TNCCnFINALnEXAM n4nLATEST nVERSIONSn2023-
2024nCONTAINSn500+nQUESTIONSnANDnCORRECTnANSWERSn(VERIFIEDnANSWERS)n|AL
READYnGRADEDnA+
Anan22nyrnoldnwasnstrucknbynanvehiclenwhilencrossingnthenstreet,nsustainingnmultiplenfxnsheni
snalertnandnansweringnqestionsnandncryingnwhatnisnthenbestnmethodnforninitial npainnassessm
entnfornthisnptn-nANSself nreportnscale
Ananptnsustrainednanpenetratingninjurynofnhisnuppernleg.nthenprenhospital npersonnelnstatesnanl
argenamountnof nbloodnlossnbeforenhemostasiswasnachieved.nhenpresentsntonthenERnrespon
dingntonpainful nstimuli nwith nmoaning.nhenisntachyn142nb/pn104/96nandnRRn24n-
nANSdecompensated
Anan nunrestrainedndrivernwasninvolvedninnanfrontal ncollisionnwithoutnairbagndeployment.nheni
snhypotensivenandntachycardicnwithnshallow nrespirations,ndistendednJVDnandnmufflednhear
tntonesnthennursenpreparenfornwhatn-nANSpericardiocentesis
Anduringnassessmentnof nan nextremetynwith nsuspectednpulsesnaren-nANScan nbennormal
Anfornanptwhonhasnundergonenrecentnbariatricnsurgery,nflouroscopynisnrecommendedntonpla
cen-nANSNGntube
Anidentificationnofnvulnerabilitiesnisnan nexamplenof nwhatnphasenof ndisasternmanagementn-
nANSmitigation
Anin nmassncasualtyn"doingnthengreatestngoodnfornthengreatestnnumbernof npeoplenrefersntonan
situation nwheren-nANStherenmaynbenmorenpatientsnthan nresources
Anin nneurogenicnshock,nalterationsninnvital nsignsnincludenhypotensionnandnwhich nothernabn
ormalnVSn-nANSbradycardia
AnIn nthenprimarynsurveynAVPU nisnperformedntondeterminenif nthenpatientncan:n-
nANSProtectntheirnaiway
Anpregontraumanptndevelopsntachy,nhypotension,nanrigidenboardnlikenuterus,nandndark,nrednv
aginal nbleeding.nshenreportsnconstantnbacknpainnwhichnisnincreasing.nthenmostnlikelyncause
nof ns/snisn-nANSplacental nabruption
Anseveral ngroupsnof npeoplenarenatnhighernrisknfornmaltreatmentnincludingnchildren,nelderly,n
prego,nandn...n-nANSpt'snwith ndisability
Anthennursenisnpreparingntoncleansenannextensivenabrasionncontaminatednwithndirtnandngrav
el.nwhich nof nthenfollowingnintervention nisnindicatedn-nANSusncopiousnamountsnof nNS
AnThensystemicninflammatorynresponsenisnannormal npartnof nthenbody'snresponsentonshocknfr
omntraumaticninjury.nwhatnbestndescribesnthisnresponsen-
nANSitnisnactivated nbyntissuenhypoxianandnsendsnneutrophils ntoninjurynsite
,TNCCnFINALnEXAM n4nLATEST nVERSIONSn2023-
2024nCONTAINSn500+nQUESTIONSnANDnCORRECTnANSWERSn(VERIFIEDnANSWERS)n|AL
READYnGRADEDnA+
Anwhatnisnan nearlynassessmentnfindingntonincreasednICPnin nptnwith nanbrain ninjuryn-
nANSvomiting
Anwhen nprovidingncarenfornthenpedicatricnptnwithnburnsnthenpostnresuscitationncare,nhow nare
nfluidsndelivered n-nANSparkland nformulanwith nmaintainence nfluidss
Anwhich nof nhtenfollowingnnursingninterventionsnwouldnbenbestnforntraumitcn__________n-
nANSHOB n30ndegrees
Anwhichnofnthenfollowingnstructuresnwouldnbenhtenmostnaffectednbyntehnconceptnof ncaviation
n-nANSLiver
Anwhich nof nthenfollowingnvaluesnisnwithin nthenacceptablenlimitsnforntraumanptn-
nANSend ntidal nCO2nof n40
BnanptnfathernarrivesninntehnER nandnneedsntonbentoldnhisnsonnwasnseverelyninjuredninnanMVCn
