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A 5-year old child presents to the ED with bruises to the upper arms 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 nursing intervention?
Answer: A - ansA) report your suspicion of the maltreatment in accordance with local
regulations ***
B) apply ice to the bruises and consult wound care
C) engage in therapeutic communication to determine the MOI
D) provide the family with injury prevention resourse
A 20-year old male presents to the ED c/o severe lower abd pain after ilanding ihard ion
ithe ibicycle icross ibars iwhich iperforming ian iaerial iBMX imaneuver. iSecondary
iassessment ireveals ilower iabd itenderness iand iscrotal iecchymosis. iWhich iof ithe
ifollowing iorders iwould ithe inurse iquestions?
Answer: iC i- iansA) iFast iexam
B) iCT iscan
C) istraight icath ifor iurine isample i***
D) iice iand ielevation iof ithe iscrotum
A i35-year iold imale ipresents iwith ifacial itrauma iafter ibring istruck iinthe ifa
i
ce iwith ia ibaseball. ia itear-drop ishaped ileft ipupil iis inoted ion iexam. iWhat itype iof iinjury
iis isuspected?
, TNCC FINAL EXAM LATEST VERSIONS 2024-2025 CONTAINS 350 QUESTIONS AND
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Answer: iB i- iansA) ioculomotor inerve ipalsy
B) iglobe irupture i***
C) iuncal iherniation
D) iretinal idetachment
A i36-year iold ifemale ihas ia ideformity iof ithe ileft iwrist iafter ia ifall. iShe iis ireluctant ito
imove iher ihand idue ito ipain. iWhich iof ithe ifollowing iis ithe imost iappropriate
iintervention?
Answer: iB i- iansA) iapply ia isling iand ielevate ithe iextremity ito ithe ilevel iof ithe iheart.
B) iapply ia isplint iand iELEVATE iABOVE iTHE iLEVEL iOF iTHE iHEART i***
C) iApply ia isling iand ielevate ithe iextremity iabove ithe ilevel iof ithe iheart
D) iapply ia isplint iand ielevate ithe iextremity ito ithe ilevel iof ithe iheart.
A i49-year iold irestrained idriver iinvolved iin ia iMVC ipresents ito ithe itrauma icenter ic/o
iabd, ipelvic, iand ibil ilower iextremity ipain iVitals isigns iare istable. iThe inurse ican
ianticipate iall iof ithese inegative ifast iexam iexcept iwhich iof ithe ifollowing?
Answer: iA
The iFAST iexam iis idone iat ithe ibedside ito iidentify ipathological ifluid iin ithe iabdominal
iand ipelvic icavities. iFAST iexams ireduce ithe iuse iof imore iinvasive idiagnostic
iperitoneal ilavage iand ican ibe irepeated iif iclinical ichanges ior ihemodynamic ichanges
ioccur. iA inegative iFAST istudy idoes inot irule iout iinjury iand imay iwarrant ia ifollow-up
icomputed itomography iscan. iSerial iFAST iexams ican iidentify iincreasing iabdominal
ifluid icollections ifrom ihemorrhage. iDiagnostic iperitoneal ilavage/diagnostic iperitoneal
iaspiration iis iperformed iby ithe isurgical iteam ito irapidly iidentify ithe ipresence iof
ihemorrhage iin ipatients iwho iare ihemodynamically iunstable iafter itrauma. i- iansA)
idiagnostic iperitoneal ilavage i***
B) iserial ifast iexams
C) iabdominal iand ipelvic iCT iscans
D) iserial iabdominal iassessments
A i56-year- imale ipatient iinvolved iin ia iMVC iis ibrought ito ithe iED iof ia irural icritical
iaccess ifacility. iHe ic/o ineck ipain, iSOB, iand idiffuse iabd ipain. iHis iGCS iis i15. iHis ivitals
iare ias ifollows:
BP i98/71
HR i125 ibeats/min
RR i26 ibreaths/min
SpO2 i94% ion ihigh iflow iO2 ivia iNRB imask