TNCC FINAL EXAM 4 LATEST VERSIONS 2025-2026
CONTAINS 500 QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS)TEST BANK |ALREADY GRADED
A+|100% COMPLETE PASS
A a 22 yr old was struck by a vehicle while crossing the street, sustaining multiple fx she
is alert and answering qestions and crying what is the best method for initial pain
assessment for this pt - ANSself report scale
A a pt sustrained a penetrating injury of his upper leg. the pre hospital personnel states
a large amount of blood loss before hemostasiswas achieved. he presents to the ER
responding to painful stimuli with moaning. he is tachy 142 b/p 104/96 and RR 24 -
ANSdecompensated
A an unrestrained driver was involved in a frontal collision without airbag deployment.
he is hypotensive and tachycardic with shallow respirations, distended JVD and muffled
heart tones the nurse prepare for what - ANSpericardiocentesis
A during assessment of an extremety with suspected pulses are - ANScan be normal
A for a ptwho has undergone recent bariatric surgery, flouroscopy is recommended to
place - ANSNG tube
A identification of vulnerabilities is an example of what phase of disaster management -
ANSmitigation
A in mass casualty "doing the greatest good for the greatest number of people refers to
a situation where - ANSthere may be more patients than resources
A in neurogenic shock, alterations in vital signs include hypotension and which other
abnormal VS - ANSbradycardia
A In the primary survey AVPU is performed to determine if the patient can: - ANSProtect
their aiway
A prego trauma pt develops tachy, hypotension, a rigide board like uterus, and dark, red
vaginal bleeding. she reports constant back pain which is increasing. the most likely
cause of s/s is - ANSplacental abruption
A several groups of people are at higher risk for maltreatment including children, elderly,
prego, and ... - ANSpt's with disability
A the nurse is preparing to cleanse an extensive abrasion contaminated with dirt and
gravel. which of the following intervention is indicated - ANSus copious amounts of NS
A The systemic inflammatory response is a normal part of the body's response to shock
from traumatic injury. what best describes this response - ANSit is activated by tissue
,hypoxia and sends neutrophils to injury site
A what is an early assessment finding to increased ICP in pt with a brain injury -
ANSvomiting
A when providing care for the pedicatric pt with burns the post resuscitation care, how
are fluids delivered - ANSparkland formula with maintainence fluidss
A which of hte following nursing interventions would be best for traumitc -
ANSHOB 30 degrees
A which of the following structures would be hte most affected by teh concept of
caviation - ANSLiver
A which of the following values is within the acceptable limits for trauma pt - ANSend
tidal CO2 of 40
B a pt father arrives in teh ER and needs to be told his son was severely injured in a
MVC and is in surgery, the father si agitated, yelling, and smells of alcohol. in planning
to talk with the father the trauma nurse will - ANSdeliver information regarding the son;s
care in a calm voice
B a pt involved in an MVC develops asymmetric pupillary reactivity, bilateral pupillary
dilation and abnormal motor posturing. what does the nurse suspect as the most likely
cause - ANSherniation syndrome
B a pt with injury to the middle meningeal artery is at risk for which of the following -
ANSepidural hematoma
B an occlusive dressing has been applied to a pt with a penetrating injury to the chest.
