TNCC 9th Edition Exam 2024 – Complete
Study Guide & Practice Questions (REAL
TEST)
Which intervention is recommended regarding the use of drug-assisted intubation and rapid sequence
intubation? - ANSWER ✔---Pre-oxygenate to prolong the time to hypoxia
Which normal anatomic or physiologic change in an older adult places them at a higher risk for
aspiration? - ANSWER ✔---Relaxed muscles of the oropharynx
A patient has been diagnosed with an incomplete spinal cord injury at L1. Which finding would indicate
sacral sparing? - ANSWER ✔---Voluntary anal sphincter tone
An adult patient weighing 75 kg sustained partial and full thickness burns to 32% of their body 2 hours
prior to arrival. Intravenous fluid resuscitation was calculated to be 400 mL/hour. The urine output over
the last hour was 15mL. What intervention should the nurse anticipate? - ANSWER ✔---Increase
isotonic crystalloid infusion rate
A patient is diagnosed with a T12 spinal cord injury following a 20-foot fall. Which finding is consistent
with spinal shock? - ANSWER ✔---Loss of reflexes
, A patient is brought to the emergency department following a motor vehicle rollover and is complaining
of left upper abdominal pain and left shoulder pain. This presentation is most consistent with an injury
to which organ? - ANSWER ✔---Spleen
An adult patient is brought to the emergency department following a motor vehicle collision with
complaints of neck pain. They have identified as a person in the process of transweritioning from male
to female. What effect of hormone therapy should be considered when planning care for this patient? -
ANSWER ✔---Testosterone therapy may decrease blood pressure
Correct rationale: A person who is in the process of transweritioning from male to female will usually
be taking female hormones such as estrogen/estradiol to assist with the transwerition. This can cause a
decrease in muscle mass, increased risk of thromboembolism, and possibly increased bone density.
These patients would not be taking testosterone.
An adult patient presents to the emergency department after sustaining severe facial injuries during an
altercation. The patient is awake, confused, and smells heavily of alcohol. Pulse oximetry is 94% on room
air. Immediate intubation should be anticipated based on which clinical indicator? - ANSWER ✔---
Severe facial injuries
A patient involved in a high-speed rollover is complaining of increased difficulty breathing. There is a
small penetrating wound to the sixth intercostal space in the left lateral chest. Which finding is most
consistent with an injury to the diaphragm? - ANSWER ✔---Bowel sounds heard in the left lower
chest
A severely injured patient has been intubated and is being mechanically ventilated. The patient has
received a balanced resuscitation including multiple blood products. Under which circumstance will it be
harder for the hemoglobin to release oxygen to the tissues? - ANSWER ✔---Decreased body
temperature
A patient with a chest tube is being transwerported to the intensive care unit and fluctuation is noted
in the water seal chamber during inspiration and expiration. What is the best action for the nurse to
take? - ANSWER ✔---Continue to the intensive care unit
Study Guide & Practice Questions (REAL
TEST)
Which intervention is recommended regarding the use of drug-assisted intubation and rapid sequence
intubation? - ANSWER ✔---Pre-oxygenate to prolong the time to hypoxia
Which normal anatomic or physiologic change in an older adult places them at a higher risk for
aspiration? - ANSWER ✔---Relaxed muscles of the oropharynx
A patient has been diagnosed with an incomplete spinal cord injury at L1. Which finding would indicate
sacral sparing? - ANSWER ✔---Voluntary anal sphincter tone
An adult patient weighing 75 kg sustained partial and full thickness burns to 32% of their body 2 hours
prior to arrival. Intravenous fluid resuscitation was calculated to be 400 mL/hour. The urine output over
the last hour was 15mL. What intervention should the nurse anticipate? - ANSWER ✔---Increase
isotonic crystalloid infusion rate
A patient is diagnosed with a T12 spinal cord injury following a 20-foot fall. Which finding is consistent
with spinal shock? - ANSWER ✔---Loss of reflexes
, A patient is brought to the emergency department following a motor vehicle rollover and is complaining
of left upper abdominal pain and left shoulder pain. This presentation is most consistent with an injury
to which organ? - ANSWER ✔---Spleen
An adult patient is brought to the emergency department following a motor vehicle collision with
complaints of neck pain. They have identified as a person in the process of transweritioning from male
to female. What effect of hormone therapy should be considered when planning care for this patient? -
ANSWER ✔---Testosterone therapy may decrease blood pressure
Correct rationale: A person who is in the process of transweritioning from male to female will usually
be taking female hormones such as estrogen/estradiol to assist with the transwerition. This can cause a
decrease in muscle mass, increased risk of thromboembolism, and possibly increased bone density.
These patients would not be taking testosterone.
An adult patient presents to the emergency department after sustaining severe facial injuries during an
altercation. The patient is awake, confused, and smells heavily of alcohol. Pulse oximetry is 94% on room
air. Immediate intubation should be anticipated based on which clinical indicator? - ANSWER ✔---
Severe facial injuries
A patient involved in a high-speed rollover is complaining of increased difficulty breathing. There is a
small penetrating wound to the sixth intercostal space in the left lateral chest. Which finding is most
consistent with an injury to the diaphragm? - ANSWER ✔---Bowel sounds heard in the left lower
chest
A severely injured patient has been intubated and is being mechanically ventilated. The patient has
received a balanced resuscitation including multiple blood products. Under which circumstance will it be
harder for the hemoglobin to release oxygen to the tissues? - ANSWER ✔---Decreased body
temperature
A patient with a chest tube is being transwerported to the intensive care unit and fluctuation is noted
in the water seal chamber during inspiration and expiration. What is the best action for the nurse to
take? - ANSWER ✔---Continue to the intensive care unit
