TNCC 9th exam Questions with Correct
Answers
When should the definitive calculation for intravenous fluid resuscitation rate be performed for a
patient with burns? B. During the secondary survey
Which of the following is true about use of the focused assessment sonography for trauma exam
for a patient with abdominal trauma? B. It can be used in hypotensive patients too
unstable for computed tomography scan
What is the priority intervention for a child who has been diagnosed with an atlanto-occipital
dislocation following a high-speed motor vehicle collision? B. Maintaining spinal motion
restriction
What position optimizes ventilation in the obese patient with a lumbar fracture? A.
Reverse Trendelenburg
During the primary survey of an unconscious patient with multi-system trauma, the nurse notes
snoring respirations. Which priority nursing intervention should be performed next? D.
Insert an oropharyngeal airway if there is no gag reflex
, A trauma patient is being held in the emergency department because there are no available
inpatient beds. The patient sustained a femur fracture and required multiple blood products. The
patient now has blood oozing from abrasions, IV sites, the nose, and gums. What condition is
most consistent with these findings? C. Disseminated intravascular coagulopathy
A patient is brought to the emergency department following a snowmobile crash with prolonged
exposure time prior to transport. The patient is confused. Vital signs are BP 96/54 mm Hg, HR
114 beats/minute, RR 24 breaths/minute, T 34.6°C (94.2°F) and an SpO2 of 90% on oxygen at
15L per non-rebreather mask. Other findings include ETCO2 24, serum lactate of 6 mmol/L, and
a pH of 6.8. Based on these findings, what is the most appropriate intervention? Initiate
warming measures
Which of the following is a late sign of increased intracranial pressure? Decreased
respiratory effort
Based on fall mechanism, which patient warrants prehospital transfer to a trauma center?
A 2-year-old lands on grass from a second-story balcony
Answers
When should the definitive calculation for intravenous fluid resuscitation rate be performed for a
patient with burns? B. During the secondary survey
Which of the following is true about use of the focused assessment sonography for trauma exam
for a patient with abdominal trauma? B. It can be used in hypotensive patients too
unstable for computed tomography scan
What is the priority intervention for a child who has been diagnosed with an atlanto-occipital
dislocation following a high-speed motor vehicle collision? B. Maintaining spinal motion
restriction
What position optimizes ventilation in the obese patient with a lumbar fracture? A.
Reverse Trendelenburg
During the primary survey of an unconscious patient with multi-system trauma, the nurse notes
snoring respirations. Which priority nursing intervention should be performed next? D.
Insert an oropharyngeal airway if there is no gag reflex
, A trauma patient is being held in the emergency department because there are no available
inpatient beds. The patient sustained a femur fracture and required multiple blood products. The
patient now has blood oozing from abrasions, IV sites, the nose, and gums. What condition is
most consistent with these findings? C. Disseminated intravascular coagulopathy
A patient is brought to the emergency department following a snowmobile crash with prolonged
exposure time prior to transport. The patient is confused. Vital signs are BP 96/54 mm Hg, HR
114 beats/minute, RR 24 breaths/minute, T 34.6°C (94.2°F) and an SpO2 of 90% on oxygen at
15L per non-rebreather mask. Other findings include ETCO2 24, serum lactate of 6 mmol/L, and
a pH of 6.8. Based on these findings, what is the most appropriate intervention? Initiate
warming measures
Which of the following is a late sign of increased intracranial pressure? Decreased
respiratory effort
Based on fall mechanism, which patient warrants prehospital transfer to a trauma center?
A 2-year-old lands on grass from a second-story balcony
