TNCC TRAUMA NURSING CORE COURSE 17TH
EDITION ENA TESTBANK VERIFIED PASS
1. Which of the following requires you to develop a plan of action, initiate the
plan, reassess the plan as care for the patient moves forward, and adjust the plan as
the patient's condition or circumstances change?
A. Principles of PHTLS
B. The Golden Period
C. The XABCDE assessment D. Critical thinking process - Correct Answer ✅
:Question 1: D
To help achieve the PHTLS goals, you will apply your critical thinking skills in the
field. Critical thinking in medicine is a process in which the healthcare practitioner
assesses the situation, the patient, and the resources available and uses the
information to decide on and provide the best care for the patient.
1. You and your partner are responding to a call for a 2-year-old patient with a
burn injury to the hand. He has a visible burn to the left hand, ending at the level
above the wrist, red color, and wet in appearance. What type of burn do you
suspect the patient has sustained?
A. Superficial (first degree)
B. Partial thickness (second degree)
C. Full thickness (third degree)
D. Subdermal (fourth degree) - Correct Answer ✅ :Question 1: B
Scald burns are the most common burns seen in the pediatric population ages 1 to
5 years. Scalds are partial thickness burns. The dermal layer is damaged, and
blisters are present or popped. It is also the most painful type of burn.
pg. 1
,TNCC TRAUMA NURSING CORE COURSE 17TH
EDITION ENA TESTBANK VERIFIED PASS
1. You are called to the scene of a possible mass casualty motor vehicle collision
on the highway. Once you arrive on scene, what is your first priority? A.
Immediately begin triaging patients.
B. Treat the patient with the most visible blood loss.
C. Determine the need for additional resources.
D. Assess the scene and ensure it is safe. - Correct Answer ✅ :Question 1: D
Ensure safety for responders, bystanders, and patient(s). The first consideration
when approaching any scene is the safety of all emergency responders. When EMS
personnel become victims, they not only can no longer assist others, but also add
to the number of patients.
1. You are called to the scene of an explosion and fire at a chemical plant where
you find multiple casualties.Triage has begun. Your first patient is a 40-year-old
man who was near the source of the explosion. He is unconscious and has
extensive injuries.
You note gurgling respirations. Why should you use the trauma jaw thrust
maneuver first when dealing with a trauma patient?
A. It's an easy technique that always works to open the airway.
B. It allows you to open the airway with little or no movement of the head and
cervical spine.
C. Other techniques and interventions don't work as well.
D. It can relieve a variety of anatomic airway obstructions in patients who are
breathing spontaneously. - Correct Answer ✅ :Question 1: B
Manual maneuvers like the trauma jaw thrust or chin lift are always the first
airway maneuver you should make when treating a trauma patient. In patients with
pg. 2
,TNCC TRAUMA NURSING CORE COURSE 17TH
EDITION ENA TESTBANK VERIFIED PASS
suspected head, neck, orfacial trauma, the cervical spine is maintained in a neutral
in-line position.The trauma jaw thrust maneuver allows you to open the airway
with little or no movement of the head and cervical spine.
1. You are responding to a call for 25-year-old, fit and healthy female who fell
off a mountain bike. Upon arrival, you find the patient walking around. She is
alert but complaining of pain in her clavicle and on her right side when she
inhales. You notice that her helmet is split in two. What is the first thing you
need to do? A. Complete a review of the ABCs.
B. Check motor and sensory function.
C. Perform manual in-line stabilization.
D. Place her on a backboard. - Correct Answer ✅ :Question 1: C
Because there's a possibility of spinal injury, you should bring the patient's head
into a neutral in-line position.
1. You have been performing ongoing management on a 35-year-old female
patient who sustained thoracic trauma when a car hit her as she crossed the street.
Originally, your electronic monitoring devices all produce results consistent with
your patient's clinical condition. However, en route the trauma center, the monitors
start to differ from your patient's current clinical condition each time you reassess.
How should you handle this situation?
A. Treat the patient's condition, not the monitor results.
B. Continue to reassess the patient and record the results for the trauma center.
C. Treat your patient based on the test results.
D. Stop testing and wait until you arrive at the trauma center for them to perform
an assessment. - Correct Answer ✅ :Question 1: A
pg. 3
, TNCC TRAUMA NURSING CORE COURSE 17TH
EDITION ENA TESTBANK VERIFIED PASS
If there are inconsistent data from electronic monitoring devices, reassess to be
sure the monitor matches the patient's current clinical condition. However, it is
most important to treat the patient, not the monitor, so use other signs and
symptoms of potential patient deterioration.
1. You're called out to an assisted living facility for a 72-year-old woman
complaining of a severe headache and experiencing increased confusion. Staff
reports she fell out of her wheelchair earlier in the week but didn't appear to be
hurt; however, she's become increasingly disoriented over the last day or so. Vital
signs show: BP 110/90; heartrate 118 and irregularly regular; ventilation rate 20
and slightly labored; SpO2 93% on room air. She is taking warfarin for a clotting
issue. Which of the following should you suspect?
A. Cerebral contusion
B. Epidural hematoma
C. Subarachnoid hemorrhage
D. Subdural hematoma - Correct Answer ✅ :Question 1: D
The patient's age, use of a blood thinner, and the fact she fell recently point to a
subdural hematoma.
1. Your partner is compressing the bleeding site of a male patient who was stabbed
multiple times in the left chest. The bleeding seems to be controlled, yet the patient
becomes combative. He is pale and is breathing rapidly, yet states that he "can't
breathe" and feels that he is about to die. Your next step in patient management is
to: A. start assisted ventilation.