andnisninnsurgery,nthenfathernsinagitated,nyelling,nandnsmellsnof nalcohol.ninnplanningntontalknw
ith nthenfathernthentraumannursenwill n-
nANSdeliverninformation nregarding nthenson;sncarenin nancalmnvoice
BnanptninvolvedninnannMVCndevelopsnasymmetricnpupillarynreactivity,nbilateral npupillaryndilat
ion nandnabnormal nmotornposturing.nwhatndoesnthennursensuspectnasnthenmostnlikelyncausen
-nANSherniation nsyndrome
Bnanptnwith ninjuryntonthenmiddlenmeningeal narterynisnatnrisknfornwhich nof nthenfollowingn-
nANSepidural nhematoma
Bnan nocclusivendressingnhasnbeennappliedntonanptnwithnanpenetratingninjuryntonthenchest.nup
on nassessmentnthennursennotesnthatnthenpatientnisninnrespiratoryndistressnnadnhasnabsnetnb
reath nsoundsnon nhtenaffectednside.nwhatnisnthenprirorutynintervention n-
nANSremove nthendressing ntonthenwound
Bnan nunrestrainedndriverninlvolvedninnanMVC ninnwhichnalcohol nwasninvoled.nhendeniesnanynp
ain nandnnumbnessnandntinlging.naccordingntonNEXUSncriteranwhichnfactorsnindicatenneednf
ornradiological n-nANSsuspectednalcohol nabuse
BnptntonER nafternbeingnpinnedntonbricknretainingnwall.nknwoingncrushingninjuriesncan nresultnt
onsignificantndamagentonmuslcesnthenprioritynasessmentnforntraumannrusenisnforn-
nANSmyoglobinemia nndnrenal nfailure
Bnthenmostncommon ncausenof nshocknin nthentraumanptnisn-nANSlossnof ncircnvolume
Bnthenunrestrainednfron nseatnpassengerninnanMVCndevelopsnechymosisnaroundnumbillicus.n
thisnassessmentnfindingnisnmostncommonlynassociatednwith:n-
nANSbleeding nin nthenperitoneal ncavity
,TNCCnFINALnEXAM n4nLATEST nVERSIONSn2023-
2024nCONTAINSn500+nQUESTIONSnANDnCORRECTnANSWERSn(VERIFIEDnANSWERS)n|AL
READYnGRADEDnA+
Bnthinningnskinnandndiminishednautonomicnresponseninnoldernadultncannhavenwhatneffectnon
nprimarynassessmentn-nANScompromised nthermoregulation
Bnwhen nassessingnanptnfollowingnanMVCnthennursesnasksnhow nfsatnthencarnwasngoingn-
nANSwhen nvolocitynisndoubled nspeednisnquadroupled
BnWHich nmaynleadntonunreliablenpulsenoxnreadingn-nANScarboxyhemoglobin
Bnwhichnofnhtenfollowingnsignificantnassessmentnfindignsnisnfrequentlynfoundninnanpatientnwit
h ncompletencransiofacialnseparationninvolvingnthenmaxilla,nzygoma,norbits,nandnbonesnofnth
encranial nbase.n-nANSdiplopia
Bnwhichnofnthenfollowingnhemodynamicnsupportnstrategiesnisnthenpriorirityninterventionnforna
nptnwith ntraumaticnpulmonaryncontusion n-nANSjudicios nusenof nIV nfluids
Bduringnthenprimarynsurverynwhich nof nthenfollowingnhasnthengreatestnpriorityn-
nANScervical nspine ninjury
Cn32nwknpregnantnladynarrivesninnernafterntrappedninnancarnthatnflipped.ntheninitial nassessme
ntnrevealsns/snof nshock,nvaginalnbleeding,nanpalpablenasymmetrical nuterus,nandnslowingnfet
alnheartntonesnwhatnisnthenmostnlikelyncausen-nANSuterinenrupture
Cnancollegenstudentnpresentsntonthenernstatingnafterarrivingnatnanpartyn,nshenawokenin nandor
mnrom.nshendidntnrecognizenwithnnonmemorynofnthenpreviousneveningnthentraumannursenpre
parenfornwhatnexam.n-nANSsexual nassult
Cnan nadultnptninvolvedninnanbrushnfirenarrivesntonthener.nuponninitialnassessmentninnthenernthe
nmostnconcerning nfinding nisn-nANShoarse nvoicenandnrepeatedlyndecidesntonclearnthroat.
