TNCC 20TH EDITION EXAM 3 LATEST VERSIONS (VERSION A & B) COMPLETE 200 QUESTIONS TNCC 20TH EDITION EXAM 3 LATEST VERSIONS (VERSION A & B) COMPLETE 200 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) TESTBANK AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) TESTBANK
|ALREADY GRADED A+|100 % COMPLETE VERIFIED PASS |ALREADY GRADED A+|100 % COMPLETE VERIFIED PASS
"Breathing and Ventilation" - ansDuring which part of the primary survey would you patient is confused. Vital signs are BP 96/54 mm Hg, HR 114 beats/minute, RR 24
anticipate the need for a chest tube, intubation, decompression of pneumothorax, breaths/minute, T 34.6oC (94.2oF) and an SpO2 of 90% on oxygen at 15L per non-
oxygen, or BVMs? 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?
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 A.Initiate warming measures
lungs for bilateral breath sounds - ansWhat three assessments must be done if the B.Titrate oxygen to 6 L per nasal cannula
patient is intubated? C.Bolus with 500 mL isotonic crystalloids
D.Vigorously massage the extremities
1. inspect AND palpate skin color, temp, moisture and 2. palpate a pulse - ansTo
assess circulation, you must do these two main tasks: 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
A.Alert with no neurologic deficits - ansUsing the American College of Surgeons and buttocks in various stages of healing and multiple small, clean, round burns to the
screening guidelines, what assessment finding would prompt the nurse to prepare a back. There are no abnormalities found based on the pediatric assessment triangle or
patient for cervical spine imaging? primary survey. Which of the following is the priority nursing intervention?
A.Alert with no neurologic deficits A.Report your suspicion of maltreatment in accordance with local regulations
B.Multiple abrasions to the extremities B.Apply ice to the bruises and provide wound care
C.Ecchymosis to the flank C.Engage in therapeutic communication to determine the mechanism of injury
D.Responds to verbal stimulation D.Provide the family with injury prevention resources
A.Cardiogenic - ansA patient is brought to the emergency department with chest pain A.Reverse Trendelenburg - ansWhat position optimizes ventilation in the obese patient
and shortness of breath following a high-speed motor vehicle collision in which they with a lumbar fracture?
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 A.Reverse Trendelenburg
breaths/minute. Cardiac monitor shows sinus tachycardia with premature ventricular B.Supine
contractions. These findings are most consistent with which type of shock? C.Prone
D.Fowler's
A.Cardiogenic
B.Neurogenic AFTER head-to-toe, BEFORE J (VIPP) - ansAntibiotics, consults, head CT, imaging,
C.Hypovolemic law enforcement, mandatory reporting, psychosocial support, social services, splinting,
D.Obstructive tetanus, and wound care are all interventions that you do AFTER and before WHAT?
A.Decrease the rate of manual ventilation. - ansAn adult patient who sustained a severe all patients - ansFor whom is capnography highly recommended?
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 Apply a pelvic binder - ansAn adult pedestrian was struck on the right side by a sport
bolus of 500 mL of warmed isotonic crystalloid solution. The PaCO2 is 30 mm Hg (4.0 utility vehicle traveling at 40 mph. The patient is awake and alert and the right leg is
kPa), and the pulse oximetry is 92%. BP is 142/70 mm Hg. What is the most important shortened. Following initial resuscitation with fluids, the patient remains hypotensive.
intervention to manage the cerebral blood flow? What would be the priority intervention?
A.Decrease the rate of manual ventilation.
