TNCC 9th Exam Question and
Correct
An adult patient who sustained a severe head trauma has been intubated and has been manually
ventilated via a bag mask device at a rate of 18 breaths per minute. The patient has received one
intravenous fluid bolus of 500 ML of warmed isotonic crystalloid solution. The PaCO2 is 30 and a pulse
ox symmetry is 92%. BP is 142/70. What is the most important intervention to manage the cerebral
blood flow? - Correct Answers: decrease the rate of manual ventilation
An older patient with a history of anticoagulant use presents after a fall at home the previous day. She
denies LLC. She has a hematoma to her for head and complains of headache, dizziness, and nausea.
What is the most likely cause of her symptoms? - Correct Answers: Subdural hematoma
An adult who fell from a second story roof is brought to the emergency department by private vehicle.
The patient is confused with an labored, respirations. It has strong, palpable, radial pulses. There is an
open wound in proximity to Novios, deformity of the left lower extremity. What is the priority
intervention? - Correct Answers: Stabilize the C-spine
A trauma patient is restless and repeatedly asking "where am I?" Vitals upon arrival were BP 110/60, HR
96, RR 24. Her skin is cool and dry. Current vital signs are BP 104/84, heart rate 108, respirations 28. The
patient is demonstrating signs and symptoms of which stage of shock. - Correct Answers: compensated
A 35-year-old male presents with facial trauma after being struck in the face with a baseball. A teardrop
shaped left people is noted on exam. What type of injury is suspected? - Correct Answers: Globe rupture
An adult patient with a restraint passenger involved in a high-speed motor vehicle collision. The patient
complained of generalized abdominal and left leg pain. A fast examines negative for fluid in the
abdominal cavity. While awaiting impatient bed placement, the patient develops increase abdominal
pain with rebound tenderness, fever, in an elevated white blood cell count. These findings are most
consistent with an injury to which organ? - Correct Answers: Small bowel
What intravascular solution is most commonly use for patients who have sustained burns? - Correct
Answers: Lactated Ringers (LR)
, Which of the following is true about use of the focused assessment sonography for trauma exam for a
patient with abdominal trauma? - Correct Answers: It can be used in hypotensive patients too unstable
for computed tomographic scan."
You are speaking with the family of a critically injured patient. The spouse is crying loudly and the
daughter is angry and yelling at the staff. Which of the following nursing interventions is most
appropriate? - Correct Answers: Spiritual support
A trauma patient is being held in the emergency department, because there are no available inpatient
beds. The patient has seen a femur fracture and required multiple blood products. The patient now has
blood oozing from abrasions, IV sides, the nose, and gums. What condition is most consistent with these
findings? - Correct Answers: DIC
A patient with a chest tube is being transported to the intensive care unit and fluctuation is noted in the
water seal chamber during inspiration and expiration. What is the best action for the nurse to take? -
Correct Answers: continue to ICU
A patient has uncontrolled bleeding from a wound to his right upper extremity. What is a priority
intervention? - Correct Answers: Apply direct pressure to the wound
A patient has received multiple transfusions of banks blood in the past two hours. the patient has -
Correct Answers: Calcium gluconate
Three adults present at different times during a one-hour period with a high fever, fatigue, and
headache. All three patients have a rash which started on their mouth, face, and arms with progression
to the chest and abdomen. They all visited the same grocery store within the last week. What is the
most appropriate intervention from triage for these patients? - Correct Answers: immediately initiate
isolation precautions
A trauma patient who is 30 weeks pregnant arrives at the emergency department following a motor
vehicle crash - Correct Answers: increased oxygen consumption
Following a gun shot wound, pre-hospital providers report diminished breath sounds bilaterally. Upon
emergency department arrival, the patient is unresponsive with shallow respirations and an O2 sat of
Correct
An adult patient who sustained a severe head trauma has been intubated and has been manually
ventilated via a bag mask device at a rate of 18 breaths per minute. The patient has received one
intravenous fluid bolus of 500 ML of warmed isotonic crystalloid solution. The PaCO2 is 30 and a pulse
ox symmetry is 92%. BP is 142/70. What is the most important intervention to manage the cerebral
blood flow? - Correct Answers: decrease the rate of manual ventilation
An older patient with a history of anticoagulant use presents after a fall at home the previous day. She
denies LLC. She has a hematoma to her for head and complains of headache, dizziness, and nausea.
What is the most likely cause of her symptoms? - Correct Answers: Subdural hematoma
An adult who fell from a second story roof is brought to the emergency department by private vehicle.
The patient is confused with an labored, respirations. It has strong, palpable, radial pulses. There is an
open wound in proximity to Novios, deformity of the left lower extremity. What is the priority
intervention? - Correct Answers: Stabilize the C-spine
A trauma patient is restless and repeatedly asking "where am I?" Vitals upon arrival were BP 110/60, HR
96, RR 24. Her skin is cool and dry. Current vital signs are BP 104/84, heart rate 108, respirations 28. The
patient is demonstrating signs and symptoms of which stage of shock. - Correct Answers: compensated
A 35-year-old male presents with facial trauma after being struck in the face with a baseball. A teardrop
shaped left people is noted on exam. What type of injury is suspected? - Correct Answers: Globe rupture
An adult patient with a restraint passenger involved in a high-speed motor vehicle collision. The patient
complained of generalized abdominal and left leg pain. A fast examines negative for fluid in the
abdominal cavity. While awaiting impatient bed placement, the patient develops increase abdominal
pain with rebound tenderness, fever, in an elevated white blood cell count. These findings are most
consistent with an injury to which organ? - Correct Answers: Small bowel
What intravascular solution is most commonly use for patients who have sustained burns? - Correct
Answers: Lactated Ringers (LR)
, Which of the following is true about use of the focused assessment sonography for trauma exam for a
patient with abdominal trauma? - Correct Answers: It can be used in hypotensive patients too unstable
for computed tomographic scan."
You are speaking with the family of a critically injured patient. The spouse is crying loudly and the
daughter is angry and yelling at the staff. Which of the following nursing interventions is most
appropriate? - Correct Answers: Spiritual support
A trauma patient is being held in the emergency department, because there are no available inpatient
beds. The patient has seen a femur fracture and required multiple blood products. The patient now has
blood oozing from abrasions, IV sides, the nose, and gums. What condition is most consistent with these
findings? - Correct Answers: DIC
A patient with a chest tube is being transported to the intensive care unit and fluctuation is noted in the
water seal chamber during inspiration and expiration. What is the best action for the nurse to take? -
Correct Answers: continue to ICU
A patient has uncontrolled bleeding from a wound to his right upper extremity. What is a priority
intervention? - Correct Answers: Apply direct pressure to the wound
A patient has received multiple transfusions of banks blood in the past two hours. the patient has -
Correct Answers: Calcium gluconate
Three adults present at different times during a one-hour period with a high fever, fatigue, and
headache. All three patients have a rash which started on their mouth, face, and arms with progression
to the chest and abdomen. They all visited the same grocery store within the last week. What is the
most appropriate intervention from triage for these patients? - Correct Answers: immediately initiate
isolation precautions
A trauma patient who is 30 weeks pregnant arrives at the emergency department following a motor
vehicle crash - Correct Answers: increased oxygen consumption
Following a gun shot wound, pre-hospital providers report diminished breath sounds bilaterally. Upon
emergency department arrival, the patient is unresponsive with shallow respirations and an O2 sat of
