TNCC FINAL EXAM 7 LATEST VERSIONS 5 2025 CONTAINS 500
QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)TEST
BANK |ALREADY GRADED A+|100% COMPLETE PASS
younger population, with skull fx, rapid accumulation of arterial blood in space
Young girl does not remember - ANSHead CT
You are treating a 27-year old male in respiratory distress who was involved in a house
fire. Calculating TBSA burned is deferred d/t the need for emergent intubation. At what
rate should you begin fluid resuscitation?
You are caring for a patient who was involved in a MVA and is 32 weeks pregnant.
Findings of your secondary survey include abd pain on palpation, fundal high at the
costal margin, and some dark bloody show. Varying, accelerations and decelerations
are noted on the cardiotocography. These findings are most consistent with which of the
following?
-Yes = Green
Wrap up - ANS-Identify all injuries, reevaluate primary assessment, VS, injuries,
interventions
Wrap in saline gauze, put in bag, then put that bag in another bag filled with ice. Label
bag. - ANSRemoved limb
Wrap in saline gauze, put in bag, then put that bag in another bag filled with ice. Label
bag. - ANSRemoved limb
wound cleaning
without radio graphic abnormality
With any eye injury, what should the evaluation and ongoing assessments be? - ANS-
Reassessing visual acuity at reasonable intervals
With any eye injury, what should the evaluation and ongoing assessments be? - ANS-
Reassessing visual acuity at reasonable intervals
With any eye injury, what should the evaluation and ongoing assessments be? - ANS-
Reassessing visual acuity at reasonable intervals
With any eye injury, what should the evaluation and ongoing assessments be? - ANS-
Reassessing visual acuity at reasonable intervals
With any eye injury, what should the evaluation and ongoing assessments be? - ANS-
Reassessing visual acuity at reasonable intervals
Widening pulse pressure
Wide pulse pressure (high systolic) - ANSis caused by aortic regurgitation which can
explain why symptoms sometimes include palpiations from forceful ventricular
contractions ejecting large stroke volumes, and head pounding can be due to unusually
high amplitude pulsations of the intracranial arterie with each beat. Involuntary head
bobbing can be a sign of widened pulse pressure (peak systolic volume - peak diastolic
volume)
Why is a measure of serum lactate obtained in the initial assessment of the trauma
patient?
Why does herniation occur? What are the symptoms? - ANSBecause of uncontrolled
increases in ICP.
Why does herniation occur? What are the symptoms? - ANSBecause of uncontrolled
increases in ICP.
Why does herniation occur? What are the symptoms? - ANSBecause of uncontrolled
increases in ICP.
,TNCC FINAL EXAM 7 LATEST VERSIONS 5 2025 CONTAINS 500
QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)TEST
BANK |ALREADY GRADED A+|100% COMPLETE PASS
Why does herniation occur? What are the symptoms? - ANSBecause of uncontrolled
increases in ICP.
Why does herniation occur? What are the symptoms? - ANSBecause of uncontrolled
increases in ICP.
Why can there be an elevated temperature in head injuries? - ANSDisruption in
thermoregulation so antipyretics will not work unless fever is related to inflammatory
process. Instead cool the pt with cooling blankets or ice packs but ensure the pt does
not shiver as shivering will increase ICP. Hyperthermia also increases ICP and cerebral
metabolic rate.
Who are the "worried well?" - ANSPeople who arrive in large number, during a disaster,
wishing to be evaluated because they think they may have been affected but are
asymptomatic.
Which pulse pressure description is an indication of early hypovolemic shock?
Which of the following values indicates the need for alcohol withdrawal interventions?
Which of the following patients warrants referral to a burn center?
Which of the following occurs during the third impact of a motor vehicle crash?
Which of the following mnemonics can help the nurse prioritize care for a trauma patient
with massive uncontrolled hemorrhage?
Which of the following is true about the log roll maneuver?
which of the following is the priority intervention for this patient?
Which of the following is possible complication of positive-pressure ventilation?
Which of the following is NOT considered goal-directed therapy of cardiogenic shock?
Which of the following is an expected finding in a patient with a thoracostomy connected
to a chest drainage system?
Which of the following is a late sign of increased intracranial pressure?
Which of the following is a component of the trauma triad of death?
Which of the following injuries is LEAST likely to be promptly identified?
Which of the following considerations is most important when caring for a geriatric
trauma patient?
Which of the following assessment findings differentiates a tension pneumothorax from
a simple pneumothorax?
Which is the effect of hypothermia on the oxyhemoglobin dissociation curve?
