TNCC nn9th nnEdition, nnTNCC nn9th nnEdition nnFINAL nnTEST, nnTNCC
nn9th nnEdition
1. You nnare nncaring nnfor nna nnpatient nnwho nnwas nnthrown nnfrom nna nnbike nnand
nnwas nnnot nnwearing nna nnhelmet. nnWhile nnperforming nnthe nnhead-to-toe
nnassessment, nnyou nnnote nnclear nndrainage nnfrom nnthe nnright nnear. nnWhich nnof
nnthe nnfollowing nnis nnthe nnmost nnappropriate nnnext nnstep?
A. Clean nnthe nnear nnwith nna nncotton-tipped nnapplicator.
B. Pack nnthe nnear nnwith nngauze.
C. Notify nnthe nnphysician
D. Document nnand nncontinue nnthe nnexam.: nnC. nnNotify nnthe nnphysician
2. A nnpatient nnis nnbrought nnto nnthe nnemergency nndepartment nnof nna nnrural
nnhospital nnfol- nnlowing nna nnhigh-speed nnmotor nnvehicle nncollision. nnWhen
nnsignificant nnabdominal nnand nnpelvic nninjuries nnare nnnoted nnin nnthe nnprimary
nnsurvey, nnwhat nnis nnthe nnpriority nninterven- nntion?
A. Initiate nntransfer nnto nna nntrauma nncenter
B. Attempt nnfamily nnnotification
C. Obtain nnadditional nnimaging nnstudies
D. Place nnan nnindwelling nnurinary nncatheter: nnA. nnInitiate nntransfer nnto nna
nntrauma nncenter
3. An nnadult nnwho nnfell nnfrom nna nnsecond nnstory nnroof nnis nnbrought nnto
nnthe nnemergency nndepartment nnby nnprivate nnvehicle. nnThe nnpatient nnis
nnconfused nnwith nnunlabored nnres- nnpirations nnand nnhas nnstrong, nnpalpable
nnradial nnpulses. nnThere nnis nnan nnopen nnwound nnin nnproximity nnto nnan
nnobvious nndeformity nnof nnthe nnleft nnlower nnextremity. nnWhat nnis nnthe
nnpriority nnintervention?
A. Initiate nncervical nnspine nnstabilization
B. Apply nna nnsplint nnto nnthe nnlower nnextremity
C. Put nnthe nnpatient nnon nnportable nnoxygen.
D. Log nnroll nnthe nnpatient nnonto nna nnspine nnboard: nnA. nnInitiate nncervical
nnspine nnstabilization
4. An nnadult nnpatient nnwho nnsustained nna nnsevere nnhead nntrauma nnhas
nnbeen nnintubat- nned nnand nnis nnbeing nnmanually nnventilated nnvia nna nnbag-
mask nndevice nnat nna nnrate nnof nn18 nnbreaths/minute. nnThe nnpatient nnhas
nnreceived nnone nnintravenous nnfluid nnbolus nnof nn500
mL nnof nnwarmed nnisotonic nncrystalloid nnsolution. nnThe nnPaCO2 nnis nn30 nnmm
nnHg nn(4.0 nnkPa), nnand nnthe nnpulse nnoximetry nnis nn92%. nnBP nnis nn142/70 nnmm nnHg.
nnWhat nnis nnthe nnmost nnimportant nnintervention nnto nnmanage nnthe nncerebral
nnblood nnflow?
1 nn/
, TNCC nn9th nnEdition, nnTNCC nn9th nnEdition nnFINAL nnTEST, nnTNCC
nn9th nnEdition
A. Decrease nnthe nnrate nnof nnmanual nnventilation.
B. Initiate nnanother nnfluid nnbolus.
C. Recheck nnendotracheal nntube nnplacement.
2 nn/
, TNCC nn9th nnEdition, nnTNCC nn9th nnEdition nnFINAL nnTEST, nnTNCC
nn9th nnEdition
D. Increase nnthe nnamount nnof nnoxygen nndelivered.: nnA. nnDecrease nnthe
nnrate nnof nnmanual nnventilation.
5. An nnadult nnpatient nnis nnbrought nnto nnthe nnemergency nndepartment
nnfollowing nna nnvehi- nncle nn"roll-over" nnwith nnprolonged nnextrication.
nnAssessment nnreveals nnswelling nnand nnbruising nnto nnthe nnright nnproximal
nnthigh nnand nna nnweak nnpedal nnpulse. nnSkin nnis nnpale, nncool, nnand nnmoist. nnWhat
nnis nnthe nnmost nnappropriate nninitial nnintervention?
