TNCC 9th Edition final exam test 80
questions with correct and verified
answers. Graded A+
###
1. Youarecaringforapatientwhowasthrownfromabikeandwasnotwear-
8 8 8 8 8 8 8 8 8 8 8 8 8 8 8
ingahelmet.Whileperformingthehead-to-toeassessment,younote
88 8 8 8 8 8 8 8 8 8
clear drainage from the right ear. Which of the following is the most
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appropriate next step?
88 88 8 8
A. Clean the ear with a cotton-tipped applicator.
8 8 8 8 8 8 8 8 8 8 8 8
B. Pack the ear with gauze. 88 88 88 88
C. Notify the physician 8 8 8 8
D. Document and continue the exam. 88 88 88 88
88 Answer C.Notifythephysician 88 8 8 8
2. A patient is brought to the emergency department of a rural hospital
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8follow- ing a high-speed motor vehicle collision. When significant abdominal
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mailto:https://www.stuvia.com/user/Wisdoms
88 88
, and pelvic injuries are noted in the primary survey, what is the priority
88 88 88 8 8 8 8 8 8 8 8 8 8
intervention?
8
A. Initiate transfer to a trauma center 8 8 8 8 8 8 8 8 8 8
B. Attempt family notification 8 8 8 8
C. Obtain additional imaging studies 8 8 8 8 8 8
D. Place an indwelling urinary catheter 8 8 8 8 8 8 8 8
88 Answer A.Initiatetransfertoatraumacenter 8 8 8 8 8 8 8 8
3. Anadultwhofellfromasecond storyroofisbroughttotheemergency
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department by private vehicle. The patient is confused with
88 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8
8unlabored res- pirations and has strong, palpable radial pulses.
8 8 8 88 8 8 8 8 8 8 8 8 8 8 8 8
8There is an open wound in proximitytoanobviousdeformityofthe
8 8 8 8 8 8 8 8 8 8 8 88 8 8 8 8 8 8
leftlowerextremity.Whatisthe priority intervention?
8 8 8 8 8 8 88 88
A. Initiate cervical spine stabilization 8 8 8 8 8 8
B. Apply a splint to the lower extremity 8 8 8 8 8 8 8 8 8 8 8 8
C. Put the patient on portable oxygen.
8 8 8 8 8 8 8 8 8 8
D. Log roll the patient ontoa spine board
88 88 88 88 88 88 88
88 AnswerA.Initiatecervicalspinestabilization 88 8 8 8 8
4. Anadultpatientwhosustainedasevereheadtraumahasbeenintubat-
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edandisbeingmanuallyventilatedviaabag-maskdeviceatarateof18
88 8 8 8 8 8 8 8 8 8 8 8 8 8 8
breaths/minute. The patient has received one intravenous fluid
88 8 8 8 8 8 8 8 8 8 8 8 8 8 8
8 bolus of 500
8 8 8 8 8
mailto:https://www.stuvia.com/user/Wisdoms
88 88
, mL of warmed isotonic crystalloid solution. The PaCO2 is 30 mm Hg (4
8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8
8kPa), and the pulse oximetry is 92%. BP is 142/70 mm Hg. What is the most
8 88 88 88 88 88 88 88 88 88 88 88 88 88 88 88
important
88
mailto:https://www.stuvia.com/user/Wisdoms
88 88
, intervention to manage the cerebral blood flow? 8 8 8 8 8 8 8 8 8 8 8 8
A. Decrease the rate of manual ventilation. 8 8 8 8 8 8 8 8 8 8
B. Initiate another fluid bolus. 8 8 8 8 8 8
C. Recheck endotracheal tube placement. 88 8 8 8 8
D. Increase the amount of oxygen delivered. 88 88 88 88 88
88 AnswerA.Decreasetherateofmanualventilation.
88 8 8 8 8 8 8
5. An adult patient is brought to the emergency department following a
8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8
8vehicle "roll-over" with prolonged extrication. Assessment reveals
8 88 8 8 8 8 8 8 8 8 8 8
8 swelling and bruis- ingtotherightproximalthighandaweakpedal
8 8 8 8 8 88 8 8 8 8 8 8 8 8 8
pulse.Skinispale,cool,and moist.Whatisthemostappropriateinitial
8 8 8 8 8 8 88 8 8 8 8 8 8
intervention?
8
A. Application of a tourniquet to the affected extremity 8 8 8 8 8 8 8 8 8 8 8 8 8 8
B. Application of a pelvic binder 8 8 8 8 8 8 8 8
C. Fluid resuscitation to maintain a urine output of 0.5 mL/kg/hour
8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8
D. OxygentomaintaintheETCO2between30-35mmHg(3.9-4.6kPa)
8 8 8 8 8 8 8 8 8 8
88 AnswerB.Application ofapelvicbinder
8 8 88 88 88 8
mailto:https://www.stuvia.com/user/Wisdoms 88 88
questions with correct and verified
answers. Graded A+
###
1. Youarecaringforapatientwhowasthrownfromabikeandwasnotwear-
8 8 8 8 8 8 8 8 8 8 8 8 8 8 8
ingahelmet.Whileperformingthehead-to-toeassessment,younote
88 8 8 8 8 8 8 8 8 8
clear drainage from the right ear. Which of the following is the most
8 88 88 88 88 88 88 88 88 88 88 88 88
appropriate next step?
