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TNCC UPDATED FINAL EXAM 2024 OPEN BOOK
WITH SOLVED QUESTIONS | GUARANTEED PASS
A 35-year old male presents with facial trauma after bringing struck in the face
with a baseball. a tear-drop shaped left pupil is noted on exam. What type of
injury is suspected?
Answer: B - Correct-answer-A) oculomotor nerve palsy
B) globe rupture ***
C) uncal herniation
D) retinal detachment
Which of the following is true about the log roll maneuver?
Answer: C - Correct-answer-A) it causes less spinal motion than the lift and slide
manuever
B) it is recommended for patients with unstable pelvic fractures
C) it can worsen cord damage from an unstable spinal injury ***
D) it does not increases the risk of life threatening hemorrhage from unstable
injuries
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EMS arrives with the intoxicated driver of a car involved in a MVC. EMS reports
significant damage to the drivers side of the car. The patient is asking to have the
cervical color removed. when is it appropriate to remove the cervical collar?
Answer: A - Correct-answer-A) after a physical examination if the patient has no
radiologic abnormalities on a computed tomography scan ***
B) after physician evaluation if the patient has not neurologic abnormalities on
exam
C) after palpation of the spine if the patient has no point tenderness the the
vertebral column
D) after physical examination if the patient has not neck pain with movement
Tearing of the bridging veins is most frequently associated with which brain
injury?
Answer: B - Correct-answer-A) epidural hematoma
B) subdural hematoma ***
C) diffuse axonal injury
D) intracerebral hematoma
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If a patient has received multiple transfusions of banked blood preserved with
citrate, which electrolyte is most likely to drop and require supplementation?
Answer: D - Correct-answer-A) potassium
B) magnesium
C) sodium
D) calcium ***
A trauma patient is en route to a rural ED. Radiology notifies the charge nurse
that the CT scanner will be out of service for several of hours. The team gathers to
plan accordingly. Which of the following terms best describes this trauma teams
communication?
Answer: D - Correct-answer-A) Brief
B) loop
C) debrief
D) huddle ***
The nurse is caring for a 120 kg male is brought in after a warehouse fire and is
calculating the patient's fluid resuscitation needs. He has painful red blistering to
the entire surface of both upper extremities and superficial burns to the anterior
TNCC UPDATED FINAL EXAM 2024 OPEN BOOK
WITH SOLVED QUESTIONS | GUARANTEED PASS
A 35-year old male presents with facial trauma after bringing struck in the face
with a baseball. a tear-drop shaped left pupil is noted on exam. What type of
injury is suspected?
Answer: B - Correct-answer-A) oculomotor nerve palsy
B) globe rupture ***
C) uncal herniation
D) retinal detachment
Which of the following is true about the log roll maneuver?
Answer: C - Correct-answer-A) it causes less spinal motion than the lift and slide
manuever
B) it is recommended for patients with unstable pelvic fractures
C) it can worsen cord damage from an unstable spinal injury ***
D) it does not increases the risk of life threatening hemorrhage from unstable
injuries
,2|Page
EMS arrives with the intoxicated driver of a car involved in a MVC. EMS reports
significant damage to the drivers side of the car. The patient is asking to have the
cervical color removed. when is it appropriate to remove the cervical collar?
Answer: A - Correct-answer-A) after a physical examination if the patient has no
radiologic abnormalities on a computed tomography scan ***
B) after physician evaluation if the patient has not neurologic abnormalities on
exam
C) after palpation of the spine if the patient has no point tenderness the the
vertebral column
D) after physical examination if the patient has not neck pain with movement
Tearing of the bridging veins is most frequently associated with which brain
injury?
Answer: B - Correct-answer-A) epidural hematoma
B) subdural hematoma ***
C) diffuse axonal injury
D) intracerebral hematoma
, 3|Page
If a patient has received multiple transfusions of banked blood preserved with
citrate, which electrolyte is most likely to drop and require supplementation?
Answer: D - Correct-answer-A) potassium
B) magnesium
C) sodium
D) calcium ***
A trauma patient is en route to a rural ED. Radiology notifies the charge nurse
that the CT scanner will be out of service for several of hours. The team gathers to
plan accordingly. Which of the following terms best describes this trauma teams
communication?
Answer: D - Correct-answer-A) Brief
B) loop
C) debrief
D) huddle ***
The nurse is caring for a 120 kg male is brought in after a warehouse fire and is
calculating the patient's fluid resuscitation needs. He has painful red blistering to
the entire surface of both upper extremities and superficial burns to the anterior
