TNCC 9th Edition FINAL TEST
1. 1. An adult patient who sustained a severe head trauma has been intubat-
ed 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.- Decrease- the- rate- of-
manual- ventilation
2. 2.- Which- 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.- Amputation- of- a- limb
Rationale:- Preparation- and- Ongoing- Care\Psychosocial- Aspects
Functional- grief- relates- to- the- loss- of- body- function- or- body- parts- such- as-
amputation- of- a- limb,- paralysis,- or- loss- of- sight.
3. 3.- What- 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
D. Accessibility- to- a- primary- care- physician:- B.- Medical- history- including-
current- medications
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- applicator.
B. Pack- the- ear- with- gauze.
C. Notify- the- physician
D. Document- and- continue- the- exam.:- C.- Notify- the- physician
5. 5.- When- should- the- definitive- calculation- for- intravenous- fluid-
resuscitation- rate- be- performed- for- a- patient- with- burns?
A. As- soon- as- the- patient- arrives
1/
11
, TNCC 9th Edition FINAL TEST
B. After- removal- of- clothing
2/
11
1. 1. An adult patient who sustained a severe head trauma has been intubat-
ed 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.- Decrease- the- rate- of-
manual- ventilation
2. 2.- Which- 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.- Amputation- of- a- limb
Rationale:- Preparation- and- Ongoing- Care\Psychosocial- Aspects
Functional- grief- relates- to- the- loss- of- body- function- or- body- parts- such- as-
amputation- of- a- limb,- paralysis,- or- loss- of- sight.
3. 3.- What- 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
D. Accessibility- to- a- primary- care- physician:- B.- Medical- history- including-
current- medications
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- applicator.
B. Pack- the- ear- with- gauze.
C. Notify- the- physician
D. Document- and- continue- the- exam.:- C.- Notify- the- physician
5. 5.- When- should- the- definitive- calculation- for- intravenous- fluid-
resuscitation- rate- be- performed- for- a- patient- with- burns?
A. As- soon- as- the- patient- arrives
1/
11
, TNCC 9th Edition FINAL TEST
B. After- removal- of- clothing
2/
11
