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TNCC 8TH EDITION FINAL PRACTICE TEST
MCQs QUESTIONS AND CORRECT ANSWERS
(100% ACCURATE SOLUTIONS) ALREADY
GRADED A+.
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. -
CORRECT 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 - CORRECT 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. - CORRECT Dysrhythmias Hyperkalemia and other electrolyte
abnormalities can lead to life-threatening dysrhythmias.
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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. - CORRECT 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 - CORRECT Initiate transfer to a trauma center
What finding raises suspicion of a complete spinal cord injury?
Priapism - CORRECT Priapism
Which of the following is a component of the trauma triad of death?
Acidosis - CORRECT Acidosis
Tearing of the bridging veins is most frequently associated with which brain injury?
Subdural hematoma - CORRECT Subdural hematoma
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?
TNCC 8TH EDITION FINAL PRACTICE TEST
MCQs QUESTIONS AND CORRECT ANSWERS
(100% ACCURATE SOLUTIONS) ALREADY
GRADED A+.
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. -
CORRECT 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 - CORRECT 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. - CORRECT Dysrhythmias Hyperkalemia and other electrolyte
abnormalities can lead to life-threatening dysrhythmias.
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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. - CORRECT 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 - CORRECT Initiate transfer to a trauma center
What finding raises suspicion of a complete spinal cord injury?
Priapism - CORRECT Priapism
Which of the following is a component of the trauma triad of death?
Acidosis - CORRECT Acidosis
Tearing of the bridging veins is most frequently associated with which brain injury?
Subdural hematoma - CORRECT Subdural hematoma
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?
