TNCC FINAL EXAM TEST 2024 OPEN BOOK
QUESTIONS AND 100% CORRECT ANSWERS
GRADED A+
Why is a measure of serum lactate obtained in the initial assessment of
the trauma patient?
Answer: c - ANSWER a) to measure oxygenation and ventilation
b) to quantify the base deficit for the adequacy of cellular perfusion
c) *to gauge end-organ perfusion and tissue hypoxia **
d) to determine the underlying cause of shock
A trauma patient is restless and repeatedly asking "where am I?" vital
signs upon arrival were BP 100/60 mm Hg, HR 96 beats/min, and RR
24 breaths/min. Her skin is cool and dry. Current vital signs are BP
104/84mm Hg, HR 108, RR 28 breaths/min. The patient is
demonstrating signs and symptoms of which stage of shock?
1
,Answer: A - ANSWER A) compensated **
B) Progressive
C) irreversible
D) decompensated
2
,An elderly patient with a history of anticoagulant use presents after a fall
at home that day. she denies any loss of consciousness. She has a
hematoma to her forehead and complains of headache, dizziness, and
nausea. Which is a most likely cause of her symptoms?
Answer: D - ANSWER A) epidural hematoma
B) diffuse axonal injury
C) post-concussive syndrome
D) subdural hematoma ***
EMS brings a patient who fell riding his bicycle. Using the American
College of Surgeons screening guidelines, which assessment finding
would prompt the nurse to prepare the patient for radiologic spine
clearance?
Answer: D - ANSWER A) Alert with no neurologic deficits
B) Multiple abrasions to the extremities
C) Multiple requests of water
D) Smell of alcohol on breath ***
3
, Which of the following occurs during the third impact of a motor vehicle
crash?
Answer: C - ANSWER A) The driver of the vehicle collides with the
steering wheel
4
QUESTIONS AND 100% CORRECT ANSWERS
GRADED A+
Why is a measure of serum lactate obtained in the initial assessment of
the trauma patient?
Answer: c - ANSWER a) to measure oxygenation and ventilation
b) to quantify the base deficit for the adequacy of cellular perfusion
c) *to gauge end-organ perfusion and tissue hypoxia **
d) to determine the underlying cause of shock
A trauma patient is restless and repeatedly asking "where am I?" vital
signs upon arrival were BP 100/60 mm Hg, HR 96 beats/min, and RR
24 breaths/min. Her skin is cool and dry. Current vital signs are BP
104/84mm Hg, HR 108, RR 28 breaths/min. The patient is
demonstrating signs and symptoms of which stage of shock?
1
,Answer: A - ANSWER A) compensated **
B) Progressive
C) irreversible
D) decompensated
2
,An elderly patient with a history of anticoagulant use presents after a fall
at home that day. she denies any loss of consciousness. She has a
hematoma to her forehead and complains of headache, dizziness, and
nausea. Which is a most likely cause of her symptoms?
Answer: D - ANSWER A) epidural hematoma
B) diffuse axonal injury
C) post-concussive syndrome
D) subdural hematoma ***
EMS brings a patient who fell riding his bicycle. Using the American
College of Surgeons screening guidelines, which assessment finding
would prompt the nurse to prepare the patient for radiologic spine
clearance?
Answer: D - ANSWER A) Alert with no neurologic deficits
B) Multiple abrasions to the extremities
C) Multiple requests of water
D) Smell of alcohol on breath ***
3
, Which of the following occurs during the third impact of a motor vehicle
crash?
Answer: C - ANSWER A) The driver of the vehicle collides with the
steering wheel
4