Cnan noldernadultnptnfell ninnthenbathtubn3ndaysnago.nnownshenisnexihibitingndecreasdnLOC nan
dndifficultynwith nspeakingnandnwalking.nwhich nof nthenfollowingninjuriesnisnmostneffectiven-
nANSsubdural nhematoma
Cneffectivenpain nmanagementnin nhtenptniwth nribnfxwill npromotenwhatn-
nANScough nwith nabilityntonclearnsecretions
Cnproperlynrestrainedn6nwknoldnkidnwasninvolvedninnanMVC.nafternthenassessmentnandnstabil
ization nthenptnbecomesnmorendifficultntonrouse.nrespondingnwithnanweakncryntonpainful nstimul
i.nthenpupilsnremainnbrisknandnreactive.nthenanteriornfontanel nisnsoftnandnflat.nwhatnisnthenmo
stnlikelyncausenandnprirityninterventionsn-nANShypoglycemia
CnWhatnarenthenprimarynbenefitsnof nanteamnapproach ntontraumancaren-
nANSitnprovidesnansystemicnapproach ntoncarenandnorganizesncare
, TNCCnFINALnEXAM n4nLATEST nVERSIONSn2023-
2024nCONTAINSn500+nQUESTIONSnANDnCORRECTnANSWERSn(VERIFIEDnANSWERS)n|AL
READYnGRADEDnA+
Cnwhatnorgan nmightnbeninjurednin nleftnlowernribnfxn-nANSspleen
Cnwhichnofnthenfollowingnwouldnbenpriorityninterventionnfornanptnwith nmultiplenribnfracturesnan
dnchestnwall ninstabilitynfollwoingnanmvcncollisionn-nANSassistnwith nendotracheal nintubation
Cnwhich nof nthenfollwoingnisnanrisknfactornfornDVTnin nthentraumanpt.n-nANSpelvicnfx
Cthentermnworriednwell nwhen nreferingntondisasternpreparednessnplanningnrefersnto:n-
nANSindividuals nhwonthinkntheynhavenbeen naffectednbyntheneventnbutnarenasymptomatic
Cthentraumannursenwouldnpreparenfornandefinitivenairwyanfornwhichnofnthenfollowingnconditio
n.n-nANSGCSnof n8nornls
DnAn nunrestrainedndrivernisnbroughtnintonthenemergencyndepartmentnfollowingnanfrontalnimp
actnMVC.nshenisnpale,nanxious,nandnc/onSOB.nwhatnisnthenpotential ninjuryn-nANSLumbarnfx
Dnelevatedncomaprtmentnpressurencan nbenthenresultnof n-
nANShemorrhage nfromnwithin nthenmuscle
Dnptnwith namputationnof nannindexnfingernwithnanknife.namputaiton nisnbroughtninnwithnpt.nitnisnw
rappednin nsterilengauzenwithnsalinenandnsealedninnanplasticnbag.nthennextnstepnamputation nc
arenisn-nANSplacenthenbagnon nice
DnrestrainedndrivernisninvolvedninnanseverenheadnonnMVCnandnpresntsnwithnanseatbeltnmarkn
alongnthennecknandnuppernchestnarea.nbilateral ndecreasednbreathnsounds,nhemoptysisnand
ndiffuse nsubnqnemphysematonthennecknandnuppernchestnarean-nANStracheobronchial ninjury
Dnwhichnofnthenfollowingndiagnosticninterventionnisnmostnappropriatenfornthenunstablenptnwit
