TNCC EXAM 5 LATEST VERSIONS (VERSION A & B) COMPLETE 200 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) TESTBANK |ALREADY
GRADED A+|100 % COMPLETE
"Breathing and Ventilation" - ansDuring which part of the primary survey would you
anticipate the need for a chest tube, intubation, decompression of pneumothorax,
oxygen, or BVMs?
1. attach CO2 detector and assess for evidence of exhaled CO2; 2. observe for rise
and fall of the chest w/ assisted ventilations; 3. auscultate over epigastrium for
gurgling AND lungs for bilateral breath sounds - ansWhat three assessments must be
done if the patient is intubated?
1. inspect AND palpate skin color, temp, moisture and 2. palpate a pulse - ansTo
assess circulation, you must do these two main tasks:
A.Alert with no neurologic deficits - ansUsing the American College of Surgeons
screening guidelines, what assessment finding would prompt the nurse to prepare a
patient for cervical spine imaging?
A.Alert with no neurologic deficits
B.Multiple abrasions to the
extremities C.Ecchymosis to the
flank D.Responds to verbal
stimulation
A.Cardiogenic - ansA patient is brought to the emergency department with chest
pain and shortness of breath following a high-speed motor vehicle collision in
which they were the unrestrained driver. There is crepitus to the left chest with
clear and equal breath sounds. The vital signs are BP 80/40 mmHg, HR 140
beats/minute, and RR 40 breaths/minute. Cardiac monitor shows sinus tachycardia
with premature ventricular contractions. These findings are most consistent with
which type of shock?
A.Cardiogenic
B.Neurogenic
C.Hypovolemic
D.Obstructive
A.Decrease the rate of manual ventilation. - ansAn adult patient who sustained a
severe head trauma has been intubated and is being manually ventilated via a bag-
mask device at a rate of 18 breaths/minute. The patient has received one
intravenous fluid bolus of 500 mL of warmed isotonic crystalloid solution. The
PaCO2 is 30 mm Hg (4.0 kPa), and the pulse oximetry is 92%. BP is 142/70 mm Hg.
What is the most important intervention to manage the cerebral blood flow?
A.Decrease the rate of manual ventilation.
B.Initiate another fluid bolus.
C.Recheck endotracheal tube placement.
D.Increase the amount of oxygen delivered.
A.Initiate warming measures - ansA patient is brought to the emergency
department following a snowmobile crash with prolonged exposure time prior to
transport. The
,TNCC EXAM 5 LATEST VERSIONS (VERSION A & B) COMPLETE 200 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) TESTBANK |ALREADY
GRADED A+|100 % COMPLETE
patient is confused. Vital signs are BP 96/54 mm Hg, HR 114 beats/minute, RR 24
breaths/minute, T 34.6oC (94.2oF) and an SpO2 of 90% on oxygen at 15L per non-
rebreather mask. Other findings include ETCO2 24, serum lactate of 6 mmol/L, and a
pH of 6.8. Based on these findings, what is the most appropriate intervention?
A.Initiate warming measures
B.Titrate oxygen to 6 L per nasal
cannula C.Bolus with 500 mL isotonic
crystalloids D.Vigorously massage the
extremities
A.Report your suspicion of maltreatment in accordance with local regulations -
ansA 5- year-old child presents to the emergency department with bruises to the
upper arms and buttocks in various stages of healing and multiple small, clean,
round burns to the back. There are no abnormalities found based on the pediatric
assessment triangle or primary survey. Which of the following is the priority
nursing intervention?
A.Report your suspicion of maltreatment in accordance with local regulations
B.Apply ice to the bruises and provide wound care
C.Engage in therapeutic communication to determine the mechanism of injury
D.Provide the family with injury prevention resources
A.Reverse Trendelenburg - ansWhat position optimizes ventilation in the obese
patient with a lumbar fracture?
A.Reverse Trendelenburg
B.Supine
C.Prone
D.Fowler's
AFTER head-to-toe, BEFORE J (VIPP) - ansAntibiotics, consults, head CT, imaging,
law enforcement, mandatory reporting, psychosocial support, social services,
splinting, tetanus, and wound care are all interventions that you do AFTER and
before WHAT?
all patients - ansFor whom is capnography highly recommended?
