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TNCC 9 th Edition Final Exam Test 2025 Open Book
Questions and 100% Correct Answers
Whyqisqaqmeasureqofqserumqlactateqobtainedqinqtheqinitialqassessmentqofqtheqtraumaqpatient? Answer:qcq-qAnswerqa)qtoqmeasureqoxygenationqandqventilation b) toqquantifyqtheqbaseqdeficitqforqtheqadequacyqofqcellularqperfusion c) toqgaugeqend-organqperfusionqandqtissueqhypoxiaq* d) toqdetermineqthequnderlyingqcauseqofqshock Aqtraumaqpatientqisqrestlessqandqrepeatedlyqaskingq"whereqamqI?"qvitalqsignsquponqarrivalqwer eqBPq100/60qmmqHg,qHRq 96 qbeats/min,qandqRRq 24 qbreaths/min.qHerqskinqisqcoolqandqdry.qCur rentqvitalqsignsqareqBPq104/84mmqHg,qHRq108,qRRq 28 qbreaths/min.qTheqpatientqisqdemonstrat ingqsignsqandqsymptomsqofqwhichqstageqofqshock? Answer:qAq-qAnswerqA)qcompensatedq** B) Progressive C) irreversible D) decompensated Anqelderlyqpatientqwithqaqhistoryqofqanticoagulantquseqpresentsqafterqaqfallqatqhomeqthatqday.q sheqdeniesqanyqlossqofqconsciousness.qSheqhasqaqhematomaqtoqherqforeheadqandqcomplainsq ofqheadache,qdizziness,qandqnausea.qWhichqisqaqmostqlikelyqcauseqofqherqsymptoms? Answer:qDq-qAnswerqA)qepiduralqhematoma B) diffuseqaxonalqinjury C) post-concussiveqsyndrome D) subduralqhematomaq*** EMSqbringsqaqpatientqwhoqfellqridingqhisqbicycle.qUsingqtheqAmericanqCollegeqofqSurgeonsqscre eningqguidelines,qwhichqassessmentqfindingqwouldqpromptqtheqnurseqtoqprepareqtheqpatientqfor qradiologicqspineqclearance?
Answer:qDq-qAnswerqA)qAlertqwithqnoqneurologicqdeficits B) Multipleqabrasionsqtoqtheqextremities C) Multipleqrequestsqofqwater D) Smellqofqalcoholqonqbreathq*** Whichqofqtheqfollowingqoccursqduringqtheqthirdqimpactqofqaqmotorqvehicleqcrash? Answer:qCq-qAnswerqA)qTheqdriverqofqtheqvehicleqcollidesqwithqtheqsteeringqwheel B) theqvehicleqcollidesqwithqaqtree C) theqaortaqisqtornqatqitsqattachmentqwithqtheqligamentumqarteriosum D) theqairbagqdeploysqandqstrikesqtheqfrontqseatqpassengerq***
B) Tachycardiaqandqrespiratoryqdepression C) Tachycardiaqandqabsentqmotorqfunctionqbelowqtheqlevelqofqinjury D) Bradycardiaqandqabsentqmotorqfunctionqbelowqtheqlevelqofqtheqinjuryq*** Aq 5 - yearqoldqchildqpresentsqtoqtheqEDqwithqbruisesqtoqthequpperqarmsqandqbuttocksqinqvariousqstage sqofqhealingqandqmultipleqsmall,qclean,qroundqburnsqtoqtheqback.qThereqareqnoqabnormalitiesqfo undqbasedqonqtheqpediatricqassessmentqtriangleqorqprimaryqsurvey.qWhichqofqtheqfollowingqisqt heqpriorityqnursingqintervention? Answer:qAq- qAnswerqA)qreportqyourqsuspicionqofqtheqmaltreatmentqinqaccordanceqwithqlocalqregulationsq**
B) applyqiceqtoqtheqbruisesqandqconsultqwoundqcare C) engageqinqtherapeuticqcommunicationqtoqdetermineqtheqMOI D) provideqtheqfamilyqwithqinjuryqpreventionqresourse
Aqpatientqwithqlowerqextremityqfractureqcomplainsqofqsevereqpainqandqtightnessqinqhisqcalf,qmini mallyqrelievedqbyqpainqmedications.qWhichqofqtheqfollowingqisqtheqpriorityqnursingqintervention? Answer:qCq-qAnswerqA)qelevatingqtheqextremityqaboveqtheqlevelqofqtheqheart B) repositioningqandqapplyqice C) Elevatingqtheqextremityqtoqtheqlevelqofqtheqheartq*** D) Preparingqtheqpatientqforqultrasound Aq 36 - yearqoldqfemaleqhasqaqdeformityqofqtheqleftqwristqafterqaqfall.qSheqisqreluctantqtoqmoveqherqhandq