TNCC Final Exam Actual Test Open Book
with 100% Correct Answers
1. Why is a measure of serum lactate obtained in the initial
assessment of the trauma patient?
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: Answer: c
2. A trauma patient is restless and repeatedly asking "where am
I?" vital signs upon 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, RR
28 breaths/min. The patient is demonstrating signs and
symptoms of which stage of shock?
A) compensated B) Progressive C) irreversible
D) decompensated: Answer: A
3. An elderly patient with a history of anticoagulant use
presents after a fall at home that day. she denies any loss of
consciousness. She has a hematoma to her forehead and
complains of headache, dizziness, and nausea. Which is a
most likely cause of her symptoms?
,A) epidural hematoma
B) diffuse axonal injury
C) post-concussive syndrome
D) subdural hematoma: Answer: D
4. EMS brings a patient who fell riding his bicycle. Using the
American College of Surgeons screening guidelines, which
assessment finding would prompt the nurse to prepare the
patient for radiologic spine clearance?
A) Alert with no neurologic deficits
B) Multiple abrasions to the extremities
C) Multiple requests of water
D) Smell of alcohol on breath: Answer: D
5. Which of the following occurs during the third impact of a
motor vehicle crash?
A) The driver of the vehicle collides with the steering wheel
B) the vehicle collides with a tree
C) the aorta is torn at its attachment with the ligamentum
arteriosum
D) the airbag deploys and strikes the front seat passenger:
Answer: C
, 6. A passenger is brought to the emergency department of a
rural hospital following a high-speed MVC. When significant
abdominal and pelvic injuries are noted in the primary survey,
which of the following is the priority interven- tions?
A) initiate transfer to a trauma center
B) provide report to the operating room nurse
C) Obtained imaging studies
D) Place a gastric tube: Answer: A
7. Which of the following injuries is LEAST likely to be
promptly identified? A) spleen
B) lung
C) bowel
D) brain: Answer: C
8. Patients with a crush injury should be monitored for which
of the following conditions?
A) Hypernatremia B) Hypercalcemia C) Dysrhythmias
D) polyuria: Answer: C
9. What finding raises suspicion of complete spinal cord
injury? A) Weakness in the lower extremities
B) Priapism
C) voluntary anal sphincter tone
D) intact reflexes distal to the injury: Answer: B
with 100% Correct Answers
1. Why is a measure of serum lactate obtained in the initial
assessment of the trauma patient?
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: Answer: c
2. A trauma patient is restless and repeatedly asking "where am
I?" vital signs upon 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, RR
28 breaths/min. The patient is demonstrating signs and
symptoms of which stage of shock?
A) compensated B) Progressive C) irreversible
D) decompensated: Answer: A
3. An elderly patient with a history of anticoagulant use
presents after a fall at home that day. she denies any loss of
consciousness. She has a hematoma to her forehead and
complains of headache, dizziness, and nausea. Which is a
most likely cause of her symptoms?
,A) epidural hematoma
B) diffuse axonal injury
C) post-concussive syndrome
D) subdural hematoma: Answer: D
4. EMS brings a patient who fell riding his bicycle. Using the
American College of Surgeons screening guidelines, which
assessment finding would prompt the nurse to prepare the
patient for radiologic spine clearance?
A) Alert with no neurologic deficits
B) Multiple abrasions to the extremities
C) Multiple requests of water
D) Smell of alcohol on breath: Answer: D
5. Which of the following occurs during the third impact of a
motor vehicle crash?
A) The driver of the vehicle collides with the steering wheel
B) the vehicle collides with a tree
C) the aorta is torn at its attachment with the ligamentum
arteriosum
D) the airbag deploys and strikes the front seat passenger:
Answer: C
, 6. A passenger is brought to the emergency department of a
rural hospital following a high-speed MVC. When significant
abdominal and pelvic injuries are noted in the primary survey,
which of the following is the priority interven- tions?
A) initiate transfer to a trauma center
B) provide report to the operating room nurse
C) Obtained imaging studies
D) Place a gastric tube: Answer: A
7. Which of the following injuries is LEAST likely to be
promptly identified? A) spleen
B) lung
C) bowel
D) brain: Answer: C
8. Patients with a crush injury should be monitored for which
of the following conditions?
A) Hypernatremia B) Hypercalcemia C) Dysrhythmias
D) polyuria: Answer: C
9. What finding raises suspicion of complete spinal cord
injury? A) Weakness in the lower extremities
B) Priapism
C) voluntary anal sphincter tone
D) intact reflexes distal to the injury: Answer: B
