TNCC FINAL EXAM 4 LATEST VERSIONS 2025-2026
CONTAINS 500 QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS)TEST BANK |ALREADY GRADED
A+|100% COMPLETE PASS
A a 22 yr old was struck by a vehicle while crossing the street, sustaining multiple fx she
is alert and answering qestions and crying what is the best method for initial pain
assessment for this pt - ANSself report scale
A a pt sustrained a penetrating injury of his upper leg. the pre hospital personnel states
a large amount of blood loss before hemostasiswas achieved. he presents to the ER
responding to painful stimuli with moaning. he is tachy 142 b/p 104/96 and RR 24 -
ANSdecompensated
A an unrestrained driver was involved in a frontal collision without airbag deployment.
he is hypotensive and tachycardic with shallow respirations, distended JVD and muffled
heart tones the nurse prepare for what - ANSpericardiocentesis
A during assessment of an extremety with suspected pulses are - ANScan be normal
A for a ptwho has undergone recent bariatric surgery, flouroscopy is recommended to
place - ANSNG tube
A identification of vulnerabilities is an example of what phase of disaster management -
ANSmitigation
A in mass casualty "doing the greatest good for the greatest number of people refers to
a situation where - ANSthere may be more patients than resources
A in neurogenic shock, alterations in vital signs include hypotension and which other
abnormal VS - ANSbradycardia
A In the primary survey AVPU is performed to determine if the patient can: - ANSProtect
their aiway
A prego trauma pt develops tachy, hypotension, a rigide board like uterus, and dark, red
vaginal bleeding. she reports constant back pain which is increasing. the most likely
cause of s/s is - ANSplacental abruption
A several groups of people are at higher risk for maltreatment including children, elderly,
prego, and ... - ANSpt's with disability
A the nurse is preparing to cleanse an extensive abrasion contaminated with dirt and
gravel. which of the following intervention is indicated - ANSus copious amounts of NS
A The systemic inflammatory response is a normal part of the body's response to shock
from traumatic injury. what best describes this response - ANSit is activated by tissue
,hypoxia and sends neutrophils to injury site
A what is an early assessment finding to increased ICP in pt with a brain injury -
ANSvomiting
A when providing care for the pedicatric pt with burns the post resuscitation care, how
are fluids delivered - ANSparkland formula with maintainence fluidss
A which of hte following nursing interventions would be best for traumitc -
ANSHOB 30 degrees
A which of the following structures would be hte most affected by teh concept of
caviation - ANSLiver
A which of the following values is within the acceptable limits for trauma pt - ANSend
tidal CO2 of 40
B a pt father arrives in teh ER and needs to be told his son was severely injured in a
MVC and is in surgery, the father si agitated, yelling, and smells of alcohol. in planning
to talk with the father the trauma nurse will - ANSdeliver information regarding the son;s
care in a calm voice
B a pt involved in an MVC develops asymmetric pupillary reactivity, bilateral pupillary
dilation and abnormal motor posturing. what does the nurse suspect as the most likely
cause - ANSherniation syndrome
B a pt with injury to the middle meningeal artery is at risk for which of the following -
ANSepidural hematoma
B an occlusive dressing has been applied to a pt with a penetrating injury to the chest.