88 88 8 8
A. Clean the ear with a cotton-tipped applicator.
8 8 8 8 8 8 8 8 8 8 8 8
B. Pack the ear with gauze. 88 88 88 88
C. Notify the physician 8 8 8 8
D. Document and continue the exam. 88 88 88 88
88 Answer C.Notifythephysician 88 8 8 8
2. A patient is brought to the emergency department of a rural hospital
8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8
8follow- ing a high-speed motor vehicle collision. When significant abdominal
8 88 88 88 88 88 88 88 88 88
mailto:https://www.stuvia.com/user/Wisdoms
88 88
, and pelvic injuries are noted in the primary survey, what is the priority
88 88 88 8 8 8 8 8 8 8 8 8 8
intervention?
8
A. Initiate transfer to a trauma center 8 8 8 8 8 8 8 8 8 8
B. Attempt family notification 8 8 8 8
C. Obtain additional imaging studies 8 8 8 8 8 8
D. Place an indwelling urinary catheter 8 8 8 8 8 8 8 8
88 Answer A.Initiatetransfertoatraumacenter 8 8 8 8 8 8 8 8
3. Anadultwhofellfromasecond storyroofisbroughttotheemergency
8 8 8 8 8 8 8 8 8 8 8 8 8
department by private vehicle. The patient is confused with
88 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8
8unlabored res- pirations and has strong, palpable radial pulses.
8 8 8 88 8 8 8 8 8 8 8 8 8 8 8 8
8There is an open wound in proximitytoanobviousdeformityofthe
8 8 8 8 8 8 8 8 8 8 8 88 8 8 8 8 8 8
leftlowerextremity.Whatisthe priority intervention?
8 8 8 8 8 8 88 88
A. Initiate cervical spine stabilization 8 8 8 8 8 8
B. Apply a splint to the lower extremity 8 8 8 8 8 8 8 8 8 8 8 8
C. Put the patient on portable oxygen.
8 8 8 8 8 8 8 8 8 8
D. Log roll the patient ontoa spine board
88 88 88 88 88 88 88
88 AnswerA.Initiatecervicalspinestabilization 88 8 8 8 8
4. Anadultpatientwhosustainedasevereheadtraumahasbeenintubat-
8 8 8 8 8 8 8 8 8 8 8
edandisbeingmanuallyventilatedviaabag-maskdeviceatarateof18
88 8 8 8 8 8 8 8 8 8 8 8 8 8 8
breaths/minute. The patient has received one intravenous fluid
88 8 8 8 8 8 8 8 8 8 8 8 8 8 8
8 bolus of 500
8 8 8 8 8
mailto:https://www.stuvia.com/user/Wisdoms
88 88
, mL of warmed isotonic crystalloid solution. The PaCO2 is 30 mm Hg (4
8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8
8kPa), and the pulse oximetry is 92%. BP is 142/70 mm Hg. What is the most
8 88 88 88 88 88 88 88 88 88 88 88 88 88 88 88
important
88
mailto:https://www.stuvia.com/user/Wisdoms
88 88
, intervention to manage the cerebral blood flow? 8 8 8 8 8 8 8 8 8 8 8 8
A. Decrease the rate of manual ventilation. 8 8 8 8 8 8 8 8 8 8
B. Initiate another fluid bolus. 8 8 8 8 8 8
C. Recheck endotracheal tube placement. 88 8 8 8 8
D. Increase the amount of oxygen delivered. 88 88 88 88 88
88 AnswerA.Decreasetherateofmanualventilation.
88 8 8 8 8 8 8
5. An adult patient is brought to the emergency department following a
8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8
8vehicle "roll-over" with prolonged extrication. Assessment reveals
8 88 8 8 8 8 8 8 8 8 8 8
8 swelling and bruis- ingtotherightproximalthighandaweakpedal
8 8 8 8 8 88 8 8 8 8 8 8 8 8 8
pulse.Skinispale,cool,and moist.Whatisthemostappropriateinitial
8 8 8 8 8 8 88 8 8 8 8 8 8
intervention?
8
A. Application of a tourniquet to the affected extremity 8 8 8 8 8 8 8 8 8 8 8 8 8 8
B. Application of a pelvic binder 8 8 8 8 8 8 8 8
C. Fluid resuscitation to maintain a urine output of 0.5 mL/kg/hour
8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8
D. OxygentomaintaintheETCO2between30-35mmHg(3.9-4.6kPa)
8 8 8 8 8 8 8 8 8 8
88 AnswerB.Application ofapelvicbinder
8 8 88 88 88 8
mailto:https://www.stuvia.com/user/Wisdoms 88 88
