TNCC 10TH EDITION EXAM 3 LATEST VERSIONS (VERSION A & B) COMPLETE 200 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) TESTBANK
|ALREADY GRADED A+|100 % COMPLETE & verified
"Breathing and Ventilation" - ansDuring which part of the primary survey would you
anticipate the need for a chest tube, intubation, decompression of pneumothorax,
oxygen, or BVMs?
1. attach CO2 detector and assess for evidence of exhaled CO2; 2. observe for rise and
fall of the chest w/ assisted ventilations; 3. auscultate over epigastrium for gurgling AND
lungs for bilateral breath sounds - ansWhat three assessments must be done if the
patient is intubated?
1. inspect AND palpate skin color, temp, moisture and 2. palpate a pulse - ansTo
assess circulation, you must do these two main tasks:
A.Alert with no neurologic deficits - ansUsing the American College of Surgeons
screening guidelines, what assessment finding would prompt the nurse to prepare a
patient for cervical spine imaging?
A.Alert with no neurologic deficits
B.Multiple abrasions to the extremities
C.Ecchymosis to the flank
D.Responds to verbal stimulation
A.Cardiogenic - ansA patient is brought to the emergency department with chest pain
and shortness of breath following a high-speed motor vehicle collision in which they
were the unrestrained driver. There is crepitus to the left chest with clear and equal
breath sounds. The vital signs are BP 80/40 mmHg, HR 140 beats/minute, and RR 40
breaths/minute. Cardiac monitor shows sinus tachycardia with premature ventricular
contractions. These findings are most consistent with which type of shock?
A.Cardiogenic
B.Neurogenic
C.Hypovolemic
D.Obstructive
A.Decrease the rate of manual ventilation. - ansAn adult patient who sustained a severe
head trauma has been intubated and is being manually ventilated via a bag-mask
device at a rate of 18 breaths/minute. The patient has received one intravenous fluid
bolus of 500 mL of warmed isotonic crystalloid solution. The PaCO2 is 30 mm Hg (4.0
kPa), and the pulse oximetry is 92%. BP is 142/70 mm Hg. What is the most important
intervention to manage the cerebral blood flow?
A.Decrease the rate of manual ventilation.
B.Initiate another fluid bolus.
C.Recheck endotracheal tube placement.
D.Increase the amount of oxygen delivered.
A.Initiate warming measures - ansA patient is brought to the emergency department
following a snowmobile crash with prolonged exposure time prior to transport. The
,TNCC 10TH EDITION EXAM 3 LATEST VERSIONS (VERSION A & B) COMPLETE 200 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) TESTBANK
|ALREADY GRADED A+|100 % COMPLETE & verified
patient is confused. Vital signs are BP 96/54 mm Hg, HR 114 beats/minute, RR 24
breaths/minute, T 34.6oC (94.2oF) and an SpO2 of 90% on oxygen at 15L per non-
rebreather mask. Other findings include ETCO2 24, serum lactate of 6 mmol/L, and a
pH of 6.8. Based on these findings, what is the most appropriate intervention?
A.Initiate warming measures
B.Titrate oxygen to 6 L per nasal cannula
C.Bolus with 500 mL isotonic crystalloids
D.Vigorously massage the extremities
A.Report your suspicion of maltreatment in accordance with local regulations - ansA 5-
year-old child presents to the emergency department with bruises to the upper arms
and buttocks in various stages of healing and multiple small, clean, round burns to the
back. There are no abnormalities found based on the pediatric assessment triangle or
primary survey. Which of the following is the priority nursing intervention?
A.Report your suspicion of maltreatment in accordance with local regulations
B.Apply ice to the bruises and provide wound care
C.Engage in therapeutic communication to determine the mechanism of injury
D.Provide the family with injury prevention resources
A.Reverse Trendelenburg - ansWhat position optimizes ventilation in the obese patient
with a lumbar fracture?
