TNCC 8th Edition FINAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
Why is a measure of serum lactate obtained in the initial assessment of the
trauma patient?
Answer: c - ans -a) to measure oxygenation and ventilation
b) to quantify the base deficit for the adequacy of cellular perfusion
c) *to gauge end-organ perfusion and tissue hypoxia **
d) to determine the underlying cause of shock
Which of the following assessment findings differentiates a tension PTX from a
simple PTX?
answer: D
Assessment findings associated with tension pneumothorax include anxiety,
severe restlessness, severe respiratory distress, and absent breath sounds on the
injured side. Hypotension due to compression of the heart and great vessels is
consistent with obstructive shock. Hypotension worsens with inspiration due to
increased intrathoracic pressure. Late signs include distended neck veins, tracheal
deviation, and cyanosis. - ans -A) increased work of breathing
B) unilaterally diminished breath sounds
C) pleuritic chest pain
D) hypotension that worsens with inspiration ***
Which of the following considerations is most important when caring for a
geriatric trauma patient?
Answer: B - ans -A) head to to exam
B) medical history **
C) incontinence
D) falls
, An intubated trauma patient is being transferred to a tertiary care center. After
moving the patient to the stretcher for transport, a drop in pulse oximetry to 85%
is noted. Which of the following is the priority interventions?
Answer: D - ans -A) call for a portable CXR stat
B) chest to make sure the ventilator is plugged in
C) suction the ET tube
D) confirm ET tube placement
What factor contributes most the kinetic energy of a body in motion?
answer: C - ans -A) acceleration
B) mass
C) velocity ***
D) inertia
During the primary survey of an unconscious patient with multi-system trauma,
the nurse notes snoring respirations. Which priority nursing interventions should
be performed next?
Answer: D - ans -A) open the airway with the head-tilt/chin lift maneuver
B) auscultate bilateral breath sounds to assess ventilatory status
C) assist respirations using a BVM
D) insert an oropharyngeal airway if there is no gag reflex ***
Following a review of recent drills and a real disaster event, a hospital has
identified deficiencies and is taking steps to minimize the impact of future
disaster. Which phase of the disaster life cycle does this describe?
Answer: A - ans -A) mitigation ***
B) preparedness
C) response
D) recovery
Which pulse pressure description is an indication of early hypovolemic shock?
Answer: B - ans -A) widened
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
Why is a measure of serum lactate obtained in the initial assessment of the
trauma patient?
Answer: c - ans -a) to measure oxygenation and ventilation
b) to quantify the base deficit for the adequacy of cellular perfusion
c) *to gauge end-organ perfusion and tissue hypoxia **
d) to determine the underlying cause of shock
Which of the following assessment findings differentiates a tension PTX from a
simple PTX?
answer: D
Assessment findings associated with tension pneumothorax include anxiety,
severe restlessness, severe respiratory distress, and absent breath sounds on the
injured side. Hypotension due to compression of the heart and great vessels is
consistent with obstructive shock. Hypotension worsens with inspiration due to
increased intrathoracic pressure. Late signs include distended neck veins, tracheal
deviation, and cyanosis. - ans -A) increased work of breathing
B) unilaterally diminished breath sounds
C) pleuritic chest pain
D) hypotension that worsens with inspiration ***
Which of the following considerations is most important when caring for a
geriatric trauma patient?
Answer: B - ans -A) head to to exam
B) medical history **
C) incontinence
D) falls
, An intubated trauma patient is being transferred to a tertiary care center. After
moving the patient to the stretcher for transport, a drop in pulse oximetry to 85%
is noted. Which of the following is the priority interventions?
Answer: D - ans -A) call for a portable CXR stat
B) chest to make sure the ventilator is plugged in
C) suction the ET tube
D) confirm ET tube placement
What factor contributes most the kinetic energy of a body in motion?
answer: C - ans -A) acceleration
B) mass
C) velocity ***
D) inertia
During the primary survey of an unconscious patient with multi-system trauma,
the nurse notes snoring respirations. Which priority nursing interventions should
be performed next?
Answer: D - ans -A) open the airway with the head-tilt/chin lift maneuver
B) auscultate bilateral breath sounds to assess ventilatory status
C) assist respirations using a BVM
D) insert an oropharyngeal airway if there is no gag reflex ***
Following a review of recent drills and a real disaster event, a hospital has
identified deficiencies and is taking steps to minimize the impact of future
disaster. Which phase of the disaster life cycle does this describe?
Answer: A - ans -A) mitigation ***
B) preparedness
C) response
D) recovery
Which pulse pressure description is an indication of early hypovolemic shock?
Answer: B - ans -A) widened
