TNCC 9th Edition Pre Test with correct answers

TNCC 9th Edition Pre Test with correct
answers

A patient arrives at the emergency department by private vehicle aft
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er sustaining an injury to the right lower extremity while using a saw. Th
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ere is a large gaping wound to the rightthigh area with significant ble
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eding. What is the priority intervention?
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A. Elevate the extremity to the level of the heartB. Initi
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ate direct pressureD D


C. Apply a tourniquet
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D. Cover the open wound with sterile saline dressings -
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DCORRECT ANSWER-B. Initiate direct pressure D D D D




Rationale: The first step inn controlling any bleeding isapplica
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tion of direct pressure.D D D




A patient fell two weeks ago, striking their head. Today, the patient pre
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sented with a persistent headache and nausea and was diagnosed with
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a small subdural hematoma. The patient has been in the ED for 24 hours
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awaiting an inpatient bed. Thenight shift nurse reports the patient has b
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een anxious, restless,shaky, and vomited twice during the night. The pati
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ent states they couldn't sleep because a young child kept coming into the
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room. What is the most likely cause for these signs and symptoms?
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A. Increased intracranial pressureB. Al
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cohol withdrawal D


C. Rhabdomyolysis
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D. Pulmonary embolus - CORRECT ANSWER-
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B. Alcoholwithdrawal
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, Rationale: Alcohol withdrawal is a common delayed conditionbecause
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symptoms are difficult to identify early. Signs includeautonomic hyper
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activity, hand tremors, nausea or vomiting, psychomotor agitation, anx
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iety, insomnia, transient hallucinations, or seizures.
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A patient involved in a MVC has sustained a fracture to the second rib
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of the anterior left chest. Which concurrent injury ismost commonly asso
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ciated with this fracture?
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A. Blunt cardiac injury B. Br
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achial plexus injuryC. Pneu
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mothorax
D. Hemothorax - CORRECT ANSWER-B. Brachial plexusinjury
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Rationale: First and second rib fractures are most commonlyassociate
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d with great vessel, head and spinal cord, and brachial plexus injurie
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s.

A patient with a spinal cord injury at C5 is being cared for in theemerge
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ncy department while awaiting transport to a trauma center. Which of th
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e following represents the highest priority forongoing assessment and m
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anagement for this patient? D D D




A. Maintain adequate respiratory status B. Ad
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minister balanced resuscitation fluid
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C. Perform serial assessments of neurologic function
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D. Maintain core temperature - CORRECT ANSWER-
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A.Maintain adequate respiratory status
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Rationale: Spinal cord injuries at C3 to C5 can cause the lossof phrenic
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nerve function, resulting in a paralyzed diaphragm and inability to br
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eathe. Maintenance of respiratory function isthe highest priority.
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