TNCC 8TH EDITION TEST PREP, TNCC
NOTES FOR WRITTEN EXAM,TNCC
EXAM 2024/2025 LATEST UPDATED
GRADED A+
A 56 y/o M pt involved in a motor vehicle crash is brought to the ED of a
rural critical access facility. He complains of neck pain, SOB, and diffuse
abd pain. His GCS is 15. His VS: BP 98/71, HR 125, RR 26, SpO2 94% on
high-flow O2 via NRB mask. Which of the following is the priority
intervention for this patient? - Answer Expedite transfer to the closest
trauma center
Which of the following considerations is the most important when caring for
a geriatric trauma pt? - Answer a pertinent medical hx is crucial
Following a review of recent drills and a real disaster event, a hospital has
identified deficiencies and is taking steps to minimize the impact of a future
disaster . Which phase of the disaster life cycle does this describe? -
Answer Mitigation
EMS brings a pt who fell while riding his bicycle. Using the American
College of Surgeobs screening guidelines, which assessment finding would
prompt the RN to prepare the pt for a radiologic spine clearance? - Answer
Multiple requests for water
What is the effect of hypothermia on the oxyhemoglobin dissociation
curve? - Answer hemoglobin does not readily release O2 for use by the
tissues
,Which of the following is a component of the trauma triad of death? -
Answer acidosis
EMS brings a pt from MVC. VS: BP 90/49, HR 48, RR 12, temp 97.2F (36.2
C). The pt exhibits urinary incontinence and priapism. These assessment
findings are most consistent with which of the following types of spinal cord
injury? - Answer Complete
Which of the following is an expected finding in a pt with a tube
thoracstomy connected to a chest drainage system? - Answer flucuation in
the water seal chamber
During the primary survey of an unconscious pt with multi-system trauma,
the nurse notes snoring respirations. What priority nursing interventions
should be preformed next? - Answer insert an oropharyngeal airway if
there is no gag reflex
A 35 y/o M presents with facial trauma after being struck in the face with a
baseball. A teardrop-shaped left pupil is noted on exam. What type of injury
is suspected? - Answer globe rupture
A trauma pt is restless and repeatedly asking "where am i?" VS upon
arrival: BP 110/60, HR96, RR 24. Her skin is cool and dry. Current VS are
BP 104/84, HR 108, RR 28. The pt is demonstrating s/sx of which stage of
shock? - Answer compensated
An unresponsive trauma pt has an oropharygeal airway in place, shallow
and labored respirations, and dusky skin. The trauma team has
administered medications for drug-assisted intubation and attempted
intubation but was unsuccessful. What is the most appropriate immediate
next step? - Answer ventilate with a bag mask device
When is the tertiary survey completed fora trauma pt? - Answer within 24
hrs of trauma
An intubated and sedated pt in the ED has multiple extremity injuries with
the potential for causing compartment syndrome. What is the most reliable
indication of compartment syndrome in a patient who is unconscious? -
Answer pressure
,Which of the following is possible complication of positive-pressure
ventilation? - Answer worsening pneumothorax
the most reassuring finding for a male pt with hip pain after a fall is which of
the following? - Answer pelvic stability
Which of the following pulse pressures indicate early hypovolemic shock? -
Answer narrowed
Patients with a crush injury should be monitored for which of the following
conditions? - Answer dysrhythmias
Tearing of the bridging veins is most frequently associated with which brain
injury? - Answer subdural hematoma
A 20 y/o M presents to the ED complaining of severe lower abd pain after
landing hard on the bicycle cross bars while preforming an aerial BMX
maneuver. Secondary assessment reveals lower abd tenderness and
scrotal ecchymosis. Which of the following orders would the RN question? -
Answer straight cath for urine sample
You are caring for a pt who was involved in a MVC and is 32 weeks
pregnant. Findings of your secondary survey include abd pain on palpation,
fundal ht at the costal margin, and some dark bloody show. Varying
accelerations and decelerations are noted on cariocgraphy. These findings
are most consistent with which of the following? - Answer placental
abruption
Which of the following is true about the log-roll? - Answer it can worsen
cord damage from an unstable spinal injury
All of these are considered a critical communication point in trauma care
EXCEPT which of the following? - Answer defusings
What bedside monitoring parameters are used to assess for adequacy of
O2 and effectiveness of ventilation? - Answer pulse oximetry and
capnography
Caregivers carry in a 2 y/o into the ED who fell out of a second-story
window. The pt is awake and crying with increased work of breathing and
, pale skin. Which of the following interventions has the highest priority? -
Answer padding the upper back while stabilizing the cervical spine
Which of the following injuries is LEAST likely to be promptly identified? -
Answer bowel
A pt is brought to the ED of a rural hospital following a high-speed MVC.
