TNCC 9TH EDITION EXAM 500 MCQs QUESTIONS AND ANSWERS
GRADED A+
, TNCCFULLSOLUTIONPACK(ALLTNCCEXAMSAND
STUDY QUESTIONS ARE HERE ,ALLANSWERED
CORRECTLY)
Expedite transfer to the closest trauma center- A 56 y/o M pt involved
in a motorvehiclecrashisbroughttotheEDofaruralcritical
accessfacility.Hecomplainsofneckpain, SOB, and diffuse abd pain. His
GCS is 15. His VS: BP 98/71, HR 125, RR 26,SpO2 94% on high-flow O2
via NRB mask. Which of the following is the priorityintervention for
this patient?
apertinentmedicalhxiscrucial -
Whichofthefollowingconsiderationsisthemostimportant when caring
for a geriatric trauma pt?
Mitigation-Followinga
reviewofrecentdrillsandarealdisasterevent,ahospitalhasidentified
deficiencies and is taking steps to minimize the impact of a future
disaster .Which phase of the disaster life cycle does this describe?
Multiplerequestsforwater-
EMSbringsaptwhofellwhileridinghisbicycle.UsingtheAmerican College
of Surgeobs screening guidelines, which assessment finding
wouldprompt the RN to prepare the pt for a radiologic spine
clearance?
hemoglobindoesnotreadilyreleaseO2forusebythetissues -
Whatistheeffectofhypothermia on the oxyhemoglobin dissociation
curve?
acidosis-Whichofthefollowingisacomponentof thetraumatriadofdeath?
Complete-
EMSbringsaptfromMVC.VS:BP90/49,HR48,RR12,temp97.2F(36.2C). The
, TNCCFULLSOLUTIONPACK(ALLTNCCEXAMSAND
STUDY QUESTIONS ARE HERE ,ALLANSWERED
CORRECTLY)
pt exhibits urinary incontinence and priapism. These assessment
findings aremost consistent with which of the following types of
spinal cord injury?
flucuationinthewaterseal chamber -Whichof
thefollowingisanexpectedfindinginapt with a tube thoracstomy
connected to a chest drainage system?
insertanoropharyngealairwayif thereisnogagreflex -
Duringtheprimarysurveyofanunconscious pt with multi-system trauma,
the nurse notes snoring respirations. Whatpriority nursing
interventions should be preformed next?
globerupture-A35y/o
Mpresentswithfacialtraumaafterbeingstruckinthefacewitha baseball.
A teardrop-shaped left pupil is noted on exam. What type of injury
issuspected?
, TNCCFULLSOLUTIONPACK(ALLTNCCEXAMSAND
STUDY QUESTIONS ARE HERE ,ALLANSWERED
CORRECTLY)
compensated - A trauma pt is restless and repeatedly asking "where
am i?" VS
uponarrival:BP110/60,HR96,RR24.Herskiniscoolanddry.CurrentVSareB
P104/84,HR 108, RR 28. The pt is demonstrating s/sx of which stage of
shock?
ventilate with a bag mask device - An unresponsive trauma pt has
an
oropharygealairwayinplace,shallowandlaboredrespirations,anddusk
yskin.Thetrauma teamhasadministeredmedicationsfordrug-
assistedintubationandattemptedintubationbutwasunsuccessful.Wha
t is the most appropriate immediate next step?
within24 hrsoftrauma-Whenisthetertiarysurveycompletedforatraumapt?
pressure-
AnintubatedandsedatedptintheEDhasmultipleextremityinjurieswiththe
potential for causing compartment syndrome. What is the most
reliable indication ofcompartment syndrome in a patient who is
unconscious?
worseningpneumothorax-
Whichofthefollowingispossiblecomplicationofpositive-pressure
ventilation?
pelvicstability-
themostreassuringfindingforamaleptwithhippainafterafalliswhich of
the following?
narrowed -Whichofthefollowingpulsepressuresindicateearlyhypovolemic
shock?
dysrhythmias-
Patientswithacrushinjuryshouldbemonitoredforwhichofthefollowing
conditions?
subduralhematoma-
Tearingofthebridgingveinsismostfrequentlyassociatedwithwhich brain
injury?