h nansuspectedinternal nhemorrhagen-
nANSfocused nassessmentnwith nsonographynforntrauma
Dnwhichnphysiological nchangeninnairwaynofnannodlernadultnptnplacesnthenptnatnrisknforndifficult
nintubation n-
nANScervical narthritisA nan22nyrnoldnwasnstrucknbynanvehiclenwhile ncrossing nthenstreet,nsustai
ningnmultiplenfxnshenisnalertnandnansweringnqestionsnandncryingnwhatnisnthenbestnmethodnfo
rninitial npain nassessmentnfornthisnptn-nANSself nreportnscale
Ananptnsustrainednanpenetratingninjurynofnhisnuppernleg.nthenprenhospital npersonnelnstatesnanl
argenamountnof nbloodnlossnbeforenhemostasiswasnachieved.nhenpresentsntonthenERnrespon
dingntonpainful nstimuli nwith nmoaning.nhenisntachyn142nb/pn104/96nandnRRn24n-
nANSdecompensated
Anan nunrestrainedndrivernwasninvolvedninnanfrontal ncollisionnwithoutnairbagndeployment.nheni
snhypotensivenandntachycardicnwithnshallow nrespirations,ndistendednJVDnandnmufflednhear
tntonesnthennursenpreparenfornwhatn-nANSpericardiocentesis
2024nCONTAINSn500+nQUESTIONSnANDnCORRECTnANSWERSn(VERIFIEDnANSWERS)n|AL
READYnGRADEDnA+
Anan22nyrnoldnwasnstrucknbynanvehiclenwhilencrossingnthenstreet,nsustainingnmultiplenfxnsheni
snalertnandnansweringnqestionsnandncryingnwhatnisnthenbestnmethodnforninitial npainnassessm
entnfornthisnptn-nANSself nreportnscale
Ananptnsustrainednanpenetratingninjurynofnhisnuppernleg.nthenprenhospital npersonnelnstatesnanl
argenamountnof nbloodnlossnbeforenhemostasiswasnachieved.nhenpresentsntonthenERnrespon
dingntonpainful nstimuli nwith nmoaning.nhenisntachyn142nb/pn104/96nandnRRn24n-
nANSdecompensated
Anan nunrestrainedndrivernwasninvolvedninnanfrontal ncollisionnwithoutnairbagndeployment.nheni
snhypotensivenandntachycardicnwithnshallow nrespirations,ndistendednJVDnandnmufflednhear
tntonesnthennursenpreparenfornwhatn-nANSpericardiocentesis
Anduringnassessmentnof nan nextremetynwith nsuspectednpulsesnaren-nANScan nbennormal
Anfornanptwhonhasnundergonenrecentnbariatricnsurgery,nflouroscopynisnrecommendedntonpla
cen-nANSNGntube
Anidentificationnofnvulnerabilitiesnisnan nexamplenof nwhatnphasenof ndisasternmanagementn-
nANSmitigation
Anin nmassncasualtyn"doingnthengreatestngoodnfornthengreatestnnumbernof npeoplenrefersntonan
situation nwheren-nANStherenmaynbenmorenpatientsnthan nresources
Anin nneurogenicnshock,nalterationsninnvital nsignsnincludenhypotensionnandnwhich nothernabn
ormalnVSn-nANSbradycardia
