TNCC 9th Edition Exam Questions with correct and verified answers. Graded A+

TNCC 9th Edition Exam Questions with correct and verified answers. Graded A+ Which intervention is recommended regarding the use of drug-assisted intubation and rapid sequence intubation? - ANSWERSPre-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? - ANSWERSRelaxed muscles of the oropharynx A patient has been diagnosed with an incomplete spinal cord injury at L1. Which finding would indicate sacral sparing? - ANSWERSVoluntary 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? - ANSWERSIncrease 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? - ANSWERSLoss 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? - ANSWERSSpleen 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 transitioning from male to female. What effect of hormone therapy should be considered when planning care for this patient? - ANSWERSTestosterone therapy may decrease blood pressure Correct rationale: A person who is in the process of transitioning from male to female will usually be taking female hormones such as estrogen/estradiol to assist with the transition. 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? - ANSWERSSevere 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? - ANSWERSBowel 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? - ANSWERSDecreased body temperature A patient with a chest tube is being transported 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? - ANSWERSContinue to the intensive care unit An adult was thrown against a concrete wall during a factory explosion and sustained a femur fracture, liver laceration, and a small subdural hematoma. These injuries most likely occurred during what level of blast trauma? - ANSWERSTertiary An obese trauma patient requires intubation. Assuming there are no contraindications, which position will provide the best visualization for insertion of the endotracheal tube? - ANSWERSRamped A patient who jumped out of a second-floor window landing on their feet is diagnosed with a lumbar spine fracture. What is the most likely concurrent injury to have occurred? - ANSWERSCalcaneus fracture A patient arrives with a large metal rod embedded in their left thigh and no active bleeding. Which intervention is most appropriate for this patient? - ANSWERSPrepare the patient for surgery to remove the rod Which findings are most consistent with a complete transection of the spinal cord? - ANSWERSAbsence of sensory and motor function below the level of injury Your patient is a pedestrian struck by a car and thrown 35 feet. They were unconscious at the scene but became responsive with initial and subsequent Glasgow Coma Scale (GCS) scores of 13 (E-3, V-4, M-6). The patient has bilateral subdural hematomas and is awaiting transfer to the ICU. Your next assessment reveals a GCS of 9 (E-2, V-2, M- 5). What is the priority nursing intervention? - ANSWERSNotify the provider of the change While caring for a child who has been injured, what nursing intervention is consistent with a family-center approach? - ANSWERSAllowing family to participate in the care of the patient Identification of delayed complications following blunt abdominal trauma is best accomplished by which method? - ANSWERSRepeat computerized tomography with contrast Three adults present at different times during a one-hour period with a high fever, fatigue, and headache. All three patients have a rash which started on their mouth, face, and arms with progression to the chest and abdomen. They all visited the same grocery store within the last week. What is the most appropriate intervention from triage for these patients? - ANSWERSImmediately initiate isolation precautions A trauma patient who is 30-weeks pregnant arrives at the emergency department following a motor vehicle collision. Which normal physiologic change should be considered when assessing ventilatory status? - ANSWERSIncreased oxygen consumption You are caring for a patient who was thrown from a bike and was not wearing a helmet. While performing the head-to-toe assessment, you note clear drainage from the right ear. Which of the following is the most appropriate next step? - ANSWERSNotify the physician Following a motor vehicle collision, a patient presents with decreased level of consciousness and snoring respirations. It has been determined that it is safe to insert a nasopharyngeal airway. What is most important to consider when preparing to insert the nasopharyngeal airway? - ANSWERSImproper sizing can cause gastric distention A patient who sustained severe injuries was brought to the emergency department following a high-speed motor vehicle collision. Interventions for hypovolemic shock have been initiated. What component of the trauma triad of death is most likely to have begun at the time of injury? - ANSWERSCoagulopathy An adult patient was brought to the emergency department following a motorcycle crash. On arrival, the patient is only responsive to pain, has bleeding from the nose, and multiple abrasions and contusions to the face. What is the priority intervention? - ANSWERSUse a jaw thrust to open the airway and look for signs of obstruction In a motor vehicle collision, which injury pathway is most likely to increase the patient's morbidity and mortality? - ANSWERSEjection An adult trauma patient has received 1 liter of isotonic crystalloid solution, 6 units of packed red blood cells, 6 units of fresh frozen plasma, and 1 combined unit of platelets during the initial fluid resuscitation phase. Re-assessment includes: BP 104/66 mm Hg, HR 112 beats/minute, intermittent ventricular bigeminy on the cardiac monitor, and the presence of muscle tremors. What should the nurse anticipate administering based on these findings? - ANSWERSCalcium gluconate