TNCC 9th Edition Questions And Answers
All Correct.
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 answer
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 answer 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 answer 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 answer 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 answer
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 answer Small bowel
What intravascular solution is most commonly use for patients
who have sustained burns? - Correct answer Lactated Ringers
(LR)
Which of the following is true about use of the focused
assessment sonography for trauma exam for a patient with
abdominal trauma? - Correct answer It can be used in hypotensive
patients too unstable for computed tomographic scan."
You are speaking with the family of a critically injured patient. The
spouse is crying loudly and the daughter is angry and yelling at
the staff. Which of the following nursing interventions is most
appropriate? - Correct answer Spiritual support
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 answer 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
All Correct.
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 answer
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 answer 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 answer 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 answer 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 answer
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 answer Small bowel
What intravascular solution is most commonly use for patients
who have sustained burns? - Correct answer Lactated Ringers
(LR)
Which of the following is true about use of the focused
assessment sonography for trauma exam for a patient with
abdominal trauma? - Correct answer It can be used in hypotensive
patients too unstable for computed tomographic scan."
You are speaking with the family of a critically injured patient. The
spouse is crying loudly and the daughter is angry and yelling at
the staff. Which of the following nursing interventions is most
appropriate? - Correct answer Spiritual support
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 answer 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
