Download TNCC Final Exam Test 2024/2025: Open Questions and Answers and more Exams Community Health in PDF only on Docsity!
TNCC FINAL EXAM TEST 2024/
OPEN QUESTIONS AND ANSWERS
Youkarektreatingkak 27 - yearkoldkmalekinkrespiratorykdistresskwhokwaskinvolvedkinkakhousek fire.kCalculatingkTBSAkburnedkiskdeferredkd/tkthekneedkforkemerge ntkintubation.kAtkwhatkratekshouldkyoukbeginkfluidkresuscitation? A)k 1000 kmL/hr B)k 500 kmL/hrk C)k 250 kmL/hr D)k 125 kmL/hrk-kCORRECTkANSWER-B)k 500 kmL/hr AkpatientkhaskbeenkinkthekEDkforkseveralkhourskwaitingktokbekadmitt ed.kHeksustainedkmultiplekribkfractureskandkakfemurkfracturekafterka kfall.kHekhaskbeenkawake,kalert,kandkc/oklegkpain.kHiskwifekreportedk suddenlykbecomingkanxiouskandkconfused.kUponkreassessment,k thekpatientkiskrestless,kwithkrespiratorykdistresskandkpetechiaektokh iskneck.kthekpatientkiskexhibitingksignskofksymptomskcommonlykass ociatedkwithkwhichkofkthekfollowingkconditions? A)kacuteklungkinjury B)kfatkembolism C)kPTX D)kpulmonarykcontusionk-kCORRECTkANSWER-B)kfatkembolism Whichkpulsekpressurekdescriptionkiskankindicationkofkearlykhypovol emickshock? A)kwidened B)knarrowedk C)kbounding D)kweakk-kCORRECTkANSWER-B)knarrowed
Whichkofkthekfollowingkconsiderationskiskmostkimportantkwhenkcari ngkforkakgeriatricktraumakpatient? A)kheadktoktokexam B)kmedicalkhistory C)kincontinence D)kfallsk-kCORRECTkANSWER-B)kmedicalkhistory Whichkofkthekfollowingkassessmentkfindingskdifferentiateskaktensio nkpneumothoraxkfromkaksimplekpneumothorax? A)kincreasedkworkkofkbreathing B)kunilaterallykdiminishedkbreathksounds C)kpleuritickchestkpain D)khypotensionkthatkworsenskwithkinspirationk- kCORRECTkANSWER- D)khypotensionkthatkworsenskwithkinspiration. Assessmentkfindingskassociatedkwithktensionkpneumothoraxkincl udekanxiety,kseverekrestlessness,kseverekrespiratorykdistress,kan dkabsentkbreathksoundskonkthekinjuredkside.kHypotensionkduektokc ompressionkofkthekheartkandkgreatkvesselskiskconsistentkwithkobstr uctivekshock.kHypotensionkworsenskwithkinspirationkduektokincrea sedkintrathoracickpressure.kLateksignskincludekdistendedkneckkvei ns,ktrachealkdeviation,kandkcyanosis. Theknursekiskcaringkforkak 120 kkgkmalekiskbroughtkinkafterkakwarehou sekfirekandkiskcalculatingkthekpatient'skfluidkresuscitationkneeds.kH ekhaskpainfulkredkblisteringktokthekentireksurfacekofkbothkupperkextr emitieskandksuperficialkburnsktokthekanteriorkchest.kUsingkthekmodi fiedkLundkandkBrowderkchartktokcalculatekthektotalkBSAkburned,kho wkmuchkIVkfluidskwouldkbekadministeredkinkthekfirstk 8 khours? A)k 2280 kmLk B)k 3840 kmL C)k 4560 kmL D)k 7680 kmLk-kCORRECTkANSWER-A)k 2280 kmL (upperkarmk4+4k/klowerkarmk3+3k/khandk2.5+2.5)k=k19%kTBSA.
