TNCC 9TH EDITION EXAM QUESTIONS
AND CORRECT ANSWERS | VERIFIED
ANSWERS | ALREADY GRADED A+ |
LATEST VERSION
You are caring for a patient who was thrown from a bike and was not
wearing a helmet. While performing 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. ------CORRECT ANSWER---------------
C. Notify the physician
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, what is the priority
intervention?
A. Initiate transfer to a trauma center
B. Attempt family notification
C. Obtain additional imaging studies
D. Place an indwelling urinary catheter ------CORRECT ANSWER-------------
--A. Initiate transfer to a trauma center
An adult who fell from a second story roof is brought to the emergency
department by private vehicle. The patient is confused with unlabored
respirations and has strong, palpable radial pulses. There is an open
,wound in proximity to an obvious deformity of the left lower extremity. What
is the priority intervention?
A. Initiate cervical spine stabilization
B. Apply a splint to the lower extremity
C. Put the patient on portable oxygen.
D. Log roll the patient onto a spine board ------CORRECT ANSWER----------
-----A. Initiate cervical spine stabilization
An adult patient who sustained a severe head trauma has been intubated
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 crystalloid 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 ventilation.
B. Initiate another fluid bolus.
C. Recheck endotracheal tube placement.
D. Increase the amount of oxygen delivered. ------CORRECT ANSWER-----
----------A. Decrease the rate of manual ventilation.
An adult patient is brought to the emergency department following a vehicle
"roll-over" with prolonged extrication. Assessment reveals swelling and
bruising to the right proximal thigh and a weak pedal 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 between 30-35 mm Hg (3.9-4.6 kPa) ----
--CORRECT ANSWER---------------B. Application of a pelvic binder
,A patient arrives with a large open chest wound after being assaulted with
a machete. Prehospital providers placed a nonporous dressing over the
chest wound and taped it on three sides. The patient is now showing signs
of anxiety, restlessness, severe respiratory distress, cyanosis, and
decreasing blood pressure. Which of the following is the MOST appropriate
immediate intervention?
A.Needle decompression
B.Tube thoracostomy
C.Dressing removal
D.Surgical repair ------CORRECT ANSWER---------------C.Dressing removal
A driver involved in a high-speed motor vehicle collision arrives in the
emergency department. The vehicle's air-bag failed to deploy. The patient
is drowsy but arousable and complaining of chest pain with ecchymosis
noted to the chest. The patient is tachycardic and hypotensive with no
evidence of uncontrolled bleeding. Cardiac monitor shows premature
ventricular contractions. Which of the following is the most appropriate
intervention for this patient?
A.Rapid fluid boluses
B.Tranexamic acid administration
C.Inotropic support
D.Hemostatic resuscitation ------CORRECT ANSWER---------------
C.Inotropic support
A patient is diagnosed with a T12 spinal cord injury following a 20-foot fall.
Which finding is consistent with spinal shock?
A.Bradycardia
B.Loss of reflexes
C.Widened pulse pressure
D.Warm skin ------CORRECT ANSWER---------------B.Loss of reflexes
, A patient with a traumatic brain injury has a mean arterial pressure (MAP)
of 65 mm Hg (8.66 kPa) and an intracranial pressure (ICP) of 22 mm Hg
(2.93 kPa). Which finding is most likely an indication of the body's response
to these findings?
A.Reflex hypotension
B.Increased respiratory effort
C.Reflex tachycardia
D.Widening pulse pressure ------CORRECT ANSWER---------------
D.Widening pulse pressure
An unconscious patient arrives following a motor vehicle collision. The
patient is on a backboard with a cervical collar in place and one
intravenous line running. Respirations are shallow and there is active brisk
bleeding from a large leg wound. What is the priority intervention for this
patient?
A.Check for a patent airway
B.Control the bleeding
C.Start a second intravenous line
D.Ventilate with a bag-mask device ------CORRECT ANSWER---------------
B.Control the bleeding
An obese trauma patient requires intubation. Assuming there are no
contraindications, which position will provide the best visualization for
insertion of the endotracheal tube?