dueqtoqpain.qWhichqofqtheqfollowingqisqtheqmostqappropriateqintervention? Answer:qBq-qAnswerqA)qapplyqaqslingqandqelevateqtheqextremityqtoqtheqlevelqofqtheqheart. B) applyqaqsplintqandqELEVATEqABOVEqTHEqLEVELqOFqTHEqHEARTq*** C) Applyqaqslingqandqelevateqtheqextremityqaboveqtheqlevelqofqtheqheart D) applyqaqsplintqandqelevateqtheqextremityqtoqtheqlevelqofqtheqheart. Whichqofqtheqfollowingqisqaqlateqsignqofqincreasedqintracranialqpressure? Answer:qC CushingqResponse qWideningqpulseqpressure qReflexqbradycardia qDecreasedqRRq-qAnswerqA)qRestlessnessqorqdrowsiness B) Nauseaqandqvomiting C) Decreasedqrespiratoryqeffort** D) amnesiaqandqanxiety Whichqofqtheqfollowingqmnemonicsqcanqhelpqtheqnurseqprioritizeqcareqforqaqtraumaqpatientqwith qmassivequncontrolledqhemorrhage? Answer:qBq-qAnswerqA)qABC B) MARCH***
Aqpatientqarrivesqwithqaqlargeqopenqchestqwoundqafterqbeingqassaultqedqwithqaqmachete,qPreho spitalqprovidersqplacedqaqnonporousqdressingqoverqtheqchestqwoundqandqtapesqitqonq 3 qsides.qH eqisqnowqshowingqsignsqofqanxiety,qrestlessness,qsevereqrespiratoryqdistress,qcyanosis,qandqdec reasingqbloodqpressure.qWhichqofqtheqfollowingqisqtheqMOSTqappropriateqinterventions? Answer:qCq-qAnswerqA)qneedleqdecompression B) tubeqthoracostomy C) dressingqremovalq** D) surgicalqrepair Aqpatientqisqfoundqlyingqonqtheqfloorqafterqfallingq 13 qhoursqago.qWhichqofqtheqfollowingqlabqvalue sqisqexpectedqwithqaqmusculoskeletalqcomplicationqassociatedqwithqthisqpresentation? Answer:qAq-qAnswerqA)qelevatedqcreatineqkinaseq*** B) decreasedqpotassiumqlevel C) decreasedqWBC D) elevatedqGFR Aq 56 - year- qmaleqpatientqinvolvedqinqaqMVCqisqbroughtqtoqtheqEDqofqaqruralqcriticalqaccessqfacility.qH eqc/oqneckqpain,qSOB,qandqdiffuseqabdqpain.qHisqGCSqisq15.qHisqvitalsqareqasqfollows: BPq98/ HRq 125 qbeats/min RRq 26 qbreaths/min SpO2q94%qonqhighqflowqO2qviaqNRBqmask whichqofqtheqfollowingqisqtheqpriorityqinterventionqforqthisqpatient? Answer:qCq-qAnswerqA)qExpediteqtransportqtoqtheqCTqscanner B) prepareqtheqpatientqforqspinalqradiographs C) expediteqtransferqtoqtheqclosestqtraumaqcenterq*** D) notifyqtheqpatientsqfamily Caregiversqcarryqaq 2 -
yearqoldqintoqtheqEDqwhoqfellqoutqofq2ndqstoryqwindow.qTheqpatientqisqawakeqandqcryingqwithqin creasedqworkqofqbreathingqandqpaleqskin.qwhichqofqtheqfollowingqinterventionsqhasqtheqhighestq priority? Answer:qAq-qAnswerqA)qpaddingqthequpperqbackqwhileqstabilizingqtheqcervicalqspineq*** B) applyingqaqtight-fittingqNRBqmaskqwithqanqattachedqresevior C) establishingqintravenousqaccessqandqadministeringqaq20mL/kgqbolus D) preparingqforqdrugqassistedqintubation Whichqofqtheqfollowingqisqaqcomponentqofqtheqtraumaqtriadqofqdeath? Answer:qA hypothermia,qmetabolicqacidosis,qcoagulopathyq-qAnswerqA)qAcidosisq**
Answer:qBq-qAnswerqA)qepiduralqhematoma B) subduralqhematomaq*** C) diffuseqaxonalqinjury D) intracerebralqhematoma Ifqaqpatientqhasqreceivedqmultipleqtransfusionsqofqbankedqbloodqpreservedqwithqcitrate,qwhichqe lectrolyteqisqmostqlikelyqtoqdropqandqrequireqsupplementation? Answer:qDq-qAnswerqA)qpotassium B) magnesium C) sodium D) calciumq*** AqtraumaqpatientqisqenqrouteqtoqaqruralqED.qRadiologyqnotifiesqtheqchargeqnurseqthatqtheqCTqsc annerqwillqbeqoutqofqserviceqforqseveralqofqhours.qTheqteamqgathersqtoqplanqaccordingly.qWhic hqofqtheqfollowingqtermsqbestqdescribesqthisqtraumaqteamsqcommunication?