Apply a pelvic binder - ansAn adult pedestrian was struck on the right side by a
sport utility vehicle traveling at 40 mph. The patient is awake and alert and the
right leg is shortened. Following initial resuscitation with fluids, the patient
remains hypotensive. What would be the priority intervention?
A.Send blood for type and crossmatch
B.Apply a pelvic binder
C.Prepare the patient for surgery
D.Insert a urinary catheter
,TNCC EXAM 5 LATEST VERSIONS (VERSION A & B) COMPLETE 200 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) TESTBANK |ALREADY
GRADED A+|100 % COMPLETE
assess ETT position by noting the number at teeth/gums AND secure ETT - ansIf the
patient is intubated and you've already assessed ETT placement, what else needs to
be done with the ETT? (step 10)
Assessing patency and protection of the airway, Step 7 of
"Alertness and Airway with Simultaneous Cervical Spinal Stabilization" - ansDuring
which part of the primary survey would there be anticipation for intubation,
insertion of OPA/NPA, removal of any loose teeth or foreign objects, or suctioning?
B. Rising diastolic - ansWhich blood pressure finding is associated with early or
compensated hypovolemic shock?
A.Rising systolic
B.Rising diastolic
C.Decreasing diastolic
D.Decreasing systolic
B.A 2-year-old lands on grass from a second-story balcony - ansBased on fall
mechanism, which patient warrants prehospital transfer to a trauma center?
A.A 35-year-old lands on a wooden porch from an 8-foot ladder
B.A 2-year-old lands on grass from a second-story balcony
C.A 14-year-old forcefully pushed onto cement from standing
D.A 50-year-old lands on a carpeted floor after tripping
B.Amputation of a limb - ansWhich of the following situations could cause
functional grief?
A.Inability to live at
home B.Amputation of a
limb C.Loss of one's self-
image
D.Destruction of the patient's car
B.Control the bleeding - ansAn unconscious patient arrives following a motor
vehicle collision. The patient is on a backboard with a cervical collar in place and
one intravenous line running. Respirations are shallow and there is active brisk
bleeding from a large leg wound. What is the priority intervention for this patient?
A.Check for a patent airway
B.Control the bleeding
C.Start a second intravenous line
D.Ventilate with a bag-mask device
B.During the secondary surveyt - ansWhen should the definitive calculation for
intravenous fluid resuscitation rate be performed for a patient with burns?
A.As soon as the patient arrives
, TNCC EXAM 5 LATEST VERSIONS (VERSION A & B) COMPLETE 200 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) TESTBANK |ALREADY
GRADED A+|100 % COMPLETE
B.During the secondary survey
C.Should only be done at a burn center
D.During the primary survey
B.Increased oxygen consumption - ansA trauma patient who is 30-weeks pregnant
arrives at the emergency department following a motor vehicle collision. Which
normal physiologic change should be considered when assessing ventilatory
status?
A.Increased functional reserve
capacity B.Increased oxygen
consumption C.Decreased minute
ventilation D.Slower desaturation rates
with apnea
B.It can be used in hypotensive patients too unstable for computed tomography
scan - ansWhich of the following is true about use of the focused assessment
sonography for trauma exam for a patient with abdominal trauma?
A.It has a higher sensitivity than diagnostic peritoneal lavage for fluid detection
B.It can be used in hypotensive patients too unstable for computed tomography scan
C.It can detect as little as 30 mL of fluid in the abdominal cavity
D.It has high sensitivity in pediatric patients for identifying fluid in the peritoneum
B.Loss of reflexes - ansA patient is diagnosed with a T12 spinal cord injury
following a 20-foot fall. Which finding is consistent with spinal shock?
A.Bradycardia
B.Loss of reflexes
C.Widened pulse pressure
D.Warm skin
B.Maintaining spinal motion restriction - ansWhat is the priority intervention for a
child who has been diagnosed with an atlanto-occipital dislocation following a
high-speed motor vehicle collision?
A.Initiating a second large caliber intravenous line
B.Maintaining spinal motion restriction
C.Placing the patient on pulse oximetry
D.Turning the patient to remove the backboard
B.Medical history including current medications - ansWhat is the most important
consideration during the initial assessment when caring for an older adult who has
sustained serious injuries?