AnIn nthenprimarynsurveynAVPU nisnperformedntondeterminenif nthenpatientncan:n-
nANSProtectntheirnaiway
Anpregontraumanptndevelopsntachy,nhypotension,nanrigidenboardnlikenuterus,nandndark,nrednv
aginal nbleeding.nshenreportsnconstantnbacknpainnwhichnisnincreasing.nthenmostnlikelyncause
nof ns/snisn-nANSplacental nabruption
Anseveral ngroupsnof npeoplenarenatnhighernrisknfornmaltreatmentnincludingnchildren,nelderly,n
prego,nandn...n-nANSpt'snwith ndisability
Anthennursenisnpreparingntoncleansenannextensivenabrasionncontaminatednwithndirtnandngrav
el.nwhich nof nthenfollowingnintervention nisnindicatedn-nANSusncopiousnamountsnof nNS
AnThensystemicninflammatorynresponsenisnannormal npartnof nthenbody'snresponsentonshocknfr
omntraumaticninjury.nwhatnbestndescribesnthisnresponsen-
nANSitnisnactivated nbyntissuenhypoxianandnsendsnneutrophils ntoninjurynsite
,TNCCnFINALnEXAM n4nLATEST nVERSIONSn2023-
2024nCONTAINSn500+nQUESTIONSnANDnCORRECTnANSWERSn(VERIFIEDnANSWERS)n|AL
READYnGRADEDnA+
Anwhatnisnan nearlynassessmentnfindingntonincreasednICPnin nptnwith nanbrain ninjuryn-
nANSvomiting
Anwhen nprovidingncarenfornthenpedicatricnptnwithnburnsnthenpostnresuscitationncare,nhow nare
nfluidsndelivered n-nANSparkland nformulanwith nmaintainence nfluidss
Anwhich nof nhtenfollowingnnursingninterventionsnwouldnbenbestnforntraumitcn__________n-
nANSHOB n30ndegrees
Anwhichnofnthenfollowingnstructuresnwouldnbenhtenmostnaffectednbyntehnconceptnof ncaviation
n-nANSLiver
Anwhich nof nthenfollowingnvaluesnisnwithin nthenacceptablenlimitsnforntraumanptn-
nANSend ntidal nCO2nof n40
BnanptnfathernarrivesninntehnER nandnneedsntonbentoldnhisnsonnwasnseverelyninjuredninnanMVCn
andnisninnsurgery,nthenfathernsinagitated,nyelling,nandnsmellsnof nalcohol.ninnplanningntontalknw
ith nthenfathernthentraumannursenwill n-
nANSdeliverninformation nregarding nthenson;sncarenin nancalmnvoice
BnanptninvolvedninnannMVCndevelopsnasymmetricnpupillarynreactivity,nbilateral npupillaryndilat
ion nandnabnormal nmotornposturing.nwhatndoesnthennursensuspectnasnthenmostnlikelyncausen
-nANSherniation nsyndrome
Bnanptnwith ninjuryntonthenmiddlenmeningeal narterynisnatnrisknfornwhich nof nthenfollowingn-
nANSepidural nhematoma
Bnan nocclusivendressingnhasnbeennappliedntonanptnwithnanpenetratingninjuryntonthenchest.nup
on nassessmentnthennursennotesnthatnthenpatientnisninnrespiratoryndistressnnadnhasnabsnetnb
reath nsoundsnon nhtenaffectednside.nwhatnisnthenprirorutynintervention n-
