TNCC EXAM 5 LATEST VERSIONS (VERSION A & B) COMPLETE 200 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) TESTBANK |ALREADY
GRADED A+|100 % COMPLETE
"Breathing and Ventilation" - ansDuring which part of the primary survey
would you anticipate the need for a chest tube, intubation, decompression of
pneumothorax, oxygen, or BVMs?
1. attach CO2 detector and assess for evidence of exhaled CO2; 2. observe
for rise and fall of the chest w/ assisted ventilations; 3. auscultate over
epigastrium for gurgling AND lungs for bilateral breath sounds - ansWhat
three assessments must be done if the patient is intubated?
1. inspect AND palpate skin color, temp, moisture and 2. palpate a
assess circulation, you must do these two main tasks:
A.Alert with no neurologic deficits - ansUsing the American College of
Surgeons screening guidelines, what assessment finding would prompt the
nurse to prepare a patient for cervical spine imaging?
A.Alert with no neurologic deficits
B.Multiple abrasions to the
extremities C.Ecchymosis to the
flank D.Responds to verbal
stimulation
A.Cardiogenic - ansA patient is brought to the emergency department with
chest pain and shortness of breath following a high-speed motor vehicle
collision in which they were the unrestrained driver. There is crepitus to the
left chest with clear and equal breath sounds. The vital signs are BP 80/40
mmHg, HR 140 beats/minute, and RR 40 breaths/minute. Cardiac monitor
shows sinus tachycardia with premature ventricular contractions. These
findings are most consistent with which type of shock?
A.Cardiogenic
B.Neurogenic
C.Hypovolemic
D.Obstructive
A.Decrease the rate of manual ventilation. - ansAn adult patient who
sustained a severe head trauma has been intubated and is being manually
ventilated via a bag-mask device at a rate of 18 breaths/minute. The patient
has received one intravenous fluid bolus of 500 mL of warmed isotonic
crystalloid solution. The PaCO2 is 30 mm Hg (4.0 kPa), and the pulse
oximetry is 92%. BP is 142/70 mm Hg. What is the most important
intervention to manage the cerebral blood flow?
A.Decrease the rate of manual ventilation.
B.Initiate another fluid bolus.
C.Recheck endotracheal tube placement.
D.Increase the amount of oxygen delivered.
A.Initiate warming measures - ansA patient is brought to the emergency
department following a snowmobile crash with prolonged exposure time prior
,TNCC EXAM 5 LATEST VERSIONS (VERSION A & B) COMPLETE 200 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) TESTBANK |ALREADY
GRADED A+|100 % COMPLETE
to transport. The
,TNCC EXAM 5 LATEST VERSIONS (VERSION A & B) COMPLETE 200 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) TESTBANK |ALREADY
GRADED A+|100 % COMPLETE
patient is confused. Vital signs are BP 96/54 mm Hg, HR 114 beats/minute,
RR 24 breaths/minute, T 34.6oC (94.2oF) and an SpO2 of 90% on oxygen
at 15L per non- rebreather mask. Other findings include ETCO2 24, serum
lactate of 6 mmol/L, and a pH of 6.8. Based on these findings, what is the
most appropriate intervention?
A.Initiate warming measures
B.Titrate oxygen to 6 L per nasal
cannula C.Bolus with 500 mL
isotonic crystalloids D.Vigorously
massage the extremities
A.Report your suspicion of maltreatment in accordance with local
regulations - ansA 5- year-old child presents to the emergency department
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?
A.Report your suspicion of maltreatment in accordance with local regulations
B.Apply ice to the bruises and provide wound care
C.Engage in therapeutic communication to determine the mechanism of
injury
D.Provide the family with injury prevention resources
A.Reverse Trendelenburg - ansWhat position optimizes ventilation in the
obese patient with a lumbar fracture?
A.Reverse
Trendelenburg B.Supine
C.Prone
D.Fowler's
AFTER head-to-toe, BEFORE J (VIPP) - ansAntibiotics, consults, head CT,
imaging, law enforcement, mandatory reporting, psychosocial support,
social services, splinting, tetanus, and wound care are all interventions that
you do AFTER and before WHAT?
all patients - ansFor whom is capnography highly recommended?
Apply a pelvic binder - ansAn adult pedestrian was struck on the right side
by a sport utility vehicle traveling at 40 mph. The patient is awake and alert
and the right leg is shortened. Following initial resuscitation with fluids, the
patient remains hypotensive. What would be the priority intervention?