B. give high-flow oxygen.
C. decompress the left chest.
pg. 4
EDITION ENA TESTBANK VERIFIED PASS
1. Which of the following requires you to develop a plan of action, initiate the
plan, reassess the plan as care for the patient moves forward, and adjust the plan as
the patient's condition or circumstances change?
A. Principles of PHTLS
B. The Golden Period
C. The XABCDE assessment D. Critical thinking process - Correct Answer ✅
:Question 1: D
To help achieve the PHTLS goals, you will apply your critical thinking skills in the
field. Critical thinking in medicine is a process in which the healthcare practitioner
assesses the situation, the patient, and the resources available and uses the
information to decide on and provide the best care for the patient.
1. You and your partner are responding to a call for a 2-year-old patient with a
burn injury to the hand. He has a visible burn to the left hand, ending at the level
above the wrist, red color, and wet in appearance. What type of burn do you
suspect the patient has sustained?
A. Superficial (first degree)
B. Partial thickness (second degree)
C. Full thickness (third degree)
D. Subdermal (fourth degree) - Correct Answer ✅ :Question 1: B
Scald burns are the most common burns seen in the pediatric population ages 1 to
5 years. Scalds are partial thickness burns. The dermal layer is damaged, and
blisters are present or popped. It is also the most painful type of burn.
pg. 1
,TNCC TRAUMA NURSING CORE COURSE 17TH
EDITION ENA TESTBANK VERIFIED PASS
1. You are called to the scene of a possible mass casualty motor vehicle collision
on the highway. Once you arrive on scene, what is your first priority? A.
Immediately begin triaging patients.
B. Treat the patient with the most visible blood loss.
C. Determine the need for additional resources.
D. Assess the scene and ensure it is safe. - Correct Answer ✅ :Question 1: D
Ensure safety for responders, bystanders, and patient(s). The first consideration
when approaching any scene is the safety of all emergency responders. When EMS
personnel become victims, they not only can no longer assist others, but also add
to the number of patients.
1. You are called to the scene of an explosion and fire at a chemical plant where
you find multiple casualties.Triage has begun. Your first patient is a 40-year-old
man who was near the source of the explosion. He is unconscious and has
extensive injuries.
You note gurgling respirations. Why should you use the trauma jaw thrust
maneuver first when dealing with a trauma patient?
A. It's an easy technique that always works to open the airway.
B. It allows you to open the airway with little or no movement of the head and
cervical spine.
C. Other techniques and interventions don't work as well.
D. It can relieve a variety of anatomic airway obstructions in patients who are
breathing spontaneously. - Correct Answer ✅ :Question 1: B
Manual maneuvers like the trauma jaw thrust or chin lift are always the first
airway maneuver you should make when treating a trauma patient. In patients with
pg. 2
,TNCC TRAUMA NURSING CORE COURSE 17TH
EDITION ENA TESTBANK VERIFIED PASS
suspected head, neck, orfacial trauma, the cervical spine is maintained in a neutral
in-line position.The trauma jaw thrust maneuver allows you to open the airway
with little or no movement of the head and cervical spine.
1. You are responding to a call for 25-year-old, fit and healthy female who fell
off a mountain bike. Upon arrival, you find the patient walking around. She is
alert but complaining of pain in her clavicle and on her right side when she
inhales. You notice that her helmet is split in two. What is the first thing you
need to do? A. Complete a review of the ABCs.
B. Check motor and sensory function.
C. Perform manual in-line stabilization.
D. Place her on a backboard. - Correct Answer ✅ :Question 1: C
Because there's a possibility of spinal injury, you should bring the patient's head
into a neutral in-line position.
1. You have been performing ongoing management on a 35-year-old female
patient who sustained thoracic trauma when a car hit her as she crossed the street.
Originally, your electronic monitoring devices all produce results consistent with
your patient's clinical condition. However, en route the trauma center, the monitors
start to differ from your patient's current clinical condition each time you reassess.
How should you handle this situation?
A. Treat the patient's condition, not the monitor results.
B. Continue to reassess the patient and record the results for the trauma center.
C. Treat your patient based on the test results.
D. Stop testing and wait until you arrive at the trauma center for them to perform
an assessment. - Correct Answer ✅ :Question 1: A
pg. 3
, TNCC TRAUMA NURSING CORE COURSE 17TH
EDITION ENA TESTBANK VERIFIED PASS
If there are inconsistent data from electronic monitoring devices, reassess to be
sure the monitor matches the patient's current clinical condition. However, it is
most important to treat the patient, not the monitor, so use other signs and
symptoms of potential patient deterioration.
1. You're called out to an assisted living facility for a 72-year-old woman
complaining of a severe headache and experiencing increased confusion. Staff
reports she fell out of her wheelchair earlier in the week but didn't appear to be
hurt; however, she's become increasingly disoriented over the last day or so. Vital
signs show: BP 110/90; heartrate 118 and irregularly regular; ventilation rate 20
and slightly labored; SpO2 93% on room air. She is taking warfarin for a clotting
issue. Which of the following should you suspect?
A. Cerebral contusion
B. Epidural hematoma
C. Subarachnoid hemorrhage
D. Subdural hematoma - Correct Answer ✅ :Question 1: D
The patient's age, use of a blood thinner, and the fact she fell recently point to a
subdural hematoma.
1. Your partner is compressing the bleeding site of a male patient who was stabbed
multiple times in the left chest. The bleeding seems to be controlled, yet the patient
becomes combative. He is pale and is breathing rapidly, yet states that he "can't
breathe" and feels that he is about to die. Your next step in patient management is
to: A. start assisted ventilation.
B. give high-flow oxygen.
C. decompress the left chest.
pg. 4