upon assessment the nurse notes that the patient is in respiratory distress nad has
absnet breath sounds on hte affected side. what is the priroruty intervention -
ANSremove the dressing to the wound
B an unrestrained driver inlvolved in a MVC in which alcohol was involed. he denies any
pain and numbness and tinlging. according to NEXUS critera which factors indicate
need for radiological - ANSsuspected alcohol abuse
B pt to ER after being pinned to brick retaining wall. knwoing crushing injuries can result
to significant damage to muslces the priority asessment for trauma nruse is for -
ANSmyoglobinemia nd renal failure
B the most common cause of shock in the trauma pt is - ANSloss of circ volume
B the unrestrained fron seat passenger in a MVC develops echymosis around
umbillicus. this assessment finding is most commonly associated with: - ANSbleeding in
the peritoneal cavity
B thinning skin and diminished autonomic response in older adult can have what effect
on primary assessment - ANScompromised thermoregulation
,B when assessing fa fpt ffollowing fa fMVC fthe fnurses fasks fhow ffsat fthe fcar fwas fgoing f-
fANSwhen fvolocity fis fdoubled fspeed fis fquadroupled
B fWHich fmay flead fto funreliable fpulse fox freading f- fANScarboxyhemoglobin
B fwhich fof fhte ffollowing fsignificant fassessment ffindigns fis ffrequently ffound fin fa
fpatient fwith fcomplete fcransiofacial fseparation finvolving fthe fmaxilla, fzygoma, forbits,
fand fbones fof fthe fcranial fbase. f- fANSdiplopia
B fwhich fof fthe ffollowing fhemodynamic fsupport fstrategies fis fthe fprioririty fintervention
ffor fa fpt fwith ftraumatic fpulmonary fcontusion f- fANSjudicios fuse fof fIV ffluids
Bduring fthe fprimary fsurvery fwhich fof fthe ffollowing fhas fthe fgreatest fpriority f-
fANScervical fspine finjury
C f32 fwk fpregnant flady farrives fin fer fafter ftrapped fin fa fcar fthat fflipped. fthe finitial
fassessment freveals fs/s fof fshock, fvaginal fbleeding, fa fpalpable fasymmetrical futerus,
fand fslowing ffetal fheart ftones fwhat fis fthe fmost flikely fcause f- fANSuterine frupture
C fa fcollege fstudent fpresents fto fthe fer fstating fafterarriving fat fa fparty f, fshe fawoke fin fa
fdorm from. fshe fdidnt frecognize fwith fno fmemory fof fthe fprevious fevening fthe ftrauma
fnurse fprepare ffor fwhat fexam. f- fANSsexual fassult
C fan fadult fpt finvolved fin fa fbrush ffire farrives fto fthe fer. fupon finitial fassessment fin fthe
fer fthe fmost fconcerning ffinding fis f- fANShoarse fvoice fand frepeatedly fdecides fto fclear
fthroat.
C fan folder fadult fpt ffell fin fthe fbathtub f3 fdays fago. fnow fshe fis fexihibiting fdecreasd
fLOC fand fdifficulty fwith fspeaking fand fwalking. fwhich fof fthe ffollowing finjuries fis fmost
feffective
- fANSsubdural fhematoma
C feffective fpain fmanagement fin fhte fpt fiwth frib ffxwill fpromote fwhat f- fANScough fwith
fability fto fclear fsecretions
C fproperly frestrained f6 fwk fold fkid fwas finvolved fin fa fMVC. fafter fthe fassessment fand
fstabilization fthe fpt fbecomes fmore fdifficult fto frouse. fresponding fwith fa fweak fcry fto
fpainful fstimuli. fthe fpupils fremain fbrisk fand freactive. fthe fanterior ffontanel fis fsoft fand
fflat. fwhat fis fthe fmost flikely fcause fand fpririty finterventions f- fANShypoglycemia
C fWhat fare fthe fprimary fbenefits fof fa fteam fapproach fto ftrauma fcare f- fANSit fprovides
fa fsystemic fapproach fto fcare fand forganizes fcare
C fwhat forgan fmight fbe finjured fin fleft flower frib ffx f- fANSspleen
C fwhich fof fthe ffollowing fwould fbe fpriority fintervention ffor fa fpt fwith fmultiple frib
ffractures fand fchest fwall finstability ffollwoing fa fmvc fcollision f- fANSassist fwith
fendotracheal fintubation
, C fwhich fof fthe ffollwoing fis fa frisk ffactor ffor fDVT fin fthe ftrauma fpt. f- fANSpelvic ffx
Cthe fterm fworried fwell fwhen frefering fto fdisaster fpreparedness fplanning frefers fto: f-
fANSindividuals fhwo fthink fthey fhave fbeen faffected fby fthe fevent fbut fare fasymptomatic
Cthe ftrauma fnurse fwould fprepare ffor fa fdefinitive fairwya ffor fwhich fof fthe ffollowing
fcondition. f- fANSGCS fof f8 for fls
D fAn funrestrained fdriver fis fbrought finto fthe femergency fdepartment ffollowing fa ffrontal
fimpact fMVC. fshe fis fpale, fanxious, fand fc/o fSOB. fwhat fis fthe fpotential finjury f-
fANSLumbar ffx
D felevated fcomaprtment fpressure fcan fbe fthe fresult fof f- fANShemorrhage ffrom fwithin fthe
fmuscle
D fpt fwith famputation fof fan findex ffinger fwith fa fknife. famputaiton fis fbrought fin fwith fpt. fit
fis fwrapped fin fsterile fgauze fwith fsaline fand fsealed fin fa fplastic fbag. fthe fnext fstep
famputation fcare fis f- fANSplace fthe fbag fon fice
D frestrained fdriver fis finvolved fin fa fsevere fhead fon fMVC fand fpresnts fwith fa fseatbelt
fmark falong fthe fneck fand fupper fchest farea. fbilateral fdecreased fbreath fsounds,
fhemoptysis fand fdiffuse fsub fq femphysemato fthe fneck fand fupper fchest farea f-
