TNCC 20TH EDITION – QUESTIONS AND ANSWERS
GRADED A+ 100% COMPLETE (SOLVED 2023/2024)
TEST BANK VERIFIED
A adult patient with a knife injury to the neck has an intact airway and is hemodynamically
stable. They complain of difficulty swallowing and speaking. In the primary survey, further
assessment is indicated next for which of the following conditions?
a. Damage to the cervical spine
b. An expanding pneumothorax
c. Laceration of the carotid artery
d. Injury to the thyroid gland - ansa. Damage to the cervical spine
A patient arrives at the emergency department by private vehicle after sustaining an injury to
the right lower extremity while using a saw. There is a large gaping wound to the right thigh
area with significant bleeding. What is the priority intervention?
a. Elevate the extremity to the level of the heart
b. Initiate direct pressure
c. Apply a tourniquet
d. Cover the open wound with sterile saline dressings - ansb. Initiate direct pressure
A patient fell two weeks ago, striking their head. Today, the patient presented with a persistent
headache and nausea and was diagnosed with a small subdural hematoma. The patient has been
in the ED for 24 hours awaiting an inpatient bed. The night shift nurse reports the patient has
been anxious, restless, shaky, and vomited twice during the night. The patient states they
couldn't sleep because a young child kept coming into the room. What is the most likely cause for
these signs and symptoms?
a. increase intracranial pressure
b. alcohol withdrawal
c. rhabdomyolysis
d. pulmonary embolus - ansb. alcohol withdrawal
A patient involved in a MVC has sustained a fracture to the second rib of the anterior left chest.
Which concurrent injury is most commonly associated with this fracture?
a. Blunt cardiac injury
b. Brachial plexus injury
c. Pneumothorax
d. Hemothorax - ansb. Brachial plexus injury
A patient with a spinal cord injury at C5 is being cared for in the emergency department while
awaiting transport to a trauma center. Which of the following represents the highest priority
for ongoing assessment and management for this patient?
a. maintain adequate respiratory status.
b. administer balanced resuscitation fluid
c. perform serial assessments of neurologic function
d. maintain core temperature - ansa. maintain adequate respiratory status
A trauma nurse cared for a child with devastating burns two weeks ago. The nurse called in sick
for a couple of days and is now back working on the team. Which of the following behaviors would
indicate this nurse is coping well?
a. They are talking about taking the emergency nursing certification examination.
b. They keep requesting to be assigned to the walk-in/ambulatory area
,TNCC 20TH EDITION – QUESTIONS AND ANSWERS
GRADED A+ 100% COMPLETE (SOLVED 2023/2024)
TEST BANK VERIFIED
c. They are impatient and snap at their coworkers.
d. They are thinking about transferring out of the emergency department. - ansa. They are
talking about taking the emergency nursing certification examination.
Following a bomb explosion, fragmentation injuries from the bomb or objects in the environment
are examples of which phase of injury?
a. primary
b. secondary
c. tertiary
d. quaternary - ansb. secondary
In a patient with severe traumatic brain injury, hypocapnia causes which condition?
a. Respiratory acidosis
b. Metabolic acidosis
c. Neurogenic shock
d. Cerebral vasoconstriction - ansd. Cerebral vasoconstriction
The general impression step in the initial assessment provides the opportunity to do which of the
following?
a. Assess for uncontrolled internal hemorrhage
b. Accurately triage the patient
c. Reprioritize circulation before airway or breathing.
d. Activate the trauma team - ansc. Reprioritize circulation before airway or breathing.
The nurse is obtaining a history for a patient who presents following sexual assault. This
history is completed using which of the following techniques?
a. Bring the family in to the interview room.
b. Use direct quotes to record information.
c. Obtain information specific only to the assault.
d. Provide food and drink to help create rapport. - ansb. Use direct quotes to record information.
The vital signs of a pregnant trauma patient at 30 weeks include a blood pressure of 94/62 mm
Hg and a heart rate of 108 beats/minute. Fetal heart tones are 124 beats/minute. The emergency
nurse interprets the patient's hemodynamic findings as an indication of which of the following?
a. Decompensated shock
b. Normal vital signs in pregnancy
c. Compensated shock
d. Supine hypotension syndrome - ansb. Normal vital signs in pregnancy
Treatment for frostbite can include which of the following interventions?
a. warm the affected part over 30-60 minutes
b. use gentle friction to improve circulation
c. administer tissue plasminogen activator
d. leave all of the blisters intact - ansc. administer tissue plasminogen activator
Understanding the kinematic concepts associated with the mechanism of injury and energy
transfer can initially assist the trauma care provider in which of the following?
