TNCC 8TH/ TNCC 8th Edition Exam 2023
/Questions & Answers/Latest Complete
Solution TNCC 8th Edition Exam
What are the greatest risks for transport? - answer-:Loss of airway patency, displaced
obstructive tubes lines or catheters, dislodge splinting devices, need to replace or reinforce
dressings, deterioration in patient status change in vital signs or level of consciousness, injury to
the patient and/or team members
The nurse is caring for a 120 kg male brought in after a warehouse fire and is calculating the
patients fluid resuscitation needs. He has painful red blistering to the entire surface of both
upper extremities and superficial burns to the anterior chest. Using the modified Lund and
Browder chart to calculate the total body surface area burned, how much IV fluid would be
administered in the first 8 hours?
2280 mL
3840 mL A fluid total of 3840 mL is not correct because only partial or full thickness burn areas
are used in calculating TBSA. The anterior chest shows evidence of superficial burns. - answer-
:2280 mL - -3840 mL A fluid total of 3840 mL is not correct because only partial or full thickness
burn areas are used in calculating TBSA. The anterior chest shows evidence of superficial burns.
You are caring for a patient who was involved in a motor vehicle crash and is 32 weeks pregnant.
Findings of your secondary survey include abdominal pain on palpation, fundal height at the
costal margin, and some dark bloody show. Varying accelerations and decelerations are noted
on cardiotocography. These findings are most consistent with which of the following?
Placental abruption - answer-:Placental abruption
Patients with a crush injury should be monitored for which of the following conditions?
,Dysrhythmias Hyperkalemia and other electrolyte abnormalities can lead to life-threatening
dysrhythmias. - answer-:Dysrhythmias Hyperkalemia and other electrolyte abnormalities can
lead to life-threatening dysrhythmias.
A 49-year-old restrained driver involved in a motor vehicle collision presents to the trauma
center complaining of abdominal, pelvic, and bilateral lower extremity pain. Vital signs are
stable. The nurse can anticipate all of these after a negative FAST exam EXCEPT which of the
following?
Diagnostic peritoneal lavage Diagnostic peritoneal lavage is indicated for hemodynamically
unstable patients or if FAST and CT are not available. - answer-:Diagnostic peritoneal lavage is
indicated for hemodynamically unstable patients or if FAST and CT are not available.
A patient is brought to the emergency department of a rural hospital following a high-speed
motor vehicle collision. When significant abdominal and pelvic injuries are noted in the primary
survey, which of the following is the priority intervention?
Initiate transfer to a trauma center - answer-:Initiate transfer to a trauma center
What finding raises suspicion of a complete spinal cord injury?
Priapism - answer-:Priapism
Which of the following is a component of the trauma triad of death?
Acidosis - answer-:Acidosis
Tearing of the bridging veins is most frequently associated with which brain injury?
Subdural hematoma - answer-:Subdural hematoma
,What is tension? - answer-:stretching force by pulling at opposite ends
What is compression? - answer-:Crushing by squeezing together
What is bending? - answer-:Loading about an axis. Bending causes compression on the side the
person is bending toward intention to the opposite side
What is shearing? - answer-:Damage by tearing or bending by exerting faucet different parts in
opposite directions at the same time.
What is torsion? - answer-:Torsion forces twist ends in opposite directions.
What is combined loading? - answer-:Any combination of tension compression torsion bending
and/or shear.
What are the four types of trauma related injuries? - answer-:Blunt, penetrating, thermal, or
blast.
What are contributing factors to injuries related to blunt traumas? - answer-:The point of
impact on the patient's body, the type of surface that is hit, the tissues ability to resist (bone
versus soft tissue, air-filled versus solid organs), and the trajectory of force.
What are the seven patterns of pathway injuries related to motor vehicle accidents? - answer-
:Up and over, down and under, lateral, rotational, rear, roll over, and ejection.
Differentiate between the three impacts of motor vehicle impact sequence. - answer-:The first
impact occurs when the vehicle collided with another object. The second impact occurs after
the initial impact when the occupant continues to move in the original direction of travel until
, they collide with the interior of the vehicle or meet resistance. The third impact occurs when
internal structures collide within the body cavity.
What are the three factors that contribute to the damage caused by penetrating trauma's? -
answer-:The point of impact, the velocity and speed of impact, and the proximity to the object.
What causes the primary effects of blast traumas? - answer-:The direct blast effects. Types of
injuries include last long, tympanic membrane rupture and middle ear damage, abdominal
hemorrhage and perforation, global rupture, mild Trumatic brain injury.
What causes the secondary effects of blast traumas? - answer-:Projectiles propelled by the
explosion. Injuries include penetrating or blunt injuries or I penetration.
During the primary survey of an unconscious patient with multi-system trauma, the nurse notes
snoring respirations. What priority nursing intervention should be performed next?
Open the airway with the head-tilt, chin lift maneuver xx The unconscious patient with multi-
system trauma should be suspected of having a cervical spine injury. The jaw-thrust procedure is
recommended to open the airway.
Insert an oropharyngeal airway if there is no gag reflex - answer-:Insert an oropharyngeal
airway if there is no gag reflex
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. He 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?
If signs and symptoms of tension pneumothorax develop after the application of the dressing,
remove the dressing and reevaluate the patient. Needle decompression might be necessary if
the patient does not improve after removal of the dressing.