B.Initiate another fluid bolus. A.Send blood for type and crossmatch
C.Recheck endotracheal tube placement. B.Apply a pelvic binder
D.Increase the amount of oxygen delivered. C.Prepare the patient for surgery
D.Insert a urinary catheter
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 20TH EDITION EXAM 3 LATEST VERSIONS (VERSION A & B) COMPLETE 200 QUESTIONS TNCC 20TH EDITION EXAM 3 LATEST VERSIONS (VERSION A & B) COMPLETE 200 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) TESTBANK AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) TESTBANK
|ALREADY GRADED A+|100 % COMPLETE VERIFIED PASS |ALREADY GRADED A+|100 % COMPLETE VERIFIED PASS
assess ETT position by noting the number at teeth/gums AND secure ETT - ansIf the B.During the secondary survey
patient is intubated and you've already assessed ETT placement, what else needs to be C.Should only be done at a burn center
done with the ETT? (step 10) D.During the primary survey
Assessing patency and protection of the airway, Step 7 of B.Increased oxygen consumption - ansA trauma patient who is 30-weeks pregnant
"Alertness and Airway with Simultaneous Cervical Spinal Stabilization" - ansDuring arrives at the emergency department following a motor vehicle collision. Which normal
which part of the primary survey would there be anticipation for intubation, insertion of physiologic change should be considered when assessing ventilatory status?
OPA/NPA, removal of any loose teeth or foreign objects, or suctioning?
A.Increased functional reserve capacity
B. Rising diastolic - ansWhich blood pressure finding is associated with early or B.Increased oxygen consumption
compensated hypovolemic shock? C.Decreased minute ventilation
A.Rising systolic D.Slower desaturation rates with apnea
B.Rising diastolic
C.Decreasing diastolic B.It can be used in hypotensive patients too unstable for computed tomography scan -
D.Decreasing systolic ansWhich of the following is true about use of the focused assessment sonography for
trauma exam for a patient with abdominal trauma?
B.A 2-year-old lands on grass from a second-story balcony - ansBased on fall
mechanism, which patient warrants prehospital transfer to a trauma center? A.It has a higher sensitivity than diagnostic peritoneal lavage for fluid detection
B.It can be used in hypotensive patients too unstable for computed tomography scan
A.A 35-year-old lands on a wooden porch from an 8-foot ladder C.It can detect as little as 30 mL of fluid in the abdominal cavity
B.A 2-year-old lands on grass from a second-story balcony D.It has high sensitivity in pediatric patients for identifying fluid in the peritoneum
C.A 14-year-old forcefully pushed onto cement from standing
D.A 50-year-old lands on a carpeted floor after tripping B.Loss of reflexes - ansA patient is diagnosed with a T12 spinal cord injury following a
20-foot fall. Which finding is consistent with spinal shock?
B.Amputation of a limb - ansWhich of the following situations could cause functional
grief? A.Bradycardia
B.Loss of reflexes
A.Inability to live at home C.Widened pulse pressure
B.Amputation of a limb D.Warm skin
C.Loss of one's self-image
D.Destruction of the patient's car B.Maintaining spinal motion restriction - ansWhat is the priority intervention for a child
who has been diagnosed with an atlanto-occipital dislocation following a high-speed
B.Control the bleeding - ansAn unconscious patient arrives following a motor vehicle motor vehicle collision?
collision. The patient is on a backboard with a cervical collar in place and one
intravenous line running. Respirations are shallow and there is active brisk bleeding A.Initiating a second large caliber intravenous line
from a large leg wound. What is the priority intervention for this patient? B.Maintaining spinal motion restriction
C.Placing the patient on pulse oximetry
A.Check for a patent airway D.Turning the patient to remove the backboard
B.Control the bleeding
C.Start a second intravenous line B.Medical history including current medications - ansWhat is the most important
D.Ventilate with a bag-mask device consideration during the initial assessment when caring for an older adult who has
sustained serious injuries?
