TNCC FINAL EXAM TEST 11TH EDITION
Comprehensive Questions For TNCC Final Exam Test 2025 Actual Complete Questions
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Question.
A 56 y/o M pt involved in a motor vehicle crash is brought to the ED of a rural critical access
facility. He complains of neck pain, 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 priority intervention for this patient? - CORRECT Expedite transfer to the
closest trauma center
Question.
Which of the following considerations is the most important when caring for a geriatric
trauma pt? - CORRECT a pertinent medical hx is crucial
Question.
Following a review of recent drills and a real disaster event, a hospital has identified
deficiencies and is taking steps to minimize the impact of a future disaster . Which phase of
the disaster life cycle does this describe? - CORRECT Mitigation
Question.
EMS brings a pt who fell while riding his bicycle. Using the American College of Surgeons
screening guidelines, which assessment finding would prompt the RN to prepare the pt for a
radiologic spine clearance? - CORRECT Alcohol
All tools and guidelines require the patient to be awake, alert, not under the influence of any
substances, and without neurologic abnormalities
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Question.
What is the effect of hypothermia on the oxyhemoglobin dissociation curve? -
CORRECT hemoglobin does not readily release O2 for use by the tissues
Question.
Which of the following is a component of the trauma triad of death? - CORRECT
acidosis
Question.
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? - CORRECT Complete
Question.
Which of the following is an expected finding in a pt with a tube thoracstomy connected to a
chest drainage system? - CORRECT flucuation in the water seal chamber
Question.
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? -
CORRECT insert an oropharyngeal airway if there is no gag reflex
Question.
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? -
CORRECT globe rupture
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Question.
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? - CORRECT compensated
Question.
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? - CORRECT ventilate with a bag mask device
Question.
When is the tertiary survey completed fora trauma pt? - CORRECT within 24 hrs of
trauma
Question.
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? - CORRECT pressure
Question.
Which of the following is possible complication of positive-pressure ventilation? -
CORRECT worsening pneumothorax
Question.
the most reassuring finding for a male pt with hip pain after a fall is which of the following? -
CORRECT pelvic stability
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Question.
Which of the following pulse pressures indicate early hypovolemic shock? -
CORRECT narrowed
Question.
Patients with a crush injury should be monitored for which of the following conditions? -
CORRECT dysrhythmias
Question.
Tearing of the bridging veins is most frequently associated with which brain injury? -
CORRECT subdural hematoma
Question.
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? - CORRECT straight cath for urine sample
Question.
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? - CORRECT
placental abruption
Question.
Which of the following is true about the log-roll? - CORRECT it can worsen cord
damage from an unstable spinal injury