TNCC 10TH EDITION QUESTIONS AND
ANSWERS(2024 EDITION)
1. You g are g treating g a g 27-year g old g male g in g respiratory g distress
g who g was g involved gin ga ghouse gfire. gCalculating gTBSA gburned gis
gdeferred gd/t gthe gneed gfor gemergent gintubation. gAt gwhat grate
gshould gyou gbegin gfluid gresuscitation?
A) 1000 gmL/hr
B) 500 gmL/hr
C) 250 gmL/hr
D) 125 gmL/hr:
g ANS>>B) g500 gmL/hr
2. A gpatient ghas gbeen gin gthe gED gfor gseveral ghours gwaiting gto gbe
gadmitted. gHe gsustained gmultiple grib gfractures gand ga gfemur
gfracture gafter ga gfall. gHe ghas gbeen gawake, galert, gand gc/o gleg
gpain. gHis gwife greported gsuddenly gbecoming ganxious gand
gconfused. gUpon greassessment, gthe gpatient gis grestless, gwith
grespiratory gdistress g and g petechiae g to g his g neck. g the g patient g is
g exhibiting g signs g of g symptoms gcommonly gassociated gwith gwhich
gof gthe gfollowing gconditions?
A) acute g lung g injury
B) fat gembolism
C) PTX
D) pulmonary gcontusion:
g ANS>> gB) gfat gembolism
3. Which g pulse g pressure g description g is g an g indication g of g early
g hypovolemic g shock?
A) widened
B) narrowed
C) bounding
1 g/
g27
,TNCC 10TH EDITION QUESTIONS AND
ANSWERS(2024 EDITION)
D) weak: g
ANS>> g B) gnarrowed
4. Which g of g the g following g considerations g is g most g important
g when g caring g for g a ggeriatric gtrauma gpatient?
A) head g to g to g exam
B) medical g history
C) incontinence
D) falls: g
ANS>>B) gmedical ghistory
2 g/
g27
,TNCC 10TH EDITION QUESTIONS AND
ANSWERS(2024 EDITION)
5. Which g of g the g following g assessment g findings g differentiates g a
g tension g pneu- g mothorax gfrom ga gsimple gpneumothorax?
A) increased g work g of g breathing
B) unilaterally g diminished g breath g sounds
C) pleuritic g chest g pain
D) hypotension gthat gworsens gwith ginspiration:
g ANS>> gD) ghypotension gthat gworsens gwith ginspiration.
Assessment gfindings gassociated gwith gtension gpneumothorax ginclude ganxiety, gsevere grestlessness,
gsevere grespiratory gdistress, gand gabsent gbreath gsounds gon gthe ginjured gside. gHypotension gdue gto
gcompression gof gthe gheart gand ggreat gvessels gis gconsistent gwith gobstructive gshock. gHypotension
gworsens gwith ginspiration gdue gto gincreased gintrathoracic gpressure. gLate gsigns ginclude gdistended gneck
gveins, gtracheal gdeviation, gand gcyanosis.
6. The g nurse g is g caring g for g a g 120 g kg g male g is g brought g in g after g a
g warehouse g fire
and gis gcalculating gthe gpatient's gfluid gresuscitation gneeds. gHe ghas
gpainful gred gblistering g to g the g entire g surface g of g both g upper
g extremities g and g superficial g burns gto g the g anterior g chest. g Using g the
g modified g Lund g and g Browder g chart g to g calculate gthe g total g BSA
g burned, g how g much g IV g fluids g would g be g administered g in g the g first
g 8 ghours?
A) 2280 gmL
B) 3840 gmL
C) 4560 gmL
D) 7680 gmL:
g ANS>> gA) g2280 gmL
(upper garm g4+4 g/ glower garm g3+3 g/ ghand g2.5+2.5) g= g19% gTBSA.