A.Reverse Trendelenburg
B.Supine
C.Prone
D.Fowler's
AFTER head-to-toe, BEFORE J (VIPP) - ansAntibiotics, consults, head CT, imaging,
law enforcement, mandatory reporting, psychosocial support, social services, splinting,
tetanus, and wound care are all interventions that you do AFTER and before WHAT?
all patients - ansFor whom is capnography highly recommended?
Apply a pelvic binder - ansAn adult pedestrian was struck on the right side by a sport
utility vehicle traveling at 40 mph. The patient is awake and alert and the right leg is
shortened. Following initial resuscitation with fluids, the patient remains hypotensive.
What would be the priority intervention?
A.Send blood for type and crossmatch
B.Apply a pelvic binder
C.Prepare the patient for surgery
D.Insert a urinary catheter
,TNCC 10TH EDITION EXAM 3 LATEST VERSIONS (VERSION A & B) COMPLETE 200 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) TESTBANK
|ALREADY GRADED A+|100 % COMPLETE & verified
assess ETT position by noting the number at teeth/gums AND secure ETT - ansIf the
patient is intubated and you've already assessed ETT placement, what else needs to be
done with the ETT? (step 10)
Assessing patency and protection of the airway, Step 7 of
"Alertness and Airway with Simultaneous Cervical Spinal Stabilization" - ansDuring
which part of the primary survey would there be anticipation for intubation, insertion of
OPA/NPA, removal of any loose teeth or foreign objects, or suctioning?
B. zRising zdiastolic z- zansWhich zblood zpressure zfinding zis zassociated zwith zearly zor
zcompensated zhypovolemic zshock?
A.Rising zsystolic
B.Rising zdiastolic
C.Decreasing zdiastolic
D.Decreasing zsystolic
B.A z2-year-old zlands zon zgrass zfrom za zsecond-story zbalcony z- zansBased zon zfall
zmechanism, zwhich zpatient zwarrants zprehospital ztransfer zto za ztrauma zcenter?
A.A z35-year-old zlands zon za zwooden zporch zfrom zan z8-foot zladder
B.A z2-year-old zlands zon zgrass zfrom za zsecond-story zbalcony
C.A z14-year-old zforcefully zpushed zonto zcement zfrom zstanding
D.A z50-year-old zlands zon za zcarpeted zfloor zafter ztripping
B.Amputation zof za zlimb z- zansWhich zof zthe zfollowing zsituations zcould zcause
zfunctional zgrief?
A.Inability zto zlive zat zhome
B.Amputation zof za zlimb
C.Loss zof zone's zself-image
D.Destruction zof zthe zpatient's zcar
B.Control zthe zbleeding z- zansAn zunconscious zpatient zarrives zfollowing za zmotor
zvehicle zcollision. zThe zpatient zis zon za zbackboard zwith za zcervical zcollar zin zplace
zand zone zintravenous zline zrunning. zRespirations zare zshallow zand zthere zis zactive
zbrisk zbleeding zfrom za zlarge zleg zwound. zWhat zis zthe zpriority zintervention zfor zthis
zpatient?
A.Check zfor za zpatent zairway
B.Control zthe zbleeding
C.Start za zsecond zintravenous zline
D.Ventilate zwith za zbag-mask zdevice
B.During zthe zsecondary zsurveyt z- zansWhen zshould zthe zdefinitive zcalculation zfor
zintravenous zfluid zresuscitation zrate zbe zperformed zfor za zpatient zwith zburns?
, TNCC 10TH EDITION EXAM 3 LATEST VERSIONS (VERSION A & B) COMPLETE 200 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) TESTBANK
|ALREADY GRADED A+|100 % COMPLETE & verified
A.As zsoon zas zthe zpatient zarrives
B.During zthe zsecondary zsurvey
C.Should zonly zbe zdone zat za zburn zcenter
D.During zthe zprimary zsurvey
B.Increased zoxygen zconsumption z- zansA ztrauma zpatient zwho zis z30-weeks zpregnant
zarrives zat zthe zemergency zdepartment zfollowing za zmotor zvehicle zcollision. zWhich
znormal zphysiologic zchange zshould zbe zconsidered zwhen zassessing zventilatory
zstatus?