A.Send blood for type and crossmatch
B.Apply a pelvic binder
C.Prepare the patient for surgery
D.Insert a urinary catheter
, TNCC EXAM 5 LATEST VERSIONS (VERSION A & B) COMPLETE 200 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) TESTBANK |ALREADY
GRADED A+|100 % COMPLETE
assess ETT position by noting the number at teeth/gums AND secure ETT -
ansIf the patient is intubated and you've already assessed ETT placement,
what else needs to be done with the ETT? (step 10)
Assessing patency and protection of the airway, Step 7 of
"Alertness and Airway with Simultaneous Cervical Spinal Stabilization" -
ansDuring which part of the primary survey would there be anticipation for
intubation, insertion of OPA/NPA, removal of any loose teeth or foreign
objects, or suctioning?
B. Rising diastolic - ansWhich blood pressure finding is associated with early
or compensated hypovolemic shock?
A.Rising systolic
B.Rising diastolic
C.Decreasing
diastolic
D.Decreasing
systolic
B.A 2-year-old lands on grass from a second-story balcony - ansBased on fall
mechanism, which patient warrants prehospital transfer to a trauma center?
A.A 35-year-old lands on a wooden porch from an 8-foot ladder
B.A 2-year-old lands on grass from a second-story balcony
C.A 14-year-old forcefully pushed onto cement from standing
D.A 50-year-old lands on a carpeted floor after tripping
B.Amputation of a limb - ansWhich of the following situations could cause
functional grief?
A.Inability to live at
home B.Amputation of
a limb C.Loss of one's
self-image
D.Destruction of the patient's car
B.Control the bleeding - ansAn unconscious patient arrives following a motor
vehicle collision. The patient is on a backboard with a cervical collar in place
and one intravenous line running. Respirations are shallow and there is
active brisk bleeding from a large leg wound. What is the priority
intervention for this patient?
A.Check for a patent airway
B.Control the bleeding
C.Start a second intravenous line
D.Ventilate with a bag-mask
device
B.During the secondary surveyt - ansWhen should the definitive calculation
for intravenous fluid resuscitation rate be performed for a patient with burns?
DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) TESTBANK |ALREADY
GRADED A+|100 % COMPLETE
"Breathing and Ventilation" - ansDuring which part of the primary survey
would you anticipate the need for a chest tube, intubation, decompression of
pneumothorax, oxygen, or BVMs?
1. attach CO2 detector and assess for evidence of exhaled CO2; 2. observe
for rise and fall of the chest w/ assisted ventilations; 3. auscultate over
epigastrium for gurgling AND lungs for bilateral breath sounds - ansWhat
three assessments must be done if the patient is intubated?
1. inspect AND palpate skin color, temp, moisture and 2. palpate a
assess circulation, you must do these two main tasks:
A.Alert with no neurologic deficits - ansUsing the American College of
Surgeons screening guidelines, what assessment finding would prompt the
nurse to prepare a patient for cervical spine imaging?
A.Alert with no neurologic deficits
B.Multiple abrasions to the
extremities C.Ecchymosis to the
flank D.Responds to verbal
stimulation
A.Cardiogenic - ansA patient is brought to the emergency department with
chest pain and shortness of breath following a high-speed motor vehicle
collision in which they were the unrestrained driver. There is crepitus to the
left chest with clear and equal breath sounds. The vital signs are BP 80/40
mmHg, HR 140 beats/minute, and RR 40 breaths/minute. Cardiac monitor
shows sinus tachycardia with premature ventricular contractions. These
findings are most consistent with which type of shock?
A.Cardiogenic
B.Neurogenic
C.Hypovolemic
D.Obstructive
A.Decrease the rate of manual ventilation. - ansAn adult patient who
sustained a severe head trauma has been intubated and is being manually
ventilated via a bag-mask device at a rate of 18 breaths/minute. The patient
has received one intravenous fluid bolus of 500 mL of warmed isotonic
crystalloid solution. The PaCO2 is 30 mm Hg (4.0 kPa), and the pulse
oximetry is 92%. BP is 142/70 mm Hg. What is the most important
intervention to manage the cerebral blood flow?
A.Decrease the rate of manual ventilation.
B.Initiate another fluid bolus.
C.Recheck endotracheal tube placement.