B.During the secondary surveyt - ansWhen should the definitive calculation for
intravenous fluid resuscitation rate be performed for a patient with burns? A.They are likely to be fearful in the emergency department
B.Medical history including current medications
A.As soon as the patient arrives C.Availability of support systems after discharge
,TNCC 20TH EDITION EXAM 3 LATEST VERSIONS (VERSION A & B) COMPLETE 200 QUESTIONS TNCC 20TH EDITION EXAM 3 LATEST VERSIONS (VERSION A & B) COMPLETE 200 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) TESTBANK AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) TESTBANK
|ALREADY GRADED A+|100 % COMPLETE VERIFIED PASS |ALREADY GRADED A+|100 % COMPLETE VERIFIED PASS
D.Accessibility to a primary care physician C.Allowing family to participate in the care of the patient - ansWhile caring for a child
who has been injured, what nursing intervention is consistent with a family-center
B.Notify the provider of the change - ansYour patient is a pedestrian struck by a car and approach?
thrown 35 feet. They were unconscious at the scene but became responsive with initial
and subsequent Glasgow Coma Scale (GCS) scores of 13 (E-3, V-4, M-6). The patient A.Identifying a single family member to speak with
has bilateral subdural hematomas and is awaiting transfer to the ICU. Your next B.Having the family make all the care decisions
assessment reveals a GCS of 9 (E-2, V-2, M-5). What is the priority nursing C.Allowing family to participate in the care of the patient
intervention? D.Limiting dissemination of complex information
A.Hold all pain medications C.Apply direct pressure to the wound - ansA patient has uncontrolled bleeding from a
B.Notify the provider of the change wound to his right upper extremity. What is the priority intervention?
C.Repeat the GCS in 30 minutes
D.Place the patient in Trendelenburg position A.Initiate two intravenous access sites
B.Place the patient on supplemental oxygen
blankets, room temp increase, warmed fluids, warming lights - ansIn Step 16 of C.Apply direct pressure to the wound
"Exposure and Environment", you must name at least one of these interventions: D.Use a tourniquet to control the bleeding
bony deformity, loose teeth, edema, inhalation injury, sounds, tongue obstruction, C.Decreased body temperature - ansA severely injured patient has been intubated and
burns, fluids, foreign objects, vocalization - ansFour of these must be identified to is being mechanically ventilated. The patient has received a balanced resuscitation
assess patency and protection of the airway: including multiple blood products. Under which circumstance will it be harder for the
hemoglobin to release oxygen to the tissues?
Bowel sounds heard in the left lower chest - ansA patient involved in a high-speed
rollover is complaining of increased difficulty breathing. There is a small penetrating A.Decreased pH
wound to the sixth intercostal space in the left lateral chest. Which finding is most B.Elevated carbon dioxide level
consistent with an injury to the diaphragm? C.Decreased body temperature
D.Increased metabolic demand
A.Severe left-sided abdominal pain
B.Bowel sounds heard in the left lower chest C.Decreased respiratory effort - ansWhich of the following is a late sign of increased
C.Pain radiating to the left shoulder. intracranial pressure?
D.Decreased breath sounds on the left side
A.Restlessness
Breath sounds, depth/pattern/rate, spontaneous breathing, subcutaneous emphysema, B.Vomiting
increased work of breathing, symmetrical chest rise and fall, tracheal deviation/JVD, C.Decreased respiratory effort
open wounds/deformities, skin color - ansFour of these must be identified to assess D.Narrowing pulse pressure
breathing effectiveness:
C.Disseminated intravascular coagulopathy - ansA trauma patient is being held in the
C.3240 mL - ansA patient who weighs 120 kg is brought to the emergency department emergency department because there are no available inpatient beds. The patient
after sustaining partial thickness burns to both upper extremities and chest with a total sustained a femur fracture and required multiple blood products. The patient now has
body surface area burned of 27%. How much intravenous fluid should be administered blood oozing from abrasions, IV sites, the nose, and gums. What condition is most
in the first 8 hours? consistent with these findings?
