6fire6and6is6calculat
ing6the6patient's6fluid6resuscitation6needs.6He6has6painful6red6blistering6to6the6entire6surf
ace6of6both6upper6extremities6and6superficial6burns6to6the6anterior6chest.6Using6the6modi
fied6Lund6and6Browder6chart6to6calculate6the6total6BSA6burned,6how6much6IV6fluids6woul
d6be6administered6in6the6first686hours?

A)622806mL6
B)638406mL
C)645606mL
D)676806mL6-6A)622806mL
(upper6arm64+46/6lower6arm63+36/6hand62.5+2.5)6=619%6TBSA.

1206kg6x6(26mL)6x6(19%6TBSA)6=645606mL

45606/626(half6of6fluids6given6in6first686hours)6=622806mL

Which6of6the6following6is6a6component6of6the6trauma6triad6of6death?

A)6Acidosis
B)6hyperthermia
C)6hemorrhage
D)6sepsis6-6A)6Acidosis

6 hypothermia,6metabolic6acidosis,6coagulopathy

A656-year-
6male6patient6involved6in6a6MVC6is6brought6to6the6ED6of6a6rural6critical6access6facility.6He

6c/o6neck6pain,6SOB,6and6diffuse6abd6pain.6His6GCS6is615.6His6vitals6are6as6follows:

BP698/71
HR61256beats/min