D.Increase the amount of oxygen delivered.
A.Initiate warming measures - ansA patient is brought to the emergency
department following a snowmobile crash with prolonged exposure time prior
,TNCC EXAM 5 LATEST VERSIONS (VERSION A & B) COMPLETE 200 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) TESTBANK |ALREADY
GRADED A+|100 % COMPLETE
to transport. The
,TNCC EXAM 5 LATEST VERSIONS (VERSION A & B) COMPLETE 200 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) TESTBANK |ALREADY
GRADED A+|100 % COMPLETE
patient is confused. Vital signs are BP 96/54 mm Hg, HR 114 beats/minute,
RR 24 breaths/minute, T 34.6oC (94.2oF) and an SpO2 of 90% on oxygen
at 15L per non- rebreather mask. Other findings include ETCO2 24, serum
lactate of 6 mmol/L, and a pH of 6.8. Based on these findings, what is the
most appropriate intervention?
A.Initiate warming measures
B.Titrate oxygen to 6 L per nasal
cannula C.Bolus with 500 mL
isotonic crystalloids D.Vigorously
massage the extremities
A.Report your suspicion of maltreatment in accordance with local
regulations - ansA 5- year-old child presents to the emergency department
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?
A.Report your suspicion of maltreatment in accordance with local regulations
B.Apply ice to the bruises and provide wound care
C.Engage in therapeutic communication to determine the mechanism of
injury
D.Provide the family with injury prevention resources
A.Reverse Trendelenburg - ansWhat position optimizes ventilation in the
obese patient with a lumbar fracture?
A.Reverse
Trendelenburg B.Supine
C.Prone
D.Fowler's
AFTER head-to-toe, BEFORE J (VIPP) - ansAntibiotics, consults, head CT,
imaging, law enforcement, mandatory reporting, psychosocial support,
social services, splinting, tetanus, and wound care are all interventions that
you do AFTER and before WHAT?
all patients - ansFor whom is capnography highly recommended?
Apply a pelvic binder - ansAn adult pedestrian was struck on the right side
by a sport utility vehicle traveling at 40 mph. The patient is awake and alert
and the right leg is shortened. Following initial resuscitation with fluids, the
patient remains hypotensive. What would be the priority intervention?
A.Send blood for type and crossmatch
B.Apply a pelvic binder
C.Prepare the patient for surgery
D.Insert a urinary catheter
, TNCC EXAM 5 LATEST VERSIONS (VERSION A & B) COMPLETE 200 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) TESTBANK |ALREADY
GRADED A+|100 % COMPLETE
assess ETT position by noting the number at teeth/gums AND secure ETT -
ansIf the patient is intubated and you've already assessed ETT placement,
what else needs to be done with the ETT? (step 10)
Assessing patency and protection of the airway, Step 7 of
"Alertness and Airway with Simultaneous Cervical Spinal Stabilization" -
ansDuring which part of the primary survey would there be anticipation for
intubation, insertion of OPA/NPA, removal of any loose teeth or foreign
objects, or suctioning?
B. Rising diastolic - ansWhich blood pressure finding is associated with early
or compensated hypovolemic shock?
A.Rising systolic
B.Rising diastolic
C.Decreasing
diastolic
D.Decreasing
systolic
B.A 2-year-old lands on grass from a second-story balcony - ansBased on fall
mechanism, which patient warrants prehospital transfer to a trauma center?
A.A 35-year-old lands on a wooden porch from an 8-foot ladder
B.A 2-year-old lands on grass from a second-story balcony
C.A 14-year-old forcefully pushed onto cement from standing
D.A 50-year-old lands on a carpeted floor after tripping
B.Amputation of a limb - ansWhich of the following situations could cause
functional grief?
A.Inability to live at
home B.Amputation of
a limb C.Loss of one's
self-image
D.Destruction of the patient's car
B.Control the bleeding - ansAn unconscious patient arrives following a motor
vehicle collision. The patient is on a backboard with a cervical collar in place
and one intravenous line running. Respirations are shallow and there is
active brisk bleeding from a large leg wound. What is the priority
intervention for this patient?
A.Check for a patent airway
B.Control the bleeding
C.Start a second intravenous line
D.Ventilate with a bag-mask
device
B.During the secondary surveyt - ansWhen should the definitive calculation
for intravenous fluid resuscitation rate be performed for a patient with burns?