upon assessment the nurse notes that the patient is in respiratory distress nad has
absnet breath sounds on hte affected side. what is the priroruty intervention -
ANSremove the dressing to the wound
B an unrestrained driver inlvolved in a MVC in which alcohol was involed. he denies any
pain and numbness and tinlging. according to NEXUS critera which factors indicate
need for radiological - ANSsuspected alcohol abuse
B pt to ER after being pinned to brick retaining wall. knwoing crushing injuries can result
to significant damage to muslces the priority asessment for trauma nruse is for -
ANSmyoglobinemia nd renal failure
B the most common cause of shock in the trauma pt is - ANSloss of circ volume
B the unrestrained fron seat passenger in a MVC develops echymosis around
umbillicus. this assessment finding is most commonly associated with: - ANSbleeding in
the peritoneal cavity
B thinning skin and diminished autonomic response in older adult can have what effect
on primary assessment - ANScompromised thermoregulation
,B when assessing aa apt afollowing aa aMVC athe anurses aasks ahow afsat athe acar awas
agoing a- aANSwhen avolocity ais adoubled aspeed ais aquadroupled
B aWHich amay alead ato aunreliable apulse aox areading a- aANScarboxyhemoglobin
B awhich aof ahte afollowing asignificant aassessment afindigns ais afrequently afound ain aa
apatient awith acomplete acransiofacial aseparation ainvolving athe amaxilla, azygoma,
aorbits, aand abones aof athe acranial abase. a- aANSdiplopia
B awhich aof athe afollowing ahemodynamic asupport astrategies ais athe aprioririty
aintervention afor aa apt awith atraumatic apulmonary acontusion a- aANSjudicios ause aof
aIV afluids
Bduring athe aprimary asurvery awhich aof athe afollowing ahas athe agreatest apriority a-
aANScervical aspine ainjury
C a32 awk apregnant alady aarrives ain aer aafter atrapped ain aa acar athat aflipped. athe
ainitial aassessment areveals as/s aof ashock, avaginal ableeding, aa apalpable aasymmetrical
auterus, aand aslowing afetal aheart atones awhat ais athe amost alikely acause a-
aANSuterine arupture
C aa acollege astudent apresents ato athe aer astating aafterarriving aat aa aparty a, ashe
aawoke ain aa adorm arom. ashe adidnt arecognize awith ano amemory aof athe aprevious
aevening athe atrauma anurse aprepare afor awhat aexam. a- aANSsexual aassult
C aan aadult apt ainvolved ain aa abrush afire aarrives ato athe aer. aupon ainitial aassessment
ain athe aer athe amost aconcerning afinding ais a- aANShoarse avoice aand arepeatedly
adecides ato aclear athroat.
C aan aolder aadult apt afell ain athe abathtub a3 adays aago. anow ashe ais aexihibiting
adecreasd aLOC aand adifficulty awith aspeaking aand awalking. awhich aof athe afollowing
ainjuries ais amost aeffective
- aANSsubdural ahematoma
C aeffective apain amanagement ain ahte apt aiwth arib afxwill apromote awhat a- aANScough
awith aability ato aclear asecretions
C aproperly arestrained a6 awk aold akid awas ainvolved ain aa aMVC. aafter athe
aassessment aand astabilization athe apt abecomes amore adifficult ato arouse. aresponding
awith aa aweak acry ato apainful astimuli. athe apupils aremain abrisk aand areactive. athe
aanterior afontanel ais asoft aand aflat. awhat ais athe amost alikely acause aand apririty
ainterventions a- aANShypoglycemia
C aWhat aare athe aprimary abenefits aof aa ateam aapproach ato atrauma acare a- aANSit
aprovides aa asystemic aapproach ato acare aand aorganizes acare
C awhat aorgan amight abe ainjured ain aleft alower arib afx a- aANSspleen
, C awhich aof athe afollowing awould abe apriority aintervention afor aa apt awith amultiple arib
afractures aand achest awall ainstability afollwoing aa amvc acollision a- aANSassist awith
aendotracheal aintubation
C awhich aof athe afollwoing ais aa arisk afactor afor aDVT ain athe atrauma apt. a- aANSpelvic afx
Cthe aterm aworried awell awhen arefering ato adisaster apreparedness aplanning arefers ato:
a- aANSindividuals ahwo athink athey ahave abeen aaffected aby athe aevent abut aare
aasymptomatic
Cthe atrauma anurse awould aprepare afor aa adefinitive aairwya afor awhich aof athe afollowing
acondition. a- aANSGCS aof a8 aor als
D aAn aunrestrained adriver ais abrought ainto athe aemergency adepartment afollowing aa
afrontal aimpact aMVC. ashe ais apale, aanxious, aand ac/o aSOB. awhat ais athe apotential
ainjury a- aANSLumbar afx
D aelevated acomaprtment apressure acan abe athe aresult aof a- aANShemorrhage afrom awithin
athe amuscle
D apt awith aamputation aof aan aindex afinger awith aa aknife. aamputaiton ais abrought ain
awith apt. ait ais awrapped ain asterile agauze awith asaline aand asealed ain aa aplastic abag.
