TNCC Final Exam Test Open Book
1. You are treating a 27-year old male in respiratory distress
who was involved in a house fire. Calculating TBSA burned is
deferred d/t the need for emergent intubation. At what rate
should you begin fluid resuscitation?
A) 1000 mL/hr B) 500 mL/hr C) 250 mL/hr
D) 125 mL/hr: B) 500 mL/hr
2. A patient has been in the ED for several hours waiting to
be admitted. He sustained multiple rib fractures and a femur
fracture after a fall. He has been awake, alert, and c/o leg
pain. His wife reported suddenly becoming anxious and
confused. Upon reassessment, the patient is restless, with
respiratory distress and petechiae to his neck. the patient is
exhibiting signs of symptoms commonly associated with
which of the following conditions?
A) acute lung injury
B) fat embolism
C) PTX
D) pulmonary contusion: B) fat embolism
,3. Which pulse pressure description is an indication of early
hypovolemic shock?
A) widened B) narrowed C) bounding
D) weak: B) narrowed
4. Which of the following considerations is most important
when caring for a geriatric trauma patient?
A) head to to exam B) medical history C) incontinence
D) falls: B) medical history
5. Which of the following assessment findings differentiates a
tension pneu- mothorax from a simple pneumothorax?
A) increased work of breathing
B) unilaterally diminished breath sounds
C) pleuritic chest pain
D) hypotension that worsens with inspiration: D) hypotension
that worsens with
, inspiration.
Assessment findings associated with tension pneumothorax
include anxiety, severe restlessness, severe respiratory distress,
and absent breath sounds on the injured side. Hypotension due to
compression of the heart and great vessels is consistent with
obstructive shock. Hypotension worsens with inspiration due to
increased intrathoracic pressure. Late signs include distended
neck veins, tracheal deviation, and cyanosis.
6. The nurse is caring for a 120 kg male is brought in after a
warehouse fire and is calculating the patient's fluid
resuscitation needs. He has painful red blistering to the entire
surface of both upper extremities and superficial burns to the
anterior chest. Using the modified Lund and Browder chart to
calculate the total BSA burned, how much IV fluids would be
administered in the first 8 hours?
A) 2280 mL B) 3840 mL C) 4560 mL
D) 7680 mL: A) 2280 mL
(upper arm 4+4 / lower arm 3+3 / hand 2.5+2.5) = 19% TBSA.
120 kg x (2 mL) x (19% TBSA) = 4560 mL
1. You are treating a 27-year old male in respiratory distress
who was involved in a house fire. Calculating TBSA burned is
deferred d/t the need for emergent intubation. At what rate
should you begin fluid resuscitation?
A) 1000 mL/hr B) 500 mL/hr C) 250 mL/hr
D) 125 mL/hr: B) 500 mL/hr
2. A patient has been in the ED for several hours waiting to
be admitted. He sustained multiple rib fractures and a femur
fracture after a fall. He has been awake, alert, and c/o leg
pain. His wife reported suddenly becoming anxious and
confused. Upon reassessment, the patient is restless, with
respiratory distress and petechiae to his neck. the patient is
exhibiting signs of symptoms commonly associated with
which of the following conditions?
A) acute lung injury
B) fat embolism
C) PTX
D) pulmonary contusion: B) fat embolism
,3. Which pulse pressure description is an indication of early
hypovolemic shock?
A) widened B) narrowed C) bounding
D) weak: B) narrowed
4. Which of the following considerations is most important
when caring for a geriatric trauma patient?
A) head to to exam B) medical history C) incontinence
D) falls: B) medical history
5. Which of the following assessment findings differentiates a
tension pneu- mothorax from a simple pneumothorax?
A) increased work of breathing
B) unilaterally diminished breath sounds
C) pleuritic chest pain
D) hypotension that worsens with inspiration: D) hypotension
that worsens with
, inspiration.
Assessment findings associated with tension pneumothorax
include anxiety, severe restlessness, severe respiratory distress,
and absent breath sounds on the injured side. Hypotension due to
compression of the heart and great vessels is consistent with
obstructive shock. Hypotension worsens with inspiration due to
increased intrathoracic pressure. Late signs include distended
neck veins, tracheal deviation, and cyanosis.
6. The nurse is caring for a 120 kg male is brought in after a
warehouse fire and is calculating the patient's fluid
resuscitation needs. He has painful red blistering to the entire
surface of both upper extremities and superficial burns to the
anterior chest. Using the modified Lund and Browder chart to
calculate the total BSA burned, how much IV fluids would be
administered in the first 8 hours?
A) 2280 mL B) 3840 mL C) 4560 mL
D) 7680 mL: A) 2280 mL
(upper arm 4+4 / lower arm 3+3 / hand 2.5+2.5) = 19% TBSA.
120 kg x (2 mL) x (19% TBSA) = 4560 mL