When significant abd and pelvic injuries are noted in the primary survey,
which of the following is the priority interventions? - Answer Initiate transfer
to a trauma center
A pt with a complete spinal cord injury in neurogenic shock will
demonstrate hypotension and which other clinical signs? - Answer
bardycardia and absent motor function below the level of injury
a 37 y/o F has a deformity of the L wrist after a fall. She is reluctant to
move her hand due to pain. Which of the following is the most appropriate
intervention? - Answer apply splint and elevate above the level of the heart
which of the following occurs during the third impact of a motor vehicle
crash? - Answer the aorta is torn at its attachment with the ligamentum
arteriosum
a 5 y/o child presents to the ED with bruises to the upper arm and buttocks
in various stages of healing and multiple small, clean, round burns to the
back. There are no abnormalities found based on the pediatric assessment
triangle or primary survey. Which of the following is the priority survey.
Which of the following is the priority nursing intervention? - Answer Report
your suspicion of maltreatment in accordance with local regulations
Why is a measure of serum lactate obtained in the initial assessment of a
trauma patient? - Answer to guage end-organ perfusion and tissue hypoxia
A pt with a lower extremity fracture complains of severe pain and tightness
in his calf, minimally by pain medications. Which of the following is the
priority nursing intervention? - Answer elevating the extremity to the level
of the heart
What factor contributes most to the kinetic energy of a body in motion? -
Answer velocity
NOTES FOR WRITTEN EXAM,TNCC
EXAM 2024/2025 LATEST UPDATED
GRADED A+
A 56 y/o M pt involved in a motor vehicle crash is brought to the ED of a
rural critical access facility. He complains of neck pain, SOB, and diffuse
abd pain. His GCS is 15. His VS: BP 98/71, HR 125, RR 26, SpO2 94% on
high-flow O2 via NRB mask. Which of the following is the priority
intervention for this patient? - Answer Expedite transfer to the closest
trauma center
Which of the following considerations is the most important when caring for
a geriatric trauma pt? - Answer a pertinent medical hx is crucial
Following a review of recent drills and a real disaster event, a hospital has
identified deficiencies and is taking steps to minimize the impact of a future
disaster . Which phase of the disaster life cycle does this describe? -
Answer Mitigation
EMS brings a pt who fell while riding his bicycle. Using the American
College of Surgeobs screening guidelines, which assessment finding would
prompt the RN to prepare the pt for a radiologic spine clearance? - Answer
Multiple requests for water
What is the effect of hypothermia on the oxyhemoglobin dissociation
curve? - Answer hemoglobin does not readily release O2 for use by the
tissues
,Which of the following is a component of the trauma triad of death? -
Answer acidosis
EMS brings a pt from MVC. VS: BP 90/49, HR 48, RR 12, temp 97.2F (36.2
C). The pt exhibits urinary incontinence and priapism. These assessment
findings are most consistent with which of the following types of spinal cord
injury? - Answer Complete
Which of the following is an expected finding in a pt with a tube
thoracstomy connected to a chest drainage system? - Answer flucuation in
the water seal chamber
During the primary survey of an unconscious pt with multi-system trauma,
the nurse notes snoring respirations. What priority nursing interventions
should be preformed next? - Answer insert an oropharyngeal airway if
there is no gag reflex
A 35 y/o M presents with facial trauma after being struck in the face with a
baseball. A teardrop-shaped left pupil is noted on exam. What type of injury
is suspected? - Answer globe rupture
A trauma pt is restless and repeatedly asking "where am i?" VS upon
arrival: BP 110/60, HR96, RR 24. Her skin is cool and dry. Current VS are
BP 104/84, HR 108, RR 28. The pt is demonstrating s/sx of which stage of
shock? - Answer compensated
An unresponsive trauma pt has an oropharygeal airway in place, shallow
and labored respirations, and dusky skin. The trauma team has