A.They are likely to be fearful in the emergency department
B.Medical history including current medications
C.Availability of support systems after discharge
DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) TESTBANK |ALREADY
GRADED A+|100 % COMPLETE
"Breathing and Ventilation" - ansDuring which part of the primary survey would you
anticipate the need for a chest tube, intubation, decompression of pneumothorax,
oxygen, or BVMs?
1. attach CO2 detector and assess for evidence of exhaled CO2; 2. observe for rise
and fall of the chest w/ assisted ventilations; 3. auscultate over epigastrium for
gurgling AND lungs for bilateral breath sounds - ansWhat three assessments must be
done if the patient is intubated?
1. inspect AND palpate skin color, temp, moisture and 2. palpate a pulse - ansTo
assess circulation, you must do these two main tasks:
A.Alert with no neurologic deficits - ansUsing the American College of Surgeons
screening guidelines, what assessment finding would prompt the nurse to prepare a
patient for cervical spine imaging?
A.Alert with no neurologic deficits
B.Multiple abrasions to the
extremities C.Ecchymosis to the
flank D.Responds to verbal
stimulation
A.Cardiogenic - ansA patient is brought to the emergency department with chest
pain and shortness of breath following a high-speed motor vehicle collision in
which they were the unrestrained driver. There is crepitus to the left chest with
clear and equal breath sounds. The vital signs are BP 80/40 mmHg, HR 140
beats/minute, and RR 40 breaths/minute. Cardiac monitor shows sinus tachycardia
with premature ventricular contractions. These findings are most consistent with
which type of shock?
A.Cardiogenic
B.Neurogenic
C.Hypovolemic
D.Obstructive
A.Decrease the rate of manual ventilation. - ansAn adult patient who sustained a
severe head trauma has been intubated and is being manually ventilated via a bag-
mask device at a rate of 18 breaths/minute. The patient has received one
intravenous fluid bolus of 500 mL of warmed isotonic crystalloid solution. The
PaCO2 is 30 mm Hg (4.0 kPa), and the pulse oximetry is 92%. BP is 142/70 mm Hg.
What is the most important intervention to manage the cerebral blood flow?
A.Decrease the rate of manual ventilation.
B.Initiate another fluid bolus.
C.Recheck endotracheal tube placement.
D.Increase the amount of oxygen delivered.
A.Initiate warming measures - ansA patient is brought to the emergency
department following a snowmobile crash with prolonged exposure time prior to
transport. The
,TNCC EXAM 5 LATEST VERSIONS (VERSION A & B) COMPLETE 200 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) TESTBANK |ALREADY
GRADED A+|100 % COMPLETE
patient is confused. Vital signs are BP 96/54 mm Hg, HR 114 beats/minute, RR 24
breaths/minute, T 34.6oC (94.2oF) and an SpO2 of 90% on oxygen at 15L per non-
rebreather mask. Other findings include ETCO2 24, serum lactate of 6 mmol/L, and a
pH of 6.8. Based on these findings, what is the most appropriate intervention?
A.Initiate warming measures
B.Titrate oxygen to 6 L per nasal
cannula C.Bolus with 500 mL isotonic
crystalloids D.Vigorously massage the
extremities
A.Report your suspicion of maltreatment in accordance with local regulations -
ansA 5- year-old child presents to the emergency department with bruises to the
upper arms and buttocks in various stages of healing and multiple small, clean,
round burns to the back. There are no abnormalities found based on the pediatric
assessment triangle or primary survey. Which of the following is the priority
nursing intervention?
A.Report your suspicion of maltreatment in accordance with local regulations
B.Apply ice to the bruises and provide wound care
C.Engage in therapeutic communication to determine the mechanism of injury
D.Provide the family with injury prevention resources
A.Reverse Trendelenburg - ansWhat position optimizes ventilation in the obese
patient with a lumbar fracture?
A.Reverse Trendelenburg
B.Supine
C.Prone
D.Fowler's
AFTER head-to-toe, BEFORE J (VIPP) - ansAntibiotics, consults, head CT, imaging,
law enforcement, mandatory reporting, psychosocial support, social services,
splinting, tetanus, and wound care are all interventions that you do AFTER and
before WHAT?
all patients - ansFor whom is capnography highly recommended?
