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Exam (elaborations)

TNCC Exam 9th Edition Study Guide 2025 Q&A

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TNCC Exam 9th Edition Study Guide 2025 Q&A

1.Whateisetheeeffecteofehypothermiaeonetheeoxyhemoglobinedissociationecurvee-
CORRECTeANSWER-
e



HemoglobinedoesenotereadilyereleaseeoxygeneforeuseebyetheetissueseAeshiftetoetheelefteoccurseineane
environmenteofelowemetabolicedemande(hypothermia,ehypocapnia,ealkalosis),eincreasingehemogl
obin'seaffinityeforeoxygen.


EMSearrivesewithetheeintoxicatededrivereofeaecareinvolvedeineaemotorevehicleecrash.eEMSereportsesig
nificantedamageetoetheedriver'sesideeofetheecar.eTheepatienteiseaskingetoehaveetheecervicalecollarere
moved.eWheneiteiseappropriateetoeremoveetheecervicalecollar?e-eCORRECTeANSWER-
AftereaephysicaleexaminationeifetheepatientehasenoeradiologiceabnormalitieseoneCTeAeCTeiserecomm
endedeforespinaleclearanceeineaneimpairedepatient.


Theenurseeisecaringeforeae120ekgemaleebroughteineaftereaewarehouseefireeandeisecalculatingetheepati
ent'sefluideresuscitationeneeds.eHeehasepainfuleredeblisteringetoetheeentireesurfaceeofebotheupperee
xtremitieseandesuperficialeburnsetoetheeanteriorechest.
UsingetheemodifiedeLundeandeBrowderechartetoecalculateetheetotalebodyesurfaceeareaeburned,eh
owemucheIVefluidewouldebeeadministeredeinetheefirste8ehours?e-eCORRECTeANSWER-
2280emLeBotheupperearmse=e8%,ebothelowerearmse=e6%,eandebothehandse=e5%,eyieldinge19e*e2e*e
120e=e4560emL.eHalfeofetheetotaleiseequaletoe2280emL.eSuperficialeburnseareenoteincludedeinetheeT
BSAecalculationeforefluideresuscitation.


Whicheofetheefollowingeiseaneexpectedefindingeineaepatientewitheaetubeethoracostomyeconnectedetoe
aechestedrainageesysteme-eCORRECTeANSWER-
FluctuationeinetheewateresealechambereFluctuationeinetheewateresealechambereindicatesetheetubeei
seplacedecorrectlyeinetheepleuralespace.


.Ae35-year-
oldemaleepresentsewithefacialetraumaeafterebeingestruckeinetheefaceewitheaebaseball.eAeteardrop-
shapedeleftepupileisenotedeoneexam.eWhatetypeeofeinjuryeisesuspected?e-eCORRECTeANSWER-
GlobeeruptureeAeteardrop-shapedepupilesuggestseaeglobeerupture.

, .Aepatientewitheaecompleteespinalecordeinjuryeineneurogeniceshockewilledemonstrateehypotensionea
ndewhicheothereclinicalesigns?e-eCORRECTeANSWER-
BradycardiaeandeabsentemotorefunctionebelowetheeleveleofeinjuryePatientsewitheaecompleteespinale
cordeinjuryewillehaveeabsentemotorefunctionebelowetheeleveleofetheelesion.eTheyebecomeehypotensi
veeandebradycardicedueetoelosseofeautonomicenervousesystemefunction.


Whicheofetheefollowingepatientsewarrantsereferraletoeaeburnecenter?e-eCORRECTeANSWER-Ae52-
year-oldediabeticemaleewitheaepartial-
thicknesseburnetoetheeleftelowerelegeThisepatientehaseae7%eTBSAeburnewitheaepreexistingemedicalehi
storyethatecouldecomplicateemanagement,eprolongerecovery,eoreaffectemortality.

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