TNCC 8TH EDITION EXAM 10 LATEST VERSIONS (VERSION A & B) 2025 COMPLETE 300
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+VERIFIED
Describe the characteristics of distributive shock. - ANSDistributive
shock occurs as a result of Mel distribution of an adequate circulating
blood volume with the loss of vascular tone or increased permeability.
This can occur with spinal cord injuries, sepsis, or anaphylaxis.
Symptoms include low blood pressure heart rate respiratory rate
preload and afterload, spinal tenderness, difficulty breathing, warm
pink and dry skin with a cool core temperature.
Describe the characteristics of hypovolemic shock - ANSHypovolemia
is caused by a decrease in the amount of circulating volume usually
caused by massive bleeding, but also can be from vomiting and
diarrhea. Characteristics include low blood pressure and preload,
increase heart rate respiratory rate and afterload, with contractility
unchanged. Signs include obvious bleeding, weak peripheral pulses,
pale cool and moist skin, distended abdomen, pelvic fracture, or bruise
swollen and deformed extremities especially long bones.
Describe the characteristics of obstructive shock - ANSObstructive
shock is it mechanical problem that results from hypoperfusion of the
tissue due to an obstruction in either the vasculature or the heart
resulting in decreased cardiac output. Some causes include a tension
pneumothorax, cardiac tamponade, or venous air embolism on the
right side of the heart during systole in the pulmonary artery.Signs
include anxiety, muffled heart sounds, JVD, hypertension, chest pain,
difficulty breathing, or pulses paradoxes.
Describe the four types of spinal cord injury - ANSCentral cord injury
results in greater weakness distally, anterior injury includes motor
loss or weakness below the cord level of injury yet sensory is intact,
Brown-Sequard (hemicord) is weak on one side with sensory deficit on
opposite side, posterior cord syndrome although rare is when the
patient is unable to use sense vibration in proprioception
Describe the measurement of an NPA - ANSMeasure from the tip of the
patient's nose to the tip of the patients earlobe.
,TNCC 8TH EDITION EXAM 10 LATEST VERSIONS (VERSION A & B) 2025 COMPLETE 300
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+VERIFIED
Differentiate between the three impacts of motor vehicle impact
sequence. - ANSThe first impact occurs when the vehicle collided with
another object. The second impact occurs after the initial impact
when the occupant continues to move in the original direction of travel
until they collide with the interior of the vehicle or meet resistance.
The third impact occurs when internal structures collide within the
body cavity.
Measurement of an OPA - ANSPlace the proximal end or flange of the
airway adjunct at the corner of the mouth to the tip of the mandibular
angle.
Name the three ways to confirm ETT placement - ANSPlacement of a
CO2 monitoring device, Assessing for equal chest rise and fall, and
listening at the epigastrium and four lung fields for equal breath
sounds.
True or false: NPAs and OPAs are definitive airways. - ANSFalse. When
placing one of these? One should consider the potential need for a
definitive airway.
What are contributing factors to injuries related to blunt traumas? -
ANSThe point of impact on the patient's body, the type of surface that
is hit, the tissues ability to resist (bone versus soft tissue, air-filled
versus solid organs), and the trajectory of force.
What are the early signs of increased Intracranial pressure -
ANSheadache, vomiting, behavioral changes that begin with
restlessness and may progress to confusion, drowsiness, or impaired
judgment
What are the four types of shock? - ANSHypovolemic, Cardiogenic,
Obstructive, & Distributive
What are the four types of trauma related injuries? - ANSBlunt,
penetrating, thermal, or blast.
,TNCC 8TH EDITION EXAM 10 LATEST VERSIONS (VERSION A & B) 2025 COMPLETE 300
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+VERIFIED
What are the greatest risks for transport? - ANSLoss of airway
patency, displaced obstructive tubes lines or catheters, dislodge
splinting devices, need to replace or reinforce dressings, deterioration
in patient status change in vital signs or level of consciousness, injury
to the patient and/or team members
What are the late signs of Increased intracranial pressure -
ANSdilated, non-reactive pupil(s); abnormal motor posturing (flexion,
extension, flaccidity); Cushing's triad, Unresponsive to per verbal and
painful stimuli, bradycardia and decreased respiratory effort
What are the seven patterns of pathway injuries related to motor
vehicle accidents? - ANSUp and over, down and under, lateral,
rotational, rear, roll over, and ejection.
What are the signs and symptoms of decompensated shock? -
ANSDecreased level of consciousness, hypertension, narrow pulse
pressure, tachycardia with weak pulses, tachypnea, skin that is cool
clammy and cyanotic, base access outside the normal range, and
serum lactate levels greater than two to 4MMOL/L.