A. Application nnof nna nntourniquet nnto nnthe nnaffected nnextremity
B. Application nnof nna nnpelvic nnbinder
C. Fluid nnresuscitation nnto nnmaintain nna nnurine nnoutput nnof nn0.5 nnmL/kg/hour
D. Oxygen nnto nnmaintain nnthe nnETCO2 nnbetween nn30-35 nnmm nnHg nn(3.9-
4.6 nnkPa): nnB. nnApplication nnof nna nnpelvic nnbinder
6. An nnadult nnarrives nnat nnthe nnemergency nndepartment nnwith nnsuperficial
nnburns nnto nnthe nnextremities nnfollowing nna nnhouse nnfire. nnThe nnpatient nnis
nnreporting nna nnheadache nnwith nnnausea nnand nnis nndrowsy nnand nnconfused.
nnWhat nnis nnthe nnmost nnlikely nncause nnof nnthese nnsymptoms?
A. Capillary nnleak nnsyndrome
B. Rhabdomyolysis
C. Carbon nnmonoxide nnpoisoning
D. Hypothermia:
7. Using nnthe nnAmerican nnCollege nnof nnSurgeons nnGuidelines nnfor
nnScreening nnPatients nnwith nnSuspected nnSpine nnInjury, nnwhat nnassessment
nnfinding nnwould nnprompt nnthe nnnurse nnto nnprepare nna nnpatient nnfor nncervical
nnspine nnimaging?
A. Alert nnwith nnno nnneurologic nndeficits nnor nnneck nnpain
B. Multiple nnabrasions nnto nnthe nnextremities
C. Ecchymosis nnto nnthe nnflank
D. Responds nnto nnverbal nnstimulation nnusing nnAVPU:
8. A nn5-month nnpregnant nnpatient nnarrives nnin nnthe nnemergency
nndepartment nnstating nnshe nntripped nnand nnfell, nnlanding nnon nnher nnabdomen.
nnAssessment nnreveals nnbruising nnto nnthe nnabdomen, nnboth nnarms, nnand nnher
nnneck. nnShe nnstates nnshe nndoes nnnot nntake
any nnmedications nnand nnhas nnnot nnhad nnany nnprenatal nncare. nnThe nnnurse
nnsuspects nnthe nnfindings nnare nnmost nnlikely nnrelated nnto nnwhich nnof nnthe
nnfollowing?
3 nn/
, TNCC nn9th nnEdition, nnTNCC nn9th nnEdition nnFINAL nnTEST, nnTNCC
nn9th nnEdition
A.Intentional nnviolence
nnB.Pregnancy-related
nnchanges nnC.Undiagnosed
nnembolus nnD.Iron
nndeficiency:
4 nn/
nn9th nnEdition
1. You nnare nncaring nnfor nna nnpatient nnwho nnwas nnthrown nnfrom nna nnbike nnand
nnwas nnnot nnwearing nna nnhelmet. nnWhile nnperforming nnthe nnhead-to-toe
nnassessment, nnyou nnnote nnclear nndrainage nnfrom nnthe nnright nnear. nnWhich nnof
nnthe nnfollowing nnis nnthe nnmost nnappropriate nnnext nnstep?
A. Clean nnthe nnear nnwith nna nncotton-tipped nnapplicator.
B. Pack nnthe nnear nnwith nngauze.
C. Notify nnthe nnphysician
D. Document nnand nncontinue nnthe nnexam.: nnC. nnNotify nnthe nnphysician
2. A nnpatient nnis nnbrought nnto nnthe nnemergency nndepartment nnof nna nnrural
nnhospital nnfol- nnlowing nna nnhigh-speed nnmotor nnvehicle nncollision. nnWhen
nnsignificant nnabdominal nnand nnpelvic nninjuries nnare nnnoted nnin nnthe nnprimary
nnsurvey, nnwhat nnis nnthe nnpriority nninterven- nntion?
A. Initiate nntransfer nnto nna nntrauma nncenter
B. Attempt nnfamily nnnotification
C. Obtain nnadditional nnimaging nnstudies
D. Place nnan nnindwelling nnurinary nncatheter: nnA. nnInitiate nntransfer nnto nna
nntrauma nncenter
3. An nnadult nnwho nnfell nnfrom nna nnsecond nnstory nnroof nnis nnbrought nnto
nnthe nnemergency nndepartment nnby nnprivate nnvehicle. nnThe nnpatient nnis
nnconfused nnwith nnunlabored nnres- nnpirations nnand nnhas nnstrong, nnpalpable
nnradial nnpulses. nnThere nnis nnan nnopen nnwound nnin nnproximity nnto nnan
nnobvious nndeformity nnof nnthe nnleft nnlower nnextremity. nnWhat nnis nnthe
nnpriority nnintervention?
