TNCC practice questions
A 22-year-old was struck by a vehicle way crossing the street, sustaining multiple
fractures. She is alert and answering questions and crying. What is the best method for
initial pain assessment for this patient? - correct answerA self-report tool.
A 32 weeks pregnant woman arrives in the ER after being trapped in a car that flipped.
Initial assessment reveals signs of shock, vaginal bleeding and a palpable asymmetrical
uterus and a slowly fetal heart tones what is the most likely cause? - correct
answerUterine rupture.
A college student presents to the emergency room stating after arriving at a party, she
awoke in a dorm room she didn't recognize, with no memory of the previous evening.
The trauma nurse prepares for which type of following examination? - correct
answerSexual assault
A patient arrives in the emergency department after being pinned against a brick
retaining wall. Knowing that crush injuries can result in a significant damage to the
muscle tissues, the priority assessment for the trauma nurse is for: - correct
answerMyoglobinemia and renal failure
A patient arrives with an amputation of an index finger from a knife. The amputated part
is brought in with the patient. It is wrapped in a sterile, saline moistened gauze and a
sealed plastic bag. The next step in the care of the amputated part is? - correct
answerPlace the bag onto ice
A patient involved in MVA to develops asymmetric pupillary reactivity, bilateral pupillary
nonreactive dilation, and abnormal motor posturing. What does the nurse expect as the
most likely cause? - correct answerHerniation syndrome
A patient with injury to the middle meningeal artery is at risk for which of the following? -
correct answerEpidural hematoma
A properly restrained six week old was involved in the MVA. After Intial assessment
stabilization, the patient becomes more difficult to arouse, responding with a weak cry to
painful simulation. The pupils remain equal and briskly reactive. The anterior fontanel is
soft and flat. What is most likely cause for this change? - correct answerHypoglycemia
A restrained driver involved in a severe head on MVA presents with a seatbelt Mark
along the neck and upper chest area, bilateral decreased breath sounds, hemophysis,
and a few subcutaneous emphysema to the neck and upper chest area. which of the
following is associated with this injury pattern? - correct answerTracheobronchial injury
A unrestrained driver involved in a motor vehicle accident in which alcohol the
suspected, arrives to the ER. On assessment, he denies any pain numbness or tingling
, in. According to the nexus criteria, which factor indicates the need for radiologic
clearance of the C-spine? - correct answerSuspected alcohol intoxication.
An adult patient involved in a brushfire arrives to the Emergency department. Upon
initial assessment in the emergency department, the most concerning finding is: -
correct answerThe patient has a horse voice and repeatedly tries to clear his throat.
An older adult patient fell in the bathtub three days ago. Now she is exhibiting
decreased level of consciousness's and difficulty with speaking and walking. Which of
the following injuries is most likely? - correct answerSubdural hematoma.
An unrestrained driver is brought into the emergency room following a frontal impact
motor vehicle collision. She was pale, anxious, and complains of shortness of breath.
Which of the following potential injuries would be the trauma nurses primary concern for
this patient? - correct answerLiver laceration
And occlusive dressing has been applied to a patient with a penetrating injury to the
chest. Upon assessment, the nurse notes that the patient is in respiratory distress and
has absent breath sounds on the affected side. What is the priority intervention? -
correct answerRemove the dressing to the wound
And unrestrained driver was involved in a frontal collision without an airbag deployment
. She is hypotensive and tachycardic with shallow respirations distended jugular vein's,
and muffled heart tones. The nurse prepares for which immediate intervention? - correct
answerPericardiocentesis
And unrestrained front seat passenger in a MVA develops a ecchymosis around the
umbilicus. This assessment finding is most commonly associated with: - correct
answerBleeding in the peritoneal cavity
During the assessment of an extremity with suspected compartment syndrome,
pulses's: - correct answerCan be normal
During the primary survey, which of the following assessment findings has the greatest
priority? - correct answerCervical spine injury
Effective pain management in the patient with rib fractures will promote which of the
following? - correct answerCough with ability to clear secretions.
Elevated compartment pressure can be the result of - correct answerHaemorrhage from
with in the muscle.
For a patient who has undergone recent bariatric surgery, fluoroscopy is recommended
to place: - correct answerA nasogastric tube.