fANStracheobronchial finjury
D fwhich fof fthe ffollowing fdiagnostic fintervention fis fmost fappropriate ffor fthe funstable
fpt fwith fa fsuspectedinternal fhemorrhage f- fANSfocused fassessment fwith
fsonography ffor ftrauma
D fwhich fphysiological fchange fin fairway fof fan fodler fadult fpt fplaces fthe fpt fat frisk ffor
fdifficult fintubation f- fANScervical farthritisA fa f22 fyr fold fwas fstruck fby fa fvehicle fwhile
fcrossing fthe fstreet, fsustaining fmultiple ffx fshe fis falert fand fanswering fqestions fand
fcrying fwhat fis fthe fbest fmethod ffor finitial fpain fassessment ffor fthis fpt f- fANSself freport
fscale
A fa fpt fsustrained fa fpenetrating finjury fof fhis fupper fleg. fthe fpre fhospital fpersonnel
fstates fa flarge famount fof fblood floss fbefore fhemostasiswas fachieved. fhe fpresents fto
fthe fER fresponding fto fpainful fstimuli fwith fmoaning. fhe fis ftachy f142 fb/p f104/96 fand
fRR f24 f- fANSdecompensated
A fan funrestrained fdriver fwas finvolved fin fa ffrontal fcollision fwithout fairbag
fdeployment. fhe fis fhypotensive fand ftachycardic fwith fshallow frespirations, fdistended
fJVD fand fmuffled fheart ftones fthe fnurse fprepare ffor fwhat f- fANSpericardiocentesis
A fduring fassessment fof fan fextremety fwith fsuspected fpulses fare f- fANScan fbe fnormal
A ffor fa fptwho fhas fundergone frecent fbariatric fsurgery, fflouroscopy fis frecommended fto
fplace f- fANSNG ftube
A fidentification fof fvulnerabilities fis fan fexample fof fwhat fphase fof fdisaster fmanagement
CONTAINS 500 QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS)TEST BANK |ALREADY GRADED
A+|100% COMPLETE PASS
A a 22 yr old was struck by a vehicle while crossing the street, sustaining multiple fx she
is alert and answering qestions and crying what is the best method for initial pain
assessment for this pt - ANSself report scale
A a pt sustrained a penetrating injury of his upper leg. the pre hospital personnel states
a large amount of blood loss before hemostasiswas achieved. he presents to the ER
responding to painful stimuli with moaning. he is tachy 142 b/p 104/96 and RR 24 -
ANSdecompensated
A an unrestrained driver was involved in a frontal collision without airbag deployment.
he is hypotensive and tachycardic with shallow respirations, distended JVD and muffled
heart tones the nurse prepare for what - ANSpericardiocentesis
A during assessment of an extremety with suspected pulses are - ANScan be normal
A for a ptwho has undergone recent bariatric surgery, flouroscopy is recommended to
place - ANSNG tube
A identification of vulnerabilities is an example of what phase of disaster management -
ANSmitigation
A in mass casualty "doing the greatest good for the greatest number of people refers to
a situation where - ANSthere may be more patients than resources
A in neurogenic shock, alterations in vital signs include hypotension and which other
abnormal VS - ANSbradycardia
A In the primary survey AVPU is performed to determine if the patient can: - ANSProtect
their aiway
A prego trauma pt develops tachy, hypotension, a rigide board like uterus, and dark, red
vaginal bleeding. she reports constant back pain which is increasing. the most likely
cause of s/s is - ANSplacental abruption
A several groups of people are at higher risk for maltreatment including children, elderly,
prego, and ... - ANSpt's with disability
A the nurse is preparing to cleanse an extensive abrasion contaminated with dirt and
gravel. which of the following intervention is indicated - ANSus copious amounts of NS
A The systemic inflammatory response is a normal part of the body's response to shock
from traumatic injury. what best describes this response - ANSit is activated by tissue
,hypoxia and sends neutrophils to injury site
A what is an early assessment finding to increased ICP in pt with a brain injury -
ANSvomiting
A when providing care for the pedicatric pt with burns the post resuscitation care, how
are fluids delivered - ANSparkland formula with maintainence fluidss
A which of hte following nursing interventions would be best for traumitc -
ANSHOB 30 degrees
A which of the following structures would be hte most affected by teh concept of
caviation - ANSLiver
A which of the following values is within the acceptable limits for trauma pt - ANSend
tidal CO2 of 40
B a pt father arrives in teh ER and needs to be told his son was severely injured in a
MVC and is in surgery, the father si agitated, yelling, and smells of alcohol. in planning
to talk with the father the trauma nurse will - ANSdeliver information regarding the son;s
care in a calm voice
B a pt involved in an MVC develops asymmetric pupillary reactivity, bilateral pupillary
dilation and abnormal motor posturing. what does the nurse suspect as the most likely
cause - ANSherniation syndrome
B a pt with injury to the middle meningeal artery is at risk for which of the following -
ANSepidural hematoma
B an occlusive dressing has been applied to a pt with a penetrating injury to the chest.
