TNCC ENA 9TH EDITION PRE TEST
QUESTIONS WITH COMPLETE
ANSWERS
A vvpatient vvarrives vvat vvthe vvemergency vvdepartment vvby vvprivate vvvehicle vvafter
vvsustaining vvan vvinjury vvto vvthe vvright vvlower vvextremity vvwhile vvusing vva vvsaw.
vvThere vvis vva vvlarge vvgaping vvwound vvto vvthe vvright vvthigh vvarea vvwith vvsignificant
vvbleeding. vvWhat vvis vvthe vvpriority vvintervention?
A. vvElevate vvthe vvextremity vvto vvthe vvlevel vvof vvthe vvheart
B. vvInitiate vvdirect vvpressure
C. vvApply vva vvtourniquet
D. vvCover vvthe vvopen vvwound vvwith vvsterile vvsaline vvdressings vv- vvANS-B. vvInitiate
vvdirect vvpressure
Rationale: vvThe vvfirst vvstep vvinn vvcontrolling vvany vvbleeding vvis vvapplication vvof
vvdirect vvpressure.
What vvtechnique vvis vvmost vvappropriate vvwhen vvobtaining vva vvhistory vvfrom vva
vvpatient vvwho vvhas vvexperienced vva vvsexual vvassault?
A. vvSitting vvnext vvto vvthe vvpatient
B. vvEnsuring vvthe vvpatient vvanswers vvall vvthe vvquestions
C. vvAsking vvfor vvinformation vvonly vvrelated vvto vvthe vvassault
D. vvApplying vvactive vvlistening vv- vvANS-D. vvApplying vvactive vvlistening
Rationale: vvTherapeutic vvcommunication vvtechniques vvsuch vvas vvactive vvlistening
vvdecrease vvunintentional vvdistress vvduring vvthe vvinteraction.
What vvis vvthe vvappropriate vvtechnique vvfor vvpalpating vvthe vvpelvis vvfor vvstability?
A. vvApply vvgentle vvpressure vvover vvthe vviliac vvcrests, vvdownward vvand vvlaterally
B. vvApply vvgentle vvpressure vvover vvthe vviliac vvcrests, vvdownward vvand vvmedially
C. vvApply vvfirm vvpressure vvover vvthe vviliac vvcrests, vvdownward vvand vvlaterally
, D. vvApply vvfirm vvpressure vvover vvthe vviliac vvcrests, vvdownward vvand vvmedially vv-
vvANS-B. vvApply vvgentle vvpressure vvover vvthe vviliac vvcrests, vvdownward vvand
vvmedially
Rationale: vvTo vvassess vvfor vvpelvic vvinstability, vvgentle vvpressure vvis vvapplied vvover
vvthe vviliac vvcrests, vvdownward vvand vvmedially.
A vvtrauma vvnurse vvcared vvfor vva vvchild vvwith vvdevastating vvburns vvtwo vvweeks vvago.
vvThe vvnurse vvcalled vvin vvsick vvfor vva vvcouple vvof vvdays vvand vvis vvnow vvback
vvworking vvon vvthe vvteam. vvWhich vvof vvthe vvfollowing vvwould vvindicate vvthis vvnurse
vvis vvcoping vvwell?
A. vvThey vvare vvtalking vvabout vvtaking vvthe vvemergency vvnursing vvcertification vvexam
B. vvThey vvkeep vvrequesting vvto vvbe vvassigned vvto vvthe vvwalk-in/ambulatory vvarea
C. vvThey vvare vvimpatient vvand vvsnap vvat vvtheir vvcoworkers
D. vvThey vvare vvthinking vvabout vvtransferring vvout vvof vvthe vvemergency vvdepartment
vv- vvANS-A. vvThey vvare vvtalking vvabout vvtaking vvthe vvemergency vvnursing
vvcertification vvexam
Rationale: vvThis vvis vvan vvindication vvthe vvnurse vvis vvtaking vvpositive vvsteps vvto
vvadvance vvtheir vvown vvpractice, vva vvsign vvof vvresilience. vvB vvindicates vvthe vvnurse
vvis vvstill vvnot vvready vvto vvreturn vvto vvtheir vvprevious vvlevel vvof vvengagement vvin
vvtheir vvjob. vvC vvshows vvsigns vvof vvburnout, vvirritability vvand vvfrustration. vvD vvshows
vvdecreased vvsatisfaction vvwith vvthe vvjob, vva vvsign vvof vvburnout.