A.Reverse Trendelenburg
B.Lying on side
C.Ramped
D.Supine ------CORRECT ANSWER---------------C.Ramped
Your patient is a pedestrian struck by a car and thrown 35 feet. They were
unconscious at the scene but became responsive with initial and
AND CORRECT ANSWERS | VERIFIED
ANSWERS | ALREADY GRADED A+ |
LATEST VERSION
You are caring for a patient who was thrown from a bike and was not
wearing a helmet. While performing 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. ------CORRECT ANSWER---------------
C. Notify the physician
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, what is the priority
intervention?
A. Initiate transfer to a trauma center
B. Attempt family notification
C. Obtain additional imaging studies
D. Place an indwelling urinary catheter ------CORRECT ANSWER-------------
--A. Initiate transfer to a trauma center
An adult who fell from a second story roof is brought to the emergency
department by private vehicle. The patient is confused with unlabored
respirations and has strong, palpable radial pulses. There is an open
,wound in proximity to an obvious deformity of the left lower extremity. What
is the priority intervention?
A. Initiate cervical spine stabilization
B. Apply a splint to the lower extremity
C. Put the patient on portable oxygen.
D. Log roll the patient onto a spine board ------CORRECT ANSWER----------
-----A. Initiate cervical spine stabilization
An adult patient who sustained a severe head trauma has been intubated
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 crystalloid 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 ventilation.
B. Initiate another fluid bolus.
C. Recheck endotracheal tube placement.
D. Increase the amount of oxygen delivered. ------CORRECT ANSWER-----
----------A. Decrease the rate of manual ventilation.
An adult patient is brought to the emergency department following a vehicle
"roll-over" with prolonged extrication. Assessment reveals swelling and
bruising to the right proximal thigh and a weak pedal 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 between 30-35 mm Hg (3.9-4.6 kPa) ----
--CORRECT ANSWER---------------B. Application of a pelvic binder
,A patient arrives with a large open chest wound after being assaulted with
a machete. Prehospital providers placed a nonporous dressing over the
chest wound and taped it on three sides. The patient is now showing signs
of anxiety, restlessness, severe respiratory distress, cyanosis, and
decreasing blood pressure. Which of the following is the MOST appropriate
immediate intervention?
A.Needle decompression
B.Tube thoracostomy
C.Dressing removal
D.Surgical repair ------CORRECT ANSWER---------------C.Dressing removal
A driver involved in a high-speed motor vehicle collision arrives in the
emergency department. The vehicle's air-bag failed to deploy. The patient
is drowsy but arousable and complaining of chest pain with ecchymosis
noted to the chest. The patient is tachycardic and hypotensive with no
evidence of uncontrolled bleeding. Cardiac monitor shows premature
ventricular contractions. Which of the following is the most appropriate
intervention for this patient?
A.Rapid fluid boluses
B.Tranexamic acid administration
C.Inotropic support
D.Hemostatic resuscitation ------CORRECT ANSWER---------------
C.Inotropic support
A patient is diagnosed with a T12 spinal cord injury following a 20-foot fall.
Which finding is consistent with spinal shock?
A.Bradycardia
B.Loss of reflexes
C.Widened pulse pressure
D.Warm skin ------CORRECT ANSWER---------------B.Loss of reflexes
, A patient with a traumatic brain injury has a mean arterial pressure (MAP)
of 65 mm Hg (8.66 kPa) and an intracranial pressure (ICP) of 22 mm Hg
(2.93 kPa). Which finding is most likely an indication of the body's response
to these findings?
A.Reflex hypotension
B.Increased respiratory effort
C.Reflex tachycardia
D.Widening pulse pressure ------CORRECT ANSWER---------------
D.Widening pulse pressure
An unconscious patient arrives following a motor vehicle collision. The
patient is on a backboard with a cervical collar in place and one
intravenous line running. Respirations are shallow and there is active brisk
bleeding from a large leg wound. What is the priority intervention for this
patient?
A.Check for a patent airway
B.Control the bleeding
C.Start a second intravenous line
D.Ventilate with a bag-mask device ------CORRECT ANSWER---------------
B.Control the bleeding
An obese trauma patient requires intubation. Assuming there are no
contraindications, which position will provide the best visualization for
insertion of the endotracheal tube?
A.Reverse Trendelenburg
B.Lying on side
C.Ramped
D.Supine ------CORRECT ANSWER---------------C.Ramped
Your patient is a pedestrian struck by a car and thrown 35 feet. They were
unconscious at the scene but became responsive with initial and
