TNCC ASSESSMENT TEST
QUESTIONS WITH COMPLETE
SOLUTIONS
A patient involved in MVA to develops asymmetric pupillary reactivity, bilateral pupillary
nonreactive dilation, and abnormal motor posturing. What does the nurse expect as the
most likely cause? - Answer-Herniation syndrome
Which of the following hemodynamic support strategies is the priority intervention for a
patient with a traumatic pulmonary contusion? - Answer-Judicious use of intravenous
fluids
And unrestrained front seat passenger in a MVA develops a ecchymosis around the
umbilicus. This assessment finding is most commonly associated with: - Answer-
Bleeding in the peritoneal cavity
Elevated compartment pressure can be the result of - Answer-Haemorrhage from with
in the muscle.
If pregnant trauma patient develops tachycardia, hypertension, rigid board like uterus,
and dark, red vaginal bleeding. She reports constant back pain, which is increasing. The
most likely cause of these signs and symptoms is: - Answer-Placental abruption.
For a patient who has undergone recent bariatric surgery, fluoroscopy is recommended
to place: - Answer-A nasogastric tube.
Identification of vulnerabilities is an example of which phase of disaster management? -
Answer-Mitigation.
Which of the following structures would be the most affected by the energy transfer
concept of cavitation? - Answer-Liver.
The most common cause of shock in the trauma patient is: - Answer-Loss of circulatory
volume
A patient with injury to the middle meningeal artery is at risk for which of the following? -
Answer-Epidural hematoma
Which of the following organs may be injured in a patient with left lower rib fractures -
Answer-Spleen
, A patient arrives with an amputation of an index finger from a knife. The amputated part
is brought in with the patient. It is wrapped in a sterile, saline moistened gauze and a
sealed plastic bag. The next step in the care of the amputated part is? - Answer-Place
the bag onto ice
Which physiologic change in the airway of an older adult place the patient at a higher
risk for difficult intubation? - Answer-Cervical arthritis
The term "worried well" when used in disaster preparedness planning refers to: -
Answer-Individuals who think they have been affected by the event but are
asymptomatic.
Which of the following would be a priority intervention for a patient with multiple rib
fractures and Chest wall instability following a motor vehicle collision? - Answer-Assist
with endotracheal intubation.
A 22-year-old was struck by a vehicle way crossing the street, sustaining multiple
fractures. She is alert and answering questions and crying. What is the best method for
initial pain assessment for this patient? - Answer-A self-report tool.
Which of the following diagnostic interventions is most appropriate for the unstable
patient with a suspected internal hemorrhage? - Answer-Focussed assessment with
sonography for trauma
An adult patient involved in a brushfire arrives to the Emergency department. Upon
initial assessment in the emergency department, the most concerning finding is: -
Answer-The patient has a horse voice and repeatedly tries to clear his throat.
A college student presents to the emergency room stating after arriving at a party, she
awoke in a dorm room she didn't recognize, with no memory of the previous evening.
The trauma nurse prepares for which type of following examination? - Answer-Sexual
assault
When assessing a patient following an MVA, the nurse asked the paramedic, "how fast
was the car travelling on impact? "Considering the biomechanical principles of energy
transfer, the nurse's question is important because when velocity (speed): - Answer-Is
doubled, force is quadrupled.
How do you use a bag valve mask for support ventilation. - Answer-Attached to oxygen
at 15 L
What is a sign of herniation syndrome? - Answer-A unilateral fixed and dilated
What does bilateral fix and pinpoint pupils mean? - Answer-It could be an injury to the
ponds or effects of opioids
QUESTIONS WITH COMPLETE
SOLUTIONS
A patient involved in MVA to develops asymmetric pupillary reactivity, bilateral pupillary
nonreactive dilation, and abnormal motor posturing. What does the nurse expect as the
most likely cause? - Answer-Herniation syndrome
Which of the following hemodynamic support strategies is the priority intervention for a
patient with a traumatic pulmonary contusion? - Answer-Judicious use of intravenous
fluids
And unrestrained front seat passenger in a MVA develops a ecchymosis around the
umbilicus. This assessment finding is most commonly associated with: - Answer-
Bleeding in the peritoneal cavity
Elevated compartment pressure can be the result of - Answer-Haemorrhage from with
in the muscle.
If pregnant trauma patient develops tachycardia, hypertension, rigid board like uterus,
and dark, red vaginal bleeding. She reports constant back pain, which is increasing. The
most likely cause of these signs and symptoms is: - Answer-Placental abruption.
For a patient who has undergone recent bariatric surgery, fluoroscopy is recommended
to place: - Answer-A nasogastric tube.
Identification of vulnerabilities is an example of which phase of disaster management? -
Answer-Mitigation.
Which of the following structures would be the most affected by the energy transfer
concept of cavitation? - Answer-Liver.
The most common cause of shock in the trauma patient is: - Answer-Loss of circulatory
volume
A patient with injury to the middle meningeal artery is at risk for which of the following? -
Answer-Epidural hematoma
Which of the following organs may be injured in a patient with left lower rib fractures -
Answer-Spleen
, A patient arrives with an amputation of an index finger from a knife. The amputated part
is brought in with the patient. It is wrapped in a sterile, saline moistened gauze and a
sealed plastic bag. The next step in the care of the amputated part is? - Answer-Place
the bag onto ice
Which physiologic change in the airway of an older adult place the patient at a higher
risk for difficult intubation? - Answer-Cervical arthritis
The term "worried well" when used in disaster preparedness planning refers to: -
Answer-Individuals who think they have been affected by the event but are
asymptomatic.
Which of the following would be a priority intervention for a patient with multiple rib
fractures and Chest wall instability following a motor vehicle collision? - Answer-Assist
with endotracheal intubation.
A 22-year-old was struck by a vehicle way crossing the street, sustaining multiple
fractures. She is alert and answering questions and crying. What is the best method for
initial pain assessment for this patient? - Answer-A self-report tool.
Which of the following diagnostic interventions is most appropriate for the unstable
patient with a suspected internal hemorrhage? - Answer-Focussed assessment with
sonography for trauma
An adult patient involved in a brushfire arrives to the Emergency department. Upon
initial assessment in the emergency department, the most concerning finding is: -
Answer-The patient has a horse voice and repeatedly tries to clear his throat.
A college student presents to the emergency room stating after arriving at a party, she
awoke in a dorm room she didn't recognize, with no memory of the previous evening.
The trauma nurse prepares for which type of following examination? - Answer-Sexual
assault
When assessing a patient following an MVA, the nurse asked the paramedic, "how fast
was the car travelling on impact? "Considering the biomechanical principles of energy
transfer, the nurse's question is important because when velocity (speed): - Answer-Is
doubled, force is quadrupled.
How do you use a bag valve mask for support ventilation. - Answer-Attached to oxygen
at 15 L
What is a sign of herniation syndrome? - Answer-A unilateral fixed and dilated
What does bilateral fix and pinpoint pupils mean? - Answer-It could be an injury to the
ponds or effects of opioids