Dressing removal - answer-:Dressing removal
/Questions & Answers/Latest Complete
Solution TNCC 8th Edition Exam
What are the greatest risks for transport? - answer-:Loss of airway patency, displaced
obstructive tubes lines or catheters, dislodge splinting devices, need to replace or reinforce
dressings, deterioration in patient status change in vital signs or level of consciousness, injury to
the patient and/or team members
The nurse is caring for a 120 kg male brought in after a warehouse fire and is calculating the
patients fluid resuscitation needs. He has painful red blistering to the entire surface of both
upper extremities and superficial burns to the anterior chest. Using the modified Lund and
Browder chart to calculate the total body surface area burned, how much IV fluid would be
administered in the first 8 hours?
2280 mL
3840 mL A fluid total of 3840 mL is not correct because only partial or full thickness burn areas
are used in calculating TBSA. The anterior chest shows evidence of superficial burns. - answer-
:2280 mL - -3840 mL A fluid total of 3840 mL is not correct because only partial or full thickness
burn areas are used in calculating TBSA. The anterior chest shows evidence of superficial burns.
You are caring for a patient who was involved in a motor vehicle crash and is 32 weeks pregnant.
Findings of your secondary survey include abdominal pain on palpation, fundal height at the
costal margin, and some dark bloody show. Varying accelerations and decelerations are noted
on cardiotocography. These findings are most consistent with which of the following?
Placental abruption - answer-:Placental abruption
Patients with a crush injury should be monitored for which of the following conditions?
,Dysrhythmias Hyperkalemia and other electrolyte abnormalities can lead to life-threatening
dysrhythmias. - answer-:Dysrhythmias Hyperkalemia and other electrolyte abnormalities can
lead to life-threatening dysrhythmias.
A 49-year-old restrained driver involved in a motor vehicle collision presents to the trauma
center complaining of abdominal, pelvic, and bilateral lower extremity pain. Vital signs are
stable. The nurse can anticipate all of these after a negative FAST exam EXCEPT which of the
following?
Diagnostic peritoneal lavage Diagnostic peritoneal lavage is indicated for hemodynamically
unstable patients or if FAST and CT are not available. - answer-:Diagnostic peritoneal lavage is
indicated for hemodynamically unstable patients or if FAST and CT are not available.
A patient is brought to the emergency department of a rural hospital following a high-speed
motor vehicle collision. When significant abdominal and pelvic injuries are noted in the primary
survey, which of the following is the priority intervention?
Initiate transfer to a trauma center - answer-:Initiate transfer to a trauma center
What finding raises suspicion of a complete spinal cord injury?
Priapism - answer-:Priapism
Which of the following is a component of the trauma triad of death?
Acidosis - answer-:Acidosis
Tearing of the bridging veins is most frequently associated with which brain injury?
Subdural hematoma - answer-:Subdural hematoma
,What is tension? - answer-:stretching force by pulling at opposite ends
What is compression? - answer-:Crushing by squeezing together
What is bending? - answer-:Loading about an axis. Bending causes compression on the side the
person is bending toward intention to the opposite side
What is shearing? - answer-:Damage by tearing or bending by exerting faucet different parts in
opposite directions at the same time.
What is torsion? - answer-:Torsion forces twist ends in opposite directions.
What is combined loading? - answer-:Any combination of tension compression torsion bending
and/or shear.
What are the four types of trauma related injuries? - answer-:Blunt, penetrating, thermal, or
blast.
What are contributing factors to injuries related to blunt traumas? - answer-:The point of
impact on the patient's body, the type of surface that is hit, the tissues ability to resist (bone
versus soft tissue, air-filled versus solid organs), and the trajectory of force.
What are the seven patterns of pathway injuries related to motor vehicle accidents? - answer-
:Up and over, down and under, lateral, rotational, rear, roll over, and ejection.
Differentiate between the three impacts of motor vehicle impact sequence. - answer-:The first
impact occurs when the vehicle collided with another object. The second impact occurs after
the initial impact when the occupant continues to move in the original direction of travel until
, they collide with the interior of the vehicle or meet resistance. The third impact occurs when
internal structures collide within the body cavity.
What are the three factors that contribute to the damage caused by penetrating trauma's? -
answer-:The point of impact, the velocity and speed of impact, and the proximity to the object.
What causes the primary effects of blast traumas? - answer-:The direct blast effects. Types of
injuries include last long, tympanic membrane rupture and middle ear damage, abdominal
hemorrhage and perforation, global rupture, mild Trumatic brain injury.
What causes the secondary effects of blast traumas? - answer-:Projectiles propelled by the
explosion. Injuries include penetrating or blunt injuries or I penetration.
During the primary survey of an unconscious patient with multi-system trauma, the nurse notes
snoring respirations. What priority nursing intervention should be performed next?
Open the airway with the head-tilt, chin lift maneuver xx The unconscious patient with multi-
system trauma should be suspected of having a cervical spine injury. The jaw-thrust procedure is
recommended to open the airway.
Insert an oropharyngeal airway if there is no gag reflex - answer-:Insert an oropharyngeal
airway if there is no gag reflex
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. He 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?
If signs and symptoms of tension pneumothorax develop after the application of the dressing,
remove the dressing and reevaluate the patient. Needle decompression might be necessary if
the patient does not improve after removal of the dressing.
Dressing removal - answer-:Dressing removal