A)kepiduralkhematoma B)kdiffusekaxonalkinjury C)kpost-concussiveksyndrome D)ksubduralkhematomak-kCORRECTkANSWER- D)ksubduralkhematoma Aktraumakpatientkiskrestlesskandkrepeatedlykaskingk"wherekamkI?"k vitalksignskuponkarrivalkwerekBPk100/60kmmkHg,kHRk 96 kbeats/min, kandkRRk 24 kbreaths/min.kHerkskinkiskcoolkandkdry.kCurrentkvitalksig nskarekBPk104/84mmkHg,kHRk108,kRRk 28 kbreaths/min.kThekpatien tkiskdemonstratingksignskandksymptomskofkwhichkstagekofkshock?k A)kcompensatedk B)kProgressive C)kirreversible D)kdecompensatedk-kCORRECTkANSWER-A)kcompensated Whykiskakmeasurekofkserumklactatekobtainedkinkthekinitialkassessm entkofkthektraumakpatient?k a)ktokmeasurekoxygenationkandkventilation b)ktokquantifykthekbasekdeficitkforkthekadequacykofkcellularkperfusio n c)ktokgaugekend-organkperfusionkandktissuekhypoxiak d)ktokdeterminekthekunderlyingkcausekofkshockk- kCORRECTkANSWER-c)ktokgaugekend- organkperfusionkandktissuekhypoxia EMSkbringskakpatientkwhokfellkridingkhiskbicycle.kUsingkthekAmeric ankCollegekofkSurgeonskscreeningkguidelines,kwhichkassessmentk findingkwouldkpromptktheknursektokpreparekthekpatientkforkradiologi ckspinekclearance? A)kAlertkwithknokneurologickdeficits B)kMultiplekabrasionsktokthekextremitiesk C)kMultiplekrequestskofkwater
D)kSmellkofkalcoholkonkbreathk-kCORRECTkANSWER- D)kSmellkofkalcoholkonkbreath Whichkofkthekfollowingkoccurskduringkthekthirdkimpactkofkakmotorkve hiclekcrash? A)kThekdriverkofkthekvehiclekcollideskwithktheksteeringkwheel B)kthekvehiclekcollideskwithkaktree C)kthekaortakisktornkatkitskattachmentkwithkthekligamentumkarterios umk D)kthekairbagkdeployskandkstrikeskthekfrontkseatkpassengerk- kCORRECTkANSWER- C)kthekaortakisktornkatkitskattachmentkwithkthekligamentumkarterios um Akpassengerkiskbroughtktokthekemergencykdepartmentkofkakruralkh ospitalkfollowingkakhigh- speedkMVC.kWhenksignificantkabdominalkandkpelvickinjurieskarekn otedkinkthekprimaryksurvey,kwhichkofkthekfollowingkiskthekprioritykint erventions? A)kinitiatektransferktokaktraumakcenterk B)kprovidekreportktokthekoperatingkroomknurse C)kObtainedkimagingkstudies D)kPlacekakgastricktubek-kCORRECTkANSWER- A)kinitiatektransferktokaktraumakcenter WhichkofkthekfollowingkinjurieskiskLEASTklikelyktokbekpromptlykident ified? A)kspleen B)klung C)kbowelk D)kbraink-kCORRECTkANSWER-C)kbowel Patientskwithkakcrushkinjurykshouldkbekmonitoredkforkwhichkofkthekf ollowingkconditions?
D)kprovidekthekfamilykwithkinjurykpreventionkrecoursesk- kCORRECTkANSWER- A)kreportkyourksuspicionkofkthekmaltreatmentkinkaccordancekwithklo calkregulations Ak 36 - yearkoldkfemalekhaskakdeformitykofkthekleftkwristkafterkakfall.kShekiskr eluctantktokmovekherkhandkduektokpain.kWhichkofkthekfollowingkiskth ekmostkappropriatekintervention? A)kapplykakslingkandkelevatekthekextremityktoktheklevelkofkthekheart. B)kapplykaksplintkandkelevatekabovektheklevelkofkthekheartk C)kApplykakslingkandkelevatekthekextremitykabovektheklevelkofkthekh eart D)kapplykaksplintkandkelevatekthekextremityktoktheklevelkofkthekheart. k-kCORRECTkANSWER- B)kapplykaksplintkandkELEVATEkABOVEkTHEkLEVELkOFkTHEkHE ART Akpatientkwithklowerkextremitykfracturekcomplainskofkseverekpainka ndktightnesskinkhiskcalf,kminimallykrelievedkbykpainkmedications.kW hichkofkthekfollowingkiskthekpriorityknursingkintervention? A)kelevatingkthekextremitykabovektheklevelkofkthekheart B)krepositioningkandkapplykice C)kElevatingkthekextremityktoktheklevelkofkthekheart D)kPreparingkthekpatientkforkultrasoundk-kCORRECTkANSWER- C)kElevatingkthekextremityktoktheklevelkofkthekheart Whichkofkthekfollowingkiskaklateksignkofkincreasedkintracranialkpress ure? A)kRestlessnesskorkdrowsiness B)kNauseakandkvomiting C)kDecreasedkrespiratorykeffort D)kAmnesiakandkanxietyk-kCORRECTkANSWER- C)kDecreasedkrespiratorykeffort