A.Increased zfunctional zreserve zcapacity
B.Increased zoxygen zconsumption
C.Decreased zminute zventilation
D.Slower zdesaturation zrates zwith zapnea
B.It zcan zbe zused zin zhypotensive zpatients ztoo zunstable zfor zcomputed ztomography
zscan z- zansWhich zof zthe zfollowing zis ztrue zabout zuse zof zthe zfocused zassessment
zsonography zfor ztrauma zexam zfor za zpatient zwith zabdominal ztrauma?
A.It zhas za zhigher zsensitivity zthan zdiagnostic zperitoneal zlavage zfor zfluid zdetection
B.It zcan zbe zused zin zhypotensive zpatients ztoo zunstable zfor zcomputed ztomography
zscan
C.It zcan zdetect zas zlittle zas z30 zmL zof zfluid zin zthe zabdominal zcavity
D.It zhas zhigh zsensitivity zin zpediatric zpatients zfor zidentifying zfluid zin zthe zperitoneum
B.Loss zof zreflexes z- zansA zpatient zis zdiagnosed zwith za zT12 zspinal zcord zinjury
zfollowing za z20-foot zfall. zWhich zfinding zis zconsistent zwith zspinal zshock?
A.Bradycardia
B.Loss zof zreflexes
C.Widened zpulse zpressure
D.Warm zskin
B.Maintaining zspinal zmotion zrestriction z- zansWhat zis zthe zpriority zintervention zfor za
zchild zwho zhas zbeen zdiagnosed zwith zan zatlanto-occipital zdislocation zfollowing za
zhigh-speed zmotor zvehicle zcollision?
A.Initiating za zsecond zlarge zcaliber zintravenous zline
B.Maintaining zspinal zmotion zrestriction
C.Placing zthe zpatient zon zpulse zoximetry
D.Turning zthe zpatient zto zremove zthe zbackboard
B.Medical zhistory zincluding zcurrent zmedications z- zansWhat zis zthe zmost zimportant
zconsideration zduring zthe zinitial zassessment zwhen zcaring zfor zan zolder zadult zwho
zhas zsustained zserious zinjuries?
AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) TESTBANK
|ALREADY GRADED A+|100 % COMPLETE & verified
"Breathing and Ventilation" - ansDuring which part of the primary survey would you
anticipate the need for a chest tube, intubation, decompression of pneumothorax,
oxygen, or BVMs?
1. attach CO2 detector and assess for evidence of exhaled CO2; 2. observe for rise and
fall of the chest w/ assisted ventilations; 3. auscultate over epigastrium for gurgling AND
lungs for bilateral breath sounds - ansWhat three assessments must be done if the
patient is intubated?
1. inspect AND palpate skin color, temp, moisture and 2. palpate a pulse - ansTo
assess circulation, you must do these two main tasks:
A.Alert with no neurologic deficits - ansUsing the American College of Surgeons
screening guidelines, what assessment finding would prompt the nurse to prepare a
patient for cervical spine imaging?
A.Alert with no neurologic deficits
B.Multiple abrasions to the extremities
C.Ecchymosis to the flank
D.Responds to verbal stimulation
A.Cardiogenic - ansA patient is brought to the emergency department with chest pain
and shortness of breath following a high-speed motor vehicle collision in which they
were the unrestrained driver. There is crepitus to the left chest with clear and equal
breath sounds. The vital signs are BP 80/40 mmHg, HR 140 beats/minute, and RR 40
breaths/minute. Cardiac monitor shows sinus tachycardia with premature ventricular
contractions. These findings are most consistent with which type of shock?
A.Cardiogenic
B.Neurogenic
C.Hypovolemic
D.Obstructive
A.Decrease the rate of manual ventilation. - ansAn adult patient who sustained a severe
head trauma has been intubated and is being manually ventilated via a bag-mask
device at a rate of 18 breaths/minute. The patient has received one intravenous fluid
bolus of 500 mL of warmed isotonic crystalloid solution. The PaCO2 is 30 mm Hg (4.0
kPa), and the pulse oximetry is 92%. BP is 142/70 mm Hg. What is the most important
intervention to manage the cerebral blood flow?
