TNCC 8TH EDITION TEST\TNCC EXAM WITH QUESTIONS AND WELL VERIFIED
ANSWERS [GRDAED A+} REAL!! REAL!!
Which of the following is a component of the trauma triad of death? ---- ANSWER✔✔-
---acidosis
EMS brings a pt from MVC. VS: BP 90/49, HR 48, RR 12, temp 97.2F (36.2 C). The pt
exhibits urinary incontinence and priapism. These assessment findings are most
consistent with which of the following types of spinal cord injury? ---- ANSWER✔✔----
Complete
Which of the following is an expected finding in a pt with a tube thoracstomy connected
to a chest drainage system? ---- ANSWER✔✔----flucuation in the water seal chamber
During the primary survey of an unconscious pt with multi-system trauma, the nurse
notes snoring respirations. What priority nursing interventions should be preformed
next? ---- ANSWER✔✔----insert an oropharyngeal airway if there is no gag reflex
A 35 y/o M presents with facial trauma after being struck in the face with a baseball. A
teardrop-shaped left pupil is noted on exam. What type of injury is suspected? ----
ANSWER✔✔----globe rupture
A trauma pt is restless and repeatedly asking "where am i?" VS upon arrival: BP
110/60, HR96, RR 24. Her skin is cool and dry. Current VS are BP 104/84, HR 108, RR
28. The pt is demonstrating s/sx of which stage of shock? ---- ANSWER✔✔----
compensated
An unresponsive trauma pt has an oropharygeal airway in place, shallow and labored
respirations, and dusky skin. The trauma team has administered medications for drug-
assisted intubation and attempted intubation but was unsuccessful. What is the most
,appropriate immediate next step? ---- ANSWER✔✔----ventilate with a bag mask
device
When is the tertiary survey completed fora trauma pt? ---- ANSWER✔✔----within 24
hrs of trauma
An intubated and sedated pt in the ED has multiple extremity injuries with the potential
for causing compartment syndrome. What is the most reliable indication of compartment
syndrome in a patient who is unconscious? ---- ANSWER✔✔----pressure
Which of the following is possible complication of positive-pressure ventilation? ----
ANSWER✔✔----worsening pneumothorax
the most reassuring finding for a male pt with hip pain after a fall is which of the
following? ---- ANSWER✔✔----pelvic stability
Which of the following pulse pressures indicate early hypovolemic shock? ----
ANSWER✔✔----narrowed
Patients with a crush injury should be monitored for which of the following conditions? --
-- ANSWER✔✔----dysrhythmias
Tearing of the bridging veins is most frequently associated with which brain injury? ----
ANSWER✔✔----subdural hematoma
A 20 y/o M presents to the ED complaining of severe lower abd pain after landing hard
on the bicycle cross bars while preforming an aerial BMX maneuver. Secondary
assessment reveals lower abd tenderness and scrotal ecchymosis. Which of the
following orders would the RN question? ---- ANSWER✔✔----straight cath for urine
sample
,You are caring for a pt who was involved in a MVC and is 32 weeks pregnant. Findings
of your secondary survey include abd pain on palpation, fundal ht at the costal margin,
and some dark bloody show. Varying accelerations and decelerations are noted on
cariocgraphy. These findings are most consistent with which of the following? ----
ANSWER✔✔----placental abruption
Which of the following is true about the log-roll? ---- ANSWER✔✔----it can worsen
cord damage from an unstable spinal injury
All of these are considered a critical communication point in trauma care EXCEPT
which of the following? ---- ANSWER✔✔----defusings
What bedside monitoring parameters are used to assess for adequacy of O2 and
effectiveness of ventilation? ---- ANSWER✔✔----pulse oximetry and capnography
Caregivers carry in a 2 y/o into the ED who fell out of a second-story window. The pt is
awake and crying with increased work of breathing and pale skin. Which of the following
interventions has the highest priority? ---- ANSWER✔✔----padding the upper back
while stabilizing the cervical spine
Which of the following injuries is LEAST likely to be promptly identified? ----
ANSWER✔✔----bowel
A pt is brought to the ED of a rural hospital following a high-speed MVC. When
significant abd and pelvic injuries are noted in the primary survey, which of the following
is the priority interventions? ---- ANSWER✔✔----Initiate transfer to a trauma center
A pt with a complete spinal cord injury in neurogenic shock will demonstrate
hypotension and which other clinical signs? ---- ANSWER✔✔----bardycardia and
absent motor function below the level of injury
, a 37 y/o F has a deformity of the L wrist after a fall. She is reluctant to move her hand
due to pain. Which of the following is the most appropriate intervention? ----
ANSWER✔✔----apply splint and elevate above the level of the heart
which of the following occurs during the third impact of a motor vehicle crash? ----
ANSWER✔✔----the aorta is torn at its attachment with the ligamentum arteriosum
a 5 y/o child presents to the ED with bruises to the upper arm and buttocks in various
stages of healing and multiple small, clean, round burns to the back. There are no
abnormalities found based on the pediatric assessment triangle or primary survey.
