TNCC FINAL EXAM 4 LATEST VERSIONS 2024-2025 CONTAINS 500
QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)TEST
BANK |ALREADY GRADED A+|100% COMPLETE|verified
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
M
A during assessment of an extremety with suspected pulses are - ANScan be normal
ED
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
ST
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
U
A In the primary survey AVPU is performed to determine if the patient can: - ANSProtect
their aiway
D
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
Y
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
MEDSTUDY.COM
,TNCC FINAL EXAM 4 LATEST VERSIONS 2024-2025 CONTAINS 500
QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)TEST
BANK |ALREADY GRADED A+|100% COMPLETE|verified
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
M
A which of the following values is within the acceptable limits for trauma pt - ANSend
tidal CO2 of 40
ED
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
ST
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
U
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
D
absnet breath sounds on hte affected side. what is the priroruty intervention -
ANSremove the dressing to the wound
Y
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
MEDSTUDY.COM
,TNCC FINAL EXAM 4 LATEST VERSIONS 2024-2025 CONTAINS 500
QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)TEST
BANK |ALREADY GRADED A+|100% COMPLETE|verified
B thinning skin and diminished autonomic response in older adult can have what effect
on primary assessment - ANScompromised thermoregulation
B when assessing a pt following a MVC the nurses asks how fsat the car was going -
ANSwhen volocity is doubled speed is quadroupled
B WHich may lead to unreliable pulse ox reading - ANScarboxyhemoglobin
B which of hte following significant assessment findigns is frequently found in a patient
with complete cransiofacial separation involving the maxilla, zygoma, orbits, and bones
of the cranial base. - ANSdiplopia
M
B which of the following hemodynamic support strategies is the prioririty intervention for
a pt with traumatic pulmonary contusion - ANSjudicios use of IV fluids
ED
Bduring the primary survery which of the following has the greatest priority -
ANScervical spine injury
C 32 wk pregnant lady arrives in er after trapped in a car that flipped. the initial
assessment reveals s/s of shock, vaginal bleeding, a palpable asymmetrical uterus, and
ST
slowing fetal heart tones what is the most likely cause - ANSuterine rupture
C a college student presents to the er stating afterarriving at a party , she awoke in a
dorm rom. she didnt recognize with no memory of the previous evening the trauma
nurse prepare for what exam. - ANSsexual assult
U
C an adult pt involved in a brush fire arrives to the er. upon initial assessment in the er
the most concerning finding is - ANShoarse voice and repeatedly decides to clear
D
throat.
C an older adult pt fell in the bathtub 3 days ago. now she is exihibiting decreasd LOC
Y
and difficulty with speaking and walking. which of the following injuries is most effective
- ANSsubdural hematoma
C effective pain management in hte pt iwth rib fxwill promote what - ANScough with
ability to clear secretions
C properly restrained 6 wk old kid was involved in a MVC. after the assessment and
stabilization the pt becomes more difficult to rouse. responding with a weak cry to
painful stimuli. the pupils remain brisk and reactive. the anterior fontanel is soft and flat.
what is the most likely cause and pririty interventions - ANShypoglycemia
C What are the primary benefits of a team approach to trauma care - ANSit provides a
systemic approach to care and organizes care
MEDSTUDY.COM
, TNCC FINAL EXAM 4 LATEST VERSIONS 2024-2025 CONTAINS 500
QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)TEST
BANK |ALREADY GRADED A+|100% COMPLETE|verified
C what organ might be injured in left lower rib fx - ANSspleen
C which of the following would be priority intervention for a pt with multiple rib fractures
and chest wall instability follwoing a mvc collision - ANSassist with endotracheal
intubation
C which of the follwoing is a risk factor for DVT in the trauma pt. - ANSpelvic fx
Cthe term worried well when refering to disaster preparedness planning refers to: -
ANSindividuals hwo think they have been affected by the event but are asymptomatic
M
Cthe trauma nurse would prepare for a definitive airwya for which of the following
condition. - ANSGCS of 8 or ls
ED
D An unrestrained driver is brought into the emergency department following a frontal
impact MVC. she is pale, anxious, and c/o SOB. what is the potential injury -
ANSLumbar fx
D elevated comaprtment pressure can be the result of - ANShemorrhage from within the
muscle
ST
D pt with amputation of an index finger with a knife. amputaiton is brought in with pt. it is
wrapped in sterile gauze with saline and sealed in a plastic bag. the next step
amputation care is - ANSplace the bag on ice
U
D restrained driver is involved in a severe head on MVC and presnts with a seatbelt
mark along the neck and upper chest area. bilateral decreased breath sounds,
hemoptysis and diffuse sub q emphysemato the neck and upper chest area -
D
ANStracheobronchial injury
D which of the following diagnostic intervention is most appropriate for the unstable pt
Y
with a suspectedinternal hemorrhage - ANSfocused assessment with sonography for
trauma
D which physiological change in airway of an odler adult pt places the pt at risk for
difficult intubation - ANScervical arthritisA 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