administered medications for drug-assisted intubation and attempted
intubation but was unsuccessful. What is the most appropriate immediate
next step? - Answer ventilate with a bag mask device
When is the tertiary survey completed fora trauma pt? - Answer within 24
hrs of trauma
An intubated and sedated pt in the ED has multiple extremity injuries with
the potential for causing compartment syndrome. What is the most reliable
indication of compartment syndrome in a patient who is unconscious? -
Answer pressure
,Which of the following is possible complication of positive-pressure
ventilation? - Answer worsening pneumothorax
the most reassuring finding for a male pt with hip pain after a fall is which of
the following? - Answer pelvic stability
Which of the following pulse pressures indicate early hypovolemic shock? -
Answer narrowed
Patients with a crush injury should be monitored for which of the following
conditions? - Answer dysrhythmias
Tearing of the bridging veins is most frequently associated with which brain
injury? - Answer subdural hematoma
A 20 y/o M presents to the ED complaining of severe lower abd pain after
landing hard on the bicycle cross bars while preforming an aerial BMX
maneuver. Secondary assessment reveals lower abd tenderness and
scrotal ecchymosis. Which of the following orders would the RN question? -
Answer straight cath for urine sample
You are caring for a pt who was involved in a MVC and is 32 weeks
pregnant. Findings of your secondary survey include abd pain on palpation,
fundal ht at the costal margin, and some dark bloody show. Varying
accelerations and decelerations are noted on cariocgraphy. These findings
are most consistent with which of the following? - Answer placental
abruption
Which of the following is true about the log-roll? - Answer it can worsen
cord damage from an unstable spinal injury
All of these are considered a critical communication point in trauma care
EXCEPT which of the following? - Answer defusings
What bedside monitoring parameters are used to assess for adequacy of
O2 and effectiveness of ventilation? - Answer pulse oximetry and
capnography
Caregivers carry in a 2 y/o into the ED who fell out of a second-story
window. The pt is awake and crying with increased work of breathing and
, pale skin. Which of the following interventions has the highest priority? -
Answer padding the upper back while stabilizing the cervical spine
Which of the following injuries is LEAST likely to be promptly identified? -
Answer bowel
A pt is brought to the ED of a rural hospital following a high-speed MVC.
When significant abd and pelvic injuries are noted in the primary survey,
which of the following is the priority interventions? - Answer Initiate transfer
to a trauma center
A pt with a complete spinal cord injury in neurogenic shock will
demonstrate hypotension and which other clinical signs? - Answer
bardycardia and absent motor function below the level of injury
a 37 y/o F has a deformity of the L wrist after a fall. She is reluctant to
move her hand due to pain. Which of the following is the most appropriate
intervention? - Answer apply splint and elevate above the level of the heart
which of the following occurs during the third impact of a motor vehicle
crash? - Answer the aorta is torn at its attachment with the ligamentum
arteriosum
a 5 y/o child presents to the ED with bruises to the upper arm and buttocks
in various stages of healing and multiple small, clean, round burns to the
back. There are no abnormalities found based on the pediatric assessment
triangle or primary survey. Which of the following is the priority survey.
Which of the following is the priority nursing intervention? - Answer Report
your suspicion of maltreatment in accordance with local regulations
Why is a measure of serum lactate obtained in the initial assessment of a
trauma patient? - Answer to guage end-organ perfusion and tissue hypoxia
A pt with a lower extremity fracture complains of severe pain and tightness
in his calf, minimally by pain medications. Which of the following is the
priority nursing intervention? - Answer elevating the extremity to the level
of the heart
What factor contributes most to the kinetic energy of a body in motion? -
Answer velocity
