TNCC FINAL EXAM LATEST VERSIONS 2024 CONTAINS 350 QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS) TESTBANK |ALREADY GRADED A+|100 %
COMPLETE|verified pass
If a patient has received multiple transfusions of banked blood preserved with citrate, which electrolyte is
most likely to drop and require supplementation?
Answer: D - ansA) potassium
B) magnesium
C) sodium
D) calcium ***
Patients with a crush injury should be monitored for which of the following conditions?
Answer: C - ansA) Hypernatremia
B) Hypercalcemia
C) Dysrhthmias **
D) polyuria
Tearing of the bridging veins is most frequently associated with which brain injury?
Answer: B - ansA) epidural hematoma
B) subdural hematoma ***
C) diffuse axonal injury
D) intracerebral hematoma
The most reassuring finding for a male patient with hop pain after a fall is which of the following?
Answer: D - ansA) a normal prostate exam
B) absence of abdominal distension
C) a normal fast exam
D) pelvic stability ***
The nurse is caring for a 120 kg male is brought in after a warehouse fire and is calculating the patient's
fluid resuscitation needs. He has painful red blistering to the entire surface of both upper extremities and
superficial burns to the anterior chest. Using the modified Lund and Browder chart to calculate the total
BSA burned, how much IV fluids would be administered in the first 8 hours?
(upper arm 4+4 / lower arm 3+3 / hand 2.5+2.5) = 19% TBSA.
120 kg x (2 mL) x (19% TBSA) = 4560 mL
(half of fluids given in first 8 hours) = 2280 mL
Answer: A - ansA) 2280 mL ***
B) 3840 mL
C) 4560 mL
D) 7680 mL
The trauma nurse knows that placing a bariatric patients in a "ramped position" provides better
visualization during the insertion of which device?
Answer: C - ansA) Intraosseous line
B) orogastric tube
C) ET tube ***
D) urinary catheter
, TNCC FINAL EXAM LATEST VERSIONS 2024 CONTAINS 350 QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS) TESTBANK |ALREADY GRADED A+|100 %
COMPLETE|verified pass
What bedside monitoring parameters are used to assess for adequacy of oxygenation and effectiveness of
ventilation?
Answer: A - ansA) pulse oximetry and capnogaphy **
B) respiratory rate and capnography
C) pulse oximetry and respiratory rate
D) capnography and capnometry
What factor contributes most the kinetic energy of a body in motion?
answer: C - ansA) acceleration
B) mass
C) velocity ***
D) inertia
What finding raises suspicion of complete spinal cord injury?
Answer: B - ansA) Weakness in the lower extremities
B) Priapism ***
C) voluntary anal sphincter tone
D) intact reflexes distal to the injury
Which if the following values indicates the need for alcohol withdrawal interventions?
Answer: A - ansA) CIWA-Ar of 36 ***
B) GCS 13
C) ETCo2 of 48 mm Hg
D) heart rate of 45 beats/min
Which is the effect of hypothermia on the oxyhemoglobin dissociation curve?
Answer: A - ansA) Hemoglobin does not readily release oxygen for use by the tissues ***
B) The amount of oxygen available to the tissues increases
C) Tissue oxygenation (PaO2) increases
D) Hemoglobin molecule saturation (SaO2) decreases
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. - ansA) 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?
CORRECT ANSWERS (VERIFIED ANSWERS) TESTBANK |ALREADY GRADED A+|100 %
COMPLETE|verified pass
If a patient has received multiple transfusions of banked blood preserved with citrate, which electrolyte is
most likely to drop and require supplementation?
Answer: D - ansA) potassium
B) magnesium
C) sodium
D) calcium ***
Patients with a crush injury should be monitored for which of the following conditions?
Answer: C - ansA) Hypernatremia
B) Hypercalcemia
C) Dysrhthmias **
D) polyuria
Tearing of the bridging veins is most frequently associated with which brain injury?
Answer: B - ansA) epidural hematoma
B) subdural hematoma ***
C) diffuse axonal injury
D) intracerebral hematoma
The most reassuring finding for a male patient with hop pain after a fall is which of the following?
Answer: D - ansA) a normal prostate exam
B) absence of abdominal distension
C) a normal fast exam
D) pelvic stability ***
The nurse is caring for a 120 kg male is brought in after a warehouse fire and is calculating the patient's
fluid resuscitation needs. He has painful red blistering to the entire surface of both upper extremities and
superficial burns to the anterior chest. Using the modified Lund and Browder chart to calculate the total
BSA burned, how much IV fluids would be administered in the first 8 hours?
(upper arm 4+4 / lower arm 3+3 / hand 2.5+2.5) = 19% TBSA.
120 kg x (2 mL) x (19% TBSA) = 4560 mL
(half of fluids given in first 8 hours) = 2280 mL
Answer: A - ansA) 2280 mL ***
B) 3840 mL
C) 4560 mL
D) 7680 mL
The trauma nurse knows that placing a bariatric patients in a "ramped position" provides better
visualization during the insertion of which device?
Answer: C - ansA) Intraosseous line
B) orogastric tube
C) ET tube ***
D) urinary catheter
, TNCC FINAL EXAM LATEST VERSIONS 2024 CONTAINS 350 QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS) TESTBANK |ALREADY GRADED A+|100 %
COMPLETE|verified pass
What bedside monitoring parameters are used to assess for adequacy of oxygenation and effectiveness of
ventilation?
Answer: A - ansA) pulse oximetry and capnogaphy **
B) respiratory rate and capnography
C) pulse oximetry and respiratory rate
D) capnography and capnometry
What factor contributes most the kinetic energy of a body in motion?
answer: C - ansA) acceleration
B) mass
C) velocity ***
D) inertia
What finding raises suspicion of complete spinal cord injury?
Answer: B - ansA) Weakness in the lower extremities
B) Priapism ***
C) voluntary anal sphincter tone
D) intact reflexes distal to the injury
Which if the following values indicates the need for alcohol withdrawal interventions?
Answer: A - ansA) CIWA-Ar of 36 ***
B) GCS 13
C) ETCo2 of 48 mm Hg
D) heart rate of 45 beats/min
Which is the effect of hypothermia on the oxyhemoglobin dissociation curve?
Answer: A - ansA) Hemoglobin does not readily release oxygen for use by the tissues ***
B) The amount of oxygen available to the tissues increases
C) Tissue oxygenation (PaO2) increases
D) Hemoglobin molecule saturation (SaO2) decreases
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. - ansA) 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?
