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Exam (elaborations)

TNCC 9th Final Exam Test Latest 2025 Paper 1 Q&A

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TNCC 9th Final Exam Test Latest 2025 Paper 1 Q&A


Whydisdadmeasuredofdserumdlactatedobtaineddindthedinitialdassessmentdofdthedtraumadpatient?

Answer:dcd-dCORRECTdANSWER-a)dtodmeasuredoxygenationdanddventilation
b) todquantifydthedbaseddeficitdfordthedadequacydofdcellulardperfusion
c) *todgaugedend-organdperfusiondanddtissuedhypoxiad**
d) toddeterminedthedunderlyingdcausedofdshock

Adtraumadpatientdisdrestlessdanddrepeatedlydaskingd"wheredamdI?"dvitaldsignsdupondarrivaldweredBPd1
00/60dmmdHg,dHRd96dbeats/min,danddRRd24dbreaths/min.dHerdskindisdcooldandddry.dCurrentdvitaldsig
nsdaredBPd104/84mmdHg,dHRd108,dRRd28dbreaths/min.dThedpatientdisddemonstratingdsignsdanddsym
ptomsdofdwhichdstagedofdshock?

Answer:dAd-dCORRECTdANSWER-A)dcompensatedd**
B) Progressive
C) irreversible
D) decompensated

Andelderlydpatientdwithdadhistorydofdanticoagulantdusedpresentsdafterdadfalldatdhomedthatdday.dshedde
niesdanydlossdofdconsciousness.dShedhasdadhematomadtodherdforeheaddanddcomplainsdofdheadache
,ddizziness,danddnausea.dWhichdisdadmostdlikelydcausedofdherdsymptoms?

Answer:dDd-dCORRECTdANSWER-A)depiduraldhematoma
B) diffusedaxonaldinjury
C) post-concussivedsyndrome
D) subduraldhematomad***

EMSdbringsdadpatientdwhodfelldridingdhisdbicycle.dUsingdthedAmericandCollegedofdSurgeonsdscreenin
gdguidelines,dwhichdassessmentdfindingdwoulddpromptdthednursedtodpreparedthedpatientdfordradiolog
icdspinedclearance?

Answer:dDd-dCORRECTdANSWER-A)dAlertdwithdnodneurologicddeficits
B) Multipledabrasionsdtodthedextremities
C) Multipledrequestsdofdwater
D) Smelldofdalcoholdondbreathd***

Whichdofdthedfollowingdoccursdduringdthedthirddimpactdofdadmotordvehicledcrash?

Answer:dCd-dCORRECTdANSWER-A)dTheddriverdofdthedvehicledcollidesdwithdthedsteeringdwheel
B) thedvehicledcollidesdwithdadtree

, C) thedaortadisdtorndatditsdattachmentdwithdthedligamentumdarteriosum
D) thedairbagddeploysdanddstrikesdthedfrontdseatdpassengerd***

Adpassengerdisdbroughtdtodthedemergencyddepartmentdofdadruraldhospitaldfollowingdadhigh-
speeddMVC.dWhendsignificantdabdominaldanddpelvicdinjuriesdarednoteddindthedprimarydsurvey,
dwhichdofdthedfollowingdisdthedprioritydinterventions?




Answer:dAd-dCORRECTdANSWER-A)dinitiatedtransferdtodadtraumadcenterd**
B) providedreportdtodthedoperatingdroomdnurse
C) Obtaineddimagingdstudies
D) Placedadgastricdtube

WhichdofdthedfollowingdinjuriesdisdLEASTdlikelydtodbedpromptlydidentified?

Answer:dCd-dCORRECTdANSWER-A)dspleen
B) lung
C) boweld***
D) brain

Patientsdwithdadcrushdinjurydshoulddbedmonitoreddfordwhichdofdthedfollowingdconditions?

Answer:dCd-dCORRECTdANSWER-A)dHypernatremia
B) Hypercalcemia
C) Dysrhthmiasd**
D) polyuria

Whatdfindingdraisesdsuspiciondofdcompletedspinaldcorddinjury?

Answer:dBd-dCORRECTdANSWER-A)dWeaknessdindthedlowerdextremities
B) Priapismd***
C) voluntarydanaldsphincterdtone
D) intactdreflexesddistaldtodthedinjury

Adpatientdwithdadcompletedspinaldcorddinjurydindneurogenicdshockdwillddemonstratedhypotensiondan
ddwhichdotherdclinicaldsigns?

Answer:dDd-dCORRECTdANSWER-A)dBradycardiadanddipsilateraldabsencesdofdmotordfunction
B) Tachycardiadanddrespiratoryddepression
C) Tachycardiadanddabsentdmotordfunctiondbelowdthedleveldofdinjury
D) Bradycardiadanddabsentdmotordfunctiondbelowdthedleveldofdthedinjuryd***

Ad5-
yeardolddchilddpresentsdtodthedEDdwithdbruisesdtodthedupperdarmsdanddbuttocksdindvariousdstagesdofd

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