athe anext astep aamputation acare ais a- aANSplace athe abag aon aice
D arestrained adriver ais ainvolved ain aa asevere ahead aon aMVC aand apresnts awith aa
aseatbelt amark aalong athe aneck aand aupper achest aarea. abilateral adecreased abreath
asounds, ahemoptysis aand adiffuse asub aq aemphysemato athe aneck aand aupper achest
aarea a- aANStracheobronchial ainjury
D awhich aof athe afollowing adiagnostic aintervention ais amost aappropriate afor athe
aunstable apt awith aa asuspectedinternal ahemorrhage a- aANSfocused aassessment
awith asonography afor atrauma
D awhich aphysiological achange ain aairway aof aan aodler aadult apt aplaces athe apt aat
arisk afor adifficult aintubation a- aANScervical aarthritisA aa a22 ayr aold awas astruck aby aa
avehicle awhile acrossing athe astreet, asustaining amultiple afx ashe ais aalert aand
aanswering aqestions aand acrying awhat ais athe abest amethod afor ainitial apain
aassessment afor athis apt a- aANSself areport ascale
A aa apt asustrained aa apenetrating ainjury aof ahis aupper aleg. athe apre ahospital
apersonnel astates aa alarge aamount aof ablood aloss abefore ahemostasiswas aachieved.
ahe apresents ato athe aER aresponding ato apainful astimuli awith amoaning. ahe ais atachy
a142 ab/p a104/96 aand aRR a24 a- aANSdecompensated
A aan aunrestrained adriver awas ainvolved ain aa afrontal acollision awithout aairbag
adeployment. ahe ais ahypotensive aand atachycardic awith ashallow arespirations,
adistended aJVD aand amuffled aheart atones athe anurse aprepare afor awhat a-
aANSpericardiocentesis
A aduring aassessment aof aan aextremety awith asuspected apulses aare a- aANScan abe
CONTAINS 500 QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS)TEST BANK |ALREADY GRADED
A+|100% COMPLETE PASS
A a 22 yr old was struck by a vehicle while crossing the street, sustaining multiple fx she
is alert and answering qestions and crying what is the best method for initial pain
assessment for this pt - ANSself report scale
A a pt sustrained a penetrating injury of his upper leg. the pre hospital personnel states
a large amount of blood loss before hemostasiswas achieved. he presents to the ER
responding to painful stimuli with moaning. he is tachy 142 b/p 104/96 and RR 24 -
ANSdecompensated
A an unrestrained driver was involved in a frontal collision without airbag deployment.
he is hypotensive and tachycardic with shallow respirations, distended JVD and muffled
heart tones the nurse prepare for what - ANSpericardiocentesis
A during assessment of an extremety with suspected pulses are - ANScan be normal
A for a ptwho has undergone recent bariatric surgery, flouroscopy is recommended to
place - ANSNG tube
A identification of vulnerabilities is an example of what phase of disaster management -
ANSmitigation
A in mass casualty "doing the greatest good for the greatest number of people refers to
a situation where - ANSthere may be more patients than resources
A in neurogenic shock, alterations in vital signs include hypotension and which other
abnormal VS - ANSbradycardia
A In the primary survey AVPU is performed to determine if the patient can: - ANSProtect
their aiway
A prego trauma pt develops tachy, hypotension, a rigide board like uterus, and dark, red
vaginal bleeding. she reports constant back pain which is increasing. the most likely
cause of s/s is - ANSplacental abruption
A several groups of people are at higher risk for maltreatment including children, elderly,
prego, and ... - ANSpt's with disability
A the nurse is preparing to cleanse an extensive abrasion contaminated with dirt and
gravel. which of the following intervention is indicated - ANSus copious amounts of NS
A The systemic inflammatory response is a normal part of the body's response to shock
from traumatic injury. what best describes this response - ANSit is activated by tissue
,hypoxia and sends neutrophils to injury site
A what is an early assessment finding to increased ICP in pt with a brain injury -
ANSvomiting
A when providing care for the pedicatric pt with burns the post resuscitation care, how
are fluids delivered - ANSparkland formula with maintainence fluidss
A which of hte following nursing interventions would be best for traumitc -
ANSHOB 30 degrees
A which of the following structures would be hte most affected by teh concept of
caviation - ANSLiver
A which of the following values is within the acceptable limits for trauma pt - ANSend
tidal CO2 of 40
B a pt father arrives in teh ER and needs to be told his son was severely injured in a
MVC and is in surgery, the father si agitated, yelling, and smells of alcohol. in planning
to talk with the father the trauma nurse will - ANSdeliver information regarding the son;s
care in a calm voice
B a pt involved in an MVC develops asymmetric pupillary reactivity, bilateral pupillary
dilation and abnormal motor posturing. what does the nurse suspect as the most likely
cause - ANSherniation syndrome
B a pt with injury to the middle meningeal artery is at risk for which of the following -
ANSepidural hematoma
B an occlusive dressing has been applied to a pt with a penetrating injury to the chest.