A.1620 mL
B.2160 mL A.Rhabdomyolysis
C.3240 mL B.Fat embolism
D.6480 mL C.Disseminated intravascular coagulopathy
D.Multiple organ dysfunctions syndrome
, TNCC 20TH EDITION EXAM 3 LATEST VERSIONS (VERSION A & B) COMPLETE 200 QUESTIONS TNCC 20TH EDITION EXAM 3 LATEST VERSIONS (VERSION A & B) COMPLETE 200 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) TESTBANK AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) TESTBANK
|ALREADY GRADED A+|100 % COMPLETE VERIFIED PASS |ALREADY GRADED A+|100 % COMPLETE VERIFIED PASS
C.Dressing removal - ansA patient arrives with a large open chest wound after being B.Incontinence of stool
assaulted with a machete. Prehospital providers placed a nonporous dressing over the C.Increasing work of breathing
chest wound and taped it on three sides. The patient is now showing signs of anxiety, D.Inability to move the legs
restlessness, severe respiratory distress, cyanosis, and decreasing blood pressure.
Which of the following is the MOST appropriate immediate intervention? C.Inotropic support - ansA driver involved in a high-speed motor vehicle collision arrives
in the emergency department. The vehicle's air-bag failed to deploy. The patient is
A.Needle decompression drowsy but arousable and complaining of chest pain with ecchymosis noted to the
B.Tube thoracostomy chest. The patient is tachycardic and hypotensive with no evidence of uncontrolled
C.Dressing removal bleeding. Cardiac monitor shows premature ventricular contractions. Which of the
D.Surgical repair following is the most appropriate intervention for this patient?
C.Elevating the leg to the level of the heart - ansA patient with a lower extremity fracture A.Rapid fluid boluses
complains of severe pain and tightness in his calf, minimally relieved by pain B.Tranexamic acid administration
medications. Which of the following is the priority nursing intervention? C.Inotropic support
D.Hemostatic resuscitation
A.Elevating the leg above the level of the heart
B.Repositioning the leg and applying ice C.Liver - ansYour patient was the unrestrained driver involved in a moderate speed
C.Elevating the leg to the level of the heart motor vehicle collision. Assessment reveals tenderness in the upper right quadrant,
D.Preparing the patient for ultrasound of the leg crepitus in the lower right ribs, and ecchymosis around the umbilicus. The nurse is
concerned about injury to which organ?
C.Expedite transfer to the closest trauma center - ansAn adult patient involved in a
motor vehicle collision is brought to the emergency department of a rural critical access A.Transverse colon
facility. They complain of neck pain, shortness of breath, and diffuse abdominal pain. B.Pancreas
The Glasgow Coma Score is 15. Vital signs are: BP 98/71 mm Hg, HR 125 C.Liver
beats/minute, RR 26 breaths/minute, and SpO2 94% on high-flow oxygen via non- D.Spleen
rebreather mask. Which of the following is the priority intervention for this patient?
C.Ramped - ansAn obese trauma patient requires intubation. Assuming there are no
A.Expedite transport to the CT scanner contraindications, which position will provide the best visualization for insertion of the
B.Prepare the patient for spinal radiographs endotracheal tube?
C.Expedite transfer to the closest trauma center
D.Notify the patient's family A.Reverse Trendelenburg
B.Lying on side
C.Gauges end-organ perfusion and tissue hypoxia - ansWhat is the rationale for C.Ramped
obtaining a serum lactate level during the initial assessment of a trauma patient? D.Supine
A.Measures oxygenation and ventilation C.Tertiary - ansAn adult was thrown against a concrete wall during a factory explosion
B.Assesses the degree of alkalosis and base deficit and sustained a femur fracture, liver laceration, and a small subdural hematoma. These
C.Gauges end-organ perfusion and tissue hypoxia injuries most likely occurred during what level of blast trauma?
D.Determines the underlying cause of shock
A.Primary
C.Increasing work of breathing - ansThe trauma nurse is caring for an unrestrained B.Secondary
driver who struck their head on the windshield following a high-speed MVC. The patient C.Tertiary
has been diagnosed with an anterior spinal cord injury at the level of C6. Which D.Quaternary
assessment finding would be most concerning?
