TNCC final exam test 2022 open book Questions and answers Newest RATED A+ 2025/2026

TNCC final exam test 2022 open book Questions and
answers Newest RATED A+ 2025/2026
You are treating a 27-year old male in respiratory distress who was involved in a house fire.
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Calculating TBSA burned is deferred d/t the need for emergent intubation. At what rate should
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you begin fluid resuscitation?
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A) 1000 mL/hrIl` Il`




B) 500 mL/hr
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C) 250 mL/hr
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D) 125 mL/hr - Correct Answers B) 500 mL/hr
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Il` A patient has been in the ED for several hours waiting to be admitted. He sustained multiple rib
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Il` fractures and a femur fracture after a fall. He has been awake, alert, and c/o leg pain. His wife
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Il` reported suddenly becoming anxious and confused. Upon reassessment, the patient is restless,
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Il` with respiratory distress and petechiae to his neck. the patient is exhibiting signs of symptoms
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Il` commonly associated with which of the following conditions? Il` Il` Il` Il` Il` Il` Il`




A) acute lung injury
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B) fat embolism
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C) PTX Il`




D) pulmonary contusion - Correct Answers B) fat embolism
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Il` Which pulse pressure description is an indication of early hypovolemic shock?
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A) widened Il`




B) narrowed
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C) bounding
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,D) weak - Correct Answers B) narrowed
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Il` Which of the following considerations is most important when caring for a geriatric trauma
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Il` patient?

A) head to to exam
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B) medical history
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C) incontinence
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D) falls - Correct Answers B) medical history
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Il` Which of the following assessment findings differentiates a tension pneumothorax from a simple
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Il` pneumothorax?



A) increased work of breathing
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B) unilaterally diminished breath sounds
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C) pleuritic chest pain
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D) hypotension that worsens with inspiration - Correct Answers D) hypotension that worsens
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with inspiration.
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Assessment findings associated with tension pneumothorax include anxiety, severe restlessness, Il` Il` Il` Il` Il` Il` Il` Il` Il`




severe respiratory distress, and absent breath sounds on the injured side. Hypotension due to
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compression of the heart and great vessels is consistent with obstructive shock. Hypotension
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worsens with inspiration due to increased intrathoracic pressure. Late signs include distended
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neck veins, tracheal deviation, and cyanosis.
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Il` The nurse is caring for a 120 kg male is brought in after a warehouse fire and is calculating the
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Il` patient's fluid resuscitation needs. He has painful red blistering to the entire surface of both
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Il` upper extremities and superficial burns to the anterior chest. Using the modified Lund and
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Il` Browder chart to calculate the total BSA burned, how much IV fluids would be administered in the
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Il` first 8 hours?
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, A) 2280 mL Il` Il` Il`




B) 3840 mL
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C) 4560 mL
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D) 7680 mL - Correct Answers A) 2280 mL
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(upper arm 4+4 / lower arm 3+3 / hand 2.5+2.5) = 19% TBSA.
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120 kg x (2 mL) x (19% TBSA) = 4560 mL
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(half of fluids given in first 8 hours) = 2280 mL
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Il` Which of the following is a component of the trauma triad of death?
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A) Acidosis Il`




B) hyperthermia
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C) hemorrhage
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D) sepsis - Correct Answers A) Acidosis
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Il` hypothermia, metabolic acidosis, coagulopathy Il` Il` Il`




Il` A 56-year- male patient involved in a MVC is brought to the ED of a rural critical access facility. He
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Il` c/o neck pain, SOB, and diffuse abd pain. His GCS is 15. His vitals are as follows:
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BP 98/71 Il`




HR 125 beats/min Il` Il`




RR 26 breaths/min Il` Il`




SpO2 94% on high flow O2 via NRB mask Il` Il` Il` Il` Il` Il` Il` Il`