TNCC 8TH EDITION FINAL TEST /
NEWEST ACTUAL EXAM REVIEW
QUESTIONS WITH CORRECT
DETAILED ANSWERS ALREADY
GRADED A+
< LATEST VERSION >
1. What are the greatest risks for transport? - ANSWER 🗸 Loss of airway
patency, displaced obstructive tubes lines or catheters, dislodge splinting
devices, need to replace or reinforce dressings, deterioration in patient status
change in vital signs or level of consciousness, injury to the patient and/or
team members
2. According to newtons law which of these two force is greater: size or force?
- ANSWER 🗸 Neither. For each force there is an equal and opposite
reaction.
3. What is the relationship between mass and velocity to kinetic energy? -
ANSWER 🗸 Kinetic energy is equal to 1/2 the mass multiplied the square of
its velocity therefore when mass is doubled so is the net energy, however,
when velocity is doubled energy is quadrupled.
,4. What are the early signs of increased Intracranial pressure - ANSWER 🗸
headache, vomiting, behavioral changes that begin with restlessness and may
progress to confusion, drowsiness, or impaired judgment
5. What are the late signs of Increased intracranial pressure - ANSWER 🗸
dilated, non-reactive pupil(s); abnormal motor posturing (flexion, extension,
flaccidity); Cushing's triad, Unresponsive to per verbal and painful stimuli,
bradycardia and decreased respiratory effort
6. What are the symptoms of a subdural hematoma? - ANSWER 🗸 Decreased
LOC, nausea vomiting headache and ipsilateral pupillary changes
7. What is a trademark symptom of an epidural hematoma - ANSWER 🗸 Loss
of consciousness then awake and alert then loss of consciousness
8. Define the characteristics of neurogenic shock - ANSWER 🗸 Distributive
shock with a T6 or higher injury results and vasodilation, bradycardia,
flushed warm dry skin. Risk for temperature instability. Nursing
interventions include maintaining warmth and spinal stabilization.
9. Define the characteristics of spinal shock - ANSWER 🗸 Transient loss of
function can include loss of reflexes and muscle tone below the level of
industry with possible vascular response.
10.Describe the four types of spinal cord injury - ANSWER 🗸 Central cord
injury results in greater weakness distally, anterior injury includes motor loss
or weakness below the cord level of injury yet sensory is intact, Brown-
, Sequard (hemicord) is weak on one side with sensory deficit on opposite
side, posterior cord syndrome although rare is when the patient is unable to
use sense vibration in proprioception
11.Describe one fat embolism syndrome is most likely to occur in its
characteristics - ANSWER 🗸 With longform fractures. Tachycardia,
Thrombocytopenia, and petechiae rash.
12.What is the Munro-Kellie doctrine? - ANSWER 🗸 Within the skull 80% his
brain, 10% is blood, and 10% is CSF. Any increase of any of the products
results in increased intracranial pressure.
13.What are the treatment goals for a TBI? - ANSWER 🗸 O2 saturation > or
equal to 95%, systolic blood pressure > or equal to 100 MMHG, ICP < 15
MMHG, CPP > or equal to 60 MMHG, normal glycemia, hemoglobin > or
equal to 7 g/DL, sodium 135-145, osmotic diuretics, anti-emetics, sedatives,
anticonvulsants, head of bed at 30°, and neck at midline
14.The major cause of preventable death after injury - ANSWER 🗸
Uncontrolled hemorrhage
15.The best measure of the adequacy of cellular perfusion and helps to predict
the outcome of resuscitation - ANSWER 🗸 Base deficit
16.Examples of primary blast injuries - ANSWER 🗸 Blast lung, ruptured
tympanic membrane, TBI, abdominal hemorrhage
17.Examples of secondary blast injuries - ANSWER 🗸 Wounds from debris
and bomb fragments
NEWEST ACTUAL EXAM REVIEW
QUESTIONS WITH CORRECT
DETAILED ANSWERS ALREADY
GRADED A+
< LATEST VERSION >
1. What are the greatest risks for transport? - ANSWER 🗸 Loss of airway
patency, displaced obstructive tubes lines or catheters, dislodge splinting
devices, need to replace or reinforce dressings, deterioration in patient status
change in vital signs or level of consciousness, injury to the patient and/or
team members
2. According to newtons law which of these two force is greater: size or force?
- ANSWER 🗸 Neither. For each force there is an equal and opposite
reaction.
3. What is the relationship between mass and velocity to kinetic energy? -
ANSWER 🗸 Kinetic energy is equal to 1/2 the mass multiplied the square of
its velocity therefore when mass is doubled so is the net energy, however,
when velocity is doubled energy is quadrupled.
,4. What are the early signs of increased Intracranial pressure - ANSWER 🗸
headache, vomiting, behavioral changes that begin with restlessness and may
progress to confusion, drowsiness, or impaired judgment
5. What are the late signs of Increased intracranial pressure - ANSWER 🗸
dilated, non-reactive pupil(s); abnormal motor posturing (flexion, extension,
flaccidity); Cushing's triad, Unresponsive to per verbal and painful stimuli,
bradycardia and decreased respiratory effort
6. What are the symptoms of a subdural hematoma? - ANSWER 🗸 Decreased
LOC, nausea vomiting headache and ipsilateral pupillary changes
7. What is a trademark symptom of an epidural hematoma - ANSWER 🗸 Loss
of consciousness then awake and alert then loss of consciousness
8. Define the characteristics of neurogenic shock - ANSWER 🗸 Distributive
shock with a T6 or higher injury results and vasodilation, bradycardia,
flushed warm dry skin. Risk for temperature instability. Nursing
interventions include maintaining warmth and spinal stabilization.
9. Define the characteristics of spinal shock - ANSWER 🗸 Transient loss of
function can include loss of reflexes and muscle tone below the level of
industry with possible vascular response.
10.Describe the four types of spinal cord injury - ANSWER 🗸 Central cord
injury results in greater weakness distally, anterior injury includes motor loss
or weakness below the cord level of injury yet sensory is intact, Brown-
, Sequard (hemicord) is weak on one side with sensory deficit on opposite
side, posterior cord syndrome although rare is when the patient is unable to
use sense vibration in proprioception
11.Describe one fat embolism syndrome is most likely to occur in its
characteristics - ANSWER 🗸 With longform fractures. Tachycardia,
Thrombocytopenia, and petechiae rash.
12.What is the Munro-Kellie doctrine? - ANSWER 🗸 Within the skull 80% his
brain, 10% is blood, and 10% is CSF. Any increase of any of the products
results in increased intracranial pressure.
13.What are the treatment goals for a TBI? - ANSWER 🗸 O2 saturation > or
equal to 95%, systolic blood pressure > or equal to 100 MMHG, ICP < 15
MMHG, CPP > or equal to 60 MMHG, normal glycemia, hemoglobin > or
equal to 7 g/DL, sodium 135-145, osmotic diuretics, anti-emetics, sedatives,
anticonvulsants, head of bed at 30°, and neck at midline
14.The major cause of preventable death after injury - ANSWER 🗸
Uncontrolled hemorrhage
15.The best measure of the adequacy of cellular perfusion and helps to predict
the outcome of resuscitation - ANSWER 🗸 Base deficit
16.Examples of primary blast injuries - ANSWER 🗸 Blast lung, ruptured
tympanic membrane, TBI, abdominal hemorrhage
17.Examples of secondary blast injuries - ANSWER 🗸 Wounds from debris
and bomb fragments