A. Initiate nncervical nnspine nnstabilization
B. Apply nna nnsplint nnto nnthe nnlower nnextremity
C. Put nnthe nnpatient nnon nnportable nnoxygen.
D. Log nnroll nnthe nnpatient nnonto nna nnspine nnboard: nnA. nnInitiate nncervical
nnspine nnstabilization
4. An nnadult nnpatient nnwho nnsustained nna nnsevere nnhead nntrauma nnhas
nnbeen nnintubat- nned nnand nnis nnbeing nnmanually nnventilated nnvia nna nnbag-
mask nndevice nnat nna nnrate nnof nn18 nnbreaths/minute. nnThe nnpatient nnhas
nnreceived nnone nnintravenous nnfluid nnbolus nnof nn500
mL nnof nnwarmed nnisotonic nncrystalloid nnsolution. nnThe nnPaCO2 nnis nn30 nnmm
nnHg nn(4.0 nnkPa), nnand nnthe nnpulse nnoximetry nnis nn92%. nnBP nnis nn142/70 nnmm nnHg.
nnWhat nnis nnthe nnmost nnimportant nnintervention nnto nnmanage nnthe nncerebral
nnblood nnflow?
1 nn/
, TNCC nn9th nnEdition, nnTNCC nn9th nnEdition nnFINAL nnTEST, nnTNCC
nn9th nnEdition
A. Decrease nnthe nnrate nnof nnmanual nnventilation.
B. Initiate nnanother nnfluid nnbolus.
C. Recheck nnendotracheal nntube nnplacement.
2 nn/
, TNCC nn9th nnEdition, nnTNCC nn9th nnEdition nnFINAL nnTEST, nnTNCC
nn9th nnEdition
D. Increase nnthe nnamount nnof nnoxygen nndelivered.: nnA. nnDecrease nnthe
nnrate nnof nnmanual nnventilation.
5. An nnadult nnpatient nnis nnbrought nnto nnthe nnemergency nndepartment
nnfollowing nna nnvehi- nncle nn"roll-over" nnwith nnprolonged nnextrication.
nnAssessment nnreveals nnswelling nnand nnbruising nnto nnthe nnright nnproximal
nnthigh nnand nna nnweak nnpedal nnpulse. nnSkin nnis nnpale, nncool, nnand nnmoist. nnWhat
nnis nnthe nnmost nnappropriate nninitial nnintervention?
A. Application nnof nna nntourniquet nnto nnthe nnaffected nnextremity
B. Application nnof nna nnpelvic nnbinder
C. Fluid nnresuscitation nnto nnmaintain nna nnurine nnoutput nnof nn0.5 nnmL/kg/hour
D. Oxygen nnto nnmaintain nnthe nnETCO2 nnbetween nn30-35 nnmm nnHg nn(3.9-
4.6 nnkPa): nnB. nnApplication nnof nna nnpelvic nnbinder
6. An nnadult nnarrives nnat nnthe nnemergency nndepartment nnwith nnsuperficial
nnburns nnto nnthe nnextremities nnfollowing nna nnhouse nnfire. nnThe nnpatient nnis
nnreporting nna nnheadache nnwith nnnausea nnand nnis nndrowsy nnand nnconfused.
nnWhat nnis nnthe nnmost nnlikely nncause nnof nnthese nnsymptoms?
A. Capillary nnleak nnsyndrome
B. Rhabdomyolysis
C. Carbon nnmonoxide nnpoisoning
D. Hypothermia:
7. Using nnthe nnAmerican nnCollege nnof nnSurgeons nnGuidelines nnfor
nnScreening nnPatients nnwith nnSuspected nnSpine nnInjury, nnwhat nnassessment
nnfinding nnwould nnprompt nnthe nnnurse nnto nnprepare nna nnpatient nnfor nncervical
nnspine nnimaging?
A. Alert nnwith nnno nnneurologic nndeficits nnor nnneck nnpain
B. Multiple nnabrasions nnto nnthe nnextremities
C. Ecchymosis nnto nnthe nnflank
D. Responds nnto nnverbal nnstimulation nnusing nnAVPU:
8. A nn5-month nnpregnant nnpatient nnarrives nnin nnthe nnemergency
nndepartment nnstating nnshe nntripped nnand nnfell, nnlanding nnon nnher nnabdomen.
nnAssessment nnreveals nnbruising nnto nnthe nnabdomen, nnboth nnarms, nnand nnher
nnneck. nnShe nnstates nnshe nndoes nnnot nntake
any nnmedications nnand nnhas nnnot nnhad nnany nnprenatal nncare. nnThe nnnurse
nnsuspects nnthe nnfindings nnare nnmost nnlikely nnrelated nnto nnwhich nnof nnthe
nnfollowing?
3 nn/
, TNCC nn9th nnEdition, nnTNCC nn9th nnEdition nnFINAL nnTEST, nnTNCC
nn9th nnEdition
A.Intentional nnviolence
nnB.Pregnancy-related
nnchanges nnC.Undiagnosed
nnembolus nnD.Iron
nndeficiency:
4 nn/