What are the signs and symptoms of irreversible shock? -
ANSObtunded stuporous or comatose state, marked hypertension and
heart failure, bradycardia with possible dysrhythmias, decreased and
shallow respiratory rate, pale cool and clammy skin, kidney liver and
other organ failure, severe acidosis, elevated lactic acid levels,
worsening base access on ABGs, coagulopathies with petechiae
purpura or bleeding.
What are the signs of compensated shock? - ANSAnxiety, confusion,
restlessness, increased respiratory rate, narrowing pulse pressure
were diastolic increases yet systolic remains unchanged, tachycardia
with bounding pulses, and decreased urinary output
What are the symptoms of a subdural hematoma? - ANSDecreased
LOC, nausea vomiting headache and ipsilateral pupillary changes
, TNCC 8TH EDITION EXAM 10 LATEST VERSIONS (VERSION A & B) 2025 COMPLETE 300
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+VERIFIED
What are the three factors that contribute to the damage caused by
penetrating trauma's? - ANSThe point of impact, the velocity and
speed of impact, and the proximity to the object.
What are the three processes that transfer oxygen from the air to the
lungs and blood stream - ANSVentilation: the active mechanical
movement of air into and out of the lungs; diffusion: the passive
movement of gases from an area of higher concentration to an area of
lower concentration; and perfusion: the movement of blood to and
from the lungs as a delivery medium of oxygen to the entire body.
What are the three stages of shock - ANSCompensated,
decompensated or progressive, and irreversible.
What are the treatment goals for a TBI? - ANSO2 saturation > or equal
to 95%, systolic blood pressure > or equal to 100 MMHG, ICP < 15
MMHG, CPP > or equal to 60 MMHG, normal glycemia, hemoglobin > or
equal to 7 g/DL, sodium 135-145, osmotic diuretics, anti-emetics,
sedatives, anticonvulsants, head of bed at 30°, and neck at midline
What causes quarternary effects of blast traumas? - ANSAll explosion
related injuries, illnesses, or diseases not due to the first three
mechanisms. Injuries include external and internal burns, crush
injuries, closed and open brain injuries, asthmatic or breathing
problems from dust smoke or toxic fumes, angina, or hyper glycemia
and hypertension.
What causes quinary effects of blasts traumas? - ANSThose
associated with exposure to hazardous materials from radioactive,
biologic, or chemical components of a blast. Injuries include a variety
of health effects depending on agent.
What causes the primary effects of blast traumas? - ANSThe direct
blast effects. Types of injuries include last long, tympanic membrane
rupture and middle ear damage, abdominal hemorrhage and
perforation, global rupture, mild Trumatic brain injury.
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+VERIFIED
Describe the characteristics of distributive shock. - ANSDistributive
shock occurs as a result of Mel distribution of an adequate circulating
blood volume with the loss of vascular tone or increased permeability.
This can occur with spinal cord injuries, sepsis, or anaphylaxis.
Symptoms include low blood pressure heart rate respiratory rate
preload and afterload, spinal tenderness, difficulty breathing, warm
pink and dry skin with a cool core temperature.
Describe the characteristics of hypovolemic shock - ANSHypovolemia
is caused by a decrease in the amount of circulating volume usually
caused by massive bleeding, but also can be from vomiting and
diarrhea. Characteristics include low blood pressure and preload,
increase heart rate respiratory rate and afterload, with contractility
unchanged. Signs include obvious bleeding, weak peripheral pulses,
pale cool and moist skin, distended abdomen, pelvic fracture, or bruise
swollen and deformed extremities especially long bones.
Describe the characteristics of obstructive shock - ANSObstructive
shock is it mechanical problem that results from hypoperfusion of the
tissue due to an obstruction in either the vasculature or the heart
resulting in decreased cardiac output. Some causes include a tension
pneumothorax, cardiac tamponade, or venous air embolism on the
right side of the heart during systole in the pulmonary artery.Signs
include anxiety, muffled heart sounds, JVD, hypertension, chest pain,
difficulty breathing, or pulses paradoxes.
Describe the four types of spinal cord injury - ANSCentral cord injury
results in greater weakness distally, anterior injury includes motor
loss or weakness below the cord level of injury yet sensory is intact,
Brown-Sequard (hemicord) is weak on one side with sensory deficit on
opposite side, posterior cord syndrome although rare is when the
patient is unable to use sense vibration in proprioception
Describe the measurement of an NPA - ANSMeasure from the tip of the
patient's nose to the tip of the patients earlobe.
,TNCC 8TH EDITION EXAM 10 LATEST VERSIONS (VERSION A & B) 2025 COMPLETE 300
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+VERIFIED
Differentiate between the three impacts of motor vehicle impact
sequence. - ANSThe first impact occurs when the vehicle collided with
another object. The second impact occurs after the initial impact
when the occupant continues to move in the original direction of travel
until they collide with the interior of the vehicle or meet resistance.
The third impact occurs when internal structures collide within the
body cavity.
