TNCC 8TH EDITION PROVIDER EXAM
QUESTIONS AND ANSWERS 100%
VERIFIED
EMS brings a patient who fell while 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-Alert with no
neurological deficits
The trauma nurse knows that placing a bariatric patient in a "ramped position" provides
better visualization during the insertion of which device? - ANSWER-Endotracheal tube
A 35-year-old male presents with facial trauma after being struck in the face with a
baseball. A teardrop-shaped left pupil is noted on exam. What type of injury is
suspected? - ANSWER-Globe rupture
Caregivers carry a 2-year-old into the emergency department who fell out of a second-
story window. The patient is awake and crying with increased work of breathing and
pale skin. Which of the following interventions has the highest priority? - ANSWER-
Padding the upper back while stabilizing the cervical spine
Which of the following injuries is LEAST likely to be promptly identified? - ANSWER-
Bowel
A 49-year-old restrained driver involved in a motor vehicle collision presents to the
trauma center complaining of abdominal, pelvic, and bilateral lower extremity pain. Vital
signs are stable. The nurse can anticipate all of these after a negative FAST exam
EXCEPT which of the following? - ANSWER-Diagnostic peritoneal lavage
Why is a measure of serum lactate obtained in the initial assessment of a trauma
patient? - ANSWER-To gauge end-organ perfusion and tissue hypoxia
During the primary survey of an unconscious patient with multi-system trauma, the
nurse notes snoring respirations. Which priority nursing intervention should be
performed next? - ANSWER-Insert an oropharyngeal airway if there is no gag reflex
Which of the following assessment findings differentiates a tension pneumothorax from
a simple pneumothorax? - ANSWER-Hypotension that worsens with inspiration (pulsus
paradoxus)
What is the effect of hypothermia on the oxyhemoglobin dissociation curve? -
ANSWER-Hemoglobin does not readily release oxygen for use by the tissues (Left shift)
, A trauma patient is en route to a rural emergency department. Radiology notifies the
charge nurse that the computed tomography (CT) scanner will be out of service for
several hours. The team gathers to plan accordingly. Which of the following terms best
describes this trauma team's communication? - ANSWER-Huddle
An intubated trauma patient is being transferred to a tertiary care center. After moving
the patient to the stretcher for transport, a drop in pulse oximetry to 85% is noted. Which
of the following is the priority intervention? - ANSWER-Confirm endotracheal tube
placement
A 20-year-old male presents to the ED complaining of severe lower abdominal pain
after landing hard on the bicycle cross bars while performing an aerial BMX maneuver.
Secondary assessment reveals lower abdominal tenderness and scrotal ecchymosis.
Which of the following orders would the nurse question? - ANSWER-Straight catheter
for urine sample
You are treating a 27-year-old male in respiratory distress who was involved in a house
fire. Calculating total body surface area (TBSA) burned is deferred due to the need for
emergent intubation. At what rate should you begin fluid resuscitation? - ANSWER-500
mL/hr
A patient has been in the emergency department 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 complaining of leg pain. His wife reported that he suddenly
became anxious and confused. Upon reassessment, the patient is restless, with
respiratory distress and petechiae to his neck. The patient is exhibiting signs and
symptoms most commonly associated with which of the following conditions? -
ANSWER-Fat embolism
What finding raises suspicion of a complete spinal cord injury? - ANSWER-Priapism
A patient is thrown against a car during a tornado and presents with obvious bilateral
femoral fractures. The patient is pale, alert, disoriented, and has delayed capillary refill.
Which of the following interventions would be most appropriate for this patient based on
the disaster triage principles? - ANSWER-Initiate two large-caliber intravenous lines for
Ringer's lactate solution administration.
A 36-year-old female has a deformity of the left wrist after a fall. She is reluctant to
move her hand due to pain. Which of the following is the most appropriate intervention?
