lOMoAR cPSD| 42091925
lOMoAR cPSD| 42091925
TNCC FINAL EXAM (2025/2026 LATEST UPDATE)
WITH COMPLETE Q&A 100% SOLVED GRADED
A+ - VERIFIED EXAM
, lOMoAR cPSD| 42091925
Why is a measure of serum lactate obtained in the initial assessment of the trauma patient?
Answer: c .
A) to measure oxygenation and ventilation
B) to quantify the base deficit for the adequacy of cellular perfusion
C) *to gauge end−organ perfusion and tissue hypoxia **
D) to determine the underlying cause of shock
A trauma patient is restless and repeatedly asking "where am I?" vital signs upon arrival were BP 100/60
mm Hg, HR 96 beats/min, and RR 24 breaths/min. Her skin is cool and dry. Current vital signs are BP
104/84mm Hg, HR 108, RR 28 breaths/min. The patient is demonstrating signs and symptoms of which
stage of shock?
Answer: A .
A) compensated **
B) Progressive
C) irreversible
D) decompensated
An elderly patient with a history of anticoagulant use presents after a fall at home that day. She denies
any loss of consciousness. She has a hematoma to her forehead and complains of headache, dizziness,
and nausea. Which is a most likely cause of her symptoms?
Answer: D .
A) epidural hematoma
B) diffuse axonal injury
C) post−concussive syndrome
D) subdural hematoma ***
EMS brings a patient who fell riding his bicycle. Using the American College of Surgeons screening
guidelines, which assessment finding would prompt the nurse to prepare the patient for radiologic spine
clearance?
Answer: D .
A) Alert with no neurologic deficits
B) Multiple abrasions to the extremities
C) Multiple requests of water
D) Smell of alcohol on breath ***
Which of the following occurs during the third impact of a motor vehicle crash?
Answer: C .
A) The driver of the vehicle collides with the steering wheel
NURSING GENIUS Page 1 of 12
lOMoAR cPSD| 42091925
TNCC FINAL EXAM (2025/2026 LATEST UPDATE)
WITH COMPLETE Q&A 100% SOLVED GRADED
A+ - VERIFIED EXAM
, lOMoAR cPSD| 42091925
Why is a measure of serum lactate obtained in the initial assessment of the trauma patient?
Answer: c .
A) to measure oxygenation and ventilation
B) to quantify the base deficit for the adequacy of cellular perfusion
C) *to gauge end−organ perfusion and tissue hypoxia **
D) to determine the underlying cause of shock
A trauma patient is restless and repeatedly asking "where am I?" vital signs upon arrival were BP 100/60
mm Hg, HR 96 beats/min, and RR 24 breaths/min. Her skin is cool and dry. Current vital signs are BP
104/84mm Hg, HR 108, RR 28 breaths/min. The patient is demonstrating signs and symptoms of which
stage of shock?
Answer: A .
A) compensated **
B) Progressive
C) irreversible
D) decompensated
An elderly patient with a history of anticoagulant use presents after a fall at home that day. She denies
any loss of consciousness. She has a hematoma to her forehead and complains of headache, dizziness,
and nausea. Which is a most likely cause of her symptoms?
Answer: D .
A) epidural hematoma
B) diffuse axonal injury
C) post−concussive syndrome
D) subdural hematoma ***
EMS brings a patient who fell riding his bicycle. Using the American College of Surgeons screening
guidelines, which assessment finding would prompt the nurse to prepare the patient for radiologic spine
clearance?
Answer: D .
A) Alert with no neurologic deficits
B) Multiple abrasions to the extremities
C) Multiple requests of water
D) Smell of alcohol on breath ***
Which of the following occurs during the third impact of a motor vehicle crash?
Answer: C .
A) The driver of the vehicle collides with the steering wheel
NURSING GENIUS Page 1 of 12
