TNCC Exam 8th edition study Questions
with Correct Answers
.During the primary survey of an unconscious patient with multi-system trauma, the nurse notes
snoring respirations. What priority nursing intervention should be performed next? Insert
an oropharyngeal airway if there is no gag reflex Snoring respirations may indicate airway
obstruction from the tongue. Insert an airway adjunct to alleviate obstruction by the tongue.
Oropharyngeal airways can be used in patients without a gag reflex.
What bedside monitoring parameters are used to assess for adequacy of oxygenation and
effectiveness of ventilation? Pulse oximetry and capnography Pulse oximetry measures
the percentage of hemoglobin saturated with oxygen. Capnography measures the amount of
carbon dioxide exhaled. Carbon dioxide is the end-product of ventilation and a reflection of
metabolism and pulmonary function.
Which of the following is NOT considered a benefit of debriefings? Identifying
individuals who made mistakes during the traumatic event Debriefings are not used to single out
individuals who made mistakes. Debriefings are used to provide an opportunity to review
performance and identify areas for improvement with a sharing of individual responses.
, Which of the following is NOT considered goal-directed therapy for cardiogenic shock?
Pericardiocentesis A pericardial tamponade is a form of obstructive, not cardiogenic,
shock.
A patient is brought to the emergency department of a rural hospital following a high-speed
motor vehicle collision. When significant abdominal and pelvic injuries are noted in the primary
survey, which of the following is the priority intervention? Initiate transfer to a trauma
center Early consideration for transfer to a trauma center is essential to ensure optimal outcomes.
The most reassuring finding for a male patient with hip pain after a fall is which of the
following? Pelvic stability Uncontrolled hemorrhage is the major cause of preventable
death after injury. Unstable pelvic fractures increase the volume of the pelvic cavity and can be
life-threatening due to blood loss.
EMS brings a patient from a motor vehicle crash. Vital signs are BP 90/49 mm Hg, heart rate 48
beats/minute, respiratory rate 12 breaths/minute, temperature 97.2°F (36.2° C). The patient
exhibits urinary incontinence and priapism. These assessment findings are most consistent with
which of the following types of spinal cord injury? Complete Incontinence, priapism, and
hypotension with bradycardia are manifestations of a complete spinal cord injury.
with Correct Answers
.During the primary survey of an unconscious patient with multi-system trauma, the nurse notes
snoring respirations. What priority nursing intervention should be performed next? Insert
an oropharyngeal airway if there is no gag reflex Snoring respirations may indicate airway
obstruction from the tongue. Insert an airway adjunct to alleviate obstruction by the tongue.
Oropharyngeal airways can be used in patients without a gag reflex.
What bedside monitoring parameters are used to assess for adequacy of oxygenation and
effectiveness of ventilation? Pulse oximetry and capnography Pulse oximetry measures
the percentage of hemoglobin saturated with oxygen. Capnography measures the amount of
carbon dioxide exhaled. Carbon dioxide is the end-product of ventilation and a reflection of
metabolism and pulmonary function.
Which of the following is NOT considered a benefit of debriefings? Identifying
individuals who made mistakes during the traumatic event Debriefings are not used to single out
individuals who made mistakes. Debriefings are used to provide an opportunity to review
performance and identify areas for improvement with a sharing of individual responses.
, Which of the following is NOT considered goal-directed therapy for cardiogenic shock?
Pericardiocentesis A pericardial tamponade is a form of obstructive, not cardiogenic,
shock.
A patient is brought to the emergency department of a rural hospital following a high-speed
motor vehicle collision. When significant abdominal and pelvic injuries are noted in the primary
survey, which of the following is the priority intervention? Initiate transfer to a trauma
center Early consideration for transfer to a trauma center is essential to ensure optimal outcomes.
The most reassuring finding for a male patient with hip pain after a fall is which of the
following? Pelvic stability Uncontrolled hemorrhage is the major cause of preventable
death after injury. Unstable pelvic fractures increase the volume of the pelvic cavity and can be
life-threatening due to blood loss.
EMS brings a patient from a motor vehicle crash. Vital signs are BP 90/49 mm Hg, heart rate 48
beats/minute, respiratory rate 12 breaths/minute, temperature 97.2°F (36.2° C). The patient
exhibits urinary incontinence and priapism. These assessment findings are most consistent with
which of the following types of spinal cord injury? Complete Incontinence, priapism, and
hypotension with bradycardia are manifestations of a complete spinal cord injury.