Apply a pelvic binder - ansAn adult pedestrian was struck on the right side by a
sport utility vehicle traveling at 40 mph. The patient is awake and alert and the
right leg is shortened. Following initial resuscitation with fluids, the patient
remains hypotensive. What would be the priority intervention?
A.Send blood for type and crossmatch
B.Apply a pelvic binder
C.Prepare the patient for surgery
D.Insert a urinary catheter
,TNCC EXAM 5 LATEST VERSIONS (VERSION A & B) COMPLETE 200 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) TESTBANK |ALREADY
GRADED A+|100 % COMPLETE
assess ETT position by noting the number at teeth/gums AND secure ETT - ansIf the
patient is intubated and you've already assessed ETT placement, what else needs to
be done with the ETT? (step 10)
Assessing patency and protection of the airway, Step 7 of
"Alertness and Airway with Simultaneous Cervical Spinal Stabilization" - ansDuring
which part of the primary survey would there be anticipation for intubation,
insertion of OPA/NPA, removal of any loose teeth or foreign objects, or suctioning?
B. Rising diastolic - ansWhich blood pressure finding is associated with early or
compensated hypovolemic shock?
A.Rising systolic
B.Rising diastolic
C.Decreasing diastolic
D.Decreasing systolic
B.A 2-year-old lands on grass from a second-story balcony - ansBased on fall
mechanism, which patient warrants prehospital transfer to a trauma center?
A.A 35-year-old lands on a wooden porch from an 8-foot ladder
B.A 2-year-old lands on grass from a second-story balcony
C.A 14-year-old forcefully pushed onto cement from standing
D.A 50-year-old lands on a carpeted floor after tripping
B.Amputation of a limb - ansWhich of the following situations could cause
functional grief?
A.Inability to live at
home B.Amputation of a
limb C.Loss of one's self-
image
D.Destruction of the patient's car
B.Control the bleeding - ansAn unconscious patient arrives following a motor
vehicle collision. The patient is on a backboard with a cervical collar in place and
one intravenous line running. Respirations are shallow and there is active brisk
bleeding from a large leg wound. What is the priority intervention for this patient?
A.Check for a patent airway
B.Control the bleeding
C.Start a second intravenous line
D.Ventilate with a bag-mask device
B.During the secondary surveyt - ansWhen should the definitive calculation for
intravenous fluid resuscitation rate be performed for a patient with burns?
A.As soon as the patient arrives
, TNCC EXAM 5 LATEST VERSIONS (VERSION A & B) COMPLETE 200 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) TESTBANK |ALREADY
GRADED A+|100 % COMPLETE
B.During the secondary survey
C.Should only be done at a burn center
D.During the primary survey
B.Increased oxygen consumption - ansA trauma patient who is 30-weeks pregnant
arrives at the emergency department following a motor vehicle collision. Which
normal physiologic change should be considered when assessing ventilatory
status?
A.Increased functional reserve
capacity B.Increased oxygen
consumption C.Decreased minute
ventilation D.Slower desaturation rates
with apnea
B.It can be used in hypotensive patients too unstable for computed tomography
scan - ansWhich of the following is true about use of the focused assessment
sonography for trauma exam for a patient with abdominal trauma?
A.It has a higher sensitivity than diagnostic peritoneal lavage for fluid detection
B.It can be used in hypotensive patients too unstable for computed tomography scan
C.It can detect as little as 30 mL of fluid in the abdominal cavity
D.It has high sensitivity in pediatric patients for identifying fluid in the peritoneum
B.Loss of reflexes - ansA patient is diagnosed with a T12 spinal cord injury
following a 20-foot fall. Which finding is consistent with spinal shock?
A.Bradycardia
B.Loss of reflexes
C.Widened pulse pressure
D.Warm skin
B.Maintaining spinal motion restriction - ansWhat is the priority intervention for a
child who has been diagnosed with an atlanto-occipital dislocation following a
high-speed motor vehicle collision?
A.Initiating a second large caliber intravenous line
B.Maintaining spinal motion restriction
C.Placing the patient on pulse oximetry
D.Turning the patient to remove the backboard
B.Medical history including current medications - ansWhat is the most important
consideration during the initial assessment when caring for an older adult who has
sustained serious injuries?
A.They are likely to be fearful in the emergency department
B.Medical history including current medications
C.Availability of support systems after discharge