Answer:qDq-qAnswerqA)qBrief B) loop C) debrief D) huddleq*** Theqnurseqisqcaringqforqaq 120 qkgqmaleqisqbroughtqinqafterqaqwarehouseqfireqandqisqcalculatingqt heqpatient'sqfluidqresuscitationqneeds.qHeqhasqpainfulqredqblisteringqtoqtheqentireqsurfaceqofqbo thqupperqextremitiesqandqsuperficialqburnsqtoqtheqanteriorqchest.qUsingqtheqmodifiedqLundqan dqBrowderqchartqtoqcalculateqtheqtotalqBSAqburned,qhowqmuchqIVqfluidsqwouldqbeqadministere dqinqtheqfirstq 8 qhours? (upperqarmq4+4q/qlowerqarmq3+3q/qhandq2.5+2.5)q=q19%qTBSA. 120 qkgqxq(2qmL)qxq(19%qTBSA)q=q 4560 qmL 4560 q/q 2 q(halfqofqfluidsqgivenqinqfirstq 8 qhours)q=q 2280 qmL Answer:qAq-qAnswerqA)q 2280 qmLq*** B) 3840 qmL C) 4560 qmL D) 7680 qmL WhichqofqtheqfollowingqassessmentqfindingsqdifferentiatesqaqtensionqPTXqfromqaqsimpleqPTX? answer:qD Assessmentqfindingsqassociatedqwithqtensionqpneumothoraxqincludeqanxiety,qsevereqrestlessn ess,qsevereqrespiratoryqdistress,qandqabsentqbreathqsoundsqonqtheqinjuredqside.qHypotensionqd ueqtoqcompressionqofqtheqheartqandqgreatqvesselsqisqconsistentqwithqobstructiveqshock.qHypot ensionqworsensqwithqinspirationqdueqtoqincreasedqintrathoracicqpressure.qLateqsignsqincludeqdi stendedqneckqveins,qtrachealqdeviation,qandqcyanosis.q- qAnswerqA)qincreasedqworkqofqbreathing B) unilaterallyqdiminishedqbreathqsounds
Answer:qDq-qAnswerqA)qcallqforqaqportableqCXRqstat B) chestqtoqmakeqsureqtheqventilatorqisqpluggedqin C) suctionqtheqETqtube D) confirmqETqtubeqplacement Whatqfactorqcontributesqmostqtheqkineticqenergyqofqaqbodyqinqmotion? answer:qCq-qAnswerqA)qacceleration B) mass C) velocityq*** D) inertia Duringqtheqprimaryqsurveyqofqanqunconsciousqpatientqwithqmulti- systemqtrauma,qtheqnurseqnotesqsnoringqrespirations.qWhichqpriorityqnursingqinterventionsqsho uldqbeqperformedqnext? Answer:qDq-qAnswerqA)qopenqtheqairwayqwithqtheqhead-tilt/chinqliftqmaneuver B) auscultateqbilateralqbreathqsoundsqtoqassessqventilatoryqstatus C) assistqrespirationsqusingqaqBVM D) insertqanqoropharyngealqairwayqifqthereqisqnoqgagqreflexq*** Followingqaqreviewqofqrecentqdrillsqandqaqrealqdisasterqevent,qaqhospitalqhasqidentifiedqdeficien ciesqandqisqtakingqstepsqtoqminimizeqtheqimpactqofqfutureqdisaster.qWhichqphaseqofqtheqdisast erqlifeqcycleqdoesqthisqdescribe? Answer:qAq-qAnswerqA)qmitigationq*** B) preparedness C) response D) recovery Whichqpulseqpressureqdescriptionqisqanqindicationqofqearlyqhypovolemicqshock? Answer:qBq-qAnswerqA)qwidened B) narrowedq***
C) bounding D) weak Theqmostqreassuringqfindingqforqaqmaleqpatientqwithqhopqpainqafterqaqfallqisqwhichqofqtheqfollo wing? Answer:qDq-qAnswerqA)qaqnormalqprostateqexam B) absenceqofqabdominalqdistension C) aqnormalqfastqexam D) pelvicqstabilityq*** Aq 49 - yearqoldqrestrainedqdriverqinvolvedqinqaqMVCqpresentsqtoqtheqtraumaqcenterqc/oqabd,qpelvic,qan dqbilqlowerqextremityqpainqVitalsqsignsqareqstable.qTheqnurseqcanqanticipateqallqofqtheseqnegativ eqfastqexamqexceptqwhichqofqtheqfollowing?