The vvvital vvsigns vvof vva vvpregnant vvtrauma vvpatient vvat vv30 vvweeks vvinclude vva
vvblood vvpressure vvof vv94/62 vvmmHg vvand vva vvheart vvrate vvof vv108 vvbeats/minute.
vvFetal vvheart vvtones vvare vv124 vvbeats/minute. vvThe vvemergency vvnurse vvinterprets
vvthe vvpatient's vvhemodynamic vvfindings vvas vvan vvindication vvof vvwhich vvof vvthe
vvfollowing?
A. vvDecompensated vvshock
B. vvNormal vvvital vvsigns vvin vvpregnancy
C. vvCompensated vvshock
D. vvSupine vvhypotension vvsyndrome vv- vvANS-B. vvNormal vvvital vvsigns vvin vvpregnancy
Rationale: vvIn vvpregnancy, vvthe vvresting vvheart vvrate vvincreases vvby vv10 vvto vv20
vvbeats/minute. vvThis vvis vvalso vva vvsmall vvdecrease vvin vvsystolic vvblood vvpressure
vvand vva vvlarger vvdecrease vvin vvdiastolic vvblood vvpressure vvdue vvto vva vvdecrease vvin
vvperipheral vvresistance. vvNormal vvfetal vvheart vvrate vvis vvbetween vv120 vvand vv160
vvbeats/minute.
Which vvof vvthe vvfollowing vvis vvconsidered vva vvcornerstone vvof vva vvhigh-performance
vvtrauma vvteam?
A. vvIndividual vvgoals
QUESTIONS WITH COMPLETE
ANSWERS
A vvpatient vvarrives vvat vvthe vvemergency vvdepartment vvby vvprivate vvvehicle vvafter
vvsustaining vvan vvinjury vvto vvthe vvright vvlower vvextremity vvwhile vvusing vva vvsaw.
vvThere vvis vva vvlarge vvgaping vvwound vvto vvthe vvright vvthigh vvarea vvwith vvsignificant
vvbleeding. vvWhat vvis vvthe vvpriority vvintervention?
A. vvElevate vvthe vvextremity vvto vvthe vvlevel vvof vvthe vvheart
B. vvInitiate vvdirect vvpressure
C. vvApply vva vvtourniquet
D. vvCover vvthe vvopen vvwound vvwith vvsterile vvsaline vvdressings vv- vvANS-B. vvInitiate
vvdirect vvpressure
Rationale: vvThe vvfirst vvstep vvinn vvcontrolling vvany vvbleeding vvis vvapplication vvof
vvdirect vvpressure.
What vvtechnique vvis vvmost vvappropriate vvwhen vvobtaining vva vvhistory vvfrom vva
vvpatient vvwho vvhas vvexperienced vva vvsexual vvassault?
A. vvSitting vvnext vvto vvthe vvpatient
B. vvEnsuring vvthe vvpatient vvanswers vvall vvthe vvquestions
C. vvAsking vvfor vvinformation vvonly vvrelated vvto vvthe vvassault
D. vvApplying vvactive vvlistening vv- vvANS-D. vvApplying vvactive vvlistening
Rationale: vvTherapeutic vvcommunication vvtechniques vvsuch vvas vvactive vvlistening
vvdecrease vvunintentional vvdistress vvduring vvthe vvinteraction.
What vvis vvthe vvappropriate vvtechnique vvfor vvpalpating vvthe vvpelvis vvfor vvstability?
