TNCC 8TH EDITION EXAM QUESTIONS WITH VERIFIED
SOLUTIONS -5
The trauma nurse knows that placing a bariatric patient in a "ramped position" provides better
visualization during the insertion of which device? - Correct answer-endotracheal tube
Tearing of the bridging veins is most frequently associated with which brain injury? - Correct answer-
subdural hematoma
A patient is found lying on the floor after falling 13 hours ago. Which of the following laboratory values
is expected with a musculoskeletal complication associated with this presentation? - Correct answer-
Elevated creatine kinase
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, which
of the following is the priority intervention? - Correct answer-Initiate transfer to a trauma center
Which of the following injuries is LEAST likely to be promptly identified? - Correct answer-bowel
Which of the following patients warrants referral to a burn center? - Correct answer-A 52-year-old
diabetic male with a partial-thickness burn to the left lower leg
, A patient has been in the emergency department for several hours waiting to be admitted. He sustained
multiple rib fractures and a femur fracture after a fall. He has been awake, alert, and complaining of leg
pain. His wife reported that he suddenly became anxious and confused. Upon reassessment, the patient
is restless, with respiratory distress and petechiae to his neck. The patient is exhibiting signs and
symptoms most commonly associated with which of the follow conditions? - Correct answer-fat
embolism
What is the relationship between mass and velocity to kinetic energy?
Kinetic energy is equal to 1/2 the mass multiplied the square of its velocity therefore when mass is
doubled so is the net energy, however, when velocity is doubled energy is quadrupled.
What is tension?
stretching force by pulling at opposite ends
What is compression?
Crushing by squeezing together
What is bending?
Loading about an axis. Bending causes compression on the side the person is bending toward intention
to the opposite side
A 36-year old female has a deformity of the left wrist after a fall. She is reluctant to move her hand due
to pain. Which of the following is the most appropriate intervention? - Correct answer-Apply a splint and
elevate the extremity ABOVE the level of the heart
A 56-year-old male patient involved in a motor vehicle crash is brought to the emergency department of
a rural critical assess facility. He complaints of neck pain, shortness of breath, and diffuse abdominal
pain. His Glasgow Coma Score is 15. His vital signs are as follows: BP 98/71 mm Hg, HR 125
beats/minute, RR 26 breaths/minute, SpO2 94% on high-flow oxygen via non-rebreather mask. Which of
the follow is the priority intervention for this patient? - Correct answer-Expedite transfer to the closest
trauma center
Which of the following values indicates the need for alcohol withdrawal interventions? - Correct answer-
CIWA-Ar of 36
A trauma patient is en route to a rural emergency department. Radiology notifies the charge nurse that
the computed tomography (CT) scanner will be out of service for several hours. The team gathers to
plan accordingly. Which of the following terms best describes this trauma team's communication? -
Correct answer-huddle
SOLUTIONS -5
The trauma nurse knows that placing a bariatric patient in a "ramped position" provides better
visualization during the insertion of which device? - Correct answer-endotracheal tube
Tearing of the bridging veins is most frequently associated with which brain injury? - Correct answer-
subdural hematoma
A patient is found lying on the floor after falling 13 hours ago. Which of the following laboratory values
is expected with a musculoskeletal complication associated with this presentation? - Correct answer-
Elevated creatine kinase
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, which
of the following is the priority intervention? - Correct answer-Initiate transfer to a trauma center
Which of the following injuries is LEAST likely to be promptly identified? - Correct answer-bowel
Which of the following patients warrants referral to a burn center? - Correct answer-A 52-year-old
diabetic male with a partial-thickness burn to the left lower leg
, A patient has been in the emergency department for several hours waiting to be admitted. He sustained
multiple rib fractures and a femur fracture after a fall. He has been awake, alert, and complaining of leg
pain. His wife reported that he suddenly became anxious and confused. Upon reassessment, the patient
is restless, with respiratory distress and petechiae to his neck. The patient is exhibiting signs and
symptoms most commonly associated with which of the follow conditions? - Correct answer-fat
embolism
What is the relationship between mass and velocity to kinetic energy?
Kinetic energy is equal to 1/2 the mass multiplied the square of its velocity therefore when mass is
doubled so is the net energy, however, when velocity is doubled energy is quadrupled.
What is tension?
stretching force by pulling at opposite ends
What is compression?
Crushing by squeezing together
What is bending?
Loading about an axis. Bending causes compression on the side the person is bending toward intention
to the opposite side
A 36-year old female has a deformity of the left wrist after a fall. She is reluctant to move her hand due
to pain. Which of the following is the most appropriate intervention? - Correct answer-Apply a splint and
elevate the extremity ABOVE the level of the heart
A 56-year-old male patient involved in a motor vehicle crash is brought to the emergency department of
a rural critical assess facility. He complaints of neck pain, shortness of breath, and diffuse abdominal
pain. His Glasgow Coma Score is 15. His vital signs are as follows: BP 98/71 mm Hg, HR 125
beats/minute, RR 26 breaths/minute, SpO2 94% on high-flow oxygen via non-rebreather mask. Which of
the follow is the priority intervention for this patient? - Correct answer-Expedite transfer to the closest
trauma center
Which of the following values indicates the need for alcohol withdrawal interventions? - Correct answer-
CIWA-Ar of 36
A trauma patient is en route to a rural emergency department. Radiology notifies the charge nurse that
the computed tomography (CT) scanner will be out of service for several hours. The team gathers to
plan accordingly. Which of the following terms best describes this trauma team's communication? -
Correct answer-huddle
