TNCC Final exam test 2024 open book
updated questions and correct
answers graded a+.
,1. Why is a measure of serum lactate obtained in the initial assessment of thetrauma patient?
Answer: c: a) to measure oxygenation and ventilation
b) to quantify the base deficit for the adequacy of cellular perfusion
c) *to gauge end-organ perfusion and tissue hypoxia **
d) to determine the underlying cause of shock
2. A trauma patient is restless and repeatedly asking "where am I?" vital signsupon arrival were
BP 100/60 mm Hg, HR 96 beats/min, and RR 24 breaths/min.Her skin is cool and dry. Current
vital signs are BP 104/84mm Hg, HR 108, RR28 breaths/min. The patient is demonstrating signs
and symptoms of which stage of shock?
Answer: A: A) compensated **
B) Progressive
C) irreversible
D) decompensated
3. An elderly patient with a history of anticoagulant use presents after a fall athome that day. she
denies any loss of consciousness. She has a hematoma to her forehead and complains of headache,
dizziness, and nausea. Which isa most likely cause of her symptoms?
Answer: D: A) epidural hematoma
B) diffuse axonal injury
C) post-concussive syndrome
D) subdural hematoma ***
4. EMS brings a patient who fell riding his bicycle. Using the American Collegeof Surgeons
screening guidelines, which assessment finding would prompt the nurse to prepare the patient for
radiologic spine clearance?
Answer: D: A) Alert with no neurologic deficits
, B) Multiple abrasions to the extremities
C) Multiple requests of water
D) Smell of alcohol on breath ***
5. Which of the following occurs during the third impact of a motor vehiclecrash?
Answer: C: A) The driver of the vehicle collides with the steering wheel
B) the vehicle collides with a tree
updated questions and correct
answers graded a+.
,1. Why is a measure of serum lactate obtained in the initial assessment of thetrauma patient?
Answer: c: a) to measure oxygenation and ventilation
b) to quantify the base deficit for the adequacy of cellular perfusion
c) *to gauge end-organ perfusion and tissue hypoxia **
d) to determine the underlying cause of shock
2. A trauma patient is restless and repeatedly asking "where am I?" vital signsupon arrival were
BP 100/60 mm Hg, HR 96 beats/min, and RR 24 breaths/min.Her skin is cool and dry. Current
vital signs are BP 104/84mm Hg, HR 108, RR28 breaths/min. The patient is demonstrating signs
and symptoms of which stage of shock?
Answer: A: A) compensated **
B) Progressive
C) irreversible
D) decompensated
3. An elderly patient with a history of anticoagulant use presents after a fall athome that day. she
denies any loss of consciousness. She has a hematoma to her forehead and complains of headache,
dizziness, and nausea. Which isa most likely cause of her symptoms?
Answer: D: A) epidural hematoma
B) diffuse axonal injury
C) post-concussive syndrome
D) subdural hematoma ***
4. EMS brings a patient who fell riding his bicycle. Using the American Collegeof Surgeons
screening guidelines, which assessment finding would prompt the nurse to prepare the patient for
radiologic spine clearance?
Answer: D: A) Alert with no neurologic deficits
, B) Multiple abrasions to the extremities
C) Multiple requests of water
D) Smell of alcohol on breath ***
5. Which of the following occurs during the third impact of a motor vehiclecrash?
Answer: C: A) The driver of the vehicle collides with the steering wheel
B) the vehicle collides with a tree
