TNCCd Examd 8thd Editiond Studyd Questionsd AndAnswersd –d BestdScored!!
TNCC Exam 8th Edition Study Questions And An
d d d d d d d
swers – Best Scored!!
d d d
1. Whatd isd thed effectd ofd hypothermiad ond thed oxyhemoglobind dissociationd curvedC
orrectdans -
d Hemoglobind doesdnotdreadilyd releasedoxygendfordusedbydtheddtissuesd Ad shiftd tod thed
leftdoccursd indandenvironmentd ofd lowd metabolicd demandd d (hypothermia,dhypocapn
ia,dalkalosis),dincreasingdhemoglobin'sdaffinitydfordd oxygen.
2. EMSd arrivesd withd thed intoxicatedd driverd ofd ad card involvedd ind ad motordvehicled
crash.d EMSd reportsd significantd damaged tod thed driver'sd sided ofd thed car.dThed pati
entd isd askingd tod haved thed cervicald collard removed.d Whend itd isdappropriatetodre
movedthedcervicaldcollar? Correctdans -
d Afterdaddphysicald examinationd ifd thed patientd hasd nod radiologicd abnormalitiesd on
d CTd Ad d CTd isd recommendedd ford spinald clearanced ind and impairedd patient.
3. Thednursedisdcaringdfordad120dkgdmaledbroughtdindafterdadwarehousedfiredanddis
calculatingdthedpatient'sdfluiddresuscitationdneeds.dHedhasdpainfuldreddblisteri
ngdtodthedentiredsurfacedofdbothdupperdextremitiesdanddsuperficialdburnsdtodtheda
nteriordchest.dUsingdthedmodifieddLunddanddBrowderdchartdtodcalculatedthedtotal
d bodydsurfacedareadburned,dhowdmuchdIVdfluiddwoulddbedadministereddindthedfir
std8dhours? Correctdans -
d 2280dmLdBothdupperddarmsd=d8%,dbothdlowerdarmsd=d6%,danddbothdhandsd=d5%,d
yieldingd19d*d2d*dd120d=d4560dmL.dHalfdofdthedtotaldisdequaldtod2280dmL.dSuperfi
cialdburnsdareddnotdincludeddindthedTBSAdcalculationdfordfluiddresuscitation.
4. Whichdofd thed followingd isd and expectedd findingd indad patientd withdad tubedtho
racostomydconnecteddtodadchestddrainagedsystem Correctdans -
FluctuationdindthedwaterdsealdchamberdFluctuationdindthedwaterdsealdchamber
d
, TNCCd Examd 8thd Editiond Studyd Questionsd AndAnswersd –d BestdScored!!
indicatesdthedtubedisdplaceddcorrectlydindthedpleuraldspace.
5. Ad35-year-
oldd maled presentsd withdfaciald traumad afterdbeingd struckd ind thedfacewithd ad ba
seball.d Ad teardrop-
shapedd leftd pupild isd notedd ond exam.d Whatdtypedofdinjurydisdsuspected?
Correctdans -dGlobedrupturedAddteardrop-
shapedd pupild suggestsd ad globed rupture.
6. Adpatientdwithdad completed spinaldcorddinjurydind neurogenicd shockd willddemonstr
atedhypotensiondanddwhichdotherdclinicaldsigns? Correctdans -
Bradycardiad andd absentd motord functiond belowd thed leveld ofd injuryd Patientsd withda
d
d completed spinald cordd injuryd willd haved absentd motord functiond belowd thed leveldofd
thedlesion.dTheyd becomed hypotensivedanddbradycardicd duedtodlossd ofddautonomicdn
ervousdsystemdfunction.
7. Whichd ofd thed followingd patientsd warrantsd referrald tod ad burnd center?
Correctd ans -d d Ad 52-year-oldd diabeticd maled withd ad partial-thicknessd burnd to
thedleftdlowerdlegdThisdpatientdhasdad7%dTBSAdburndwithdadpreexistingdmedicaldhis
torydthatdcoulddcomplicatedmanagement,dprolongdrecovery,dordaffectddmortality.
8. Youd ared caringd ford ad patientd whod wasd involvedd ind ad motord vehicled crashd anddis
32d weeksd pregnant.d Findingsd ofd yourd secondaryd surveyd included abdominaldpaind
ond palpation,d fundald heightd atd thed costald margin,d andd somed darkd bloodydshow.d
Varyingd accelerationsd andd decelerationsd ared notedd ond cardiotocography.d Thesed
findingsdared mostd consistentd withd whichd ofd thedfollowing? Correctdans -
d PlacentaldabruptiondThedfindingsdofdabdominald pain,d elevatedd fundaldheight,d dar
kdbloodyd show,d anddfetalddistressd aredmostd d consistentdwithdplacentaldabruption.