upon assessment the nurse notes that the patient is in respiratory distress nad has
absnet breath sounds on hte affected side. what is the priroruty intervention -
ANSremove the dressing to the wound
B an unrestrained driver inlvolved in a MVC in which alcohol was involed. he denies any
pain and numbness and tinlging. according to NEXUS critera which factors indicate
need for radiological - ANSsuspected alcohol abuse
B pt to ER after being pinned to brick retaining wall. knwoing crushing injuries can result
to significant damage to muslces the priority asessment for trauma nruse is for -
ANSmyoglobinemia nd renal failure
B the most common cause of shock in the trauma pt is - ANSloss of circ volume
B the unrestrained fron seat passenger in a MVC develops echymosis around
umbillicus. this assessment finding is most commonly associated with: - ANSbleeding in
the peritoneal cavity
B thinning skin and diminished autonomic response in older adult can have what effect
on primary assessment - ANScompromised thermoregulation
,B when assessing aa apt afollowing aa aMVC athe anurses aasks ahow afsat athe acar awas
agoing a- aANSwhen avolocity ais adoubled aspeed ais aquadroupled
B aWHich amay alead ato aunreliable apulse aox areading a- aANScarboxyhemoglobin
B awhich aof ahte afollowing asignificant aassessment afindigns ais afrequently afound ain aa
apatient awith acomplete acransiofacial aseparation ainvolving athe amaxilla, azygoma,
aorbits, aand abones aof athe acranial abase. a- aANSdiplopia
B awhich aof athe afollowing ahemodynamic asupport astrategies ais athe aprioririty
aintervention afor aa apt awith atraumatic apulmonary acontusion a- aANSjudicios ause aof
aIV afluids
Bduring athe aprimary asurvery awhich aof athe afollowing ahas athe agreatest apriority a-
aANScervical aspine ainjury
C a32 awk apregnant alady aarrives ain aer aafter atrapped ain aa acar athat aflipped. athe
ainitial aassessment areveals as/s aof ashock, avaginal ableeding, aa apalpable aasymmetrical
auterus, aand aslowing afetal aheart atones awhat ais athe amost alikely acause a-
aANSuterine arupture
C aa acollege astudent apresents ato athe aer astating aafterarriving aat aa aparty a, ashe
aawoke ain aa adorm arom. ashe adidnt arecognize awith ano amemory aof athe aprevious
aevening athe atrauma anurse aprepare afor awhat aexam. a- aANSsexual aassult
C aan aadult apt ainvolved ain aa abrush afire aarrives ato athe aer. aupon ainitial aassessment
ain athe aer athe amost aconcerning afinding ais a- aANShoarse avoice aand arepeatedly
adecides ato aclear athroat.
