TNCC 9th Edition TNP Verified Questions AND Correct
Answers
A 35-year-old male 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?
A.Oculomotor nerve palsy
B.Globe rupture
C.Retrobulbar hematoma
D.Retinal detachment - ✔✔Globe rupture
A 5-year-old child presents to the emergency department 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?
A.Report your suspicion of maltreatment in accordance with
local regulations
B.Apply ice to the bruises and provide wound care
,C.Engage in therapeutic communicati - ✔✔A.Report your
suspicion of maltreatment in accordance with local
regulations
A driver involved in a high-speed motor vehicle collision
arrives in the emergency department. The vehicle's air-bag
failed to deploy. The patient is drowsy but arousable and
complaining of chest pain with ecchymosis noted to the chest.
The patient is tachycardic and hypotensive with no evidence
of uncontrolled bleeding. Cardiac monitor shows premature
ventricular contractions. Which of the following is the most
appropriate intervention for this patient?
A.Rapid fluid boluses
B.Tranexamic acid - ✔✔C.Inotropic support
A nurse verbalizes guilt and remorse after caring for multiple
severely injured patients during a staffing crisis. The nurse
expresses anger stating that the patients did not receive
quality care and begins exhibiting aggression toward
colleagues. This is most consistent with which condition?
A.Compassion fatigue
,B.Vicarious trauma
C.Secondary traumatic stress
D.Moral injury - ✔✔D.Moral injury
A patient arrives following prolonged exposure of their left
hand to the cold. The patient is awake and alert and
complains of a tingling sensation to the fingers. Assessment
reveals swelling and bright red skin to the left hand and a 1-
inch round clear blister to the dorsum of that hand. Which of
the following nursing interventions is most appropriate for
this patient?
A.Massage the injured areas to promote circulation
B.Drain and debride the blister on the hand
C.Immerse in water between 37.5 - ✔✔D.Gently rewarm over
15 to 30 minutes
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?
A.Remove the rod immediately to facilitate cleansing.
, B.Apply a tourniquet to the leg above the metal rod.
C.Hold antibiotics until after the rod is removed.
D.Prepare the patient for surgery to remove the rod. -
✔✔D.Prepare the patient for surgery to remove the rod.
A patient arrives with a large open chest wound after being
assaulted with a machete. Prehospital providers placed a
nonporous dressing over the chest wound and taped it on
three sides. The patient is now showing signs of anxiety,
restlessness, severe respiratory distress, cyanosis, and
decreasing blood pressure. Which of the following is the
MOST appropriate immediate intervention?
A.Needle decompression
B.Tube thoracostomy
C.Dressing removal
D.Surgical repair - ✔✔C.Dressing removal
A patient has been diagnosed with an incomplete spinal cord
injury at L1. Which finding would indicate sacral sparing?
A.Involuntary flexion of the great toe
Answers
A 35-year-old male 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?
A.Oculomotor nerve palsy
B.Globe rupture
C.Retrobulbar hematoma
D.Retinal detachment - ✔✔Globe rupture
A 5-year-old child presents to the emergency department 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?
A.Report your suspicion of maltreatment in accordance with
local regulations
B.Apply ice to the bruises and provide wound care
,C.Engage in therapeutic communicati - ✔✔A.Report your
suspicion of maltreatment in accordance with local
regulations
A driver involved in a high-speed motor vehicle collision
arrives in the emergency department. The vehicle's air-bag
failed to deploy. The patient is drowsy but arousable and
complaining of chest pain with ecchymosis noted to the chest.
The patient is tachycardic and hypotensive with no evidence
of uncontrolled bleeding. Cardiac monitor shows premature
ventricular contractions. Which of the following is the most
appropriate intervention for this patient?
A.Rapid fluid boluses
B.Tranexamic acid - ✔✔C.Inotropic support
A nurse verbalizes guilt and remorse after caring for multiple
severely injured patients during a staffing crisis. The nurse
expresses anger stating that the patients did not receive
quality care and begins exhibiting aggression toward
colleagues. This is most consistent with which condition?
A.Compassion fatigue
,B.Vicarious trauma
C.Secondary traumatic stress
D.Moral injury - ✔✔D.Moral injury
A patient arrives following prolonged exposure of their left
hand to the cold. The patient is awake and alert and
complains of a tingling sensation to the fingers. Assessment
reveals swelling and bright red skin to the left hand and a 1-
inch round clear blister to the dorsum of that hand. Which of
the following nursing interventions is most appropriate for
this patient?
A.Massage the injured areas to promote circulation
B.Drain and debride the blister on the hand
C.Immerse in water between 37.5 - ✔✔D.Gently rewarm over
15 to 30 minutes
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?
A.Remove the rod immediately to facilitate cleansing.
, B.Apply a tourniquet to the leg above the metal rod.
C.Hold antibiotics until after the rod is removed.
D.Prepare the patient for surgery to remove the rod. -
✔✔D.Prepare the patient for surgery to remove the rod.
A patient arrives with a large open chest wound after being
assaulted with a machete. Prehospital providers placed a
nonporous dressing over the chest wound and taped it on
three sides. The patient is now showing signs of anxiety,
restlessness, severe respiratory distress, cyanosis, and
decreasing blood pressure. Which of the following is the
MOST appropriate immediate intervention?
A.Needle decompression
B.Tube thoracostomy
C.Dressing removal
D.Surgical repair - ✔✔C.Dressing removal
A patient has been diagnosed with an incomplete spinal cord
injury at L1. Which finding would indicate sacral sparing?
A.Involuntary flexion of the great toe
