TNCC 20TH EDITION EXAM 5 LATEST VERSIONS 2024 (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 pulse - ansTo
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 to transport. The
,TNCC 20TH EDITION EXAM 5 LATEST VERSIONS 2024 (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 20TH EDITION EXAM 5 LATEST VERSIONS 2024 (VERSION A & B) COMPLETE 200
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
TESTBANK |ALREADY GRADED A+|100 % COMPLETE
assess HETT Hposition Hby Hnoting Hthe Hnumber Hat Hteeth/gums HAND Hsecure HETT H-
HansIf Hthe Hpatient His Hintubated Hand Hyou've Halready Hassessed HETT Hplacement,
Hwhat Helse Hneeds Hto Hbe Hdone Hwith Hthe HETT? H(step H10)
Assessing Hpatency Hand Hprotection Hof Hthe Hairway, HStep H7 Hof H
"Alertness Hand HAirway Hwith HSimultaneous HCervical HSpinal HStabilization" H-
HansDuring Hwhich Hpart Hof Hthe Hprimary Hsurvey Hwould Hthere Hbe Hanticipation Hfor
Hintubation, Hinsertion Hof HOPA/NPA, Hremoval Hof Hany Hloose Hteeth Hor Hforeign
Hobjects, Hor Hsuctioning?
B. HRising Hdiastolic H- HansWhich Hblood Hpressure Hfinding His Hassociated Hwith Hearly
Hor Hcompensated Hhypovolemic Hshock?
A.Rising Hsystolic
B.Rising Hdiastolic
C.Decreasing Hdiastolic
D.Decreasing Hsystolic
B.A H2-year-old Hlands Hon Hgrass Hfrom Ha Hsecond-story Hbalcony H- HansBased Hon Hfall
Hmechanism, Hwhich Hpatient Hwarrants Hprehospital Htransfer Hto Ha Htrauma Hcenter?
A.A H35-year-old Hlands Hon Ha Hwooden Hporch Hfrom Han H8-foot Hladder
B.A H2-year-old Hlands Hon Hgrass Hfrom Ha Hsecond-story Hbalcony
C.A H14-year-old Hforcefully Hpushed Honto Hcement Hfrom Hstanding
D.A H50-year-old Hlands Hon Ha Hcarpeted Hfloor Hafter Htripping
B.Amputation Hof Ha Hlimb H- HansWhich Hof Hthe Hfollowing Hsituations Hcould Hcause
Hfunctional Hgrief?
A.Inability Hto Hlive Hat Hhome
B.Amputation Hof Ha Hlimb
C.Loss Hof Hone's Hself-image
D.Destruction Hof Hthe Hpatient's Hcar
B.Control Hthe Hbleeding H- HansAn Hunconscious Hpatient Harrives Hfollowing Ha Hmotor
Hvehicle Hcollision. HThe Hpatient His Hon Ha Hbackboard Hwith Ha Hcervical Hcollar Hin
Hplace Hand Hone Hintravenous Hline Hrunning. HRespirations Hare Hshallow Hand Hthere His
Hactive Hbrisk Hbleeding Hfrom Ha Hlarge Hleg Hwound. HWhat His Hthe Hpriority Hintervention
Hfor Hthis Hpatient?
A.Check Hfor Ha Hpatent Hairway
B.Control Hthe Hbleeding
C.Start Ha Hsecond Hintravenous Hline
D.Ventilate Hwith Ha Hbag-mask Hdevice
B.During Hthe Hsecondary Hsurveyt H- HansWhen Hshould Hthe Hdefinitive Hcalculation Hfor
Hintravenous Hfluid Hresuscitation Hrate Hbe Hperformed Hfor Ha Hpatient Hwith Hburns?
, TNCC 20TH EDITION EXAM 5 LATEST VERSIONS 2024 (VERSION A & B) COMPLETE 200
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
TESTBANK |ALREADY GRADED A+|100 % COMPLETE
A.As Hsoon Has Hthe Hpatient Harrives
B.During Hthe Hsecondary Hsurvey
C.Should Honly Hbe Hdone Hat Ha Hburn Hcenter
D.During Hthe Hprimary Hsurvey
B.Increased Hoxygen Hconsumption H- HansA Htrauma Hpatient Hwho His H30-weeks
Hpregnant Harrives Hat Hthe Hemergency Hdepartment Hfollowing Ha Hmotor Hvehicle
Hcollision. HWhich Hnormal Hphysiologic Hchange Hshould Hbe Hconsidered Hwhen
Hassessing Hventilatory Hstatus?
