TNCC 9th Edition, TNCC 9th Edition FINAL TEST, TNCC 9th Edition
Study online at https://quizlet.com/_fombzl
1. You are caring for a patient who C. Notify the physician
was thrown from a bike and was not
wearing a helmet. While perform-
ing the head-to-toe assessment, you
note clear drainage from the right
ear. Which of the following is the
most appropriate next step?
A. Clean the ear with a cotton-tipped
applicator.
B. Pack the ear with gauze.
C. Notify the physician
D. Document and continue the exam.
2. A patient is brought to the emer- A. Initiate transfer to a trauma center
gency department of a rural hospital
following a high-speed motor vehicle
collision. When significant abdomi-
nal and pelvic injuries are noted in
the primary survey, what is the prior-
ity intervention?
A. Initiate transfer to a trauma cen-
ter
B. Attempt family notification
C. Obtain additional imaging stud-
ies
D. Place an indwelling urinary
catheter
3. An adult who fell from a second sto- A. Initiate cervical spine stabilization
ry roof is brought to the emergency
, TNCC 9th Edition, TNCC 9th Edition FINAL TEST, TNCC 9th Edition
Study online at https://quizlet.com/_fombzl
department by private vehicle. The
patient is confused with unlabored
respirations and has strong, palpa-
ble radial pulses. There is an open
wound in proximity to an obvious de-
formity of the left lower extremity.
What is the priority intervention?
A. Initiate cervical spine stabilization
B. Apply a splint to the lower extrem-
ity
C. Put the patient on portable oxy-
gen.
D. Log roll the patient onto a spine
board
4. An adult patient who sustained a se- A. Decrease the rate of manual ventilation.
vere head trauma has been intubat-
ed and is being manually ventilated
via a bag-mask device at a rate of
18 breaths/minute. The patient has
received one intravenous fluid bolus
of 500 mL of warmed isotonic crys-
talloid solution. The PaCO2 is 30 mm
Hg (4.0 kPa), and the pulse oximetry
is 92%. BP is 142/70 mm Hg. What
is the most important intervention to
manage the cerebral blood flow?
A. Decrease the rate of manual ven-
tilation.
B. Initiate another fluid bolus.
, TNCC 9th Edition, TNCC 9th Edition FINAL TEST, TNCC 9th Edition
Study online at https://quizlet.com/_fombzl
C. Recheck endotracheal tube place-
ment.
D. Increase the amount of oxygen
delivered.
5. An adult patient is brought to B. Application of a pelvic binder
the emergency department follow-
ing a vehicle "roll-over" with pro-
longed extrication. Assessment re-
veals swelling and bruising to the
right proximal thigh and a weak ped-
al pulse. Skin is pale, cool, and moist.
What is the most appropriate initial
intervention?
A. Application of a tourniquet to the
affected extremity
B. Application of a pelvic binder
C. Fluid resuscitation to maintain a
urine output of 0.5 mL/kg/hour
D. Oxygen to maintain the ETCO2 be-
tween 30-35 mm Hg (3.9-4.6 kPa)
6. An adult arrives at the emergency
department with superficial burns
to the extremities following a house
fire. The patient is reporting a
headache with nausea and is drowsy
and confused. What is the most likely
cause of these symptoms?
A. Capillary leak syndrome
, TNCC 9th Edition, TNCC 9th Edition FINAL TEST, TNCC 9th Edition
Study online at https://quizlet.com/_fombzl
B. Rhabdomyolysis
C. Carbon monoxide poisoning
D. Hypothermia
7. Using the American College of Sur-
geons Guidelines for Screening Pa-
tients with Suspected Spine In-
jury, what assessment finding would
prompt the nurse to prepare a pa-
tient for cervical spine imaging?
A. Alert with no neurologic deficits or
neck pain
B. Multiple abrasions to the extremi-
ties
C. Ecchymosis to the flank
D. Responds to verbal stimulation us-
ing AVPU
8. A 5-month pregnant patient arrives
in the emergency department stat-
ing she tripped and fell, landing on
her abdomen. Assessment reveals
bruising to the abdomen, both arms,
and her neck. She states she does
not take any medications and has
not had any prenatal care. The nurse
suspects the findings are most likely
related to which of the following?
