TNCC Exam 8th edition study Guide
Questions & Answers (RATED A+)
All of these are considered a critical communication point in trauma care EXCEPT
which of the following? - ANSWERSDefusings A defusing is part of critical incident
stress management but is not considered a critical communication point in trauma care.
.During the primary survey of an unconscious patient with multi-system trauma, the
nurse notes snoring respirations. What priority nursing intervention should be performed
next? - ANSWERSInsert an oropharyngeal airway if there is no gag reflex Snoring
respirations may indicate airway obstruction from the tongue. Insert an airway adjunct to
alleviate obstruction by the tongue. Oropharyngeal airways can be used in patients
without a gag reflex.
Which of the following is NOT considered a benefit of debriefings? -
ANSWERSIdentifying individuals who made mistakes during the traumatic event
Debriefings are not used to single out individuals who made mistakes. Debriefings are
used to provide an opportunity to review performance and identify areas for
improvement with a sharing of individual responses.
What physiologic change in the elderly population increases the risk of traumatic injury?
- ANSWERSDecreased subcutaneous fat Decreased subcutaneous fat and thinning of
the skin increases the risk of injuries from soft tissue trauma and increases the risk of
hypothermia
An intubated and sedated patient in the emergency department has multiple extremity
injuries with the potential for causing compartment syndrome. What is the most reliable
indication of compartment syndrome in a patient who is unconscious? -
ANSWERSPressure Pressure can be assessed in the limb by palpation or direct
measurement. The compartment or limb will feel tight or tense upon palpation. The skin
may also appear taut and shiny.
When is the tertiary survey completed for a trauma patient? - ANSWERSWithin 24
hours of the trauma The tertiary survey consists of a complete examination performed
following the primary and secondary surveys and within 24 hours after trauma to identify
any injuries missed during the initial assessment.
A patient with a lower extremity fracture complains of severe pain and tightness in his
calf, minimally relieved by pain medications. Which of the following is the priority nursing
intervention? - ANSWERSElevating the extremity to the level of the heart Elevating the
extremity higher than the heart can reduce circulation and tissue perfusion if
compartment syndrome is suspected.