nANSremove nthendressing ntonthenwound
Bnan nunrestrainedndriverninlvolvedninnanMVC ninnwhichnalcohol nwasninvoled.nhendeniesnanynp
ain nandnnumbnessnandntinlging.naccordingntonNEXUSncriteranwhichnfactorsnindicatenneednf
ornradiological n-nANSsuspectednalcohol nabuse
BnptntonER nafternbeingnpinnedntonbricknretainingnwall.nknwoingncrushingninjuriesncan nresultnt
onsignificantndamagentonmuslcesnthenprioritynasessmentnforntraumannrusenisnforn-
nANSmyoglobinemia nndnrenal nfailure
Bnthenmostncommon ncausenof nshocknin nthentraumanptnisn-nANSlossnof ncircnvolume
Bnthenunrestrainednfron nseatnpassengerninnanMVCndevelopsnechymosisnaroundnumbillicus.n
thisnassessmentnfindingnisnmostncommonlynassociatednwith:n-
nANSbleeding nin nthenperitoneal ncavity
,TNCCnFINALnEXAM n4nLATEST nVERSIONSn2023-
2024nCONTAINSn500+nQUESTIONSnANDnCORRECTnANSWERSn(VERIFIEDnANSWERS)n|AL
READYnGRADEDnA+
Bnthinningnskinnandndiminishednautonomicnresponseninnoldernadultncannhavenwhatneffectnon
nprimarynassessmentn-nANScompromised nthermoregulation
Bnwhen nassessingnanptnfollowingnanMVCnthennursesnasksnhow nfsatnthencarnwasngoingn-
nANSwhen nvolocitynisndoubled nspeednisnquadroupled
BnWHich nmaynleadntonunreliablenpulsenoxnreadingn-nANScarboxyhemoglobin
Bnwhichnofnhtenfollowingnsignificantnassessmentnfindignsnisnfrequentlynfoundninnanpatientnwit
h ncompletencransiofacialnseparationninvolvingnthenmaxilla,nzygoma,norbits,nandnbonesnofnth
encranial nbase.n-nANSdiplopia
Bnwhichnofnthenfollowingnhemodynamicnsupportnstrategiesnisnthenpriorirityninterventionnforna
nptnwith ntraumaticnpulmonaryncontusion n-nANSjudicios nusenof nIV nfluids
Bduringnthenprimarynsurverynwhich nof nthenfollowingnhasnthengreatestnpriorityn-
nANScervical nspine ninjury
Cn32nwknpregnantnladynarrivesninnernafterntrappedninnancarnthatnflipped.ntheninitial nassessme
ntnrevealsns/snof nshock,nvaginalnbleeding,nanpalpablenasymmetrical nuterus,nandnslowingnfet
alnheartntonesnwhatnisnthenmostnlikelyncausen-nANSuterinenrupture
Cnancollegenstudentnpresentsntonthenernstatingnafterarrivingnatnanpartyn,nshenawokenin nandor
mnrom.nshendidntnrecognizenwithnnonmemorynofnthenpreviousneveningnthentraumannursenpre
parenfornwhatnexam.n-nANSsexual nassult
Cnan nadultnptninvolvedninnanbrushnfirenarrivesntonthener.nuponninitialnassessmentninnthenernthe
nmostnconcerning nfinding nisn-nANShoarse nvoicenandnrepeatedlyndecidesntonclearnthroat.