Which drugs limit the effect of epinephrine? - ANSBeta-blockers, ACE inhibitors, and
MAO inhibitors.
Which abdominal organs are most susceptible to tearing or shearing from sudden
deceleration or acceleration forces resulting in a tearing or avulsion injury? - ANS- Small
bowel
Where do you listen to auscultate breath sounds? - ANSAuscultate the lungs bilaterally
at the second intercostal space midclavicular line and at the fifth intercostal space at the
anterior axillary line.
Where are most cerebral contusions found - ANSFrontal and temporal lobes
Where are most cerebral contusions found - ANSFrontal and temporal lobes
Where are most cerebral contusions found - ANSFrontal and temporal lobes
When is the FAST test not useful? - ANSwith Retroperitoneal Bleeding
When is a Hemothorax Life-Threatening? - ANSif massive bleeding>1500 ml
,TNCC FINAL EXAM 7 LATEST VERSIONS 5 2025 CONTAINS 500
QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)TEST
BANK |ALREADY GRADED A+|100% COMPLETE PASS
What would cause an inaccurate reading from an 02 saturation probe? -
ANSCarboxyhemoglobin (increase FiO2 to 100%)
What would cause an inaccurate reading from an 02 saturation probe? -
ANSCarboxyhemoglobin (increase FiO2 to 100%)
What to watch out for in mass transfusion protocol? - ANSCi-trite toxicity and
hypocalcemia - If the pt is receiving more than one unit of blood q5miutes. Replace
losses with calcium gluconate or calcium chloride. If calcium chloride is used monitor for
infiltration causing tissue necrosis.
What to watch out for in cardiogentic shock regarding tx - ANSExcess of volume
administration can cause pulmonary edema and increased myocardial ischemia -
reduce after load
What to Monitor for in Internal Abdominal Injuries - ANS-Decreasing BP & Bowel
Sounds
What three types of primary brain injuries? - ANS- Skull & craniofacial fractures
What stage of shock?: this will lead to death without rapid intervention, obtunded,
stuporous or comatose, marked hypotension and heart failure, bradycardia, decreased
and shallow respirations, pale, cool and clammy, organ failure and severe acidosis -
ANSStage III: irreversible shock
What stage of shock?: this will lead to death without rapid intervention, obtunded,
stuporous or comatose, marked hypotension and heart failure, bradycardia, decreased
and shallow respirations, pale, cool and clammy, organ failure and severe acidosis -
ANSStage III: irreversible shock
What stage of shock?: this will lead to death without rapid intervention, obtunded,
stuporous or comatose, marked hypotension and heart failure, bradycardia, decreased
and shallow respirations, pale, cool and clammy, organ failure and severe acidosis -
ANSStage III: irreversible shock
What stage of shock:patient is unconscious or intended, normal systolic pressure,
narrowing pulse pressure, tachycardia, weak and threads pulses, rapid and shallow
respiration, cool and clammy, worsening base excess and increasing Lacoste levels -
ANSStage II: decompensated or progressive shock
What stage of shock:patient is unconscious or intended, normal systolic pressure,
narrowing pulse pressure, tachycardia, weak and threads pulses, rapid and shallow
respiration, cool and clammy, worsening base excess and increasing Lacoste levels -
ANSStage II: decompensated or progressive shock
What stage of shock:patient is unconscious or intended, normal systolic pressure,
narrowing pulse pressure, tachycardia, weak and threads pulses, rapid and shallow
respiration, cool and clammy, worsening base excess and increasing Lacoste levels -
ANSStage II: decompensated or progressive shock
What stage of shock: anxiety, restless, confused, norm systolic pressure, rising diastolic
pressure, slightly tachycardiac, increased RR and decreased urine output - ANSStage I:
compensated
What stage of shock: anxiety, restless, confused, norm systolic pressure, rising diastolic
pressure, slightly tachycardiac, increased RR and decreased urine output - ANSStage I:
compensated
, TNCC FINAL EXAM 7 LATEST VERSIONS 5 2025 CONTAINS 500
QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)TEST
BANK |ALREADY GRADED A+|100% COMPLETE PASS
What stage of shock: anxiety, restless, confused, norm systolic pressure, rising diastolic
pressure, slightly tachycardiac, increased RR and decreased urine output - ANSStage I:
compensated
What should you do if your patient has hyphema (collection of blood inside the front part
of the eye?) - ANSSit HOB up to 30 degrees
What should you do if your patient has hyphema (collection of blood inside the front part
of the eye?) - ANSSit HOB up to 30 degrees
What should be done after the Secondary Assessment? - ANSReassess:
what reevaluation adjuncts will you expect for this patient? - ANSCT
What organ is most at risk following a gunshot - ANSLiver
What organ is most at risk following a gunshot - ANSLiver
What medications are used during intubation? - ANSLOAD Mnemonic:
What medications are used during intubation? - ANSLOAD Mnemonic:
What medications are used during intubation? - ANSLOAD Mnemonic:
What medications are used during intubation? - ANSLOAD Mnemonic:
What medications are used during intubation? - ANSLOAD Mnemonic:
What is vascular response? - ANSAs blood volume decreases, peripheral blood vessels
vasoconstrict as a result of sympathetic stimulation via inhibition of baroreceptors.