upon assessment the nurse notes that the patient is in respiratory distress nad has
absnet breath sounds on hte affected side. what is the priroruty intervention -
ANSremove the dressing to the wound
B an unrestrained driver inlvolved in a MVC in which alcohol was involed. he denies any
pain and numbness and tinlging. according to NEXUS critera which factors indicate
need for radiological - ANSsuspected alcohol abuse
B pt to ER after being pinned to brick retaining wall. knwoing crushing injuries can result
to significant damage to muslces the priority asessment for trauma nruse is for -
ANSmyoglobinemia nd renal failure
B the most common cause of shock in the trauma pt is - ANSloss of circ volume
B the unrestrained fron seat passenger in a MVC develops echymosis around
umbillicus. this assessment finding is most commonly associated with: - ANSbleeding in
the peritoneal cavity
B thinning skin and diminished autonomic response in older adult can have what effect
on primary assessment - ANScompromised thermoregulation
,B when assessing fa fpt ffollowing fa fMVC fthe fnurses fasks fhow ffsat fthe fcar fwas fgoing f-
fANSwhen fvolocity fis fdoubled fspeed fis fquadroupled
B fWHich fmay flead fto funreliable fpulse fox freading f- fANScarboxyhemoglobin
B fwhich fof fhte ffollowing fsignificant fassessment ffindigns fis ffrequently ffound fin fa
fpatient fwith fcomplete fcransiofacial fseparation finvolving fthe fmaxilla, fzygoma, forbits,
fand fbones fof fthe fcranial fbase. f- fANSdiplopia
B fwhich fof fthe ffollowing fhemodynamic fsupport fstrategies fis fthe fprioririty fintervention
ffor fa fpt fwith ftraumatic fpulmonary fcontusion f- fANSjudicios fuse fof fIV ffluids
Bduring fthe fprimary fsurvery fwhich fof fthe ffollowing fhas fthe fgreatest fpriority f-
fANScervical fspine finjury
C f32 fwk fpregnant flady farrives fin fer fafter ftrapped fin fa fcar fthat fflipped. fthe finitial
fassessment freveals fs/s fof fshock, fvaginal fbleeding, fa fpalpable fasymmetrical futerus,
fand fslowing ffetal fheart ftones fwhat fis fthe fmost flikely fcause f- fANSuterine frupture
C fa fcollege fstudent fpresents fto fthe fer fstating fafterarriving fat fa fparty f, fshe fawoke fin fa
fdorm from. fshe fdidnt frecognize fwith fno fmemory fof fthe fprevious fevening fthe ftrauma
fnurse fprepare ffor fwhat fexam. f- fANSsexual fassult
C fan fadult fpt finvolved fin fa fbrush ffire farrives fto fthe fer. fupon finitial fassessment fin fthe
fer fthe fmost fconcerning ffinding fis f- fANShoarse fvoice fand frepeatedly fdecides fto fclear
fthroat.
