TNCC 9th Edition FINAL TEST Open
Book Questions and Answers
1. 1. An adult patient who sustained a severe head trauma
has been intubat- ed 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. Decrease the
rate of manual ventilation
2. 2. Which 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. Amputation of a limb
, Rationale: Preparation and Ongoing Care\Psychosocial Aspects
Functional grief relates to the loss of body function or body parts
such as amputation of a limb, paralysis, or loss of sight.
3. 3. What is the most important consideration during the
initial assessment when caring for an older adult who has
sustained serious injuries?
A. They are likely to be fearful in the emergency department
B. Medical history including current medications
C. Availability of support systems after discharge
D. Accessibility to a primary care physician: B. Medical history
including current medications
4. 4. 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.: C. Notify the physician
5. 5. When should the definitive calculation for intravenous
fluid resuscitation rate be performed for a patient with burns?
A. As soon as the patient arrives
B. After removal of clothing
Book Questions and Answers
1. 1. An adult patient who sustained a severe head trauma
has been intubat- ed 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. Decrease the
rate of manual ventilation
2. 2. Which 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. Amputation of a limb
, Rationale: Preparation and Ongoing Care\Psychosocial Aspects
Functional grief relates to the loss of body function or body parts
such as amputation of a limb, paralysis, or loss of sight.
3. 3. What is the most important consideration during the
initial assessment when caring for an older adult who has
sustained serious injuries?
A. They are likely to be fearful in the emergency department
B. Medical history including current medications
C. Availability of support systems after discharge
D. Accessibility to a primary care physician: B. Medical history
including current medications
4. 4. 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.: C. Notify the physician
5. 5. When should the definitive calculation for intravenous
fluid resuscitation rate be performed for a patient with burns?
A. As soon as the patient arrives
B. After removal of clothing
