TNCC 9TH EDITION FINAL TEST GUIDE 2025 QUESTIONS AND 100% VERIFIED ANSWERS |
GRADED A+ | GUARANTEED PASS!!
1. An adult patient who sustained a severe head trauma has been intubated and is being
manually ventilated via a bag-mask device at a rate of 18 breaths/minute. The patient has
received one intravenous fluid bolus of 500 mL of warmed isotonic crystalloid solution. The
PaCO2 is 30 mm Hg (4.0 kPa), and the pulse oximetry is 92%. BP is 142/70 mm Hg. What is
the most important intervention to manage the cerebral blood flow? A. Decrease the rate
of manual ventilation
B. Initiate another fluid bolus.
C. Recheck endotracheal tube placement.
D. Increase the amount of oxygen delivered.
Ans A. Decrease the rate of manual ventilation
2. 2. Which of the following situations could cause functional grief?
A. Inability to live at home
B. Amputation of a limb
C. Loss of one's self-image
D. Destruction of the patient's car
Ans B. Amputation of a limb
Rationale
Preparation and Ongoing Care\Psychosocial Aspects
Functional grief relates to the loss of body function or body parts such as amputation of a
limb, paralysis, or loss of sight.
3. 3. What is the most important consideration during the initial assessment when caring
for an older adult who has sustained serious injuries?
A. They are likely to be fearful in the emergency department
B. Medical history including current medications
, C. Availability of support systems after discharge
D. Accessibility to a primary care physician
Ans B. Medical history including current medications
4. 4. You are caring for a patient who was thrown from a bike and was not wearing a
helmet. While performing the head-to-toe assessment, you note clear drainage from
the right ear. Which of the following is the most appropriate next step?
A. Clean the ear with a cotton-tipped applicator.
B. Pack the ear with gauze.
C. Notify the physician
D. Document and continue the exam.
Ans C. Notify the physician
5. 5. When should the definitive calculation for intravenous fluid resuscitation rate be
performed for a patient with burns?
A. As soon as the patient arrives
B. After removal of clothing
C. Only at a burn center
D. During the circulation assessment
Ans B. After removal of clothing
Rationale
Musculoskeletal and Wounds\Burns
Some fluid will be given initially, but an accurate fluid total is based on percentage of total
body surface area which requires a good skin assessment and is calculated after clothing is
removed.
6. 6. In a motor vehicle collision, which injury pathway is most likely to increase the patient's
morbidity and mortality?
A. Rotational
B. Ejection
C. Lateral
GRADED A+ | GUARANTEED PASS!!
1. An adult patient who sustained a severe head trauma has been intubated and is being
manually ventilated via a bag-mask device at a rate of 18 breaths/minute. The patient has
received one intravenous fluid bolus of 500 mL of warmed isotonic crystalloid solution. The
PaCO2 is 30 mm Hg (4.0 kPa), and the pulse oximetry is 92%. BP is 142/70 mm Hg. What is
the most important intervention to manage the cerebral blood flow? A. Decrease the rate
of manual ventilation
B. Initiate another fluid bolus.
C. Recheck endotracheal tube placement.
D. Increase the amount of oxygen delivered.
Ans A. Decrease the rate of manual ventilation
2. 2. Which of the following situations could cause functional grief?
A. Inability to live at home
B. Amputation of a limb
C. Loss of one's self-image
D. Destruction of the patient's car
Ans B. Amputation of a limb
Rationale
Preparation and Ongoing Care\Psychosocial Aspects
Functional grief relates to the loss of body function or body parts such as amputation of a
limb, paralysis, or loss of sight.
3. 3. What is the most important consideration during the initial assessment when caring
for an older adult who has sustained serious injuries?
A. They are likely to be fearful in the emergency department
B. Medical history including current medications
, C. Availability of support systems after discharge
D. Accessibility to a primary care physician
Ans B. Medical history including current medications
4. 4. You are caring for a patient who was thrown from a bike and was not wearing a
helmet. While performing the head-to-toe assessment, you note clear drainage from
the right ear. Which of the following is the most appropriate next step?
A. Clean the ear with a cotton-tipped applicator.
B. Pack the ear with gauze.
C. Notify the physician
D. Document and continue the exam.
Ans C. Notify the physician
5. 5. When should the definitive calculation for intravenous fluid resuscitation rate be
performed for a patient with burns?
A. As soon as the patient arrives
B. After removal of clothing
C. Only at a burn center
D. During the circulation assessment
Ans B. After removal of clothing
Rationale
Musculoskeletal and Wounds\Burns
Some fluid will be given initially, but an accurate fluid total is based on percentage of total
body surface area which requires a good skin assessment and is calculated after clothing is
removed.
6. 6. In a motor vehicle collision, which injury pathway is most likely to increase the patient's
morbidity and mortality?
A. Rotational
B. Ejection
C. Lateral