A.Intentional violence
B.Pregnancy-related changes
Study online at https://quizlet.com/_fombzl
1. You are caring for a patient who C. Notify the physician
was thrown from a bike and was not
wearing a helmet. While perform-
ing the head-to-toe assessment, you
note clear drainage from the right
ear. Which of the following is the
most appropriate next step?
A. Clean the ear with a cotton-tipped
applicator.
B. Pack the ear with gauze.
C. Notify the physician
D. Document and continue the exam.
2. A patient is brought to the emer- A. Initiate transfer to a trauma center
gency department of a rural hospital
following a high-speed motor vehicle
collision. When significant abdomi-
nal and pelvic injuries are noted in
the primary survey, what is the prior-
ity intervention?
A. Initiate transfer to a trauma cen-
ter
B. Attempt family notification
C. Obtain additional imaging stud-
ies
D. Place an indwelling urinary
catheter
3. An adult who fell from a second sto- A. Initiate cervical spine stabilization
ry roof is brought to the emergency
, TNCC 9th Edition, TNCC 9th Edition FINAL TEST, TNCC 9th Edition
Study online at https://quizlet.com/_fombzl
department by private vehicle. The
patient is confused with unlabored
respirations and has strong, palpa-
ble radial pulses. There is an open
wound in proximity to an obvious de-
formity of the left lower extremity.
What is the priority intervention?
A. Initiate cervical spine stabilization
B. Apply a splint to the lower extrem-
ity
C. Put the patient on portable oxy-
gen.
D. Log roll the patient onto a spine
board
4. An adult patient who sustained a se- A. Decrease the rate of manual ventilation.
vere head trauma has been intubat-
ed and is being manually ventilated
via a bag-mask device at a rate of
18 breaths/minute. The patient has
received one intravenous fluid bolus
of 500 mL of warmed isotonic crys-
talloid solution. The PaCO2 is 30 mm
Hg (4.0 kPa), and the pulse oximetry
is 92%. BP is 142/70 mm Hg. What
is the most important intervention to
manage the cerebral blood flow?
A. Decrease the rate of manual ven-
tilation.
B. Initiate another fluid bolus.
, TNCC 9th Edition, TNCC 9th Edition FINAL TEST, TNCC 9th Edition
Study online at https://quizlet.com/_fombzl
C. Recheck endotracheal tube place-
ment.
D. Increase the amount of oxygen
delivered.
5. An adult patient is brought to B. Application of a pelvic binder
the emergency department follow-
ing a vehicle "roll-over" with pro-
longed extrication. Assessment re-
veals swelling and bruising to the
right proximal thigh and a weak ped-
al pulse. Skin is pale, cool, and moist.
What is the most appropriate initial
intervention?
A. Application of a tourniquet to the
affected extremity
B. Application of a pelvic binder
C. Fluid resuscitation to maintain a
urine output of 0.5 mL/kg/hour
D. Oxygen to maintain the ETCO2 be-
tween 30-35 mm Hg (3.9-4.6 kPa)
6. An adult arrives at the emergency
department with superficial burns
to the extremities following a house
fire. The patient is reporting a
headache with nausea and is drowsy
and confused. What is the most likely
cause of these symptoms?
A. Capillary leak syndrome
, TNCC 9th Edition, TNCC 9th Edition FINAL TEST, TNCC 9th Edition
Study online at https://quizlet.com/_fombzl
B. Rhabdomyolysis
C. Carbon monoxide poisoning
D. Hypothermia
7. Using the American College of Sur-
geons Guidelines for Screening Pa-
tients with Suspected Spine In-
jury, what assessment finding would
prompt the nurse to prepare a pa-
tient for cervical spine imaging?
A. Alert with no neurologic deficits or
neck pain
B. Multiple abrasions to the extremi-
ties
C. Ecchymosis to the flank
D. Responds to verbal stimulation us-
ing AVPU
8. A 5-month pregnant patient arrives
in the emergency department stat-
ing she tripped and fell, landing on
her abdomen. Assessment reveals
bruising to the abdomen, both arms,
and her neck. She states she does
not take any medications and has
not had any prenatal care. The nurse
suspects the findings are most likely
related to which of the following?
A.Intentional violence
B.Pregnancy-related changes