Arterioles constrict to increase TPR and BP.
What is vascular response? - ANSAs blood volume decreases, peripheral blood vessels
vasoconstrict as a result of sympathetic stimulation via inhibition of baroreceptors.
Arterioles constrict to increase TPR and BP.
What is vascular response? - ANSAs blood volume decreases, peripheral blood vessels
vasoconstrict as a result of sympathetic stimulation via inhibition of baroreceptors.
Arterioles constrict to increase TPR and BP.
What is vascular response? - ANSAs blood volume decreases, peripheral blood vessels
vasoconstrict as a result of sympathetic stimulation via inhibition of baroreceptors.
Arterioles constrict to increase TPR and BP.
What is vascular response? - ANSAs blood volume decreases, peripheral blood vessels
vasoconstrict as a result of sympathetic stimulation via inhibition of baroreceptors.
Arterioles constrict to increase TPR and BP.
What is the third question considered by the Triage Nurse during a disaster? -
ANSWhat is the respiratory rate?
What is the second thing assessed under the Secondary Assessment? - ANSGIVE
COMFORT MEASURES
What is the second question considered by the Triage Nurse during a disaster? -
ANSCan this person breath spontaneously?
What is the Mnemonic for the Secondary Assessment? - ANSF = Full set of
VS/Focused adjuncts (includes cardiac monitor, urinary catheter, and gastric
tube)/Family presence
What is the Mnemonic for the Initial Assessment? - ANSA = Airway with simultaneous
cervical spine protection
What is the major cause of death after injury? - ANSUncontrolled external hemorrhage
What is the likely cause of open book fracture? - ANS- direct crush
QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)TEST
BANK |ALREADY GRADED A+|100% COMPLETE PASS
younger population, with skull fx, rapid accumulation of arterial blood in space
Young girl does not remember - ANSHead CT
You are treating a 27-year old male in respiratory distress who was involved in a house
fire. Calculating TBSA burned is deferred d/t the need for emergent intubation. At what
rate should you begin fluid resuscitation?
You are caring for a patient who was involved in a MVA and is 32 weeks pregnant.
Findings of your secondary survey include abd pain on palpation, fundal high at the
costal margin, and some dark bloody show. Varying, accelerations and decelerations
are noted on the cardiotocography. These findings are most consistent with which of the
following?
-Yes = Green
Wrap up - ANS-Identify all injuries, reevaluate primary assessment, VS, injuries,
interventions
Wrap in saline gauze, put in bag, then put that bag in another bag filled with ice. Label
bag. - ANSRemoved limb
Wrap in saline gauze, put in bag, then put that bag in another bag filled with ice. Label
bag. - ANSRemoved limb
wound cleaning
without radio graphic abnormality
With any eye injury, what should the evaluation and ongoing assessments be? - ANS-
Reassessing visual acuity at reasonable intervals
With any eye injury, what should the evaluation and ongoing assessments be? - ANS-
Reassessing visual acuity at reasonable intervals
With any eye injury, what should the evaluation and ongoing assessments be? - ANS-
Reassessing visual acuity at reasonable intervals
With any eye injury, what should the evaluation and ongoing assessments be? - ANS-
Reassessing visual acuity at reasonable intervals
With any eye injury, what should the evaluation and ongoing assessments be? - ANS-
Reassessing visual acuity at reasonable intervals
Widening pulse pressure
Wide pulse pressure (high systolic) - ANSis caused by aortic regurgitation which can
explain why symptoms sometimes include palpiations from forceful ventricular
contractions ejecting large stroke volumes, and head pounding can be due to unusually
high amplitude pulsations of the intracranial arterie with each beat. Involuntary head
bobbing can be a sign of widened pulse pressure (peak systolic volume - peak diastolic
volume)
Why is a measure of serum lactate obtained in the initial assessment of the trauma
patient?