estless,qwithqrespiratoryqdistressqandqpetechiaeqtoqhisqneck.qtheqpatientqisqexhibitingqsignsqofqs ymptomsqcommonlyqassociatedqwithqwhichqofqtheqfollowingqconditions? Answer:qBq-qAnswerqA)qacuteqlungqinjury B) fatqembolismq*** C) PTX D) pulmonaryqcontusion Whichqisqtheqeffectqofqhypothermiaqonqtheqoxyhemoglobinqdissociationqcurve? Answer:qAq-qAnswerqA)qHemoglobinqdoesqnotqreadilyqreleaseqoxygenqforquseqbyqtheqtissuesq*** B) Theqamountqofqoxygenqavailableqtoqtheqtissuesqincreases
C) Tissueqoxygenationq(PaO2)qincreases D) Hemoglobinqmoleculeqsaturationq(SaO2)qdecreases Aq 20 - yearqoldqmaleqpresentsqtoqtheqEDqc/oqsevereqlowerqabdqpainqafterqlandingqhardqonqtheqbicycle qcrossqbarsqwhichqperformingqanqaerialqBMXqmaneuver.qSecondaryqassessmentqrevealsqlower qabdqtendernessqandqscrotalqecchymosis.qWhichqofqtheqfollowingqordersqwouldqtheqnurseqque stions? Answer:qCq-qAnswerqA)qFastqexam B) CTqscan C) straightqcathqforqurineqsampleq*** D) iceqandqelevationqofqtheqscrotum Youqareqtreatingqaq 27 - yearqoldqmaleqinqrespiratoryqdistressqwhoqwasqinvolvedqinqaqhouseqfire.qCalculatingqTBSAqburne dqisqdeferredqd/tqtheqneedqforqemergentqintubation.qAtqwhatqrateqshouldqyouqbeginqfluidqresusci tation? Answer:qBq-qAnswerqA)q 1000 qmL/hr B) 500 qmL/hrq*** C) 250 qmL/hr D) 125 qmL/hr Whichqofqtheqfollowingqisqpossibleqcomplicationqofqpositive-pressureqventilation? Answer:qAq-qAnswerqA)qworseningqpneumothorax B) worseningqflailqchest C) reabsorptionqofqpleuralqair D) negativeqintrapleuralqpressure WhichqofqtheqfollowingqisqNOTqconsideredqgoal-directedqtherapyqofqcardiogenicqshock? Answer:qCq-qAnswerqA)qcontrolledqfluidqboluses
D) heartqrateqofq 45 qbeats/min Anqunresponsiveqtraumaqpatientqhasqanqoropharyngealqairwayqinqplace,qshallowqandqlaboredq respiratory,qandqduskyqskin.qtheqtraumaqteamqhasqadministeredqmedicationsqforqdrugqassiste dqintubationqandqattemptedqintubationqbutqwasqunsuccessful.qWhatqisqtheqmostqappropriateq immediateqnextqstep? Answer:qAq-qAnswerqA)qVentilateqwithqaqBVMq*** B) Prepareqforqcricothyroidotomy C) administerqreversalqmedications D) contactqanesthesiaqforqassistance Theqtraumaqnurseqknowsqthatqplacingqaqbariatricqpatientsqinqaq"rampedqposition"qprovidesqbett erqvisualizationqduringqtheqinsertionqofqwhichqdevice? Answer:qCq-qAnswerqA)qIntraosseousqline B) orogastricqtube C) ETqtubeq*** D) urinaryqcatheter YouqareqcaringqforqaqpatientqwhoqwasqinvolvedqinqaqMVAqandqisq 32 qweeksqpregnant.qFindingsqof qyourqsecondaryqsurveyqincludeqabdqpainqonqpalpation,qfundalqhighqatqtheqcostalqmargin,qandqs omeqdarkqbloodyqshow.qVarying,qaccelerationsqandqdecelerationsqareqnotedqonqtheqcardiotoco graphy.qTheseqfindingsqareqmostqconsistentqwithqwhichqofqtheqfollowing? Answer:qAq-qAnswerqA)qplacentalqabruptionq*** B) pretermqlabor C) uterineqrupture D) fetalqdemise
