TNCC 9th Edition TNP LATEST 2023-2024 EXAM
WITH COMPLETE 75 QUESTIONS AND
CORRECT ANSWERS-GRADED A+ pass
A 5-year-old child presents to the emergency department with bruises
to the upper arms 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 nursing
intervention?
A.Report your suspicion of maltreatment in accordance with local
regulations
B.Apply ice to the bruises and provide wound care
C.Engage in therapeutic communicati - ansA.Report your suspicion of
maltreatment in accordance with local regulations
A 35-year-old male 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?
A.Oculomotor nerve palsy
B.Globe rupture
C.Retrobulbar hematoma
D.Retinal detachment - ansGlobe rupture
A driver involved in a high-speed motor vehicle collision arrives in the
emergency department. The vehicle's air-bag failed to deploy. The
patient is drowsy but arousable and complaining of chest pain with
ecchymosis noted to the chest. The patient is tachycardic and
hypotensive with no evidence of uncontrolled bleeding. Cardiac
monitor shows premature ventricular contractions. Which of the
following is the most appropriate intervention for this patient?
A.Rapid fluid boluses
B.Tranexamic acid - ansC.Inotropic support
,TNCC 9th Edition TNP LATEST 2023-2024 EXAM
WITH COMPLETE 75 QUESTIONS AND
CORRECT ANSWERS-GRADED A+ pass
A nurse verbalizes guilt and remorse after caring for multiple severely
injured patients during a staffing crisis. The nurse expresses anger
stating that the patients did not receive quality care and begins
exhibiting aggression toward colleagues. This is most consistent with
which condition?
A.Compassion fatigue
B.Vicarious trauma
C.Secondary traumatic stress
D.Moral injury - ansD.Moral injury
A patient arrives following prolonged exposure of their left hand to the
cold. The patient is awake and alert and complains of a tingling
sensation to the fingers. Assessment reveals swelling and bright red
skin to the left hand and a 1-inch round clear blister to the dorsum of
that hand. Which of the following nursing interventions is most
appropriate for this patient?
A.Massage the injured areas to promote circulation
B.Drain and debride the blister on the hand
C.Immerse in water between 37.5 - ansD.Gently rewarm over 15 to 30
minutes
A patient arrives with a large metal rod embedded in their left thigh
and no active bleeding. Which intervention is most appropriate for this
patient?
A.Remove the rod immediately to facilitate cleansing.
B.Apply a tourniquet to the leg above the metal rod.
C.Hold antibiotics until after the rod is removed.
,TNCC 9th Edition TNP LATEST 2023-2024 EXAM
WITH COMPLETE 75 QUESTIONS AND
CORRECT ANSWERS-GRADED A+ pass
D.Prepare the patient for surgery to remove the rod. - ansD.Prepare the
patient for surgery to remove the rod.
A patient arrives with a large open chest wound after being assaulted
with a machete. Prehospital providers placed a nonporous dressing
over the chest wound and taped it on three sides. The patient is now
showing signs of anxiety, restlessness, severe respiratory distress,
cyanosis, and decreasing blood pressure. Which of the following is the
MOST appropriate immediate intervention?
A.Needle decompression
B.Tube thoracostomy
C.Dressing removal
D.Surgical repair - ansC.Dressing removal
A patient has been diagnosed with an incomplete spinal cord injury at
L1. Which finding would indicate sacral sparing?
A.Involuntary flexion of the great toe
B.Priapism
C.Voluntary anal sphincter tone
D.Numbness to the perianal area - ansVoluntary anal sphincter tone
A patient has been in the emergency department for several hours
waiting to be admitted. They sustained multiple rib fractures and a
femur fracture after a fall. The patient has been awake, alert, and
complaining of leg pain. Their spouse reported that the patient
suddenly became anxious and confused. Upon reassessment, the
patient is restless, with respiratory distress and petechiae to his neck.
The patient is exhibiting signs and symptoms most commonly
associated with which of the following co - ansfat embolism
, TNCC 9th Edition TNP LATEST 2023-2024 EXAM
WITH COMPLETE 75 QUESTIONS AND
CORRECT ANSWERS-GRADED A+ pass
A patient has uncontrolled bleeding from a wound to his right upper
extremity. What is the priority intervention?
A.Initiate two intravenous access sites
B.Place the patient on supplemental oxygen
C.Apply direct pressure to the wound
D.Use a tourniquet to control the bleeding - ansC.Apply direct pressure
to the wound
A patient involved in a high-speed rollover is complaining of increased
difficulty breathing. There is a small penetrating wound to the sixth
intercostal space in the left lateral chest. Which finding is most
consistent with an injury to the diaphragm?
A.Severe left-sided abdominal pain
B.Bowel sounds heard in the left lower chest
C.Pain radiating to the left shoulder.
D.Decreased breath sounds on the left side - ansBowel sounds heard in
the left lower chest
A patient is brought to the emergency department following a
snowmobile crash with prolonged exposure time prior to transport.
The patient is confused. Vital signs are BP 96/54 mm Hg, HR 114
beats/minute, RR 24 breaths/minute, T 34.6oC (94.2oF) and an SpO2 of
90% on oxygen at 15L per non-rebreather mask. Other findings include
ETCO2 24, serum lactate of 6 mmol/L, and a pH of 6.8. Based on these
findings, what is the most appropriate intervention?