120 gkg gx g(2 gmL) gx g(19% gTBSA) g= g4560 gmL
3 g/
g27
ANSWERS(2024 EDITION)
1. You g are g treating g a g 27-year g old g male g in g respiratory g distress
g who g was g involved gin ga ghouse gfire. gCalculating gTBSA gburned gis
gdeferred gd/t gthe gneed gfor gemergent gintubation. gAt gwhat grate
gshould gyou gbegin gfluid gresuscitation?
A) 1000 gmL/hr
B) 500 gmL/hr
C) 250 gmL/hr
D) 125 gmL/hr:
g ANS>>B) g500 gmL/hr
2. A gpatient ghas gbeen gin gthe gED gfor gseveral ghours gwaiting gto gbe
gadmitted. gHe gsustained gmultiple grib gfractures gand ga gfemur
gfracture gafter ga gfall. gHe ghas gbeen gawake, galert, gand gc/o gleg
gpain. gHis gwife greported gsuddenly gbecoming ganxious gand
gconfused. gUpon greassessment, gthe gpatient gis grestless, gwith
grespiratory gdistress g and g petechiae g to g his g neck. g the g patient g is
g exhibiting g signs g of g symptoms gcommonly gassociated gwith gwhich
gof gthe gfollowing gconditions?
A) acute g lung g injury
B) fat gembolism
C) PTX
D) pulmonary gcontusion:
g ANS>> gB) gfat gembolism
3. Which g pulse g pressure g description g is g an g indication g of g early
g hypovolemic g shock?
A) widened
B) narrowed
C) bounding
1 g/
g27
,TNCC 10TH EDITION QUESTIONS AND
ANSWERS(2024 EDITION)
D) weak: g
ANS>> g B) gnarrowed
4. Which g of g the g following g considerations g is g most g important
g when g caring g for g a ggeriatric gtrauma gpatient?
A) head g to g to g exam
B) medical g history
C) incontinence
D) falls: g
ANS>>B) gmedical ghistory
2 g/
g27
,TNCC 10TH EDITION QUESTIONS AND
ANSWERS(2024 EDITION)
5. Which g of g the g following g assessment g findings g differentiates g a
g tension g pneu- g mothorax gfrom ga gsimple gpneumothorax?
A) increased g work g of g breathing
B) unilaterally g diminished g breath g sounds
C) pleuritic g chest g pain
D) hypotension gthat gworsens gwith ginspiration:
g ANS>> gD) ghypotension gthat gworsens gwith ginspiration.
Assessment gfindings gassociated gwith gtension gpneumothorax ginclude ganxiety, gsevere grestlessness,
gsevere grespiratory gdistress, gand gabsent gbreath gsounds gon gthe ginjured gside. gHypotension gdue gto
gcompression gof gthe gheart gand ggreat gvessels gis gconsistent gwith gobstructive gshock. gHypotension
gworsens gwith ginspiration gdue gto gincreased gintrathoracic gpressure. gLate gsigns ginclude gdistended gneck
gveins, gtracheal gdeviation, gand gcyanosis.
6. The g nurse g is g caring g for g a g 120 g kg g male g is g brought g in g after g a
g warehouse g fire
and gis gcalculating gthe gpatient's gfluid gresuscitation gneeds. gHe ghas
gpainful gred gblistering g to g the g entire g surface g of g both g upper
g extremities g and g superficial g burns gto g the g anterior g chest. g Using g the
g modified g Lund g and g Browder g chart g to g calculate gthe g total g BSA
g burned, g how g much g IV g fluids g would g be g administered g in g the g first
g 8 ghours?
A) 2280 gmL
B) 3840 gmL
C) 4560 gmL
D) 7680 gmL:
g ANS>> gA) g2280 gmL
(upper garm g4+4 g/ glower garm g3+3 g/ ghand g2.5+2.5) g= g19% gTBSA.
120 gkg gx g(2 gmL) gx g(19% gTBSA) g= g4560 gmL
3 g/
g27