Which of the following is the priority survey. Which of the following is the priority nursing
intervention? ---- ANSWER✔✔----Report your suspicion of maltreatment in
accordance with local regulations
Why is a measure of serum lactate obtained in the initial assessment of a trauma
patient? ---- ANSWER✔✔----to guage end-organ perfusion and tissue hypoxia
A pt with a lower extremity fracture complains of severe pain and tightness in his calf,
minimally by pain medications. Which of the following is the priority nursing
intervention? ---- ANSWER✔✔----elevating the extremity to the level of the heart
What factor contributes most to the kinetic energy of a body in motion? ----
ANSWER✔✔----velocity
An elderly patient with a history of anticoagulant use presents after a fall at home today.
She denies any loss of consciousness. She has a hematoma to her forehead and
complains of headache, dizziness, and nausea. What is the most likely cause of her
symptoms? ---- ANSWER✔✔----subdural hematoma
a pt has been in the ED for several hrs waiting to be admitted. He sustained multiple rib
fractures and a femur fracture after a fall. He has been awake, alert, and complaining of
leg pain. His wife reported that he suddenly became anxious and confused. Upon
reassessment, the pt is restless with respiratory distress and petechiae to his neck. The
ANSWERS [GRDAED A+} REAL!! REAL!!
Which of the following is a component of the trauma triad of death? ---- ANSWER✔✔-
---acidosis
EMS brings a pt from MVC. VS: BP 90/49, HR 48, RR 12, temp 97.2F (36.2 C). The pt
exhibits urinary incontinence and priapism. These assessment findings are most
consistent with which of the following types of spinal cord injury? ---- ANSWER✔✔----
Complete
Which of the following is an expected finding in a pt with a tube thoracstomy connected
to a chest drainage system? ---- ANSWER✔✔----flucuation in the water seal chamber
During the primary survey of an unconscious pt with multi-system trauma, the nurse
notes snoring respirations. What priority nursing interventions should be preformed
next? ---- ANSWER✔✔----insert an oropharyngeal airway if there is no gag reflex
A 35 y/o M presents with facial trauma after being struck in the face with a baseball. A
teardrop-shaped left pupil is noted on exam. What type of injury is suspected? ----
ANSWER✔✔----globe rupture
A trauma pt is restless and repeatedly asking "where am i?" VS upon arrival: BP
110/60, HR96, RR 24. Her skin is cool and dry. Current VS are BP 104/84, HR 108, RR
28. The pt is demonstrating s/sx of which stage of shock? ---- ANSWER✔✔----
compensated
An unresponsive trauma pt has an oropharygeal airway in place, shallow and labored
respirations, and dusky skin. The trauma team has administered medications for drug-
assisted intubation and attempted intubation but was unsuccessful. What is the most
,appropriate immediate next step? ---- ANSWER✔✔----ventilate with a bag mask
device
When is the tertiary survey completed fora trauma pt? ---- ANSWER✔✔----within 24
hrs of trauma
An intubated and sedated pt in the ED has multiple extremity injuries with the potential
for causing compartment syndrome. What is the most reliable indication of compartment
syndrome in a patient who is unconscious? ---- ANSWER✔✔----pressure
Which of the following is possible complication of positive-pressure ventilation? ----
ANSWER✔✔----worsening pneumothorax
the most reassuring finding for a male pt with hip pain after a fall is which of the
following? ---- ANSWER✔✔----pelvic stability
Which of the following pulse pressures indicate early hypovolemic shock? ----
ANSWER✔✔----narrowed
Patients with a crush injury should be monitored for which of the following conditions? --
-- ANSWER✔✔----dysrhythmias
Tearing of the bridging veins is most frequently associated with which brain injury? ----
ANSWER✔✔----subdural hematoma
A 20 y/o M presents to the ED complaining of severe lower abd pain after landing hard