Cnan noldernadultnptnfell ninnthenbathtubn3ndaysnago.nnownshenisnexihibitingndecreasdnLOC nan
dndifficultynwith nspeakingnandnwalking.nwhich nof nthenfollowingninjuriesnisnmostneffectiven-
nANSsubdural nhematoma
Cneffectivenpain nmanagementnin nhtenptniwth nribnfxwill npromotenwhatn-
nANScough nwith nabilityntonclearnsecretions
Cnproperlynrestrainedn6nwknoldnkidnwasninvolvedninnanMVC.nafternthenassessmentnandnstabil
ization nthenptnbecomesnmorendifficultntonrouse.nrespondingnwithnanweakncryntonpainful nstimul
i.nthenpupilsnremainnbrisknandnreactive.nthenanteriornfontanel nisnsoftnandnflat.nwhatnisnthenmo
stnlikelyncausenandnprirityninterventionsn-nANShypoglycemia
CnWhatnarenthenprimarynbenefitsnof nanteamnapproach ntontraumancaren-
nANSitnprovidesnansystemicnapproach ntoncarenandnorganizesncare
, TNCCnFINALnEXAM n4nLATEST nVERSIONSn2023-
2024nCONTAINSn500+nQUESTIONSnANDnCORRECTnANSWERSn(VERIFIEDnANSWERS)n|AL
READYnGRADEDnA+
Cnwhatnorgan nmightnbeninjurednin nleftnlowernribnfxn-nANSspleen
Cnwhichnofnthenfollowingnwouldnbenpriorityninterventionnfornanptnwith nmultiplenribnfracturesnan
dnchestnwall ninstabilitynfollwoingnanmvcncollisionn-nANSassistnwith nendotracheal nintubation
Cnwhich nof nthenfollwoingnisnanrisknfactornfornDVTnin nthentraumanpt.n-nANSpelvicnfx
Cthentermnworriednwell nwhen nreferingntondisasternpreparednessnplanningnrefersnto:n-
nANSindividuals nhwonthinkntheynhavenbeen naffectednbyntheneventnbutnarenasymptomatic
Cthentraumannursenwouldnpreparenfornandefinitivenairwyanfornwhichnofnthenfollowingnconditio
n.n-nANSGCSnof n8nornls
DnAn nunrestrainedndrivernisnbroughtnintonthenemergencyndepartmentnfollowingnanfrontalnimp
actnMVC.nshenisnpale,nanxious,nandnc/onSOB.nwhatnisnthenpotential ninjuryn-nANSLumbarnfx
Dnelevatedncomaprtmentnpressurencan nbenthenresultnof n-
nANShemorrhage nfromnwithin nthenmuscle
Dnptnwith namputationnof nannindexnfingernwithnanknife.namputaiton nisnbroughtninnwithnpt.nitnisnw
rappednin nsterilengauzenwithnsalinenandnsealedninnanplasticnbag.nthennextnstepnamputation nc
arenisn-nANSplacenthenbagnon nice
DnrestrainedndrivernisninvolvedninnanseverenheadnonnMVCnandnpresntsnwithnanseatbeltnmarkn
alongnthennecknandnuppernchestnarea.nbilateral ndecreasednbreathnsounds,nhemoptysisnand
ndiffuse nsubnqnemphysematonthennecknandnuppernchestnarean-nANStracheobronchial ninjury
Dnwhichnofnthenfollowingndiagnosticninterventionnisnmostnappropriatenfornthenunstablenptnwit
h nansuspectedinternal nhemorrhagen-
nANSfocused nassessmentnwith nsonographynforntrauma
Dnwhichnphysiological nchangeninnairwaynofnannodlernadultnptnplacesnthenptnatnrisknforndifficult
nintubation n-
nANScervical narthritisA nan22nyrnoldnwasnstrucknbynanvehiclenwhile ncrossing nthenstreet,nsustai
ningnmultiplenfxnshenisnalertnandnansweringnqestionsnandncryingnwhatnisnthenbestnmethodnfo
rninitial npain nassessmentnfornthisnptn-nANSself nreportnscale
Ananptnsustrainednanpenetratingninjurynofnhisnuppernleg.nthenprenhospital npersonnelnstatesnanl
argenamountnof nbloodnlossnbeforenhemostasiswasnachieved.nhenpresentsntonthenERnrespon
dingntonpainful nstimuli nwith nmoaning.nhenisntachyn142nb/pn104/96nandnRRn24n-
nANSdecompensated
Anan nunrestrainedndrivernwasninvolvedninnanfrontal ncollisionnwithoutnairbagndeployment.nheni
snhypotensivenandntachycardicnwithnshallow nrespirations,ndistendednJVDnandnmufflednhear
tntonesnthennursenpreparenfornwhatn-nANSpericardiocentesis