,TNCC 20TH EDITION – QUESTIONS AND ANSWERS
GRADED A+ 100% COMPLETE (SOLVED 2023/2024)
TEST BANK VERIFIED
a. Anticipating the types of injuries that may be present
b. Deciding whether law enforcement should be notified
c. Determining needed laboratory tests
d. Predicting the need for a surgical procedure - ansa. Anticipating the types of injuries that
may be present
What is the appropriate technique for palpating the pelvis for stability?
a. Apply gentle pressure over the iliac crests, downward and laterally.
b. Apply gentle pressure over the iliac crests, downward and medially.
c. Apply firm pressure over the iliac crests, downward and laterally.
d. Apply firm pressure over the iliac crests, downward and medially. - ansb. Apply gentle
pressure over the iliac crests, downward and medially.
What is the best measure of the adequacy of cellular perfusion and can help to predict the
outcome of resuscitation?
a. End-tidal carbon dioxide
b. Hematocrit level
c. Base deficit
d. Oxygen saturation - ansc. Base deficit
What is the best position for maintaining an open airway in the obese patient?
a. Prone
b. Supine
c. Reverse Trendelenburg
d. Right lateral recumbent - ansc. Reverse Trendelenburg
What is the leading cause of preventable death for the trauma patient in the prehospital
environment?
a. Airway compromise
b. Ineffective ventilation
c. Secondary head injury
d. Uncontrolled external hemorrhage - ansd. Uncontrolled external hemorrhage
Which of the following accurately describes ventilation principles associated with use of a bag-
mask device for an adult?
a. Compress the bag-mask device at a rate of one breath every 6 seconds.
b. Delivers 100% oxygen.
c. Squeeze the bag-mask device completely for each breath.
d. Maintain the oxygen saturation levels between 92% and 94%. - ansa. Compress the bag-mask
device at a rate of one breath every 6 seconds.
Which of the following is considered a cornerstone of a high-performance trauma team?
a. Individual goals
b. Use of TeamSTEPPS
c. Identification of a single decision maker
d. Effective communication - ansd. Effective communication
, TNCC 20TH EDITION – QUESTIONS AND ANSWERS
GRADED A+ 100% COMPLETE (SOLVED 2023/2024)
TEST BANK VERIFIED
While performing an assessment on a 13-month-old involved in a motor vehicle collision, the nurse
identifies which of the following findings from the patient as a sign of possible altered mental
status?
a. Sunken fontanel
b. Crying, but consolable
c. Spontaneous movement of arms and legs
d. Cooperation with the assessment - ansd. Cooperation with the assessment
A (AVPU) - ansAlert. Will be able to maintain airway once clear.
A (Primary Survey) - ansAirway and alertness with simultaneous cervical spinal stabilization.
Airway Assessment - ansInspect: tongue obstruction, loose/missing teeth, foreign objects, blood,
vomitus, secretions, edema, burns or evidence of inhalation injury
Auscultate: listen for obstructive airway sounds (ie. snoring, gurgling, stridor)
Palpate: palpate for possible occlusive maxillofacial bony deformity, subcutaneous emphysema
Airway Interventions: - ansSuction
Remove foreign body if noted
Jaw thrust maneuver (maintain cspine)
Nasopharyngeal airway (can be conscious) Oropharyngeal airway (no gag)
Consider definitive airway
Alertness Assessment - ansA-Alert
V-Verbal
P-Painful
U-Unresponsive
B (Primary Survey) - ansBreathing and Ventilation
Breathing and Ventilation Assessment - ansInspect: spontaneous breathing, symmetrical rise and
fall, depth/pattern/rate of respirations, accessory muscle use, diaphragmatic breathing, skin
color (normal, pale, flushed, cyanotic), contusions/abrasions/deformities (signs of underlying
injury), open pneumothoraces (sucking chest wound), JVD, tracheal position, signs of inhalation
injury
Auscultate: presence, absence and equality of breath sounds at 2nd intercostal space
midclavicular line and bases at the fifth intercostal space anterior axillary line
Palpate: bony structures, possible rib fractures, SQ emphysema, soft tissue injury, JV pulsations
at suprasternal notch or supraclavicular area
Life-threatening pulmonary injuries requiring immediate intervention: open pneumothorax,
tension pneumothorax, flail chest, hemothorax.
