TNCC 9th Edition TNP ACTUAL EXAM | QUESTIONS AND ANSWERS
| VERIFIED ANSWERS (100% CORRECT) | LATEST EXAM UPDATE
What is the key to a high performing trauma team? - anseffective
communication
rationale: skilled communication, cooperation, and coordination are the
cornerstones of high-performance teams and high-quality trauma care
When obtaining a history for an injured patient, understanding the kinematic
concepts associated with the mechanism of injury and energy transfer can
initially assist the trauma provider in: - ansevaluating and anticipating the
types of injuries that may be present
rationale: mechanism of injury and energy transfer can assist the provider
in evaluating and anticipating damage
the major preventable cause of death in the trauma patient is: - ansuncontrolled
hemorrhage
rationale: uncontrolled hemorrhage is the major cause of preventable
death after injury, so assessment to identify uncontrolled hemorrhage is
key to the initial assessment process
the across-the-room observation step in the initial assessment provides the
opportunity to - ansreprioritize circulation before airway or breathing
rationale: the across-the-room observation is done at the beginning of the
primary survey to rapidly assess the need to reprioritize circulation before
airway or breathing. This is done if uncontrolled external hemorrhage is
identified.
,Which of the following accurately describes ventilation prinicples associated
with a bag-mask device? - ansventilate at a rate of 10-12 breaths/minute
rationale: if ventilation is ineffective, assist ventilation at 10-12
breaths/minute or one every 5-6 seconds
Which of the following is the best measure of the adequacy of cellular perfusion
and helps to predict the outcome of resuscitation? - ansbase deficit
rationale: base deficit serves as an endpoint measurement of the adequacy
of cellular perfusion and when used in conjunction with serum lactate helps
predict the success of resuciation
What is the safe pharmacological alternative to opioids for rib fracture pain
management in the anticoagulated patient? - ansintercostal nerve blocks
rationale: continuous intercostal nerve blocks use long-acting anesthetics
and can provide safe and effective pain management for the anticoagulated
patient.
In a patient with severe traumatic brain injury, hypocapnia causes: -
anscerebral vasoconstriction
rationale: hypocapnia, or low levels of carbon dioxide, will cause
vasoconstriction, especially in the cerebra; vasculature
A patient with a knife injury to the neck has an intact airway and is
hemodynamically stable. He complains of difficulty swallowing and speaking.
Further assessment is indicated next for which of the following? - ansdamage
to spinal cord
rationale: penetrating neck trauma may include concurrent injuries to the
spinal cord, airway, or vascular neck structures. With an intact airway and
, hemodynamic stability, the other common concurrent injury is to the spinal
cord
What is the appropriate technique for palpating the pelvis for stability? -
ansapply gentle pressure over the iliac downward and medially
rationale: to assess for pelvic instability, gentle pressure is applied over the
iliac crests downward and medially
a patient with a spinal cord injury at C5 is being cared for in the emergency
department while awaiting transport to a trauma center. which of the following
represents the highest priority for ongoing assessment and management? -
ansmaintain adequate respiratory status
rationale: spinal cord injuries at C3 to C5 can cause the loss of phrenic
nerve function, resulting in a paralyzed diaphragm and inability to breathe
Based on proper bleeding control techniques, what is the first step to stop the
bleeding of a penetrating injury to the lower extremity? - ansinitiate direct
pressure
rationale: the first step in controlling any bleeding is direct pressure. if that
is not adequate, the application of a tourniquet may be needed
treatment for frostbite includes: - ansadminister tissue plasminogen activator
rationale: with frostbite, thrombus formation is a risk. tissue plasminogen
or nonsteroidal anti-inflammatory medication can be administered. The
tissue plasminogen activator has been effective in maintaining perfusion
and decreasing the need for amputation when administered within 24 hours
of rewarming
| VERIFIED ANSWERS (100% CORRECT) | LATEST EXAM UPDATE
What is the key to a high performing trauma team? - anseffective
communication
rationale: skilled communication, cooperation, and coordination are the
cornerstones of high-performance teams and high-quality trauma care
When obtaining a history for an injured patient, understanding the kinematic
concepts associated with the mechanism of injury and energy transfer can
initially assist the trauma provider in: - ansevaluating and anticipating the
types of injuries that may be present
rationale: mechanism of injury and energy transfer can assist the provider
in evaluating and anticipating damage
the major preventable cause of death in the trauma patient is: - ansuncontrolled
hemorrhage
rationale: uncontrolled hemorrhage is the major cause of preventable
death after injury, so assessment to identify uncontrolled hemorrhage is
key to the initial assessment process
the across-the-room observation step in the initial assessment provides the
opportunity to - ansreprioritize circulation before airway or breathing
rationale: the across-the-room observation is done at the beginning of the
primary survey to rapidly assess the need to reprioritize circulation before
airway or breathing. This is done if uncontrolled external hemorrhage is
identified.
,Which of the following accurately describes ventilation prinicples associated
with a bag-mask device? - ansventilate at a rate of 10-12 breaths/minute
rationale: if ventilation is ineffective, assist ventilation at 10-12
breaths/minute or one every 5-6 seconds
Which of the following is the best measure of the adequacy of cellular perfusion
and helps to predict the outcome of resuscitation? - ansbase deficit
rationale: base deficit serves as an endpoint measurement of the adequacy
of cellular perfusion and when used in conjunction with serum lactate helps
predict the success of resuciation
What is the safe pharmacological alternative to opioids for rib fracture pain
management in the anticoagulated patient? - ansintercostal nerve blocks
rationale: continuous intercostal nerve blocks use long-acting anesthetics
and can provide safe and effective pain management for the anticoagulated
patient.
In a patient with severe traumatic brain injury, hypocapnia causes: -
anscerebral vasoconstriction
rationale: hypocapnia, or low levels of carbon dioxide, will cause
vasoconstriction, especially in the cerebra; vasculature
A patient with a knife injury to the neck has an intact airway and is
hemodynamically stable. He complains of difficulty swallowing and speaking.
Further assessment is indicated next for which of the following? - ansdamage
to spinal cord
rationale: penetrating neck trauma may include concurrent injuries to the
spinal cord, airway, or vascular neck structures. With an intact airway and
, hemodynamic stability, the other common concurrent injury is to the spinal
cord
What is the appropriate technique for palpating the pelvis for stability? -
ansapply gentle pressure over the iliac downward and medially
rationale: to assess for pelvic instability, gentle pressure is applied over the
iliac crests downward and medially
a patient with a spinal cord injury at C5 is being cared for in the emergency
department while awaiting transport to a trauma center. which of the following
represents the highest priority for ongoing assessment and management? -
ansmaintain adequate respiratory status
rationale: spinal cord injuries at C3 to C5 can cause the loss of phrenic
nerve function, resulting in a paralyzed diaphragm and inability to breathe
Based on proper bleeding control techniques, what is the first step to stop the
bleeding of a penetrating injury to the lower extremity? - ansinitiate direct
pressure
rationale: the first step in controlling any bleeding is direct pressure. if that
is not adequate, the application of a tourniquet may be needed
treatment for frostbite includes: - ansadminister tissue plasminogen activator
rationale: with frostbite, thrombus formation is a risk. tissue plasminogen
or nonsteroidal anti-inflammatory medication can be administered. The
tissue plasminogen activator has been effective in maintaining perfusion
and decreasing the need for amputation when administered within 24 hours
of rewarming