A.Decrease the rate of manual ventilation.
B.Initiate another fluid bolus.
C.Recheck endotracheal tube placement.
D.Increase the amount of oxygen delivered.
A.Initiate warming measures - ansA patient is brought to the emergency department
following a snowmobile crash with prolonged exposure time prior to transport. The
,TNCC 10TH EDITION EXAM 3 LATEST VERSIONS (VERSION A & B) COMPLETE 200 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) TESTBANK
|ALREADY GRADED A+|100 % COMPLETE & verified
patient is confused. Vital signs are BP 96/54 mm Hg, HR 114 beats/minute, RR 24
breaths/minute, T 34.6oC (94.2oF) and an SpO2 of 90% on oxygen at 15L per non-
rebreather mask. Other findings include ETCO2 24, serum lactate of 6 mmol/L, and a
pH of 6.8. Based on these findings, what is the most appropriate intervention?
A.Initiate warming measures
B.Titrate oxygen to 6 L per nasal cannula
C.Bolus with 500 mL isotonic crystalloids
D.Vigorously massage the extremities
A.Report your suspicion of maltreatment in accordance with local regulations - ansA 5-
year-old child presents to the emergency department with bruises to the upper arms
and buttocks in various stages of healing and multiple small, clean, round burns to the
back. There are no abnormalities found based on the pediatric assessment triangle or
primary survey. Which of the following is the priority nursing intervention?
A.Report your suspicion of maltreatment in accordance with local regulations
B.Apply ice to the bruises and provide wound care
C.Engage in therapeutic communication to determine the mechanism of injury
D.Provide the family with injury prevention resources
A.Reverse Trendelenburg - ansWhat position optimizes ventilation in the obese patient
with a lumbar fracture?
A.Reverse Trendelenburg
B.Supine
C.Prone
D.Fowler's
AFTER head-to-toe, BEFORE J (VIPP) - ansAntibiotics, consults, head CT, imaging,
law enforcement, mandatory reporting, psychosocial support, social services, splinting,
tetanus, and wound care are all interventions that you do AFTER and before WHAT?
all patients - ansFor whom is capnography highly recommended?
Apply a pelvic binder - ansAn adult pedestrian was struck on the right side by a sport
utility vehicle traveling at 40 mph. The patient is awake and alert and the right leg is
shortened. Following initial resuscitation with fluids, the patient remains hypotensive.
What would be the priority intervention?
A.Send blood for type and crossmatch
B.Apply a pelvic binder
C.Prepare the patient for surgery
D.Insert a urinary catheter
,TNCC 10TH EDITION EXAM 3 LATEST VERSIONS (VERSION A & B) COMPLETE 200 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) TESTBANK
|ALREADY GRADED A+|100 % COMPLETE & verified
assess ETT position by noting the number at teeth/gums AND secure ETT - ansIf the
patient is intubated and you've already assessed ETT placement, what else needs to be
done with the ETT? (step 10)
Assessing patency and protection of the airway, Step 7 of
"Alertness and Airway with Simultaneous Cervical Spinal Stabilization" - ansDuring
which part of the primary survey would there be anticipation for intubation, insertion of
OPA/NPA, removal of any loose teeth or foreign objects, or suctioning?
B. zRising zdiastolic z- zansWhich zblood zpressure zfinding zis zassociated zwith zearly zor
zcompensated zhypovolemic zshock?
A.Rising zsystolic
B.Rising zdiastolic
C.Decreasing zdiastolic
D.Decreasing zsystolic
B.A z2-year-old zlands zon zgrass zfrom za zsecond-story zbalcony z- zansBased zon zfall
zmechanism, zwhich zpatient zwarrants zprehospital ztransfer zto za ztrauma zcenter?
A.A z35-year-old zlands zon za zwooden zporch zfrom zan z8-foot zladder
B.A z2-year-old zlands zon zgrass zfrom za zsecond-story zbalcony
C.A z14-year-old zforcefully zpushed zonto zcement zfrom zstanding
D.A z50-year-old zlands zon za zcarpeted zfloor zafter ztripping
B.Amputation zof za zlimb z- zansWhich zof zthe zfollowing zsituations zcould zcause
zfunctional zgrief?