GRADED A+ 100% COMPLETE (SOLVED 2023/2024)
TEST BANK VERIFIED
A adult patient with a knife injury to the neck has an intact airway and is hemodynamically
stable. They complain of difficulty swallowing and speaking. In the primary survey, further
assessment is indicated next for which of the following conditions?
a. Damage to the cervical spine
b. An expanding pneumothorax
c. Laceration of the carotid artery
d. Injury to the thyroid gland - ansa. Damage to the cervical spine
A patient arrives at the emergency department by private vehicle after sustaining an injury to
the right lower extremity while using a saw. There is a large gaping wound to the right thigh
area with significant bleeding. What is the priority intervention?
a. Elevate the extremity to the level of the heart
b. Initiate direct pressure
c. Apply a tourniquet
d. Cover the open wound with sterile saline dressings - ansb. Initiate direct pressure
A patient fell two weeks ago, striking their head. Today, the patient presented with a persistent
headache and nausea and was diagnosed with a small subdural hematoma. The patient has been
in the ED for 24 hours awaiting an inpatient bed. The night shift nurse reports the patient has
been anxious, restless, shaky, and vomited twice during the night. The patient states they
couldn't sleep because a young child kept coming into the room. What is the most likely cause for
these signs and symptoms?
a. increase intracranial pressure
b. alcohol withdrawal
c. rhabdomyolysis
d. pulmonary embolus - ansb. alcohol withdrawal
A patient involved in a MVC has sustained a fracture to the second rib of the anterior left chest.
Which concurrent injury is most commonly associated with this fracture?
a. Blunt cardiac injury
b. Brachial plexus injury
c. Pneumothorax
d. Hemothorax - ansb. Brachial plexus injury
A patient with a spinal cord injury at C5 is being cared for in the emergency department while
awaiting transport to a trauma center. Which of the following represents the highest priority
for ongoing assessment and management for this patient?
a. maintain adequate respiratory status.
b. administer balanced resuscitation fluid
c. perform serial assessments of neurologic function
d. maintain core temperature - ansa. maintain adequate respiratory status
A trauma nurse cared for a child with devastating burns two weeks ago. The nurse called in sick
for a couple of days and is now back working on the team. Which of the following behaviors would
indicate this nurse is coping well?
a. They are talking about taking the emergency nursing certification examination.
b. They keep requesting to be assigned to the walk-in/ambulatory area
,TNCC 20TH EDITION – QUESTIONS AND ANSWERS
GRADED A+ 100% COMPLETE (SOLVED 2023/2024)
TEST BANK VERIFIED
c. They are impatient and snap at their coworkers.
d. They are thinking about transferring out of the emergency department. - ansa. They are
talking about taking the emergency nursing certification examination.
Following a bomb explosion, fragmentation injuries from the bomb or objects in the environment
are examples of which phase of injury?
a. primary
b. secondary
c. tertiary
d. quaternary - ansb. secondary
In a patient with severe traumatic brain injury, hypocapnia causes which condition?
a. Respiratory acidosis
b. Metabolic acidosis
c. Neurogenic shock
d. Cerebral vasoconstriction - ansd. Cerebral vasoconstriction
The general impression step in the initial assessment provides the opportunity to do which of the
following?
a. Assess for uncontrolled internal hemorrhage
b. Accurately triage the patient
c. Reprioritize circulation before airway or breathing.
d. Activate the trauma team - ansc. Reprioritize circulation before airway or breathing.
The nurse is obtaining a history for a patient who presents following sexual assault. This
history is completed using which of the following techniques?
a. Bring the family in to the interview room.
b. Use direct quotes to record information.
c. Obtain information specific only to the assault.
d. Provide food and drink to help create rapport. - ansb. Use direct quotes to record information.
The vital signs of a pregnant trauma patient at 30 weeks include a blood pressure of 94/62 mm
Hg and a heart rate of 108 beats/minute. Fetal heart tones are 124 beats/minute. The emergency
nurse interprets the patient's hemodynamic findings as an indication of which of the following?
a. Decompensated shock
b. Normal vital signs in pregnancy
c. Compensated shock
d. Supine hypotension syndrome - ansb. Normal vital signs in pregnancy
Treatment for frostbite can include which of the following interventions?
a. warm the affected part over 30-60 minutes
b. use gentle friction to improve circulation
c. administer tissue plasminogen activator
d. leave all of the blisters intact - ansc. administer tissue plasminogen activator
Understanding the kinematic concepts associated with the mechanism of injury and energy
transfer can initially assist the trauma care provider in which of the following?