MEDSTUDY.COM
QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)TEST
BANK |ALREADY GRADED A+|100% COMPLETE|verified
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
M
A during assessment of an extremety with suspected pulses are - ANScan be normal
ED
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
ST
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
U
A In the primary survey AVPU is performed to determine if the patient can: - ANSProtect
their aiway
D
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
Y
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
MEDSTUDY.COM
,TNCC FINAL EXAM 4 LATEST VERSIONS 2024-2025 CONTAINS 500
QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)TEST
BANK |ALREADY GRADED A+|100% COMPLETE|verified
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
M
A which of the following values is within the acceptable limits for trauma pt - ANSend
tidal CO2 of 40
ED
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
ST
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
U
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
D
absnet breath sounds on hte affected side. what is the priroruty intervention -
ANSremove the dressing to the wound
Y
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
MEDSTUDY.COM
,TNCC FINAL EXAM 4 LATEST VERSIONS 2024-2025 CONTAINS 500
QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)TEST
BANK |ALREADY GRADED A+|100% COMPLETE|verified
B thinning skin and diminished autonomic response in older adult can have what effect
on primary assessment - ANScompromised thermoregulation
B when assessing a pt following a MVC the nurses asks how fsat the car was going -
ANSwhen volocity is doubled speed is quadroupled
B WHich may lead to unreliable pulse ox reading - ANScarboxyhemoglobin
B which of hte following significant assessment findigns is frequently found in a patient
with complete cransiofacial separation involving the maxilla, zygoma, orbits, and bones
of the cranial base. - ANSdiplopia
M
B which of the following hemodynamic support strategies is the prioririty intervention for
a pt with traumatic pulmonary contusion - ANSjudicios use of IV fluids
ED
Bduring the primary survery which of the following has the greatest priority -
ANScervical spine injury
C 32 wk pregnant lady arrives in er after trapped in a car that flipped. the initial
assessment reveals s/s of shock, vaginal bleeding, a palpable asymmetrical uterus, and
ST
slowing fetal heart tones what is the most likely cause - ANSuterine rupture
C a college student presents to the er stating afterarriving at a party , she awoke in a
dorm rom. she didnt recognize with no memory of the previous evening the trauma
nurse prepare for what exam. - ANSsexual assult
U
C an adult pt involved in a brush fire arrives to the er. upon initial assessment in the er
the most concerning finding is - ANShoarse voice and repeatedly decides to clear
D
throat.
C an older adult pt fell in the bathtub 3 days ago. now she is exihibiting decreasd LOC
Y
and difficulty with speaking and walking. which of the following injuries is most effective
- ANSsubdural hematoma
C effective pain management in hte pt iwth rib fxwill promote what - ANScough with
ability to clear secretions
C properly restrained 6 wk old kid was involved in a MVC. after the assessment and
stabilization the pt becomes more difficult to rouse. responding with a weak cry to
painful stimuli. the pupils remain brisk and reactive. the anterior fontanel is soft and flat.
what is the most likely cause and pririty interventions - ANShypoglycemia
C What are the primary benefits of a team approach to trauma care - ANSit provides a
systemic approach to care and organizes care
MEDSTUDY.COM
, TNCC FINAL EXAM 4 LATEST VERSIONS 2024-2025 CONTAINS 500
QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)TEST
BANK |ALREADY GRADED A+|100% COMPLETE|verified
C what organ might be injured in left lower rib fx - ANSspleen
C which of the following would be priority intervention for a pt with multiple rib fractures
and chest wall instability follwoing a mvc collision - ANSassist with endotracheal
intubation
C which of the follwoing is a risk factor for DVT in the trauma pt. - ANSpelvic fx
Cthe term worried well when refering to disaster preparedness planning refers to: -
ANSindividuals hwo think they have been affected by the event but are asymptomatic
M
Cthe trauma nurse would prepare for a definitive airwya for which of the following
condition. - ANSGCS of 8 or ls
ED
D An unrestrained driver is brought into the emergency department following a frontal
impact MVC. she is pale, anxious, and c/o SOB. what is the potential injury -
ANSLumbar fx
D elevated comaprtment pressure can be the result of - ANShemorrhage from within the
muscle
ST
D pt with amputation of an index finger with a knife. amputaiton is brought in with pt. it is
wrapped in sterile gauze with saline and sealed in a plastic bag. the next step
amputation care is - ANSplace the bag on ice
U
D restrained driver is involved in a severe head on MVC and presnts with a seatbelt
mark along the neck and upper chest area. bilateral decreased breath sounds,
hemoptysis and diffuse sub q emphysemato the neck and upper chest area -
D
ANStracheobronchial injury
D which of the following diagnostic intervention is most appropriate for the unstable pt
Y
with a suspectedinternal hemorrhage - ANSfocused assessment with sonography for
trauma
D which physiological change in airway of an odler adult pt places the pt at risk for
difficult intubation - ANScervical arthritisA 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
MEDSTUDY.COM