C fan folder fadult fpt ffell fin fthe fbathtub f3 fdays fago. fnow fshe fis fexihibiting fdecreasd
fLOC fand fdifficulty fwith fspeaking fand fwalking. fwhich fof fthe ffollowing finjuries fis fmost
feffective
- fANSsubdural fhematoma
C feffective fpain fmanagement fin fhte fpt fiwth frib ffxwill fpromote fwhat f- fANScough fwith
fability fto fclear fsecretions
C fproperly frestrained f6 fwk fold fkid fwas finvolved fin fa fMVC. fafter fthe fassessment fand
fstabilization fthe fpt fbecomes fmore fdifficult fto frouse. fresponding fwith fa fweak fcry fto
fpainful fstimuli. fthe fpupils fremain fbrisk fand freactive. fthe fanterior ffontanel fis fsoft fand
fflat. fwhat fis fthe fmost flikely fcause fand fpririty finterventions f- fANShypoglycemia
C fWhat fare fthe fprimary fbenefits fof fa fteam fapproach fto ftrauma fcare f- fANSit fprovides
fa fsystemic fapproach fto fcare fand forganizes fcare
C fwhat forgan fmight fbe finjured fin fleft flower frib ffx f- fANSspleen
C fwhich fof fthe ffollowing fwould fbe fpriority fintervention ffor fa fpt fwith fmultiple frib
ffractures fand fchest fwall finstability ffollwoing fa fmvc fcollision f- fANSassist fwith
fendotracheal fintubation
, C fwhich fof fthe ffollwoing fis fa frisk ffactor ffor fDVT fin fthe ftrauma fpt. f- fANSpelvic ffx
Cthe fterm fworried fwell fwhen frefering fto fdisaster fpreparedness fplanning frefers fto: f-
fANSindividuals fhwo fthink fthey fhave fbeen faffected fby fthe fevent fbut fare fasymptomatic
Cthe ftrauma fnurse fwould fprepare ffor fa fdefinitive fairwya ffor fwhich fof fthe ffollowing
fcondition. f- fANSGCS fof f8 for fls
D fAn funrestrained fdriver fis fbrought finto fthe femergency fdepartment ffollowing fa ffrontal
fimpact fMVC. fshe fis fpale, fanxious, fand fc/o fSOB. fwhat fis fthe fpotential finjury f-
fANSLumbar ffx
D felevated fcomaprtment fpressure fcan fbe fthe fresult fof f- fANShemorrhage ffrom fwithin fthe
fmuscle
D fpt fwith famputation fof fan findex ffinger fwith fa fknife. famputaiton fis fbrought fin fwith fpt. fit
fis fwrapped fin fsterile fgauze fwith fsaline fand fsealed fin fa fplastic fbag. fthe fnext fstep
famputation fcare fis f- fANSplace fthe fbag fon fice
D frestrained fdriver fis finvolved fin fa fsevere fhead fon fMVC fand fpresnts fwith fa fseatbelt
fmark falong fthe fneck fand fupper fchest farea. fbilateral fdecreased fbreath fsounds,
fhemoptysis fand fdiffuse fsub fq femphysemato fthe fneck fand fupper fchest farea f-
fANStracheobronchial finjury
D fwhich fof fthe ffollowing fdiagnostic fintervention fis fmost fappropriate ffor fthe funstable
fpt fwith fa fsuspectedinternal fhemorrhage f- fANSfocused fassessment fwith
fsonography ffor ftrauma
D fwhich fphysiological fchange fin fairway fof fan fodler fadult fpt fplaces fthe fpt fat frisk ffor
fdifficult fintubation f- fANScervical farthritisA fa f22 fyr fold fwas fstruck fby fa fvehicle fwhile
fcrossing fthe fstreet, fsustaining fmultiple ffx fshe fis falert fand fanswering fqestions fand
fcrying fwhat fis fthe fbest fmethod ffor finitial fpain fassessment ffor fthis fpt f- fANSself freport
fscale
A fa fpt fsustrained fa fpenetrating finjury fof fhis fupper fleg. fthe fpre fhospital fpersonnel
fstates fa flarge famount fof fblood floss fbefore fhemostasiswas fachieved. fhe fpresents fto
fthe fER fresponding fto fpainful fstimuli fwith fmoaning. fhe fis ftachy f142 fb/p f104/96 fand
fRR f24 f- fANSdecompensated
A fan funrestrained fdriver fwas finvolved fin fa ffrontal fcollision fwithout fairbag
fdeployment. fhe fis fhypotensive fand ftachycardic fwith fshallow frespirations, fdistended
fJVD fand fmuffled fheart ftones fthe fnurse fprepare ffor fwhat f- fANSpericardiocentesis
A fduring fassessment fof fan fextremety fwith fsuspected fpulses fare f- fANScan fbe fnormal
A ffor fa fptwho fhas fundergone frecent fbariatric fsurgery, fflouroscopy fis frecommended fto
fplace f- fANSNG ftube
A fidentification fof fvulnerabilities fis fan fexample fof fwhat fphase fof fdisaster fmanagement
