TNCC 9th Edition FINAL TEST Open Book Practice Questions With Correct Answers

TNCC 9th Edition FINAL TEST Open Book Practice Questions With Correct Answers You are caring for a patient who was thrown from a bike and was not wearing a helmet. While performing the head-to-toe assessment, you note clear drainage from the right ear. Which of the following is the most appropriate next step? A. Clean the ear with a cotton-tipped applicator. B. Pack the ear with gauze. C. Notify the physician D. Document and continue the exam. - ANS: C. Notify the physician A patient is brought to the emergency department of a rural hospital following a high-speed motor vehicle collision. When significant abdominal and pelvic injuries are noted in the primary survey, what is the priority intervention? A. Initiate transfer to a trauma center B. Attempt family notification C. Obtain additional imaging studies D. Place an indwelling urinary catheter - ANS: A. Initiate transfer to a trauma center An adult who fell from a second story roof is brought to the emergency department by private vehicle. The patient is confused with unlabored respirations and has strong, palpable radial pulses. There is an open wound in proximity to an obvious deformity of the left lower extremity. What is the priority intervention? A. Initiate cervical spine stabilization B. Apply a splint to the lower extremity C. Put the patient on portable oxygen. D. Log roll the patient onto a spine board - ANS: A. Initiate cervical spine stabilization An 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? Why might inspection of posterior surfaces be contraindicated? - ANS: May be contraindicated by suspected spine or pelvic injury You must assess pain using an ___________. - ANS: appropriate pain scale What are the double-starred criteria? (hint: A-E) - ANS: **Alertness and Airway **Breathing and Ventilation **Circulation **Disability **Exposure T/F: Preparation and triage in TNP includes the activation of the trauma team, role assignment, preparation of the trauma room, and donning PPE. - ANS: True What might you ask yourself during preparation and triage? - ANS: "Is there any specific equipment that you would prepare?" Trauma room preparations might include: - ANS: - Bariatric equipment - Difficult airway or IV equipment - Fluid warmer - Pediatric equipment While donning PPE, you should consider 2 things: - ANS: 1. potential safety threats to the team 2. need for decontamination The general impression in TNP is to... - ANS: Assess for obvious uncontrolled external hemorrhage or unresponsiveness/apnea and the need to reprioritize to C-ABC. What might need to be reprioritized during the general impression? Why?