Measurement of an OPA - ANSPlace the proximal end or flange of the
airway adjunct at the corner of the mouth to the tip of the mandibular
angle.
Name the three ways to confirm ETT placement - ANSPlacement of a
CO2 monitoring device, Assessing for equal chest rise and fall, and
listening at the epigastrium and four lung fields for equal breath
sounds.
True or false: NPAs and OPAs are definitive airways. - ANSFalse. When
placing one of these? One should consider the potential need for a
definitive airway.
What are contributing factors to injuries related to blunt traumas? -
ANSThe point of impact on the patient's body, the type of surface that
is hit, the tissues ability to resist (bone versus soft tissue, air-filled
versus solid organs), and the trajectory of force.
What are the early signs of increased Intracranial pressure -
ANSheadache, vomiting, behavioral changes that begin with
restlessness and may progress to confusion, drowsiness, or impaired
judgment
What are the four types of shock? - ANSHypovolemic, Cardiogenic,
Obstructive, & Distributive
What are the four types of trauma related injuries? - ANSBlunt,
penetrating, thermal, or blast.
,TNCC 8TH EDITION EXAM 10 LATEST VERSIONS (VERSION A & B) 2025 COMPLETE 300
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+VERIFIED
What are the greatest risks for transport? - ANSLoss of airway
patency, displaced obstructive tubes lines or catheters, dislodge
splinting devices, need to replace or reinforce dressings, deterioration
in patient status change in vital signs or level of consciousness, injury
to the patient and/or team members
What are the late signs of Increased intracranial pressure -
ANSdilated, non-reactive pupil(s); abnormal motor posturing (flexion,
extension, flaccidity); Cushing's triad, Unresponsive to per verbal and
painful stimuli, bradycardia and decreased respiratory effort
What are the seven patterns of pathway injuries related to motor
vehicle accidents? - ANSUp and over, down and under, lateral,
rotational, rear, roll over, and ejection.
What are the signs and symptoms of decompensated shock? -
ANSDecreased level of consciousness, hypertension, narrow pulse
pressure, tachycardia with weak pulses, tachypnea, skin that is cool
clammy and cyanotic, base access outside the normal range, and
serum lactate levels greater than two to 4MMOL/L.
What are the signs and symptoms of irreversible shock? -
ANSObtunded stuporous or comatose state, marked hypertension and
heart failure, bradycardia with possible dysrhythmias, decreased and
shallow respiratory rate, pale cool and clammy skin, kidney liver and
other organ failure, severe acidosis, elevated lactic acid levels,
worsening base access on ABGs, coagulopathies with petechiae
purpura or bleeding.
What are the signs of compensated shock? - ANSAnxiety, confusion,
restlessness, increased respiratory rate, narrowing pulse pressure
were diastolic increases yet systolic remains unchanged, tachycardia
with bounding pulses, and decreased urinary output
What are the symptoms of a subdural hematoma? - ANSDecreased
LOC, nausea vomiting headache and ipsilateral pupillary changes
, TNCC 8TH EDITION EXAM 10 LATEST VERSIONS (VERSION A & B) 2025 COMPLETE 300
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+VERIFIED
What are the three factors that contribute to the damage caused by
penetrating trauma's? - ANSThe point of impact, the velocity and
speed of impact, and the proximity to the object.
What are the three processes that transfer oxygen from the air to the
lungs and blood stream - ANSVentilation: the active mechanical
movement of air into and out of the lungs; diffusion: the passive
movement of gases from an area of higher concentration to an area of
lower concentration; and perfusion: the movement of blood to and
from the lungs as a delivery medium of oxygen to the entire body.
What are the three stages of shock - ANSCompensated,
decompensated or progressive, and irreversible.
What are the treatment goals for a TBI? - ANSO2 saturation > or equal
to 95%, systolic blood pressure > or equal to 100 MMHG, ICP < 15
MMHG, CPP > or equal to 60 MMHG, normal glycemia, hemoglobin > or
equal to 7 g/DL, sodium 135-145, osmotic diuretics, anti-emetics,
sedatives, anticonvulsants, head of bed at 30°, and neck at midline
What causes quarternary effects of blast traumas? - ANSAll explosion
related injuries, illnesses, or diseases not due to the first three
mechanisms. Injuries include external and internal burns, crush
injuries, closed and open brain injuries, asthmatic or breathing
problems from dust smoke or toxic fumes, angina, or hyper glycemia
and hypertension.
What causes quinary effects of blasts traumas? - ANSThose
associated with exposure to hazardous materials from radioactive,
biologic, or chemical components of a blast. Injuries include a variety
of health effects depending on agent.
What causes the primary effects of blast traumas? - ANSThe direct
blast effects. Types of injuries include last long, tympanic membrane
rupture and middle ear damage, abdominal hemorrhage and
perforation, global rupture, mild Trumatic brain injury.
