TNCC 20TH EDITION EXAM LATEST 2023-2024 COMPLETE 80 QUESTIONS AND CORRECT
DETAILED ANSWERS |ALREADY GRADED A+
Caregivers carry a 2-year old into the ED who fell out of 2nd story window. The patient is awake and
crying with increased work of breathing and pale skin. which of the following interventions has the
highest priority?
Answer: A - ANSA) padding the upper back while stabilizing the cervical spine ***
B) applying a tight-fitting NRB mask with an attached resevior
C) establishing intravenous access and administering a 20mL/kg bolus
D) preparing for drug assisted intubation
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 - ANSA) 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 ***
EMS arrives with the intoxicated driver of a car involved in a MVC. EMS reports significant damage to the
drivers side of the car. The patient is asking to have the cervical color removed. when is it appropriate to
remove the cervical collar?
Answer: A - ANSA) after a physical examination if the patient has no radiologic abnormalities on a
computed tomography scan ***
B) after physician evaluation if the patient has not neurologic abnormalities on exam
C) after palpation of the spine if the patient has no point tenderness the the vertebral column
D) after physical examination if the patient has not neck pain with movement
EMS brings a patient who fell riding his bicycle. Using the American College of Surgeons screening
guidelines, which assessment finding would prompt the nurse to prepare the patient for radiologic spine
clearance?
Answer: D - ANSA) Alert with no neurologic deficits
B) Multiple abrasions to the extremities
C) Multiple requests of water
D) Smell of alcohol on breath ***
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 - ANSA) mitigation ***
B) preparedness
C) response
D) recovery
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?
, TNCC 20TH EDITION EXAM LATEST 2023-2024 COMPLETE 80 QUESTIONS AND CORRECT
DETAILED ANSWERS |ALREADY GRADED A+
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
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
DETAILED ANSWERS |ALREADY GRADED A+
Caregivers carry a 2-year old into the ED who fell out of 2nd story window. The patient is awake and
crying with increased work of breathing and pale skin. which of the following interventions has the
highest priority?
Answer: A - ANSA) padding the upper back while stabilizing the cervical spine ***
B) applying a tight-fitting NRB mask with an attached resevior
C) establishing intravenous access and administering a 20mL/kg bolus
D) preparing for drug assisted intubation
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 - ANSA) 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 ***
EMS arrives with the intoxicated driver of a car involved in a MVC. EMS reports significant damage to the
drivers side of the car. The patient is asking to have the cervical color removed. when is it appropriate to
remove the cervical collar?
Answer: A - ANSA) after a physical examination if the patient has no radiologic abnormalities on a
computed tomography scan ***
B) after physician evaluation if the patient has not neurologic abnormalities on exam
C) after palpation of the spine if the patient has no point tenderness the the vertebral column
D) after physical examination if the patient has not neck pain with movement
EMS brings a patient who fell riding his bicycle. Using the American College of Surgeons screening
guidelines, which assessment finding would prompt the nurse to prepare the patient for radiologic spine
clearance?
Answer: D - ANSA) Alert with no neurologic deficits
B) Multiple abrasions to the extremities
C) Multiple requests of water
D) Smell of alcohol on breath ***
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 - ANSA) mitigation ***
B) preparedness
C) response
D) recovery
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?
, TNCC 20TH EDITION EXAM LATEST 2023-2024 COMPLETE 80 QUESTIONS AND CORRECT
DETAILED ANSWERS |ALREADY GRADED A+
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
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