GRADED A+
, TNCCFULLSOLUTIONPACK(ALLTNCCEXAMSAND
STUDY QUESTIONS ARE HERE ,ALLANSWERED
CORRECTLY)
Expedite transfer to the closest trauma center- A 56 y/o M pt involved
in a motorvehiclecrashisbroughttotheEDofaruralcritical
accessfacility.Hecomplainsofneckpain, SOB, and diffuse abd pain. His
GCS is 15. His VS: BP 98/71, HR 125, RR 26,SpO2 94% on high-flow O2
via NRB mask. Which of the following is the priorityintervention for
this patient?
apertinentmedicalhxiscrucial -
Whichofthefollowingconsiderationsisthemostimportant when caring
for a geriatric trauma pt?
Mitigation-Followinga
reviewofrecentdrillsandarealdisasterevent,ahospitalhasidentified
deficiencies and is taking steps to minimize the impact of a future
disaster .Which phase of the disaster life cycle does this describe?
Multiplerequestsforwater-
EMSbringsaptwhofellwhileridinghisbicycle.UsingtheAmerican College
of Surgeobs screening guidelines, which assessment finding
wouldprompt the RN to prepare the pt for a radiologic spine
clearance?
hemoglobindoesnotreadilyreleaseO2forusebythetissues -
Whatistheeffectofhypothermia on the oxyhemoglobin dissociation
curve?
acidosis-Whichofthefollowingisacomponentof thetraumatriadofdeath?
Complete-
EMSbringsaptfromMVC.VS:BP90/49,HR48,RR12,temp97.2F(36.2C). The
, TNCCFULLSOLUTIONPACK(ALLTNCCEXAMSAND
STUDY QUESTIONS ARE HERE ,ALLANSWERED
CORRECTLY)
pt exhibits urinary incontinence and priapism. These assessment
findings aremost consistent with which of the following types of
spinal cord injury?
flucuationinthewaterseal chamber -Whichof
thefollowingisanexpectedfindinginapt with a tube thoracstomy
connected to a chest drainage system?
insertanoropharyngealairwayif thereisnogagreflex -
Duringtheprimarysurveyofanunconscious pt with multi-system trauma,
the nurse notes snoring respirations. Whatpriority nursing
interventions should be preformed next?
globerupture-A35y/o
Mpresentswithfacialtraumaafterbeingstruckinthefacewitha baseball.
A teardrop-shaped left pupil is noted on exam. What type of injury
issuspected?
, TNCCFULLSOLUTIONPACK(ALLTNCCEXAMSAND
STUDY QUESTIONS ARE HERE ,ALLANSWERED
CORRECTLY)
compensated - A trauma pt is restless and repeatedly asking "where
am i?" VS
uponarrival:BP110/60,HR96,RR24.Herskiniscoolanddry.CurrentVSareB
P104/84,HR 108, RR 28. The pt is demonstrating s/sx of which stage of
shock?
ventilate with a bag mask device - An unresponsive trauma pt has
an
oropharygealairwayinplace,shallowandlaboredrespirations,anddusk
yskin.Thetrauma teamhasadministeredmedicationsfordrug-
assistedintubationandattemptedintubationbutwasunsuccessful.Wha
t is the most appropriate immediate next step?
within24 hrsoftrauma-Whenisthetertiarysurveycompletedforatraumapt?
pressure-
AnintubatedandsedatedptintheEDhasmultipleextremityinjurieswiththe
potential for causing compartment syndrome. What is the most
reliable indication ofcompartment syndrome in a patient who is
unconscious?
worseningpneumothorax-
Whichofthefollowingispossiblecomplicationofpositive-pressure
ventilation?
pelvicstability-
themostreassuringfindingforamaleptwithhippainafterafalliswhich of
the following?
narrowed -Whichofthefollowingpulsepressuresindicateearlyhypovolemic
shock?
dysrhythmias-
Patientswithacrushinjuryshouldbemonitoredforwhichofthefollowing
conditions?
subduralhematoma-
Tearingofthebridgingveinsismostfrequentlyassociatedwithwhich brain
injury?