Why does herniation occur? What are the symptoms? - ANSBecause of uncontrolled
increases in ICP.
Why does herniation occur? What are the symptoms? - ANSBecause of uncontrolled
increases in ICP.
Why does herniation occur? What are the symptoms? - ANSBecause of uncontrolled
increases in ICP.
,TNCC FINAL EXAM 7 LATEST VERSIONS 5 2025 CONTAINS 500
QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)TEST
BANK |ALREADY GRADED A+|100% COMPLETE PASS
Why does herniation occur? What are the symptoms? - ANSBecause of uncontrolled
increases in ICP.
Why does herniation occur? What are the symptoms? - ANSBecause of uncontrolled
increases in ICP.
Why can there be an elevated temperature in head injuries? - ANSDisruption in
thermoregulation so antipyretics will not work unless fever is related to inflammatory
process. Instead cool the pt with cooling blankets or ice packs but ensure the pt does
not shiver as shivering will increase ICP. Hyperthermia also increases ICP and cerebral
metabolic rate.
Who are the "worried well?" - ANSPeople who arrive in large number, during a disaster,
wishing to be evaluated because they think they may have been affected but are
asymptomatic.
Which pulse pressure description is an indication of early hypovolemic shock?
Which of the following values indicates the need for alcohol withdrawal interventions?
Which of the following patients warrants referral to a burn center?
Which of the following occurs during the third impact of a motor vehicle crash?
Which of the following mnemonics can help the nurse prioritize care for a trauma patient
with massive uncontrolled hemorrhage?
Which of the following is true about the log roll maneuver?
which of the following is the priority intervention for this patient?
Which of the following is possible complication of positive-pressure ventilation?
Which of the following is NOT considered goal-directed therapy of cardiogenic shock?
Which of the following is an expected finding in a patient with a thoracostomy connected
to a chest drainage system?
Which of the following is a late sign of increased intracranial pressure?
Which of the following is a component of the trauma triad of death?
Which of the following injuries is LEAST likely to be promptly identified?
Which of the following considerations is most important when caring for a geriatric
trauma patient?
Which of the following assessment findings differentiates a tension pneumothorax from
a simple pneumothorax?
Which is the effect of hypothermia on the oxyhemoglobin dissociation curve?
Which drugs limit the effect of epinephrine? - ANSBeta-blockers, ACE inhibitors, and
MAO inhibitors.
Which abdominal organs are most susceptible to tearing or shearing from sudden
deceleration or acceleration forces resulting in a tearing or avulsion injury? - ANS- Small
bowel
Where do you listen to auscultate breath sounds? - ANSAuscultate the lungs bilaterally
at the second intercostal space midclavicular line and at the fifth intercostal space at the
anterior axillary line.
Where are most cerebral contusions found - ANSFrontal and temporal lobes
Where are most cerebral contusions found - ANSFrontal and temporal lobes
Where are most cerebral contusions found - ANSFrontal and temporal lobes
When is the FAST test not useful? - ANSwith Retroperitoneal Bleeding
When is a Hemothorax Life-Threatening? - ANSif massive bleeding>1500 ml
,TNCC FINAL EXAM 7 LATEST VERSIONS 5 2025 CONTAINS 500
QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)TEST
BANK |ALREADY GRADED A+|100% COMPLETE PASS
What would cause an inaccurate reading from an 02 saturation probe? -
ANSCarboxyhemoglobin (increase FiO2 to 100%)
What would cause an inaccurate reading from an 02 saturation probe? -
ANSCarboxyhemoglobin (increase FiO2 to 100%)
What to watch out for in mass transfusion protocol? - ANSCi-trite toxicity and
hypocalcemia - If the pt is receiving more than one unit of blood q5miutes. Replace
losses with calcium gluconate or calcium chloride. If calcium chloride is used monitor for
infiltration causing tissue necrosis.