C.Use a jaw thrust to open the airway and look for signs of obstruction. - ansAn adult
A.Distension of the bladder patient was brought to the emergency department following a motorcycle crash. On
AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) TESTBANK AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) TESTBANK
|ALREADY GRADED A+|100 % COMPLETE VERIFIED PASS |ALREADY GRADED A+|100 % COMPLETE VERIFIED PASS
"Breathing and Ventilation" - ansDuring which part of the primary survey would you patient is confused. Vital signs are BP 96/54 mm Hg, HR 114 beats/minute, RR 24
anticipate the need for a chest tube, intubation, decompression of pneumothorax, breaths/minute, T 34.6oC (94.2oF) and an SpO2 of 90% on oxygen at 15L per non-
oxygen, or BVMs? 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?
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 A.Initiate warming measures
lungs for bilateral breath sounds - ansWhat three assessments must be done if the B.Titrate oxygen to 6 L per nasal cannula
patient is intubated? C.Bolus with 500 mL isotonic crystalloids
D.Vigorously massage the extremities
1. inspect AND palpate skin color, temp, moisture and 2. palpate a pulse - ansTo
assess circulation, you must do these two main tasks: 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
A.Alert with no neurologic deficits - ansUsing the American College of Surgeons and buttocks in various stages of healing and multiple small, clean, round burns to the
screening guidelines, what assessment finding would prompt the nurse to prepare a back. There are no abnormalities found based on the pediatric assessment triangle or
patient for cervical spine imaging? primary survey. Which of the following is the priority nursing intervention?
A.Alert with no neurologic deficits A.Report your suspicion of maltreatment in accordance with local regulations
B.Multiple abrasions to the extremities B.Apply ice to the bruises and provide wound care
C.Ecchymosis to the flank C.Engage in therapeutic communication to determine the mechanism of injury
D.Responds to verbal stimulation D.Provide the family with injury prevention resources
A.Cardiogenic - ansA patient is brought to the emergency department with chest pain A.Reverse Trendelenburg - ansWhat position optimizes ventilation in the obese patient
and shortness of breath following a high-speed motor vehicle collision in which they with a lumbar fracture?
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 A.Reverse Trendelenburg
breaths/minute. Cardiac monitor shows sinus tachycardia with premature ventricular B.Supine
contractions. These findings are most consistent with which type of shock? C.Prone
D.Fowler's
A.Cardiogenic
B.Neurogenic AFTER head-to-toe, BEFORE J (VIPP) - ansAntibiotics, consults, head CT, imaging,
C.Hypovolemic law enforcement, mandatory reporting, psychosocial support, social services, splinting,
D.Obstructive tetanus, and wound care are all interventions that you do AFTER and before WHAT?
A.Decrease the rate of manual ventilation. - ansAn adult patient who sustained a severe all patients - ansFor whom is capnography highly recommended?
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 Apply a pelvic binder - ansAn adult pedestrian was struck on the right side by a sport
bolus of 500 mL of warmed isotonic crystalloid solution. The PaCO2 is 30 mm Hg (4.0 utility vehicle traveling at 40 mph. The patient is awake and alert and the right leg is
kPa), and the pulse oximetry is 92%. BP is 142/70 mm Hg. What is the most important shortened. Following initial resuscitation with fluids, the patient remains hypotensive.
intervention to manage the cerebral blood flow? What would be the priority intervention?
A.Decrease the rate of manual ventilation.