A 22-year-old was struck by a vehicle way crossing the street, sustaining multiple
fractures. She is alert and answering questions and crying. What is the best method for
initial pain assessment for this patient? - correct answerA self-report tool.
A 32 weeks pregnant woman arrives in the ER after being trapped in a car that flipped.
Initial assessment reveals signs of shock, vaginal bleeding and a palpable asymmetrical
uterus and a slowly fetal heart tones what is the most likely cause? - correct
answerUterine rupture.
A college student presents to the emergency room stating after arriving at a party, she
awoke in a dorm room she didn't recognize, with no memory of the previous evening.
The trauma nurse prepares for which type of following examination? - correct
answerSexual assault
A patient arrives in the emergency department after being pinned against a brick
retaining wall. Knowing that crush injuries can result in a significant damage to the
muscle tissues, the priority assessment for the trauma nurse is for: - correct
answerMyoglobinemia and renal failure
A patient arrives with an amputation of an index finger from a knife. The amputated part
is brought in with the patient. It is wrapped in a sterile, saline moistened gauze and a
sealed plastic bag. The next step in the care of the amputated part is? - correct
answerPlace the bag onto ice
A patient involved in MVA to develops asymmetric pupillary reactivity, bilateral pupillary
nonreactive dilation, and abnormal motor posturing. What does the nurse expect as the
most likely cause? - correct answerHerniation syndrome
A patient with injury to the middle meningeal artery is at risk for which of the following? -
correct answerEpidural hematoma
A properly restrained six week old was involved in the MVA. After Intial assessment
stabilization, the patient becomes more difficult to arouse, responding with a weak cry to
painful simulation. The pupils remain equal and briskly reactive. The anterior fontanel is
soft and flat. What is most likely cause for this change? - correct answerHypoglycemia
A restrained driver involved in a severe head on MVA presents with a seatbelt Mark
along the neck and upper chest area, bilateral decreased breath sounds, hemophysis,
and a few subcutaneous emphysema to the neck and upper chest area. which of the
following is associated with this injury pattern? - correct answerTracheobronchial injury
A unrestrained driver involved in a motor vehicle accident in which alcohol the
suspected, arrives to the ER. On assessment, he denies any pain numbness or tingling
, in. According to the nexus criteria, which factor indicates the need for radiologic
clearance of the C-spine? - correct answerSuspected alcohol intoxication.
An adult patient involved in a brushfire arrives to the Emergency department. Upon
initial assessment in the emergency department, the most concerning finding is: -
correct answerThe patient has a horse voice and repeatedly tries to clear his throat.
An older adult patient fell in the bathtub three days ago. Now she is exhibiting
decreased level of consciousness's and difficulty with speaking and walking. Which of
the following injuries is most likely? - correct answerSubdural hematoma.
An unrestrained driver is brought into the emergency room following a frontal impact
motor vehicle collision. She was pale, anxious, and complains of shortness of breath.
Which of the following potential injuries would be the trauma nurses primary concern for
this patient? - correct answerLiver laceration
And occlusive dressing has been applied to a patient with a penetrating injury to the
chest. Upon assessment, the nurse notes that the patient is in respiratory distress and
has absent breath sounds on the affected side. What is the priority intervention? -
correct answerRemove the dressing to the wound
And unrestrained driver was involved in a frontal collision without an airbag deployment
. She is hypotensive and tachycardic with shallow respirations distended jugular vein's,
and muffled heart tones. The nurse prepares for which immediate intervention? - correct
answerPericardiocentesis
And unrestrained front seat passenger in a MVA develops a ecchymosis around the
umbilicus. This assessment finding is most commonly associated with: - correct
answerBleeding in the peritoneal cavity
During the assessment of an extremity with suspected compartment syndrome,
pulses's: - correct answerCan be normal
During the primary survey, which of the following assessment findings has the greatest
priority? - correct answerCervical spine injury
Effective pain management in the patient with rib fractures will promote which of the
following? - correct answerCough with ability to clear secretions.
Elevated compartment pressure can be the result of - correct answerHaemorrhage from
with in the muscle.
For a patient who has undergone recent bariatric surgery, fluoroscopy is recommended
to place: - correct answerA nasogastric tube.