A.Increased Hfunctional Hreserve Hcapacity
B.Increased Hoxygen Hconsumption
C.Decreased Hminute Hventilation
D.Slower Hdesaturation Hrates Hwith Hapnea
B.It Hcan Hbe Hused Hin Hhypotensive Hpatients Htoo Hunstable Hfor Hcomputed
Htomography Hscan H- HansWhich Hof Hthe Hfollowing His Htrue Habout Huse Hof Hthe
Hfocused Hassessment Hsonography Hfor Htrauma Hexam Hfor Ha Hpatient Hwith
Habdominal Htrauma?
A.It Hhas Ha Hhigher Hsensitivity Hthan Hdiagnostic Hperitoneal Hlavage Hfor Hfluid Hdetection
B.It Hcan Hbe Hused Hin Hhypotensive Hpatients Htoo Hunstable Hfor Hcomputed
Htomography Hscan
C.It Hcan Hdetect Has Hlittle Has H30 HmL Hof Hfluid Hin Hthe Habdominal Hcavity
D.It Hhas Hhigh Hsensitivity Hin Hpediatric Hpatients Hfor Hidentifying Hfluid Hin Hthe
Hperitoneum
B.Loss Hof Hreflexes H- HansA Hpatient His Hdiagnosed Hwith Ha HT12 Hspinal Hcord Hinjury
Hfollowing Ha H20-foot Hfall. HWhich Hfinding His Hconsistent Hwith Hspinal Hshock?
A.Bradycardia
B.Loss Hof Hreflexes
C.Widened Hpulse Hpressure
D.Warm Hskin
B.Maintaining Hspinal Hmotion Hrestriction H- HansWhat His Hthe Hpriority Hintervention Hfor
Ha Hchild Hwho Hhas Hbeen Hdiagnosed Hwith Han Hatlanto-occipital Hdislocation Hfollowing
Ha Hhigh-speed Hmotor Hvehicle Hcollision?
A.Initiating Ha Hsecond Hlarge Hcaliber Hintravenous Hline
B.Maintaining Hspinal Hmotion Hrestriction
C.Placing Hthe Hpatient Hon Hpulse Hoximetry
D.Turning Hthe Hpatient Hto Hremove Hthe Hbackboard
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 pulse - ansTo
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 to transport. The
,TNCC 20TH EDITION EXAM 5 LATEST VERSIONS 2024 (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 20TH EDITION EXAM 5 LATEST VERSIONS 2024 (VERSION A & B) COMPLETE 200
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
TESTBANK |ALREADY GRADED A+|100 % COMPLETE
assess HETT Hposition Hby Hnoting Hthe Hnumber Hat Hteeth/gums HAND Hsecure HETT H-
HansIf Hthe Hpatient His Hintubated Hand Hyou've Halready Hassessed HETT Hplacement,
Hwhat Helse Hneeds Hto Hbe Hdone Hwith Hthe HETT? H(step H10)
Assessing Hpatency Hand Hprotection Hof Hthe Hairway, HStep H7 Hof H
"Alertness Hand HAirway Hwith HSimultaneous HCervical HSpinal HStabilization" H-
HansDuring Hwhich Hpart Hof Hthe Hprimary Hsurvey Hwould Hthere Hbe Hanticipation Hfor
Hintubation, Hinsertion Hof HOPA/NPA, Hremoval Hof Hany Hloose Hteeth Hor Hforeign
Hobjects, Hor Hsuctioning?
B. HRising Hdiastolic H- HansWhich Hblood Hpressure Hfinding His Hassociated Hwith Hearly
Hor Hcompensated Hhypovolemic Hshock?
A.Rising Hsystolic
B.Rising Hdiastolic
C.Decreasing Hdiastolic
D.Decreasing Hsystolic
B.A H2-year-old Hlands Hon Hgrass Hfrom Ha Hsecond-story Hbalcony H- HansBased Hon Hfall
Hmechanism, Hwhich Hpatient Hwarrants Hprehospital Htransfer Hto Ha Htrauma Hcenter?
A.A H35-year-old Hlands Hon Ha Hwooden Hporch Hfrom Han H8-foot Hladder
B.A H2-year-old Hlands Hon Hgrass Hfrom Ha Hsecond-story Hbalcony
C.A H14-year-old Hforcefully Hpushed Honto Hcement Hfrom Hstanding
D.A H50-year-old Hlands Hon Ha Hcarpeted Hfloor Hafter Htripping
B.Amputation Hof Ha Hlimb H- HansWhich Hof Hthe Hfollowing Hsituations Hcould Hcause
Hfunctional Hgrief?
