TNCC final exam test 2022 open book
Study online at https://quizlet.com/_eg4io0
1. Why is a measure of serum lactate obtained in the a) to measure oxy-
initial assessment of the trauma patient? genation and ven-
tilation
Answer: c b) to quantify the
base deficit for the
adequacy of cellu-
lar perfusion
c) *to gauge
end-organ perfu-
sion and tissue hy-
poxia **
d) to determine the
underlying cause
of shock
2. A trauma patient is restless and repeatedly asking A) compensated **
"where am I?" vital signs upon arrival were BP 100/60 B) Progressive
mm Hg, HR 96 beats/min, and RR 24 breaths/min. C) irreversible
Her skin is cool and dry. Current vital signs are BP D) decompensat-
104/84mm Hg, HR 108, RR 28 breaths/min. The patient ed
is demonstrating signs and symptoms of which stage
of shock?
Answer: A
3. An elderly patient with a history of anticoagulant use A) epidural
presents after a fall at home that day. she denies any hematoma
loss of consciousness. She has a hematoma to her B) diffuse axonal
forehead and complains of headache, dizziness, and injury
nausea. Which is a most likely cause of her symp- C) post-concus-
toms? sive syndrome
D) subdural
Answer: D hematoma ***
4. EMS brings a patient who fell riding his bicycle. Using A) Alert with no
the American College of Surgeons screening guide- neurologic deficits
lines, which assessment finding would prompt the B) Multiple abra-
nurse to prepare the patient for radiologic spine clear- sions to the ex-
ance? tremities
, TNCC final exam test 2022 open book
Study online at https://quizlet.com/_eg4io0
C) Multiple re-
Answer: D quests of water
D) Smell of alcohol
on breath ***
5. Which of the following occurs during the third impact A) The driver of
of a motor vehicle crash? the vehicle collides
with the steering
Answer: C wheel
B) the vehicle col-
lides with a tree
C) the aorta is torn
at its attachment
with the ligamen-
tum arteriosum
D) the airbag de-
ploys and strikes
the front seat pas-
senger ***
6. A passenger is brought to the emergency department A) initiate transfer
of a rural hospital following a high-speed MVC. When to a trauma center
significant abdominal and pelvic injuries are noted **
in the primary survey, which of the following is the B) provide report
priority interventions? to the operating
room nurse
Answer: A C) Obtained imag-
ing studies
D) Place a gastric
tube
7. Which of the following injuries is LEAST likely to be A) spleen
promptly identified? B) lung
C) bowel ***
Answer: C D) brain
8. Patients with a crush injury should be monitored for A) Hypernatremia
which of the following conditions? B) Hypercalcemia
C) Dysrhthmias **
Answer: C D) polyuria
Study online at https://quizlet.com/_eg4io0
1. Why is a measure of serum lactate obtained in the a) to measure oxy-
initial assessment of the trauma patient? genation and ven-
tilation
Answer: c b) to quantify the
base deficit for the
adequacy of cellu-
lar perfusion
c) *to gauge
end-organ perfu-
sion and tissue hy-
poxia **
d) to determine the
underlying cause
of shock
2. A trauma patient is restless and repeatedly asking A) compensated **
"where am I?" vital signs upon arrival were BP 100/60 B) Progressive
mm Hg, HR 96 beats/min, and RR 24 breaths/min. C) irreversible
Her skin is cool and dry. Current vital signs are BP D) decompensat-
104/84mm Hg, HR 108, RR 28 breaths/min. The patient ed
is demonstrating signs and symptoms of which stage
of shock?
Answer: A
3. An elderly patient with a history of anticoagulant use A) epidural
presents after a fall at home that day. she denies any hematoma
loss of consciousness. She has a hematoma to her B) diffuse axonal
forehead and complains of headache, dizziness, and injury
nausea. Which is a most likely cause of her symp- C) post-concus-
toms? sive syndrome
D) subdural
Answer: D hematoma ***
4. EMS brings a patient who fell riding his bicycle. Using A) Alert with no
the American College of Surgeons screening guide- neurologic deficits
lines, which assessment finding would prompt the B) Multiple abra-
nurse to prepare the patient for radiologic spine clear- sions to the ex-
ance? tremities
, TNCC final exam test 2022 open book
Study online at https://quizlet.com/_eg4io0
C) Multiple re-
Answer: D quests of water
D) Smell of alcohol
on breath ***
5. Which of the following occurs during the third impact A) The driver of
of a motor vehicle crash? the vehicle collides
with the steering
Answer: C wheel
B) the vehicle col-
lides with a tree
C) the aorta is torn
at its attachment
with the ligamen-
tum arteriosum
D) the airbag de-
ploys and strikes
the front seat pas-
senger ***
6. A passenger is brought to the emergency department A) initiate transfer
of a rural hospital following a high-speed MVC. When to a trauma center
significant abdominal and pelvic injuries are noted **
in the primary survey, which of the following is the B) provide report
priority interventions? to the operating
room nurse
Answer: A C) Obtained imag-
ing studies
D) Place a gastric
tube
7. Which of the following injuries is LEAST likely to be A) spleen
promptly identified? B) lung
C) bowel ***
Answer: C D) brain
8. Patients with a crush injury should be monitored for A) Hypernatremia
which of the following conditions? B) Hypercalcemia
C) Dysrhthmias **
Answer: C D) polyuria
