TNCC 9th Edition FINAL TEST
1. 1.- An- adult- patient- who- sustained- a- A.- Decrease- the- rate- of- manual-
severe- head- trauma- has- been- ventilation
intubated- and- is- be-- ing- manually-
ventilated- via- a- bag-mask- de-- vice- at-
a- rate- of- 18- breaths/minute.- The- pa--
tient- has- received- one- intravenous- fluid-
bo-- lus- 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- interven--
tion- to- manage- the- cerebral- blood-
flow?
A. Decrease- the- rate- of- manual-
ventilation
B. Initiate- another- fluid- bolus.
C. Recheck- endotracheal- tube- placement. B.- Amputation- of- a- limb
D. Increase- the- amount- of- oxygen-
delivered. Rationale:- Preparation- and- Ongoing-
Care\Psychosocial- Aspects
2. 2.- Which- of- the- following- situations- Functional- grief- relates- to- the- loss- of-
could- cause- functional- grief? body- function- or- body- parts- such- as-
A. Inability- to- live- at- home amputa-- tion- of- a- limb,- paralysis,- or-
B. Amputation- of- a- limb loss- of- sight.
C. Loss- of- one's- self-image
D. Destruction- of- the- patient's- car B.- Medical- history- including- current
3. 3.- What- is- the- most- important-
consideration
during- the- initial- assessment- when- caring- for- medications
an- older- adult- who- has- sustained-
serious- in-- juries?
1- /-
19
, TNCC 9th Edition FINAL TEST
A. They- are- likely- to- be- fearful- in- the-
emer-- gency- department
B. Medical- history- including- current-
medica-- tions
C. Availability- of- support- systems- after- dis-
2- /-
19
, TNCC 9th Edition FINAL TEST
charge A. Rotational
D. Accessibility- to- a- primary- care- B. Ejection
physician C. Lateral
D. Rollover
4. 4.- You- are- caring- for- a- patient-
who- was- thrown- from- a- bike- and-
was- not- wearing
a- helmet.- While- performing- the- head-
to-toe- assessment,- you- note- clear-
drainage- from- the- right- ear.- Which- of-
the- following- is- the- most- appropriate-
next- step?
A. Clean- the- ear- with- a- cotton-tipped-
applica-- tor.
B. Pack- the- ear- with- gauze.
C. Notify- the- physician
D. Document- and- continue- the- exam.
5. 5.- When- should- the- definitive-
calculation- for- intravenous- fluid-
resuscitation- rate- be- per-- formed- for-
a- patient- with- burns?
A. As- soon- as- the- patient- arrives
B. After- removal- of- clothing
C. Only- at- a- burn- center
D. During- the- circulation- assessment
6. 6.- In- a- motor- vehicle- collision,- which-
injury- pathway- is- most- likely- to-
increase- the- pa-- tient's- morbidity- and-
mortality?
3- /-
19
1. 1.- An- adult- patient- who- sustained- a- A.- Decrease- the- rate- of- manual-
severe- head- trauma- has- been- ventilation
intubated- and- is- be-- ing- manually-
ventilated- via- a- bag-mask- de-- vice- at-
a- rate- of- 18- breaths/minute.- The- pa--
tient- has- received- one- intravenous- fluid-
bo-- lus- 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- interven--
tion- to- manage- the- cerebral- blood-
flow?
A. Decrease- the- rate- of- manual-
ventilation
B. Initiate- another- fluid- bolus.
C. Recheck- endotracheal- tube- placement. B.- Amputation- of- a- limb
D. Increase- the- amount- of- oxygen-
delivered. Rationale:- Preparation- and- Ongoing-
Care\Psychosocial- Aspects
2. 2.- Which- of- the- following- situations- Functional- grief- relates- to- the- loss- of-
could- cause- functional- grief? body- function- or- body- parts- such- as-
A. Inability- to- live- at- home amputa-- tion- of- a- limb,- paralysis,- or-
B. Amputation- of- a- limb loss- of- sight.
C. Loss- of- one's- self-image
D. Destruction- of- the- patient's- car B.- Medical- history- including- current
3. 3.- What- is- the- most- important-
consideration
during- the- initial- assessment- when- caring- for- medications
an- older- adult- who- has- sustained-
serious- in-- juries?
1- /-
19
, TNCC 9th Edition FINAL TEST
A. They- are- likely- to- be- fearful- in- the-
emer-- gency- department
B. Medical- history- including- current-
medica-- tions
C. Availability- of- support- systems- after- dis-
2- /-
19
, TNCC 9th Edition FINAL TEST
charge A. Rotational
D. Accessibility- to- a- primary- care- B. Ejection
physician C. Lateral
D. Rollover
4. 4.- You- are- caring- for- a- patient-
who- was- thrown- from- a- bike- and-
was- not- wearing
a- helmet.- While- performing- the- head-
to-toe- assessment,- you- note- clear-
drainage- from- the- right- ear.- Which- of-
the- following- is- the- most- appropriate-
next- step?
A. Clean- the- ear- with- a- cotton-tipped-
applica-- tor.
B. Pack- the- ear- with- gauze.
C. Notify- the- physician
D. Document- and- continue- the- exam.
5. 5.- When- should- the- definitive-
calculation- for- intravenous- fluid-
resuscitation- rate- be- per-- formed- for-
a- patient- with- burns?
A. As- soon- as- the- patient- arrives
B. After- removal- of- clothing
C. Only- at- a- burn- center
D. During- the- circulation- assessment
6. 6.- In- a- motor- vehicle- collision,- which-
injury- pathway- is- most- likely- to-
increase- the- pa-- tient's- morbidity- and-
mortality?
3- /-
19
