TNCC final exam test open book updated
with complete solution
Why is a measure of serum lactate obtained in the initial assessment of the
trauma patient?
Answer: c - CORRECT ANSWER>>a) to measure oxygenation and ventilation
b) to quantify the base deficit for the adequacy of cellular perfusion
c) *to gauge end-organ perfusion and tissue hypoxia **
d) to determine the underlying cause of shock
A trauma patient is restless and repeatedly asking "where am I?" vital signs upon
arrival were BP 100/60 mm Hg, HR 96 beats/min, and RR 24 breaths/min. Her skin
is cool and dry. Current vital signs are BP 104/84mm Hg, HR 108, RR 28
breaths/min. The patient is demonstrating signs and symptoms of which stage of
shock?
Answer: A - CORRECT ANSWER>>A) compensated **
B) Progressive
C) irreversible
D) decompensated
An elderly patient with a history of anticoagulant use presents after a fall at home
that day. she denies any loss of consciousness. She has a hematoma to her
forehead and complains of headache, dizziness, and nausea. Which is a most
likely cause of her symptoms?
Answer: D - CORRECT ANSWER>>A) epidural hematoma
B) diffuse axonal injury
C) post-concussive syndrome
D) subdural hematoma ***
, EMS brings a patient who fell riding his bicycle. Using the American College of
Surgeons screening guidelines, which assessment finding would prompt the nurse
to prepare the patient for radiologic spine clearance?
Answer: D - CORRECT ANSWER>>A) Alert with no neurologic deficits
B) Multiple abrasions to the extremities
C) Multiple requests of water
D) Smell of alcohol on breath ***
Which of the following occurs during the third impact of a motor vehicle crash?
Answer: C - CORRECT ANSWER>>A) The driver of the vehicle collides with the
steering wheel
B) the vehicle collides with a tree
C) the aorta is torn at its attachment with the ligamentum arteriosum
D) the airbag deploys and strikes the front seat passenger ***
A passenger is brought to the emergency department of a rural hospital following
a high-speed MVC. When significant abdominal and pelvic injuries are noted in
the primary survey, which of the following is the priority interventions?
Answer: A - CORRECT ANSWER>>A) initiate transfer to a trauma center **
B) provide report to the operating room nurse
C) Obtained imaging studies
D) Place a gastric tube
Which of the following injuries is LEAST likely to be promptly identified?
Answer: C - CORRECT ANSWER>>A) spleen
B) lung
C) bowel ***
D) brain
with complete solution
Why is a measure of serum lactate obtained in the initial assessment of the
trauma patient?
Answer: c - CORRECT ANSWER>>a) to measure oxygenation and ventilation
b) to quantify the base deficit for the adequacy of cellular perfusion
c) *to gauge end-organ perfusion and tissue hypoxia **
d) to determine the underlying cause of shock
A trauma patient is restless and repeatedly asking "where am I?" vital signs upon
arrival were BP 100/60 mm Hg, HR 96 beats/min, and RR 24 breaths/min. Her skin
is cool and dry. Current vital signs are BP 104/84mm Hg, HR 108, RR 28
breaths/min. The patient is demonstrating signs and symptoms of which stage of
shock?
Answer: A - CORRECT ANSWER>>A) compensated **
B) Progressive
C) irreversible
D) decompensated
An elderly patient with a history of anticoagulant use presents after a fall at home
that day. she denies any loss of consciousness. She has a hematoma to her
forehead and complains of headache, dizziness, and nausea. Which is a most
likely cause of her symptoms?
Answer: D - CORRECT ANSWER>>A) epidural hematoma
B) diffuse axonal injury
C) post-concussive syndrome
D) subdural hematoma ***
, EMS brings a patient who fell riding his bicycle. Using the American College of
Surgeons screening guidelines, which assessment finding would prompt the nurse
to prepare the patient for radiologic spine clearance?
Answer: D - CORRECT ANSWER>>A) Alert with no neurologic deficits
B) Multiple abrasions to the extremities
C) Multiple requests of water
D) Smell of alcohol on breath ***
Which of the following occurs during the third impact of a motor vehicle crash?
Answer: C - CORRECT ANSWER>>A) The driver of the vehicle collides with the
steering wheel
B) the vehicle collides with a tree
C) the aorta is torn at its attachment with the ligamentum arteriosum
D) the airbag deploys and strikes the front seat passenger ***
A passenger is brought to the emergency department of a rural hospital following
a high-speed MVC. When significant abdominal and pelvic injuries are noted in
the primary survey, which of the following is the priority interventions?
Answer: A - CORRECT ANSWER>>A) initiate transfer to a trauma center **
B) provide report to the operating room nurse
C) Obtained imaging studies
D) Place a gastric tube
Which of the following injuries is LEAST likely to be promptly identified?
Answer: C - CORRECT ANSWER>>A) spleen
B) lung
C) bowel ***
D) brain
