TNCC 9th edition
Study online at https://quizlet.com/_ezx0ia
1. An adult pt who sustained a severe head trauma has Decrease the rate of man-
been intubated and is being manually ventilated via a ual ventilation
bag-mask device at a rate of 18 breaths/minute. The
pt has received one intravenous fluid bolus of 500 mL
of warmed isotonic crystalloid solution. the PaCO2 is
30mmHg (4.0 kPa), and the pulse oximetry is 92%. BP
is 142/70 mmHg. What is the most important interven-
tion to manage the cerebral blood flow?
2. An older adult presents to the emergency department post-concussive syndrome
with complaints of dizziness, headache, and nausea.
The pt was involved in a motor vehicle collision 10
days ago. There was no loss of consciousness and a
hematoma is noted to the forehead. The pt is currently
on anticoagulant therapy. What is most likely the cause
of their symptoms?
3. A pt with a lower extremity fracture complains of se- Elevating the leg to the
vere pain and tightness in his calf, minimally relieved LEVEL of the heart
by pain medication. Which of the following is the pri- (compression/crush- level
ority nursing intervention? of the heart)
(regular fracture- above
the heart)
4. A pt involved in a high-speed rollover is complaining Bowel sounds heard in the
of increased difficulty breathing. There is a small pen- lower left chest
etrating wound to the 6th intercostal space in the left
lateral chest. Which finding is most consistent with an
injury to the diaphragm?
5. A pt has been in the emergency department for several Fat embolism
hours waiting to be admitted. They sustained multiple
, TNCC 9th edition
Study online at https://quizlet.com/_ezx0ia
rib fractures and a femur fracture after a fall. The pt has
been awake, alert, and complaining of leg pain. Their
spouse reported that the pt suddenly became anxious
and confused. Upon reassessment, the pt is restless,
with respiratory distress and petechiae to his neck. The
pt is exhibiting signs and symptoms most commonly
associated with which of the following conditions?
6. 3 adult pts present at different times during a 1-hour Immediately initiate con-
period with a high fever, fatigue, and headache. All 3 tact precautions
pts have a rash which started on their mouth, face,
and arms with progression to the chest and abdomen.
They all visited the same grocery store within the last
week. What is the most appropriate intervention from
triage for these pts?
7. A 35-year-old male presents with facial trauma af- Globe rupture
ter being struck in the face with a baseball. A
teardrop-shaped left pupil is noted on exam.
Witai type of injury is suspecied?
8. A trauma patient who is 30 - weeks pregnant arrives at Increased oxygen con-
the emergency department following a motor vehicle sumption
collision Which normal physiologic change should be
considered when assessing ventilatory status ?
9. A patient who sustained severe injuries was brought Coagulopathy
to the emergency department following a high - speed
motor vehicle collision . Interventions for hypovolemic
shock have been initiated . What component of the
trauma triad of death is most likely to have begun at
the time of injury ?
Study online at https://quizlet.com/_ezx0ia
1. An adult pt who sustained a severe head trauma has Decrease the rate of man-
been intubated and is being manually ventilated via a ual ventilation
bag-mask device at a rate of 18 breaths/minute. The
pt has received one intravenous fluid bolus of 500 mL
of warmed isotonic crystalloid solution. the PaCO2 is
30mmHg (4.0 kPa), and the pulse oximetry is 92%. BP
is 142/70 mmHg. What is the most important interven-
tion to manage the cerebral blood flow?
2. An older adult presents to the emergency department post-concussive syndrome
with complaints of dizziness, headache, and nausea.
The pt was involved in a motor vehicle collision 10
days ago. There was no loss of consciousness and a
hematoma is noted to the forehead. The pt is currently
on anticoagulant therapy. What is most likely the cause
of their symptoms?
3. A pt with a lower extremity fracture complains of se- Elevating the leg to the
vere pain and tightness in his calf, minimally relieved LEVEL of the heart
by pain medication. Which of the following is the pri- (compression/crush- level
ority nursing intervention? of the heart)
(regular fracture- above
the heart)
4. A pt involved in a high-speed rollover is complaining Bowel sounds heard in the
of increased difficulty breathing. There is a small pen- lower left chest
etrating wound to the 6th intercostal space in the left
lateral chest. Which finding is most consistent with an
injury to the diaphragm?
5. A pt has been in the emergency department for several Fat embolism
hours waiting to be admitted. They sustained multiple
, TNCC 9th edition
Study online at https://quizlet.com/_ezx0ia
rib fractures and a femur fracture after a fall. The pt has
been awake, alert, and complaining of leg pain. Their
spouse reported that the pt suddenly became anxious
and confused. Upon reassessment, the pt is restless,
with respiratory distress and petechiae to his neck. The
pt is exhibiting signs and symptoms most commonly
associated with which of the following conditions?
6. 3 adult pts present at different times during a 1-hour Immediately initiate con-
period with a high fever, fatigue, and headache. All 3 tact precautions
pts have a rash which started on their mouth, face,
and arms with progression to the chest and abdomen.
They all visited the same grocery store within the last
week. What is the most appropriate intervention from
triage for these pts?
7. A 35-year-old male presents with facial trauma af- Globe rupture
ter being struck in the face with a baseball. A
teardrop-shaped left pupil is noted on exam.
Witai type of injury is suspecied?
8. A trauma patient who is 30 - weeks pregnant arrives at Increased oxygen con-
the emergency department following a motor vehicle sumption
collision Which normal physiologic change should be
considered when assessing ventilatory status ?
9. A patient who sustained severe injuries was brought Coagulopathy
to the emergency department following a high - speed
motor vehicle collision . Interventions for hypovolemic
shock have been initiated . What component of the
trauma triad of death is most likely to have begun at
the time of injury ?
