TNCC 9TH EDITION TEST WITH QUESTIONS AND WELL VERIFIED
ANSWERS [ALREADY GRADED A+] REAL EXAM!!! REAL
EXAM!!!
An adult arrives at the emergency department with superficial burns to the extremities following a
house fire. The patient is reporting a headache with nausea and is drowsy and confused. What is the
most likely cause of these symptoms? ----ANS---Carbon monoxide poisoning
What assessment finding is consistent with impending herniation syndrome? ----ANS---Unilaterally fixed
and dilated pupil
A patient presents to the emergency department with a degloving injury involving the entire forearm.
What should the nurse consider when planning care for a patient with this injury? ----ANS---Surgical
intervention will be needed
An older adult presents to the emergency department with complaints of dizziness, headache, and
nausea. The patient was involved in a motor vehicle collision 10 days ago. There was no loss of
consciousness and a hematoma is noted to the forehead. The patient is currently on anticoagulant
therapy. What is most likely the cause of their symptoms? ----ANS---Post-concussive syndrome
A patient presents to the emergency department after jumping from a third story and landing on their
right foot then falling to the ground. There is pain and crepitus to the right hip when applying gentle
downward and medial pressure to the iliac crests. This mechanism of injury is most consistent with what
type of pelvic fracture? ----ANS---Vertical shear fracture
What assessment finding on a multi-injured trauma patient is most consistent with adequate end-organ
perfusion? ----ANS---Urinary output 0.75 mL/kg/hr
, An adult who fell from a second story roof is brought to the emergency department by private vehicle.
The patient is confused with unlabored respirations and has strong, palpable radial pulses. There is an
open wound in proximity to an obvious deformity of the left lower extremity. What is the priority
intervention? ----ANS---Initiate cervical spine stabilization
Which measurement is concerning for a patient with head trauma and increased intracranial pressure? -
---ANS---Brain tissue oxygen tension (PbtO2) of 16 mm Hg (2.1 kPa)
Correct rationale: A PaCO2 of 47 mm Hg indicates the patient is retaining carbon dioxide which
promotes vasodilation and increases intracranial pressure.
What is the priority intervention for a child who has been diagnosed with an atlanto-occipital dislocation
following a high-speed motor vehicle collision? ----ANS---Maintaining spinal motion restriction
Which intervention is recommended regarding the use of drug-assisted intubation and rapid sequence
intubation? ----ANS---Pre-oxygenate to prolong the time to hypoxia
Which normal anatomic or physiologic change in an older adult places them at a higher risk for
aspiration? ----ANS---Relaxed muscles of the oropharynx
A patient has been diagnosed with an incomplete spinal cord injury at L1. Which finding would indicate
sacral sparing? ----ANS---Voluntary anal sphincter tone
An adult patient weighing 75 kg sustained partial and full thickness burns to 32% of their body 2 hours
prior to arrival. Intravenous fluid resuscitation was calculated to be 400 mL/hour. The urine output over
the last hour was 15mL. What intervention should the nurse anticipate? ----ANS---Increase isotonic
crystalloid infusion rate
A patient is diagnosed with a T12 spinal cord injury following a 20-foot fall. Which finding is consistent
with spinal shock? ----ANS---Loss of reflexes
A patient is brought to the emergency department following a motor vehicle rollover and is complaining
of left upper abdominal pain and left shoulder pain. This presentation is most consistent with an injury
to which organ? ----ANS---Spleen
ANSWERS [ALREADY GRADED A+] REAL EXAM!!! REAL
EXAM!!!
An adult arrives at the emergency department with superficial burns to the extremities following a
house fire. The patient is reporting a headache with nausea and is drowsy and confused. What is the
most likely cause of these symptoms? ----ANS---Carbon monoxide poisoning
What assessment finding is consistent with impending herniation syndrome? ----ANS---Unilaterally fixed
and dilated pupil
A patient presents to the emergency department with a degloving injury involving the entire forearm.
What should the nurse consider when planning care for a patient with this injury? ----ANS---Surgical
intervention will be needed
An older adult presents to the emergency department with complaints of dizziness, headache, and
nausea. The patient was involved in a motor vehicle collision 10 days ago. There was no loss of
consciousness and a hematoma is noted to the forehead. The patient is currently on anticoagulant
therapy. What is most likely the cause of their symptoms? ----ANS---Post-concussive syndrome
A patient presents to the emergency department after jumping from a third story and landing on their
right foot then falling to the ground. There is pain and crepitus to the right hip when applying gentle
downward and medial pressure to the iliac crests. This mechanism of injury is most consistent with what
type of pelvic fracture? ----ANS---Vertical shear fracture
What assessment finding on a multi-injured trauma patient is most consistent with adequate end-organ
perfusion? ----ANS---Urinary output 0.75 mL/kg/hr
, An adult who fell from a second story roof is brought to the emergency department by private vehicle.
The patient is confused with unlabored respirations and has strong, palpable radial pulses. There is an
open wound in proximity to an obvious deformity of the left lower extremity. What is the priority
intervention? ----ANS---Initiate cervical spine stabilization
Which measurement is concerning for a patient with head trauma and increased intracranial pressure? -
---ANS---Brain tissue oxygen tension (PbtO2) of 16 mm Hg (2.1 kPa)
Correct rationale: A PaCO2 of 47 mm Hg indicates the patient is retaining carbon dioxide which
promotes vasodilation and increases intracranial pressure.
What is the priority intervention for a child who has been diagnosed with an atlanto-occipital dislocation
following a high-speed motor vehicle collision? ----ANS---Maintaining spinal motion restriction
Which intervention is recommended regarding the use of drug-assisted intubation and rapid sequence
intubation? ----ANS---Pre-oxygenate to prolong the time to hypoxia
Which normal anatomic or physiologic change in an older adult places them at a higher risk for
aspiration? ----ANS---Relaxed muscles of the oropharynx
A patient has been diagnosed with an incomplete spinal cord injury at L1. Which finding would indicate
sacral sparing? ----ANS---Voluntary anal sphincter tone
An adult patient weighing 75 kg sustained partial and full thickness burns to 32% of their body 2 hours
prior to arrival. Intravenous fluid resuscitation was calculated to be 400 mL/hour. The urine output over
the last hour was 15mL. What intervention should the nurse anticipate? ----ANS---Increase isotonic
crystalloid infusion rate
A patient is diagnosed with a T12 spinal cord injury following a 20-foot fall. Which finding is consistent
with spinal shock? ----ANS---Loss of reflexes
A patient is brought to the emergency department following a motor vehicle rollover and is complaining
of left upper abdominal pain and left shoulder pain. This presentation is most consistent with an injury
to which organ? ----ANS---Spleen