9. Ad 20-year-
oldd maled presentsd tod thed EDd complainingd ofd severed lowerdabdominald paind afterd
landingd hardd ond thed bicycled crossd barsd whiled performingdand aeriald BMXd maneuve
r.d Secondaryd assessmentd revealsd lowerd abdominal
, TNCCd Examd 8thd Editiond Studyd Questionsd AndAnswersd –d BestdScored!!
tendernessd andd scrotald ecchymosis.d Whichd ofd thed followingd ordersd wouldd thedn
ursedquestion? Correctdans -
d StraightdcatheterdfordurinedsampledInsertiond ofd ad urinaryd catheterd isdcontraindic
atedd ifd urethrald transectiond isdsuspected.d Signsd andd symptomsd ofd urethrald injur
yd included bloodd atd thedmeatus,d perineald ecchymosis,d scrotald ecchymosis,d andd a
d high-ridingd ord non-dpalpabledprostate.
Whichd ofd thed followingd occursd duringd thed thirdd impactd ofdad motord vehicledcr
ash? Correctdans -
d Thedaortadisdtorndatditsdattachmentdwithdthedligamentumd arteriosumd Thisd oc
cursd duringd thed thirdd impact.
Alld ofd thesed ared consideredd ad criticald communicationd pointd ind traumad caredEX
CEPTdwhichdofdthedfollowing? Correctdans -
d DefusingsdAddefusingdisdpartd ofd criticald incidentd stressd managementd butd isd not
d consideredd ad criticaldcommunicationdpointdindtraumadcare.
Whichd ofd thed followingd mnemonicsd cand helpd thed nursedprioritized cared ford adtrau
madpatientdwithdmassiveduncontrolleddhemorrhage? Correctdans -
MARCHd Thed MARCHd mnemonicd standsd ford massived hemorrhage,d airway,drespirat
d
ion,d circulation,d andd headd injury/hypothermia.d Thed MARCHd mnemonicdrecogniz
esd uncontrolledd hemorrhaged asd thed majord caused ofd preventableddeathdafterdin
jury.
Youd ared treatingd ad 27-year-
oldd maled ind respiratoryd distressd whod wasd involvedd ind ad housed fire.d Calculatingd to
tald bodyd surfaced aread (TBSA)d burnedd isd deferredddued tod thed needd ford emergentd i
ntubation.d Atd whatd rated shouldd youd begind fluiddresuscitation? Correctdans -
d 500dmL/hourdPriordtodcalculatingdTBSA,dthisd isd thed recommendedd startingd pointd
ford fluidd resuscitationd ford patientsd 14dyearsdofdagedanddolder
TNCC Exam 8th Edition Study Questions And An
d d d d d d d
swers – Best Scored!!
d d d
1. Whatd isd thed effectd ofd hypothermiad ond thed oxyhemoglobind dissociationd curvedC
orrectdans -
d Hemoglobind doesdnotdreadilyd releasedoxygendfordusedbydtheddtissuesd Ad shiftd tod thed
leftdoccursd indandenvironmentd ofd lowd metabolicd demandd d (hypothermia,dhypocapn
ia,dalkalosis),dincreasingdhemoglobin'sdaffinitydfordd oxygen.
2. EMSd arrivesd withd thed intoxicatedd driverd ofd ad card involvedd ind ad motordvehicled
crash.d EMSd reportsd significantd damaged tod thed driver'sd sided ofd thed car.dThed pati
entd isd askingd tod haved thed cervicald collard removed.d Whend itd isdappropriatetodre
movedthedcervicaldcollar? Correctdans -
d Afterdaddphysicald examinationd ifd thed patientd hasd nod radiologicd abnormalitiesd on
d CTd Ad d CTd isd recommendedd ford spinald clearanced ind and impairedd patient.
3. Thednursedisdcaringdfordad120dkgdmaledbroughtdindafterdadwarehousedfiredanddis
calculatingdthedpatient'sdfluiddresuscitationdneeds.dHedhasdpainfuldreddblisteri
ngdtodthedentiredsurfacedofdbothdupperdextremitiesdanddsuperficialdburnsdtodtheda
nteriordchest.dUsingdthedmodifieddLunddanddBrowderdchartdtodcalculatedthedtotal
d bodydsurfacedareadburned,dhowdmuchdIVdfluiddwoulddbedadministereddindthedfir
std8dhours? Correctdans -
d 2280dmLdBothdupperddarmsd=d8%,dbothdlowerdarmsd=d6%,danddbothdhandsd=d5%,d
yieldingd19d*d2d*dd120d=d4560dmL.dHalfdofdthedtotaldisdequaldtod2280dmL.dSuperfi
cialdburnsdareddnotdincludeddindthedTBSAdcalculationdfordfluiddresuscitation.
4. Whichdofd thed followingd isd and expectedd findingd indad patientd withdad tubedtho
racostomydconnecteddtodadchestddrainagedsystem Correctdans -
FluctuationdindthedwaterdsealdchamberdFluctuationdindthedwaterdsealdchamber
d
, TNCCd Examd 8thd Editiond Studyd Questionsd AndAnswersd –d BestdScored!!
indicatesdthedtubedisdplaceddcorrectlydindthedpleuraldspace.