B.Initiate another fluid bolus. A.Send blood for type and crossmatch
C.Recheck endotracheal tube placement. B.Apply a pelvic binder
D.Increase the amount of oxygen delivered. C.Prepare the patient for surgery
D.Insert a urinary catheter
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 20TH EDITION EXAM 3 LATEST VERSIONS (VERSION A & B) COMPLETE 200 QUESTIONS TNCC 20TH EDITION EXAM 3 LATEST VERSIONS (VERSION A & B) COMPLETE 200 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) TESTBANK AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) TESTBANK
|ALREADY GRADED A+|100 % COMPLETE VERIFIED PASS |ALREADY GRADED A+|100 % COMPLETE VERIFIED PASS
assess ETT position by noting the number at teeth/gums AND secure ETT - ansIf the B.During the secondary survey
patient is intubated and you've already assessed ETT placement, what else needs to be C.Should only be done at a burn center
done with the ETT? (step 10) D.During the primary survey
Assessing patency and protection of the airway, Step 7 of B.Increased oxygen consumption - ansA trauma patient who is 30-weeks pregnant
"Alertness and Airway with Simultaneous Cervical Spinal Stabilization" - ansDuring arrives at the emergency department following a motor vehicle collision. Which normal
which part of the primary survey would there be anticipation for intubation, insertion of physiologic change should be considered when assessing ventilatory status?
OPA/NPA, removal of any loose teeth or foreign objects, or suctioning?
A.Increased functional reserve capacity
B. Rising diastolic - ansWhich blood pressure finding is associated with early or B.Increased oxygen consumption
compensated hypovolemic shock? C.Decreased minute ventilation
A.Rising systolic D.Slower desaturation rates with apnea
B.Rising diastolic
C.Decreasing diastolic B.It can be used in hypotensive patients too unstable for computed tomography scan -
D.Decreasing systolic ansWhich of the following is true about use of the focused assessment sonography for
trauma exam for a patient with abdominal trauma?
B.A 2-year-old lands on grass from a second-story balcony - ansBased on fall
mechanism, which patient warrants prehospital transfer to a trauma center? A.It has a higher sensitivity than diagnostic peritoneal lavage for fluid detection
B.It can be used in hypotensive patients too unstable for computed tomography scan
A.A 35-year-old lands on a wooden porch from an 8-foot ladder C.It can detect as little as 30 mL of fluid in the abdominal cavity
B.A 2-year-old lands on grass from a second-story balcony D.It has high sensitivity in pediatric patients for identifying fluid in the peritoneum
C.A 14-year-old forcefully pushed onto cement from standing
D.A 50-year-old lands on a carpeted floor after tripping B.Loss of reflexes - ansA patient is diagnosed with a T12 spinal cord injury following a
20-foot fall. Which finding is consistent with spinal shock?
B.Amputation of a limb - ansWhich of the following situations could cause functional
grief? A.Bradycardia
B.Loss of reflexes
A.Inability to live at home C.Widened pulse pressure
B.Amputation of a limb D.Warm skin
C.Loss of one's self-image
D.Destruction of the patient's car B.Maintaining spinal motion restriction - ansWhat is the priority intervention for a child
who has been diagnosed with an atlanto-occipital dislocation following a high-speed
B.Control the bleeding - ansAn unconscious patient arrives following a motor vehicle motor vehicle collision?
collision. The patient is on a backboard with a cervical collar in place and one
intravenous line running. Respirations are shallow and there is active brisk bleeding A.Initiating a second large caliber intravenous line
from a large leg wound. What is the priority intervention for this patient? B.Maintaining spinal motion restriction
C.Placing the patient on pulse oximetry
A.Check for a patent airway D.Turning the patient to remove the backboard
B.Control the bleeding
C.Start a second intravenous line B.Medical history including current medications - ansWhat is the most important
D.Ventilate with a bag-mask device consideration during the initial assessment when caring for an older adult who has
sustained serious injuries?