,TNCC 20TH EDITION – QUESTIONS AND ANSWERS
GRADED A+ 100% COMPLETE (SOLVED 2023/2024)
TEST BANK VERIFIED
a. Anticipating the types of injuries that may be present
b. Deciding whether law enforcement should be notified
c. Determining needed laboratory tests
d. Predicting the need for a surgical procedure - ansa. Anticipating the types of injuries that
may be present
What is the appropriate technique for palpating the pelvis for stability?
a. Apply gentle pressure over the iliac crests, downward and laterally.
b. Apply gentle pressure over the iliac crests, downward and medially.
c. Apply firm pressure over the iliac crests, downward and laterally.
d. Apply firm pressure over the iliac crests, downward and medially. - ansb. Apply gentle
pressure over the iliac crests, downward and medially.
What is the best measure of the adequacy of cellular perfusion and can help to predict the
outcome of resuscitation?
a. End-tidal carbon dioxide
b. Hematocrit level
c. Base deficit
d. Oxygen saturation - ansc. Base deficit
What is the best position for maintaining an open airway in the obese patient?
a. Prone
b. Supine
c. Reverse Trendelenburg
d. Right lateral recumbent - ansc. Reverse Trendelenburg
What is the leading cause of preventable death for the trauma patient in the prehospital
environment?
a. Airway compromise
b. Ineffective ventilation
c. Secondary head injury
d. Uncontrolled external hemorrhage - ansd. Uncontrolled external hemorrhage
Which of the following accurately describes ventilation principles associated with use of a bag-
mask device for an adult?
a. Compress the bag-mask device at a rate of one breath every 6 seconds.
b. Delivers 100% oxygen.
c. Squeeze the bag-mask device completely for each breath.
d. Maintain the oxygen saturation levels between 92% and 94%. - ansa. Compress the bag-mask
device at a rate of one breath every 6 seconds.
Which of the following is considered a cornerstone of a high-performance trauma team?
a. Individual goals
b. Use of TeamSTEPPS
c. Identification of a single decision maker
d. Effective communication - ansd. Effective communication
, TNCC 20TH EDITION – QUESTIONS AND ANSWERS
GRADED A+ 100% COMPLETE (SOLVED 2023/2024)
TEST BANK VERIFIED
While performing an assessment on a 13-month-old involved in a motor vehicle collision, the nurse
identifies which of the following findings from the patient as a sign of possible altered mental
status?
a. Sunken fontanel
b. Crying, but consolable
c. Spontaneous movement of arms and legs
d. Cooperation with the assessment - ansd. Cooperation with the assessment
A (AVPU) - ansAlert. Will be able to maintain airway once clear.
A (Primary Survey) - ansAirway and alertness with simultaneous cervical spinal stabilization.
Airway Assessment - ansInspect: tongue obstruction, loose/missing teeth, foreign objects, blood,
vomitus, secretions, edema, burns or evidence of inhalation injury
Auscultate: listen for obstructive airway sounds (ie. snoring, gurgling, stridor)
Palpate: palpate for possible occlusive maxillofacial bony deformity, subcutaneous emphysema
Airway Interventions: - ansSuction
Remove foreign body if noted
Jaw thrust maneuver (maintain cspine)
Nasopharyngeal airway (can be conscious) Oropharyngeal airway (no gag)
Consider definitive airway
Alertness Assessment - ansA-Alert
V-Verbal
P-Painful
U-Unresponsive
B (Primary Survey) - ansBreathing and Ventilation
Breathing and Ventilation Assessment - ansInspect: spontaneous breathing, symmetrical rise and
fall, depth/pattern/rate of respirations, accessory muscle use, diaphragmatic breathing, skin
color (normal, pale, flushed, cyanotic), contusions/abrasions/deformities (signs of underlying
injury), open pneumothoraces (sucking chest wound), JVD, tracheal position, signs of inhalation
injury
Auscultate: presence, absence and equality of breath sounds at 2nd intercostal space
midclavicular line and bases at the fifth intercostal space anterior axillary line
Palpate: bony structures, possible rib fractures, SQ emphysema, soft tissue injury, JV pulsations
at suprasternal notch or supraclavicular area
Life-threatening pulmonary injuries requiring immediate intervention: open pneumothorax,
tension pneumothorax, flail chest, hemothorax.