- ANSWER-Apply a splint and elevate the extremity above the level of the heart
Which of the following is a late sign of increased intracranial pressure? - ANSWER-
Decreased respiratory effort
QUESTIONS AND ANSWERS 100%
VERIFIED
EMS brings a patient who fell while 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-Alert with no
neurological deficits
The trauma nurse knows that placing a bariatric patient in a "ramped position" provides
better visualization during the insertion of which device? - ANSWER-Endotracheal tube
A 35-year-old male presents with facial trauma after being struck in the face with a
baseball. A teardrop-shaped left pupil is noted on exam. What type of injury is
suspected? - ANSWER-Globe rupture
Caregivers carry a 2-year-old into the emergency department who fell out of a second-
story window. The patient is awake and crying with increased work of breathing and
pale skin. Which of the following interventions has the highest priority? - ANSWER-
Padding the upper back while stabilizing the cervical spine
Which of the following injuries is LEAST likely to be promptly identified? - ANSWER-
Bowel
A 49-year-old restrained driver involved in a motor vehicle collision presents to the
trauma center complaining of abdominal, pelvic, and bilateral lower extremity pain. Vital
signs are stable. The nurse can anticipate all of these after a negative FAST exam
EXCEPT which of the following? - ANSWER-Diagnostic peritoneal lavage
Why is a measure of serum lactate obtained in the initial assessment of a trauma
patient? - ANSWER-To gauge end-organ perfusion and tissue hypoxia
During the primary survey of an unconscious patient with multi-system trauma, the
nurse notes snoring respirations. Which priority nursing intervention should be
performed next? - ANSWER-Insert an oropharyngeal airway if there is no gag reflex
Which of the following assessment findings differentiates a tension pneumothorax from
a simple pneumothorax? - ANSWER-Hypotension that worsens with inspiration (pulsus
paradoxus)
What is the effect of hypothermia on the oxyhemoglobin dissociation curve? -
ANSWER-Hemoglobin does not readily release oxygen for use by the tissues (Left shift)
, A trauma patient is en route to a rural emergency department. Radiology notifies the
charge nurse that the computed tomography (CT) scanner will be out of service for
several hours. The team gathers to plan accordingly. Which of the following terms best
describes this trauma team's communication? - ANSWER-Huddle
An intubated trauma patient is being transferred to a tertiary care center. After moving
the patient to the stretcher for transport, a drop in pulse oximetry to 85% is noted. Which
of the following is the priority intervention? - ANSWER-Confirm endotracheal tube
placement
A 20-year-old male presents to the ED complaining of severe lower abdominal pain
after landing hard on the bicycle cross bars while performing an aerial BMX maneuver.
Secondary assessment reveals lower abdominal tenderness and scrotal ecchymosis.
Which of the following orders would the nurse question? - ANSWER-Straight catheter
for urine sample
You are treating a 27-year-old male in respiratory distress who was involved in a house
fire. Calculating total body surface area (TBSA) burned is deferred due to the need for
emergent intubation. At what rate should you begin fluid resuscitation? - ANSWER-500
mL/hr
A patient has been in the emergency department 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 complaining of leg pain. His wife reported that he suddenly
became anxious and confused. Upon reassessment, the patient is restless, with
respiratory distress and petechiae to his neck. The patient is exhibiting signs and
symptoms most commonly associated with which of the following conditions? -
ANSWER-Fat embolism
What finding raises suspicion of a complete spinal cord injury? - ANSWER-Priapism
A patient is thrown against a car during a tornado and presents with obvious bilateral
femoral fractures. The patient is pale, alert, disoriented, and has delayed capillary refill.
Which of the following interventions would be most appropriate for this patient based on
the disaster triage principles? - ANSWER-Initiate two large-caliber intravenous lines for
Ringer's lactate solution administration.
A 36-year-old female has a deformity of the left wrist after a fall. She is reluctant to
move her hand due to pain. Which of the following is the most appropriate intervention?
- ANSWER-Apply a splint and elevate the extremity above the level of the heart
Which of the following is a late sign of increased intracranial pressure? - ANSWER-
Decreased respiratory effort
