TNCC test prepA || Q&A
Expedite transfer to the closest trauma center -(ANSW)- A 56 y/o M pt involved
in a motor vehicle crash is brought to the ED of a rural critical access facility. He
complains of neck pain, SOB, and diffuse abd pain. His GCS is 15. His VS: BP
98/71, HR 125, RR 26, SpO2 94% on high-flow O2 via NRB mask. Which of the
following is the priority intervention for this patient?
a pertinent medical hx is crucial -(ANSW)- Which of the following
considerations is the most important when caring for a geriatric trauma pt?
Mitigation -(ANSW)- Following a review of recent drills and a real disaster
event, a hospital has identified deficiencies and is taking steps to minimize the
impact of a future disaster . Which phase of the disaster life cycle does this
describe?
Multiple requests for water -(ANSW)- EMS brings a pt who fell while riding his
bicycle. Using the American College of Surgeobs screening guidelines, which
assessment finding would prompt the RN to prepare the pt for a radiologic spine
clearance?
hemoglobin does not readily release O2 for use by the tissues -(ANSW)- What is
the effect of hypothermia on the oxyhemoglobin dissociation curve?
acidosis -(ANSW)- Which of the following is a component of the trauma triad of
death?
Complete -(ANSW)- EMS brings a pt from MVC. VS: BP 90/49, HR 48, RR 12,
temp 97.2F (36.2 C). The pt exhibits urinary incontinence and priapism. These
, assessment findings are most consistent with which of the following types of spinal
cord injury?
flucuation in the water seal chamber -(ANSW)- Which of the following is an
expected finding in a pt with a tube thoracstomy connected to a chest drainage
system?
insert an oropharyngeal airway if there is no gag reflex -(ANSW)- During the
primary survey of an unconscious pt with multi-system trauma, the nurse notes
snoring respirations. What priority nursing interventions should be preformed
next?
globe rupture -(ANSW)- A 35 y/o M presents with facial trauma after being
struck in the face with a baseball. A teardrop-shaped left pupil is noted on exam.
What type of injury is suspected?
compensated -(ANSW)- A trauma pt is restless and repeatedly asking "where am
i?" VS upon arrival: BP 110/60, HR96, RR 24. Her skin is cool and dry. Current
VS are BP 104/84, HR 108, RR 28. The pt is demonstrating s/sx of which stage of
shock?
ventilate with a bag mask device -(ANSW)- An unresponsive trauma pt has an
oropharygeal airway in place, shallow and labored respirations, and dusky skin.
The trauma team has administered medications for drug-assisted intubation and
attempted intubation but was unsuccessful. What is the most appropriate
immediate next step?
within 24 hrs of trauma -(ANSW)- When is the tertiary survey completed fora
trauma pt?
Expedite transfer to the closest trauma center -(ANSW)- A 56 y/o M pt involved
in a motor vehicle crash is brought to the ED of a rural critical access facility. He
complains of neck pain, SOB, and diffuse abd pain. His GCS is 15. His VS: BP
98/71, HR 125, RR 26, SpO2 94% on high-flow O2 via NRB mask. Which of the
following is the priority intervention for this patient?
a pertinent medical hx is crucial -(ANSW)- Which of the following
considerations is the most important when caring for a geriatric trauma pt?
Mitigation -(ANSW)- Following a review of recent drills and a real disaster
event, a hospital has identified deficiencies and is taking steps to minimize the
impact of a future disaster . Which phase of the disaster life cycle does this
describe?
Multiple requests for water -(ANSW)- EMS brings a pt who fell while riding his
bicycle. Using the American College of Surgeobs screening guidelines, which
assessment finding would prompt the RN to prepare the pt for a radiologic spine
clearance?
hemoglobin does not readily release O2 for use by the tissues -(ANSW)- What is
the effect of hypothermia on the oxyhemoglobin dissociation curve?
acidosis -(ANSW)- Which of the following is a component of the trauma triad of
death?
Complete -(ANSW)- EMS brings a pt from MVC. VS: BP 90/49, HR 48, RR 12,
temp 97.2F (36.2 C). The pt exhibits urinary incontinence and priapism. These
, assessment findings are most consistent with which of the following types of spinal
cord injury?
flucuation in the water seal chamber -(ANSW)- Which of the following is an
expected finding in a pt with a tube thoracstomy connected to a chest drainage
system?
insert an oropharyngeal airway if there is no gag reflex -(ANSW)- During the
primary survey of an unconscious pt with multi-system trauma, the nurse notes
snoring respirations. What priority nursing interventions should be preformed
next?
globe rupture -(ANSW)- A 35 y/o M presents with facial trauma after being
struck in the face with a baseball. A teardrop-shaped left pupil is noted on exam.
What type of injury is suspected?
compensated -(ANSW)- A trauma pt is restless and repeatedly asking "where am
i?" VS upon arrival: BP 110/60, HR96, RR 24. Her skin is cool and dry. Current
VS are BP 104/84, HR 108, RR 28. The pt is demonstrating s/sx of which stage of
shock?
ventilate with a bag mask device -(ANSW)- An unresponsive trauma pt has an
oropharygeal airway in place, shallow and labored respirations, and dusky skin.
The trauma team has administered medications for drug-assisted intubation and
attempted intubation but was unsuccessful. What is the most appropriate
immediate next step?
within 24 hrs of trauma -(ANSW)- When is the tertiary survey completed fora
trauma pt?