C aan aolder aadult apt afell ain athe abathtub a3 adays aago. anow ashe ais aexihibiting
adecreasd aLOC aand adifficulty awith aspeaking aand awalking. awhich aof athe afollowing
ainjuries ais amost aeffective
- aANSsubdural ahematoma
C aeffective apain amanagement ain ahte apt aiwth arib afxwill apromote awhat a- aANScough
awith aability ato aclear asecretions
C aproperly arestrained a6 awk aold akid awas ainvolved ain aa aMVC. aafter athe
aassessment aand astabilization athe apt abecomes amore adifficult ato arouse. aresponding
awith aa aweak acry ato apainful astimuli. athe apupils aremain abrisk aand areactive. athe
aanterior afontanel ais asoft aand aflat. awhat ais athe amost alikely acause aand apririty
ainterventions a- aANShypoglycemia
C aWhat aare athe aprimary abenefits aof aa ateam aapproach ato atrauma acare a- aANSit
aprovides aa asystemic aapproach ato acare aand aorganizes acare
C awhat aorgan amight abe ainjured ain aleft alower arib afx a- aANSspleen
, C awhich aof athe afollowing awould abe apriority aintervention afor aa apt awith amultiple arib
afractures aand achest awall ainstability afollwoing aa amvc acollision a- aANSassist awith
aendotracheal aintubation
C awhich aof athe afollwoing ais aa arisk afactor afor aDVT ain athe atrauma apt. a- aANSpelvic afx
Cthe aterm aworried awell awhen arefering ato adisaster apreparedness aplanning arefers ato:
a- aANSindividuals ahwo athink athey ahave abeen aaffected aby athe aevent abut aare
aasymptomatic
Cthe atrauma anurse awould aprepare afor aa adefinitive aairwya afor awhich aof athe afollowing
acondition. a- aANSGCS aof a8 aor als
D aAn aunrestrained adriver ais abrought ainto athe aemergency adepartment afollowing aa
afrontal aimpact aMVC. ashe ais apale, aanxious, aand ac/o aSOB. awhat ais athe apotential
ainjury a- aANSLumbar afx
D aelevated acomaprtment apressure acan abe athe aresult aof a- aANShemorrhage afrom awithin
athe amuscle
D apt awith aamputation aof aan aindex afinger awith aa aknife. aamputaiton ais abrought ain
awith apt. ait ais awrapped ain asterile agauze awith asaline aand asealed ain aa aplastic abag.
athe anext astep aamputation acare ais a- aANSplace athe abag aon aice
D arestrained adriver ais ainvolved ain aa asevere ahead aon aMVC aand apresnts awith aa
aseatbelt amark aalong athe aneck aand aupper achest aarea. abilateral adecreased abreath
asounds, ahemoptysis aand adiffuse asub aq aemphysemato athe aneck aand aupper achest
aarea a- aANStracheobronchial ainjury
D awhich aof athe afollowing adiagnostic aintervention ais amost aappropriate afor athe
aunstable apt awith aa asuspectedinternal ahemorrhage a- aANSfocused aassessment
awith asonography afor atrauma
D awhich aphysiological achange ain aairway aof aan aodler aadult apt aplaces athe apt aat
arisk afor adifficult aintubation a- aANScervical aarthritisA aa a22 ayr aold awas astruck aby aa
avehicle awhile acrossing athe astreet, asustaining amultiple afx ashe ais aalert aand
aanswering aqestions aand acrying awhat ais athe abest amethod afor ainitial apain
aassessment afor athis apt a- aANSself areport ascale
A aa apt asustrained aa apenetrating ainjury aof ahis aupper aleg. athe apre ahospital
apersonnel astates aa alarge aamount aof ablood aloss abefore ahemostasiswas aachieved.
ahe apresents ato athe aER aresponding ato apainful astimuli awith amoaning. ahe ais atachy
a142 ab/p a104/96 aand aRR a24 a- aANSdecompensated
A aan aunrestrained adriver awas ainvolved ain aa afrontal acollision awithout aairbag
adeployment. ahe ais ahypotensive aand atachycardic awith ashallow arespirations,
adistended aJVD aand amuffled aheart atones athe anurse aprepare afor awhat a-
aANSpericardiocentesis
A aduring aassessment aof aan aextremety awith asuspected apulses aare a- aANScan abe
