TNCC 9th EDITION EXAM NEWEST
COMPLETE QUESTIONS AND CORRECT
VERIFIED ANSWERS| WELL GRADED
A+||LATEST UPDATE
A trauma patient is being held in the emergency department, because there are no
available inpatient beds. The patient has seen a femur fracture and required multiple
blood products. The patient now has blood oozing from abrasions, IV sides, the nose,
and gums. What condition is most consistent with these findings? - CORRECT
ANSWERS-DIC
A patient with a chest tube is being transported to the intensive care unit and fluctuation
is noted in the water seal chamber during inspiration and expiration. What is the best
action for the nurse to take? - CORRECT ANSWERS-continue to ICU
A patient has uncontrolled bleeding from a wound to his right upper extremity. What is a
priority intervention? - CORRECT ANSWERS-Apply direct pressure to the wound
A patient has received multiple transfusions of banks blood in the past two hours. the
patient has - CORRECT ANSWERS-Calcium gluconate
Three adults present at different times during a one-hour period with a high fever,
fatigue, and headache. All three patients have a rash which started on their mouth, face,
and arms with progression to the chest and abdomen. They all visited the same grocery
store within the last week. What is the most appropriate intervention from triage for
these patients? - CORRECT ANSWERS-immediately initiate isolation precautions
A trauma patient who is 30 weeks pregnant arrives at the emergency department
following a motor vehicle crash - CORRECT ANSWERS-increased oxygen consumption
Following a gun shot wound, pre-hospital providers report diminished breath sounds
bilaterally. Upon emergency department arrival, the patient is unresponsive with shallow
respirations and an O2 sat of 88%. What is the priority intervention for this patient? -
CORRECT ANSWERS-Pneumothorax, hemothoax, contusion, or flail chest
A patient with a traumatic brain injury has a mean arterial pressure (MAP) of 65 mm Hg
(8.66 kPa) and an intracranial pressure (ICP) of 22 mm Hg (2.93 kPa). Which finding is
most likely an indication of the body's response to these findings? - CORRECT
ANSWERS-reflex tachycardia
, An adult patient involved in an assault presents with shortness of breath, BP 88/50
mmHg, heart rate of 130 beats/minute, and RR 32 breaths/minute. The patient has
muffled heart sounds and is cyanotic. What is the priority intervention? - CORRECT
ANSWERS-pericardiocentesis
Which blood pressure finding is associated with early or compensated hypovolemic
shock? - CORRECT ANSWERS-rising diastolic
A patient who jumped out of a second-floor window, landing on their feet is diagnosed
with a lumbar spinal fracture. What is the most likely concurrent injury to have occurred?
- CORRECT ANSWERS-calcaneus fracture
An adult patient who sustained a severe head trauma has been intubated and has been
manually ventilated via a bag mask device at a rate of 18 breaths per minute. The
patient has received one intravenous fluid bolus of 500 ML of warmed isotonic
crystalloid solution. The PaCO2 is 30 and a pulse ox symmetry is 92%. BP is 142/70.
What is the most important intervention to manage the cerebral blood flow? -
CORRECT ANSWERS-decrease the rate of manual ventilation
An older patient with a history of anticoagulant use presents after a fall at home the
previous day. She denies LLC. She has a hematoma to her for head and complains of
headache, dizziness, and nausea. What is the most likely cause of her symptoms? -
CORRECT ANSWERS-Subdural hematoma
An adult who fell from a second story roof is brought to the emergency department by
private vehicle. The patient is confused with an labored, respirations. It has strong,
palpable, radial pulses. There is an open wound in proximity to Novios, deformity of the
left lower extremity. What is the priority intervention? - CORRECT ANSWERS-Stabilize
the C-spine
A trauma patient is restless and repeatedly asking "where am I?" Vitals upon arrival
were BP 110/60, HR 96, RR 24. Her skin is cool and dry. Current vital signs are BP
104/84, heart rate 108, respirations 28. The patient is demonstrating signs and
symptoms of which stage of shock. - CORRECT ANSWERS-compensated
A 35-year-old male presents with facial trauma after being struck in the face with a
baseball. A teardrop shaped left people is noted on exam. What type of injury is
suspected? - CORRECT ANSWERS-Globe rupture
An adult patient with a restraint passenger involved in a high-speed motor vehicle
collision. The patient complained of generalized abdominal and left leg pain. A fast
examines negative for fluid in the abdominal cavity. While awaiting impatient bed
placement, the patient develops increase abdominal pain with rebound tenderness,
fever, in an elevated white blood cell count. These findings are most consistent with an
injury to which organ? - CORRECT ANSWERS-Small bowel