A.Initiate warming measures
B.Titrate oxygen to - ansA.Initiate warming measures
WITH COMPLETE 75 QUESTIONS AND
CORRECT ANSWERS-GRADED A+ pass
A 5-year-old child presents to the emergency department with bruises
to the upper arms 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 nursing
intervention?
A.Report your suspicion of maltreatment in accordance with local
regulations
B.Apply ice to the bruises and provide wound care
C.Engage in therapeutic communicati - ansA.Report your suspicion of
maltreatment in accordance with local regulations
A 35-year-old male 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?
A.Oculomotor nerve palsy
B.Globe rupture
C.Retrobulbar hematoma
D.Retinal detachment - ansGlobe rupture
A driver involved in a high-speed motor vehicle collision arrives in the
emergency department. The vehicle's air-bag failed to deploy. The
patient is drowsy but arousable and complaining of chest pain with
ecchymosis noted to the chest. The patient is tachycardic and
hypotensive with no evidence of uncontrolled bleeding. Cardiac
monitor shows premature ventricular contractions. Which of the
following is the most appropriate intervention for this patient?
A.Rapid fluid boluses
B.Tranexamic acid - ansC.Inotropic support
,TNCC 9th Edition TNP LATEST 2023-2024 EXAM
WITH COMPLETE 75 QUESTIONS AND
CORRECT ANSWERS-GRADED A+ pass
A nurse verbalizes guilt and remorse after caring for multiple severely
injured patients during a staffing crisis. The nurse expresses anger
stating that the patients did not receive quality care and begins
exhibiting aggression toward colleagues. This is most consistent with
which condition?
A.Compassion fatigue
B.Vicarious trauma
C.Secondary traumatic stress
D.Moral injury - ansD.Moral injury
A patient arrives following prolonged exposure of their left hand to the
cold. The patient is awake and alert and complains of a tingling
sensation to the fingers. Assessment reveals swelling and bright red
skin to the left hand and a 1-inch round clear blister to the dorsum of
that hand. Which of the following nursing interventions is most
appropriate for this patient?
A.Massage the injured areas to promote circulation
B.Drain and debride the blister on the hand
C.Immerse in water between 37.5 - ansD.Gently rewarm over 15 to 30
minutes
A patient arrives with a large metal rod embedded in their left thigh
and no active bleeding. Which intervention is most appropriate for this
patient?
A.Remove the rod immediately to facilitate cleansing.
B.Apply a tourniquet to the leg above the metal rod.
C.Hold antibiotics until after the rod is removed.
,TNCC 9th Edition TNP LATEST 2023-2024 EXAM
WITH COMPLETE 75 QUESTIONS AND
CORRECT ANSWERS-GRADED A+ pass
D.Prepare the patient for surgery to remove the rod. - ansD.Prepare the
patient for surgery to remove the rod.
A patient arrives with a large open chest wound after being assaulted
with a machete. Prehospital providers placed a nonporous dressing
over the chest wound and taped it on three sides. The patient is now
showing signs of anxiety, restlessness, severe respiratory distress,
cyanosis, and decreasing blood pressure. Which of the following is the
MOST appropriate immediate intervention?
A.Needle decompression
B.Tube thoracostomy
C.Dressing removal
D.Surgical repair - ansC.Dressing removal
A patient has been diagnosed with an incomplete spinal cord injury at
L1. Which finding would indicate sacral sparing?
A.Involuntary flexion of the great toe
B.Priapism
C.Voluntary anal sphincter tone
D.Numbness to the perianal area - ansVoluntary anal sphincter tone
A patient has been in the emergency department for several hours
waiting to be admitted. They sustained multiple rib fractures and a
femur fracture after a fall. The patient has been awake, alert, and
complaining of leg pain. Their spouse reported that the patient
suddenly became anxious and confused. Upon reassessment, the
patient is restless, with respiratory distress and petechiae to his neck.
The patient is exhibiting signs and symptoms most commonly
associated with which of the following co - ansfat embolism
, TNCC 9th Edition TNP LATEST 2023-2024 EXAM
WITH COMPLETE 75 QUESTIONS AND
CORRECT ANSWERS-GRADED A+ pass
A patient has uncontrolled bleeding from a wound to his right upper
extremity. What is the priority intervention?
A.Initiate two intravenous access sites
B.Place the patient on supplemental oxygen
C.Apply direct pressure to the wound
D.Use a tourniquet to control the bleeding - ansC.Apply direct pressure
to the wound
A patient involved in a high-speed rollover is complaining of increased
difficulty breathing. There is a small penetrating wound to the sixth
intercostal space in the left lateral chest. Which finding is most
consistent with an injury to the diaphragm?
A.Severe left-sided abdominal pain
B.Bowel sounds heard in the left lower chest
C.Pain radiating to the left shoulder.
D.Decreased breath sounds on the left side - ansBowel sounds heard in
the left lower chest
A patient is brought to the emergency department following a
snowmobile crash with prolonged exposure time prior to transport.
The patient is confused. Vital signs are BP 96/54 mm Hg, HR 114
beats/minute, RR 24 breaths/minute, T 34.6oC (94.2oF) and an SpO2 of
90% on oxygen at 15L per non-rebreather mask. Other findings include
ETCO2 24, serum lactate of 6 mmol/L, and a pH of 6.8. Based on these
findings, what is the most appropriate intervention?
A.Initiate warming measures
B.Titrate oxygen to - ansA.Initiate warming measures