A.Inability zto zlive zat zhome
B.Amputation zof za zlimb
C.Loss zof zone's zself-image
D.Destruction zof zthe zpatient's zcar
B.Control zthe zbleeding z- zansAn zunconscious zpatient zarrives zfollowing za zmotor
zvehicle zcollision. zThe zpatient zis zon za zbackboard zwith za zcervical zcollar zin zplace
zand zone zintravenous zline zrunning. zRespirations zare zshallow zand zthere zis zactive
zbrisk zbleeding zfrom za zlarge zleg zwound. zWhat zis zthe zpriority zintervention zfor zthis
zpatient?
A.Check zfor za zpatent zairway
B.Control zthe zbleeding
C.Start za zsecond zintravenous zline
D.Ventilate zwith za zbag-mask zdevice
B.During zthe zsecondary zsurveyt z- zansWhen zshould zthe zdefinitive zcalculation zfor
zintravenous zfluid zresuscitation zrate zbe zperformed zfor za zpatient zwith zburns?
, TNCC 10TH EDITION EXAM 3 LATEST VERSIONS (VERSION A & B) COMPLETE 200 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) TESTBANK
|ALREADY GRADED A+|100 % COMPLETE & verified
A.As zsoon zas zthe zpatient zarrives
B.During zthe zsecondary zsurvey
C.Should zonly zbe zdone zat za zburn zcenter
D.During zthe zprimary zsurvey
B.Increased zoxygen zconsumption z- zansA ztrauma zpatient zwho zis z30-weeks zpregnant
zarrives zat zthe zemergency zdepartment zfollowing za zmotor zvehicle zcollision. zWhich
znormal zphysiologic zchange zshould zbe zconsidered zwhen zassessing zventilatory
zstatus?
A.Increased zfunctional zreserve zcapacity
B.Increased zoxygen zconsumption
C.Decreased zminute zventilation
D.Slower zdesaturation zrates zwith zapnea
B.It zcan zbe zused zin zhypotensive zpatients ztoo zunstable zfor zcomputed ztomography
zscan z- zansWhich zof zthe zfollowing zis ztrue zabout zuse zof zthe zfocused zassessment
zsonography zfor ztrauma zexam zfor za zpatient zwith zabdominal ztrauma?
A.It zhas za zhigher zsensitivity zthan zdiagnostic zperitoneal zlavage zfor zfluid zdetection
B.It zcan zbe zused zin zhypotensive zpatients ztoo zunstable zfor zcomputed ztomography
zscan
C.It zcan zdetect zas zlittle zas z30 zmL zof zfluid zin zthe zabdominal zcavity
D.It zhas zhigh zsensitivity zin zpediatric zpatients zfor zidentifying zfluid zin zthe zperitoneum
B.Loss zof zreflexes z- zansA zpatient zis zdiagnosed zwith za zT12 zspinal zcord zinjury
zfollowing za z20-foot zfall. zWhich zfinding zis zconsistent zwith zspinal zshock?
A.Bradycardia
B.Loss zof zreflexes
C.Widened zpulse zpressure
D.Warm zskin
B.Maintaining zspinal zmotion zrestriction z- zansWhat zis zthe zpriority zintervention zfor za
zchild zwho zhas zbeen zdiagnosed zwith zan zatlanto-occipital zdislocation zfollowing za
zhigh-speed zmotor zvehicle zcollision?
A.Initiating za zsecond zlarge zcaliber zintravenous zline
B.Maintaining zspinal zmotion zrestriction
C.Placing zthe zpatient zon zpulse zoximetry
D.Turning zthe zpatient zto zremove zthe zbackboard
B.Medical zhistory zincluding zcurrent zmedications z- zansWhat zis zthe zmost zimportant
zconsideration zduring zthe zinitial zassessment zwhen zcaring zfor zan zolder zadult zwho
zhas zsustained zserious zinjuries?