B.During the secondary surveyt - ansWhen should the definitive calculation for
intravenous fluid resuscitation rate be performed for a patient with burns? A.They are likely to be fearful in the emergency department
B.Medical history including current medications
A.As soon as the patient arrives C.Availability of support systems after discharge
,TNCC 20TH EDITION EXAM 3 LATEST VERSIONS (VERSION A & B) COMPLETE 200 QUESTIONS TNCC 20TH EDITION EXAM 3 LATEST VERSIONS (VERSION A & B) COMPLETE 200 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) TESTBANK AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) TESTBANK
|ALREADY GRADED A+|100 % COMPLETE VERIFIED PASS |ALREADY GRADED A+|100 % COMPLETE VERIFIED PASS
D.Accessibility to a primary care physician C.Allowing family to participate in the care of the patient - ansWhile caring for a child
who has been injured, what nursing intervention is consistent with a family-center
B.Notify the provider of the change - ansYour patient is a pedestrian struck by a car and approach?
thrown 35 feet. They were unconscious at the scene but became responsive with initial
and subsequent Glasgow Coma Scale (GCS) scores of 13 (E-3, V-4, M-6). The patient A.Identifying a single family member to speak with
has bilateral subdural hematomas and is awaiting transfer to the ICU. Your next B.Having the family make all the care decisions
assessment reveals a GCS of 9 (E-2, V-2, M-5). What is the priority nursing C.Allowing family to participate in the care of the patient
intervention? D.Limiting dissemination of complex information
A.Hold all pain medications C.Apply direct pressure to the wound - ansA patient has uncontrolled bleeding from a
B.Notify the provider of the change wound to his right upper extremity. What is the priority intervention?
C.Repeat the GCS in 30 minutes
D.Place the patient in Trendelenburg position A.Initiate two intravenous access sites
B.Place the patient on supplemental oxygen
blankets, room temp increase, warmed fluids, warming lights - ansIn Step 16 of C.Apply direct pressure to the wound
"Exposure and Environment", you must name at least one of these interventions: D.Use a tourniquet to control the bleeding
bony deformity, loose teeth, edema, inhalation injury, sounds, tongue obstruction, C.Decreased body temperature - ansA severely injured patient has been intubated and
burns, fluids, foreign objects, vocalization - ansFour of these must be identified to is being mechanically ventilated. The patient has received a balanced resuscitation
assess patency and protection of the airway: including multiple blood products. Under which circumstance will it be harder for the
hemoglobin to release oxygen to the tissues?
Bowel sounds heard in the left lower chest - ansA patient involved in a high-speed
rollover is complaining of increased difficulty breathing. There is a small penetrating A.Decreased pH
wound to the sixth intercostal space in the left lateral chest. Which finding is most B.Elevated carbon dioxide level
consistent with an injury to the diaphragm? C.Decreased body temperature
D.Increased metabolic demand
A.Severe left-sided abdominal pain
B.Bowel sounds heard in the left lower chest C.Decreased respiratory effort - ansWhich of the following is a late sign of increased
C.Pain radiating to the left shoulder. intracranial pressure?
D.Decreased breath sounds on the left side
A.Restlessness
Breath sounds, depth/pattern/rate, spontaneous breathing, subcutaneous emphysema, B.Vomiting
increased work of breathing, symmetrical chest rise and fall, tracheal deviation/JVD, C.Decreased respiratory effort
open wounds/deformities, skin color - ansFour of these must be identified to assess D.Narrowing pulse pressure
breathing effectiveness:
C.Disseminated intravascular coagulopathy - ansA trauma patient is being held in the
C.3240 mL - ansA patient who weighs 120 kg is brought to the emergency department emergency department because there are no available inpatient beds. The patient
after sustaining partial thickness burns to both upper extremities and chest with a total sustained a femur fracture and required multiple blood products. The patient now has
body surface area burned of 27%. How much intravenous fluid should be administered blood oozing from abrasions, IV sites, the nose, and gums. What condition is most
in the first 8 hours? consistent with these findings?