A. vvApply vvgentle vvpressure vvover vvthe vviliac vvcrests, vvdownward vvand vvlaterally
B. vvApply vvgentle vvpressure vvover vvthe vviliac vvcrests, vvdownward vvand vvmedially
C. vvApply vvfirm vvpressure vvover vvthe vviliac vvcrests, vvdownward vvand vvlaterally
, D. vvApply vvfirm vvpressure vvover vvthe vviliac vvcrests, vvdownward vvand vvmedially vv-
vvANS-B. vvApply vvgentle vvpressure vvover vvthe vviliac vvcrests, vvdownward vvand
vvmedially
Rationale: vvTo vvassess vvfor vvpelvic vvinstability, vvgentle vvpressure vvis vvapplied vvover
vvthe vviliac vvcrests, vvdownward vvand vvmedially.
A vvtrauma vvnurse vvcared vvfor vva vvchild vvwith vvdevastating vvburns vvtwo vvweeks vvago.
vvThe vvnurse vvcalled vvin vvsick vvfor vva vvcouple vvof vvdays vvand vvis vvnow vvback
vvworking vvon vvthe vvteam. vvWhich vvof vvthe vvfollowing vvwould vvindicate vvthis vvnurse
vvis vvcoping vvwell?
A. vvThey vvare vvtalking vvabout vvtaking vvthe vvemergency vvnursing vvcertification vvexam
B. vvThey vvkeep vvrequesting vvto vvbe vvassigned vvto vvthe vvwalk-in/ambulatory vvarea
C. vvThey vvare vvimpatient vvand vvsnap vvat vvtheir vvcoworkers
D. vvThey vvare vvthinking vvabout vvtransferring vvout vvof vvthe vvemergency vvdepartment
vv- vvANS-A. vvThey vvare vvtalking vvabout vvtaking vvthe vvemergency vvnursing
vvcertification vvexam
Rationale: vvThis vvis vvan vvindication vvthe vvnurse vvis vvtaking vvpositive vvsteps vvto
vvadvance vvtheir vvown vvpractice, vva vvsign vvof vvresilience. vvB vvindicates vvthe vvnurse
vvis vvstill vvnot vvready vvto vvreturn vvto vvtheir vvprevious vvlevel vvof vvengagement vvin
vvtheir vvjob. vvC vvshows vvsigns vvof vvburnout, vvirritability vvand vvfrustration. vvD vvshows
vvdecreased vvsatisfaction vvwith vvthe vvjob, vva vvsign vvof vvburnout.
The vvvital vvsigns vvof vva vvpregnant vvtrauma vvpatient vvat vv30 vvweeks vvinclude vva
vvblood vvpressure vvof vv94/62 vvmmHg vvand vva vvheart vvrate vvof vv108 vvbeats/minute.
vvFetal vvheart vvtones vvare vv124 vvbeats/minute. vvThe vvemergency vvnurse vvinterprets
vvthe vvpatient's vvhemodynamic vvfindings vvas vvan vvindication vvof vvwhich vvof vvthe
vvfollowing?
A. vvDecompensated vvshock
B. vvNormal vvvital vvsigns vvin vvpregnancy
C. vvCompensated vvshock
D. vvSupine vvhypotension vvsyndrome vv- vvANS-B. vvNormal vvvital vvsigns vvin vvpregnancy
Rationale: vvIn vvpregnancy, vvthe vvresting vvheart vvrate vvincreases vvby vv10 vvto vv20
vvbeats/minute. vvThis vvis vvalso vva vvsmall vvdecrease vvin vvsystolic vvblood vvpressure
vvand vva vvlarger vvdecrease vvin vvdiastolic vvblood vvpressure vvdue vvto vva vvdecrease vvin
vvperipheral vvresistance. vvNormal vvfetal vvheart vvrate vvis vvbetween vv120 vvand vv160
vvbeats/minute.
Which vvof vvthe vvfollowing vvis vvconsidered vva vvcornerstone vvof vva vvhigh-performance
vvtrauma vvteam?
A. vvIndividual vvgoals