on the bicycle cross bars while preforming an aerial BMX maneuver. Secondary
assessment reveals lower abd tenderness and scrotal ecchymosis. Which of the
following orders would the RN question? ---- ANSWER✔✔----straight cath for urine
sample
,You are caring for a pt who was involved in a MVC and is 32 weeks pregnant. Findings
of your secondary survey include abd pain on palpation, fundal ht at the costal margin,
and some dark bloody show. Varying accelerations and decelerations are noted on
cariocgraphy. These findings are most consistent with which of the following? ----
ANSWER✔✔----placental abruption
Which of the following is true about the log-roll? ---- ANSWER✔✔----it can worsen
cord damage from an unstable spinal injury
All of these are considered a critical communication point in trauma care EXCEPT
which of the following? ---- ANSWER✔✔----defusings
What bedside monitoring parameters are used to assess for adequacy of O2 and
effectiveness of ventilation? ---- ANSWER✔✔----pulse oximetry and capnography
Caregivers carry in a 2 y/o into the ED who fell out of a second-story window. The pt is
awake and crying with increased work of breathing and pale skin. Which of the following
interventions has the highest priority? ---- ANSWER✔✔----padding the upper back
while stabilizing the cervical spine
Which of the following injuries is LEAST likely to be promptly identified? ----
ANSWER✔✔----bowel
A pt is brought to the ED of a rural hospital following a high-speed MVC. When
significant abd and pelvic injuries are noted in the primary survey, which of the following
is the priority interventions? ---- ANSWER✔✔----Initiate transfer to a trauma center
A pt with a complete spinal cord injury in neurogenic shock will demonstrate
hypotension and which other clinical signs? ---- ANSWER✔✔----bardycardia and
absent motor function below the level of injury
, a 37 y/o F has a deformity of the L wrist after a fall. She is reluctant to move her hand
due to pain. Which of the following is the most appropriate intervention? ----
ANSWER✔✔----apply splint and elevate above the level of the heart
which of the following occurs during the third impact of a motor vehicle crash? ----
ANSWER✔✔----the aorta is torn at its attachment with the ligamentum arteriosum
a 5 y/o child presents to the ED with bruises to the upper arm and buttocks in various
stages of healing and multiple small, clean, round burns to the back. There are no
abnormalities found based on the pediatric assessment triangle or primary survey.
Which of the following is the priority survey. Which of the following is the priority nursing
intervention? ---- ANSWER✔✔----Report your suspicion of maltreatment in
accordance with local regulations
Why is a measure of serum lactate obtained in the initial assessment of a trauma
patient? ---- ANSWER✔✔----to guage end-organ perfusion and tissue hypoxia
A pt with a lower extremity fracture complains of severe pain and tightness in his calf,
minimally by pain medications. Which of the following is the priority nursing
intervention? ---- ANSWER✔✔----elevating the extremity to the level of the heart
What factor contributes most to the kinetic energy of a body in motion? ----
ANSWER✔✔----velocity
An elderly patient with a history of anticoagulant use presents after a fall at home today.
She denies any loss of consciousness. She has a hematoma to her forehead and
complains of headache, dizziness, and nausea. What is the most likely cause of her
symptoms? ---- ANSWER✔✔----subdural hematoma
a pt has been in the ED for several hrs waiting to be admitted. He sustained multiple rib
fractures and a femur fracture after a fall. He has been awake, alert, and complaining of
leg pain. His wife reported that he suddenly became anxious and confused. Upon
reassessment, the pt is restless with respiratory distress and petechiae to his neck. The