What to watch out for in cardiogentic shock regarding tx - ANSExcess of volume
administration can cause pulmonary edema and increased myocardial ischemia -
reduce after load
What to Monitor for in Internal Abdominal Injuries - ANS-Decreasing BP & Bowel
Sounds
What three types of primary brain injuries? - ANS- Skull & craniofacial fractures
What stage of shock?: this will lead to death without rapid intervention, obtunded,
stuporous or comatose, marked hypotension and heart failure, bradycardia, decreased
and shallow respirations, pale, cool and clammy, organ failure and severe acidosis -
ANSStage III: irreversible shock
What stage of shock?: this will lead to death without rapid intervention, obtunded,
stuporous or comatose, marked hypotension and heart failure, bradycardia, decreased
and shallow respirations, pale, cool and clammy, organ failure and severe acidosis -
ANSStage III: irreversible shock
What stage of shock?: this will lead to death without rapid intervention, obtunded,
stuporous or comatose, marked hypotension and heart failure, bradycardia, decreased
and shallow respirations, pale, cool and clammy, organ failure and severe acidosis -
ANSStage III: irreversible shock
What stage of shock:patient is unconscious or intended, normal systolic pressure,
narrowing pulse pressure, tachycardia, weak and threads pulses, rapid and shallow
respiration, cool and clammy, worsening base excess and increasing Lacoste levels -
ANSStage II: decompensated or progressive shock
What stage of shock:patient is unconscious or intended, normal systolic pressure,
narrowing pulse pressure, tachycardia, weak and threads pulses, rapid and shallow
respiration, cool and clammy, worsening base excess and increasing Lacoste levels -
ANSStage II: decompensated or progressive shock
What stage of shock:patient is unconscious or intended, normal systolic pressure,
narrowing pulse pressure, tachycardia, weak and threads pulses, rapid and shallow
respiration, cool and clammy, worsening base excess and increasing Lacoste levels -
ANSStage II: decompensated or progressive shock
What stage of shock: anxiety, restless, confused, norm systolic pressure, rising diastolic
pressure, slightly tachycardiac, increased RR and decreased urine output - ANSStage I:
compensated
What stage of shock: anxiety, restless, confused, norm systolic pressure, rising diastolic
pressure, slightly tachycardiac, increased RR and decreased urine output - ANSStage I:
compensated
, TNCC FINAL EXAM 7 LATEST VERSIONS 5 2025 CONTAINS 500
QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)TEST
BANK |ALREADY GRADED A+|100% COMPLETE PASS
What stage of shock: anxiety, restless, confused, norm systolic pressure, rising diastolic
pressure, slightly tachycardiac, increased RR and decreased urine output - ANSStage I:
compensated
What should you do if your patient has hyphema (collection of blood inside the front part
of the eye?) - ANSSit HOB up to 30 degrees
What should you do if your patient has hyphema (collection of blood inside the front part
of the eye?) - ANSSit HOB up to 30 degrees
What should be done after the Secondary Assessment? - ANSReassess:
what reevaluation adjuncts will you expect for this patient? - ANSCT
What organ is most at risk following a gunshot - ANSLiver
What organ is most at risk following a gunshot - ANSLiver
What medications are used during intubation? - ANSLOAD Mnemonic:
What medications are used during intubation? - ANSLOAD Mnemonic:
What medications are used during intubation? - ANSLOAD Mnemonic:
What medications are used during intubation? - ANSLOAD Mnemonic:
What medications are used during intubation? - ANSLOAD Mnemonic:
What is vascular response? - ANSAs blood volume decreases, peripheral blood vessels
vasoconstrict as a result of sympathetic stimulation via inhibition of baroreceptors.
Arterioles constrict to increase TPR and BP.
What is vascular response? - ANSAs blood volume decreases, peripheral blood vessels
vasoconstrict as a result of sympathetic stimulation via inhibition of baroreceptors.
Arterioles constrict to increase TPR and BP.
What is vascular response? - ANSAs blood volume decreases, peripheral blood vessels
vasoconstrict as a result of sympathetic stimulation via inhibition of baroreceptors.
Arterioles constrict to increase TPR and BP.
What is vascular response? - ANSAs blood volume decreases, peripheral blood vessels
vasoconstrict as a result of sympathetic stimulation via inhibition of baroreceptors.
Arterioles constrict to increase TPR and BP.
What is vascular response? - ANSAs blood volume decreases, peripheral blood vessels
vasoconstrict as a result of sympathetic stimulation via inhibition of baroreceptors.
Arterioles constrict to increase TPR and BP.
What is the third question considered by the Triage Nurse during a disaster? -
ANSWhat is the respiratory rate?
What is the second thing assessed under the Secondary Assessment? - ANSGIVE
COMFORT MEASURES
What is the second question considered by the Triage Nurse during a disaster? -
ANSCan this person breath spontaneously?
What is the Mnemonic for the Secondary Assessment? - ANSF = Full set of
VS/Focused adjuncts (includes cardiac monitor, urinary catheter, and gastric
tube)/Family presence
What is the Mnemonic for the Initial Assessment? - ANSA = Airway with simultaneous
cervical spine protection
What is the major cause of death after injury? - ANSUncontrolled external hemorrhage
What is the likely cause of open book fracture? - ANS- direct crush