A.1620 mL
B.2160 mL A.Rhabdomyolysis
C.3240 mL B.Fat embolism
D.6480 mL C.Disseminated intravascular coagulopathy
D.Multiple organ dysfunctions syndrome
, TNCC 20TH EDITION EXAM 3 LATEST VERSIONS (VERSION A & B) COMPLETE 200 QUESTIONS TNCC 20TH EDITION EXAM 3 LATEST VERSIONS (VERSION A & B) COMPLETE 200 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) TESTBANK AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) TESTBANK
|ALREADY GRADED A+|100 % COMPLETE VERIFIED PASS |ALREADY GRADED A+|100 % COMPLETE VERIFIED PASS
C.Dressing removal - ansA patient arrives with a large open chest wound after being B.Incontinence of stool
assaulted with a machete. Prehospital providers placed a nonporous dressing over the C.Increasing work of breathing
chest wound and taped it on three sides. The patient is now showing signs of anxiety, D.Inability to move the legs
restlessness, severe respiratory distress, cyanosis, and decreasing blood pressure.
Which of the following is the MOST appropriate immediate intervention? C.Inotropic support - ansA driver involved in a high-speed motor vehicle collision arrives
in the emergency department. The vehicle's air-bag failed to deploy. The patient is
A.Needle decompression drowsy but arousable and complaining of chest pain with ecchymosis noted to the
B.Tube thoracostomy chest. The patient is tachycardic and hypotensive with no evidence of uncontrolled
C.Dressing removal bleeding. Cardiac monitor shows premature ventricular contractions. Which of the
D.Surgical repair following is the most appropriate intervention for this patient?
C.Elevating the leg to the level of the heart - ansA patient with a lower extremity fracture A.Rapid fluid boluses
complains of severe pain and tightness in his calf, minimally relieved by pain B.Tranexamic acid administration
medications. Which of the following is the priority nursing intervention? C.Inotropic support
D.Hemostatic resuscitation
A.Elevating the leg above the level of the heart
B.Repositioning the leg and applying ice C.Liver - ansYour patient was the unrestrained driver involved in a moderate speed
C.Elevating the leg to the level of the heart motor vehicle collision. Assessment reveals tenderness in the upper right quadrant,
D.Preparing the patient for ultrasound of the leg crepitus in the lower right ribs, and ecchymosis around the umbilicus. The nurse is
concerned about injury to which organ?
C.Expedite transfer to the closest trauma center - ansAn adult patient involved in a
motor vehicle collision is brought to the emergency department of a rural critical access A.Transverse colon
facility. They complain of neck pain, shortness of breath, and diffuse abdominal pain. B.Pancreas
The Glasgow Coma Score is 15. Vital signs are: BP 98/71 mm Hg, HR 125 C.Liver
beats/minute, RR 26 breaths/minute, and SpO2 94% on high-flow oxygen via non- D.Spleen
rebreather mask. Which of the following is the priority intervention for this patient?
C.Ramped - ansAn obese trauma patient requires intubation. Assuming there are no
A.Expedite transport to the CT scanner contraindications, which position will provide the best visualization for insertion of the
B.Prepare the patient for spinal radiographs endotracheal tube?
C.Expedite transfer to the closest trauma center
D.Notify the patient's family A.Reverse Trendelenburg
B.Lying on side
C.Gauges end-organ perfusion and tissue hypoxia - ansWhat is the rationale for C.Ramped
obtaining a serum lactate level during the initial assessment of a trauma patient? D.Supine
A.Measures oxygenation and ventilation C.Tertiary - ansAn adult was thrown against a concrete wall during a factory explosion
B.Assesses the degree of alkalosis and base deficit and sustained a femur fracture, liver laceration, and a small subdural hematoma. These
C.Gauges end-organ perfusion and tissue hypoxia injuries most likely occurred during what level of blast trauma?
D.Determines the underlying cause of shock
A.Primary
C.Increasing work of breathing - ansThe trauma nurse is caring for an unrestrained B.Secondary
driver who struck their head on the windshield following a high-speed MVC. The patient C.Tertiary
has been diagnosed with an anterior spinal cord injury at the level of C6. Which D.Quaternary
assessment finding would be most concerning?
C.Use a jaw thrust to open the airway and look for signs of obstruction. - ansAn adult
A.Distension of the bladder patient was brought to the emergency department following a motorcycle crash. On