A.Inability Hto Hlive Hat Hhome
B.Amputation Hof Ha Hlimb
C.Loss Hof Hone's Hself-image
D.Destruction Hof Hthe Hpatient's Hcar
B.Control Hthe Hbleeding H- HansAn Hunconscious Hpatient Harrives Hfollowing Ha Hmotor
Hvehicle Hcollision. HThe Hpatient His Hon Ha Hbackboard Hwith Ha Hcervical Hcollar Hin
Hplace Hand Hone Hintravenous Hline Hrunning. HRespirations Hare Hshallow Hand Hthere His
Hactive Hbrisk Hbleeding Hfrom Ha Hlarge Hleg Hwound. HWhat His Hthe Hpriority Hintervention
Hfor Hthis Hpatient?
A.Check Hfor Ha Hpatent Hairway
B.Control Hthe Hbleeding
C.Start Ha Hsecond Hintravenous Hline
D.Ventilate Hwith Ha Hbag-mask Hdevice
B.During Hthe Hsecondary Hsurveyt H- HansWhen Hshould Hthe Hdefinitive Hcalculation Hfor
Hintravenous Hfluid Hresuscitation Hrate Hbe Hperformed Hfor Ha Hpatient Hwith Hburns?
, TNCC 20TH EDITION EXAM 5 LATEST VERSIONS 2024 (VERSION A & B) COMPLETE 200
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
TESTBANK |ALREADY GRADED A+|100 % COMPLETE
A.As Hsoon Has Hthe Hpatient Harrives
B.During Hthe Hsecondary Hsurvey
C.Should Honly Hbe Hdone Hat Ha Hburn Hcenter
D.During Hthe Hprimary Hsurvey
B.Increased Hoxygen Hconsumption H- HansA Htrauma Hpatient Hwho His H30-weeks
Hpregnant Harrives Hat Hthe Hemergency Hdepartment Hfollowing Ha Hmotor Hvehicle
Hcollision. HWhich Hnormal Hphysiologic Hchange Hshould Hbe Hconsidered Hwhen
Hassessing Hventilatory Hstatus?
A.Increased Hfunctional Hreserve Hcapacity
B.Increased Hoxygen Hconsumption
C.Decreased Hminute Hventilation
D.Slower Hdesaturation Hrates Hwith Hapnea
B.It Hcan Hbe Hused Hin Hhypotensive Hpatients Htoo Hunstable Hfor Hcomputed
Htomography Hscan H- HansWhich Hof Hthe Hfollowing His Htrue Habout Huse Hof Hthe
Hfocused Hassessment Hsonography Hfor Htrauma Hexam Hfor Ha Hpatient Hwith
Habdominal Htrauma?
A.It Hhas Ha Hhigher Hsensitivity Hthan Hdiagnostic Hperitoneal Hlavage Hfor Hfluid Hdetection
B.It Hcan Hbe Hused Hin Hhypotensive Hpatients Htoo Hunstable Hfor Hcomputed
Htomography Hscan
C.It Hcan Hdetect Has Hlittle Has H30 HmL Hof Hfluid Hin Hthe Habdominal Hcavity
D.It Hhas Hhigh Hsensitivity Hin Hpediatric Hpatients Hfor Hidentifying Hfluid Hin Hthe
Hperitoneum
B.Loss Hof Hreflexes H- HansA Hpatient His Hdiagnosed Hwith Ha HT12 Hspinal Hcord Hinjury
Hfollowing Ha H20-foot Hfall. HWhich Hfinding His Hconsistent Hwith Hspinal Hshock?
A.Bradycardia
B.Loss Hof Hreflexes
C.Widened Hpulse Hpressure
D.Warm Hskin
B.Maintaining Hspinal Hmotion Hrestriction H- HansWhat His Hthe Hpriority Hintervention Hfor
Ha Hchild Hwho Hhas Hbeen Hdiagnosed Hwith Han Hatlanto-occipital Hdislocation Hfollowing
Ha Hhigh-speed Hmotor Hvehicle Hcollision?
A.Initiating Ha Hsecond Hlarge Hcaliber Hintravenous Hline
B.Maintaining Hspinal Hmotion Hrestriction
C.Placing Hthe Hpatient Hon Hpulse Hoximetry
D.Turning Hthe Hpatient Hto Hremove Hthe Hbackboard