COMPLETE QUESTIONS AND CORRECT
VERIFIED ANSWERS| WELL GRADED
A+||LATEST UPDATE
A trauma patient is being held in the emergency department, because there are no
available inpatient beds. The patient has seen a femur fracture and required multiple
blood products. The patient now has blood oozing from abrasions, IV sides, the nose,
and gums. What condition is most consistent with these findings? - CORRECT
ANSWERS-DIC
A patient with a chest tube is being transported to the intensive care unit and fluctuation
is noted in the water seal chamber during inspiration and expiration. What is the best
action for the nurse to take? - CORRECT ANSWERS-continue to ICU
A patient has uncontrolled bleeding from a wound to his right upper extremity. What is a
priority intervention? - CORRECT ANSWERS-Apply direct pressure to the wound
A patient has received multiple transfusions of banks blood in the past two hours. the
patient has - CORRECT ANSWERS-Calcium gluconate
Three adults present at different times during a one-hour period with a high fever,
fatigue, and headache. All three patients have a rash which started on their mouth, face,
and arms with progression to the chest and abdomen. They all visited the same grocery
store within the last week. What is the most appropriate intervention from triage for
these patients? - CORRECT ANSWERS-immediately initiate isolation precautions
A trauma patient who is 30 weeks pregnant arrives at the emergency department
following a motor vehicle crash - CORRECT ANSWERS-increased oxygen consumption
Following a gun shot wound, pre-hospital providers report diminished breath sounds
bilaterally. Upon emergency department arrival, the patient is unresponsive with shallow
respirations and an O2 sat of 88%. What is the priority intervention for this patient? -
CORRECT ANSWERS-Pneumothorax, hemothoax, contusion, or flail chest
A patient with a traumatic brain injury has a mean arterial pressure (MAP) of 65 mm Hg
(8.66 kPa) and an intracranial pressure (ICP) of 22 mm Hg (2.93 kPa). Which finding is
most likely an indication of the body's response to these findings? - CORRECT
ANSWERS-reflex tachycardia
, An adult patient involved in an assault presents with shortness of breath, BP 88/50
mmHg, heart rate of 130 beats/minute, and RR 32 breaths/minute. The patient has
muffled heart sounds and is cyanotic. What is the priority intervention? - CORRECT
ANSWERS-pericardiocentesis
Which blood pressure finding is associated with early or compensated hypovolemic
shock? - CORRECT ANSWERS-rising diastolic
A patient who jumped out of a second-floor window, landing on their feet is diagnosed
with a lumbar spinal fracture. What is the most likely concurrent injury to have occurred?
- CORRECT ANSWERS-calcaneus fracture
An adult patient who sustained a severe head trauma has been intubated and has been
manually ventilated via a bag mask device at a rate of 18 breaths per minute. The
patient has received one intravenous fluid bolus of 500 ML of warmed isotonic
crystalloid solution. The PaCO2 is 30 and a pulse ox symmetry is 92%. BP is 142/70.
What is the most important intervention to manage the cerebral blood flow? -
CORRECT ANSWERS-decrease the rate of manual ventilation
An older patient with a history of anticoagulant use presents after a fall at home the
previous day. She denies LLC. She has a hematoma to her for head and complains of
headache, dizziness, and nausea. What is the most likely cause of her symptoms? -
CORRECT ANSWERS-Subdural hematoma
An adult who fell from a second story roof is brought to the emergency department by
private vehicle. The patient is confused with an labored, respirations. It has strong,
palpable, radial pulses. There is an open wound in proximity to Novios, deformity of the
left lower extremity. What is the priority intervention? - CORRECT ANSWERS-Stabilize
the C-spine
A trauma patient is restless and repeatedly asking "where am I?" Vitals upon arrival
were BP 110/60, HR 96, RR 24. Her skin is cool and dry. Current vital signs are BP
104/84, heart rate 108, respirations 28. The patient is demonstrating signs and
symptoms of which stage of shock. - CORRECT ANSWERS-compensated
A 35-year-old male presents with facial trauma after being struck in the face with a
baseball. A teardrop shaped left people is noted on exam. What type of injury is
suspected? - CORRECT ANSWERS-Globe rupture
An adult patient with a restraint passenger involved in a high-speed motor vehicle
collision. The patient complained of generalized abdominal and left leg pain. A fast
examines negative for fluid in the abdominal cavity. While awaiting impatient bed
placement, the patient develops increase abdominal pain with rebound tenderness,
fever, in an elevated white blood cell count. These findings are most consistent with an
injury to which organ? - CORRECT ANSWERS-Small bowel