5. Ad35-year-
oldd maled presentsd withdfaciald traumad afterdbeingd struckd ind thedfacewithd ad ba
seball.d Ad teardrop-
shapedd leftd pupild isd notedd ond exam.d Whatdtypedofdinjurydisdsuspected?
Correctdans -dGlobedrupturedAddteardrop-
shapedd pupild suggestsd ad globed rupture.
6. Adpatientdwithdad completed spinaldcorddinjurydind neurogenicd shockd willddemonstr
atedhypotensiondanddwhichdotherdclinicaldsigns? Correctdans -
Bradycardiad andd absentd motord functiond belowd thed leveld ofd injuryd Patientsd withda
d
d completed spinald cordd injuryd willd haved absentd motord functiond belowd thed leveldofd
thedlesion.dTheyd becomed hypotensivedanddbradycardicd duedtodlossd ofddautonomicdn
ervousdsystemdfunction.
7. Whichd ofd thed followingd patientsd warrantsd referrald tod ad burnd center?
Correctd ans -d d Ad 52-year-oldd diabeticd maled withd ad partial-thicknessd burnd to
thedleftdlowerdlegdThisdpatientdhasdad7%dTBSAdburndwithdadpreexistingdmedicaldhis
torydthatdcoulddcomplicatedmanagement,dprolongdrecovery,dordaffectddmortality.
8. Youd ared caringd ford ad patientd whod wasd involvedd ind ad motord vehicled crashd anddis
32d weeksd pregnant.d Findingsd ofd yourd secondaryd surveyd included abdominaldpaind
ond palpation,d fundald heightd atd thed costald margin,d andd somed darkd bloodydshow.d
Varyingd accelerationsd andd decelerationsd ared notedd ond cardiotocography.d Thesed
findingsdared mostd consistentd withd whichd ofd thedfollowing? Correctdans -
d PlacentaldabruptiondThedfindingsdofdabdominald pain,d elevatedd fundaldheight,d dar
kdbloodyd show,d anddfetalddistressd aredmostd d consistentdwithdplacentaldabruption.
9. Ad 20-year-
oldd maled presentsd tod thed EDd complainingd ofd severed lowerdabdominald paind afterd
landingd hardd ond thed bicycled crossd barsd whiled performingdand aeriald BMXd maneuve
r.d Secondaryd assessmentd revealsd lowerd abdominal
, TNCCd Examd 8thd Editiond Studyd Questionsd AndAnswersd –d BestdScored!!
tendernessd andd scrotald ecchymosis.d Whichd ofd thed followingd ordersd wouldd thedn
ursedquestion? Correctdans -
d StraightdcatheterdfordurinedsampledInsertiond ofd ad urinaryd catheterd isdcontraindic
atedd ifd urethrald transectiond isdsuspected.d Signsd andd symptomsd ofd urethrald injur
yd included bloodd atd thedmeatus,d perineald ecchymosis,d scrotald ecchymosis,d andd a
d high-ridingd ord non-dpalpabledprostate.
Whichd ofd thed followingd occursd duringd thed thirdd impactd ofdad motord vehicledcr
ash? Correctdans -
d Thedaortadisdtorndatditsdattachmentdwithdthedligamentumd arteriosumd Thisd oc
cursd duringd thed thirdd impact.
Alld ofd thesed ared consideredd ad criticald communicationd pointd ind traumad caredEX
CEPTdwhichdofdthedfollowing? Correctdans -
d DefusingsdAddefusingdisdpartd ofd criticald incidentd stressd managementd butd isd not
d consideredd ad criticaldcommunicationdpointdindtraumadcare.
Whichd ofd thed followingd mnemonicsd cand helpd thed nursedprioritized cared ford adtrau
madpatientdwithdmassiveduncontrolleddhemorrhage? Correctdans -
MARCHd Thed MARCHd mnemonicd standsd ford massived hemorrhage,d airway,drespirat
d
ion,d circulation,d andd headd injury/hypothermia.d Thed MARCHd mnemonicdrecogniz
esd uncontrolledd hemorrhaged asd thed majord caused ofd preventableddeathdafterdin
jury.
Youd ared treatingd ad 27-year-
oldd maled ind respiratoryd distressd whod wasd involvedd ind ad housed fire.d Calculatingd to
tald bodyd surfaced aread (TBSA)d burnedd isd deferredddued tod thed needd ford emergentd i
ntubation.d Atd whatd rated shouldd youd begind fluiddresuscitation? Correctdans -
d 500dmL/hourdPriordtodcalculatingdTBSA,dthisd isd thed recommendedd startingd pointd
ford fluidd resuscitationd ford patientsd 14dyearsdofdagedanddolder