Akpatientkiskthrownkagainstkakcarkduringkaktornadokandkpresentskwi thkobviouskbilateralkfemoralkfractures.kThekpatientkiskpale,kalert,kdi soriented,kandkhaskdelayedkcapkrefill.kWhichkofkthekfollowingkinterv entionskwouldkbekmostkappropriatekforkthiskpatientkbasedkonkthekdi sasterktriagekprinciple? A)kinitiatektwoklargekborekintravenousklineskforkRingersklactateksolu tionkadministrationk B)kAdministerkDilaudidkforkpainkcontrolkandkprovidekcomfortkcare C)kPlacekthekpatientkinkankobservationkareakforkcarekwithinktheknex tkfewkhours D)kContactkthekcommandkcenterkforkthekpersonnelktoknotifyknextkof kkin.k-kCORRECTkANSWER- A)kinitiatektwoklargekborekintravenousklineskforkRingersklactateksolu tionkadministration Whichkofkthekfollowingkmnemonicskcankhelpktheknursekprioritizekca rekforkaktraumakpatientkwithkmassivekuncontrolledkhemorrhage? A)kABC B)kMARCH C)kAVPU D)kVIPPk-kCORRECTkANSWER-B)kMARCH Akpatientkarriveskwithkaklargekopenkchestkwoundkafterkbeingkassaul tedkwithkakmachete,kPrehospitalkproviderskplacedkaknonporouskdr essingkoverkthekchestkwoundkandktapeskitkonk 3 ksides.kHekisknowksh owingksignskofkanxiety,krestlessness,kseverekrespiratorykdistress,k cyanosis,kandkdecreasingkbloodkpressure.kWhichkofkthekfollowingki skthekMOSTkappropriatekinterventions? A)kneedlekdecompression B)ktubekthoracostomyk C)kdressingkremovalk D)ksurgicalkrepairk-kCORRECTkANSWER-C)kdressingkremoval
D)kitkdoesknotkincreaseskthekriskkofklifekthreateningkhemorrhagekfro mkunstablekinjuriesk-kCORRECTkANSWER- C)kitkcankworsenkcordkdamagekfromkankunstablekspinalkinjury EMSkarriveskwithkthekintoxicatedkdriverkofkakcarkinvolvedkinkakMVC. kEMSkreportsksignificantkdamagektokthekdriversksidekofkthekcar.kTh ekpatientkiskaskingktokhavekthekcervicalkcolorkremoved.kwhenkiskitka ppropriatektokremovekthekcervicalkcollar?k A)kafterkakphysicalkexaminationkifkthekpatientkhasknokradiologickabn ormalitieskonkakcomputedktomographykscank*** B)kafterkphysiciankevaluationkifkthekpatientkhasknotkneurologickabn ormalitieskonkexam C)kafterkpalpationkofkthekspinekifkthekpatientkhasknokpointktenderne sskthekthekvertebralkcolumn D)kafterkphysicalkexaminationkifkthekpatientkhasknotkneckkpainkwithk movementk-kCORRECTkANSWER- A)kafterkakphysicalkexaminationkifkthekpatientkhasknokradiologickabn ormalitieskonkakcomputedktomographykscan Ifkakpatientkhaskreceivedkmultiplektransfusionskofkbankedkbloodkpr eservedkwithkcitrate,kwhichkelectrolytekiskmostklikelyktokdropkandkre quireksupplementation? A)kpotassium B)kmagnesium C)ksodium D)kcalciumk-kCORRECTkANSWER-D)kcalcium Tearingkofkthekbridgingkveinskiskmostkfrequentlykassociatedkwithkw hichkbrainkinjury? A)kepiduralkhematomak B)ksubduralkhematomak*** C)kdiffusekaxonalkinjury D)kintracerebralkhematomak-kCORRECTkANSWER- B)ksubduralkhematoma
AktraumakpatientkiskenkroutektokakruralkED.kRadiologyknotifieskthekc hargeknursekthatkthekCTkscannerkwillkbekoutkofkservicekforkseveralk ofkhours.kThekteamkgathersktokplankaccordingly.kWhichkofkthekfollo wingktermskbestkdescribeskthisktraumakteamskcommunication? A)kBrief B)kloop C)kdebrief D)khuddlek-kCORRECTkANSWER-D)khuddle Ankintubatedktraumakpatientkiskbeingktransferredktokaktertiarykcarek center.kAfterkmovingkthekpatientktokthekstretcherkforktransport,kakdr opkinkpulsekoximetryktok85%kisknoted.kWhichkofkthekfollowingkiskthek prioritykinterventions? A)kcallkforkakportablekCXRkstat B)kchestktokmakeksurekthekventilatorkiskpluggedkin C)ksuctionkthekETktube D)kconfirmkETktubekplacementk-kCORRECTkANSWER- D)kconfirmkETktubekplacement Whatkfactorkcontributeskmostkthekkinetickenergykofkakbodykinkmotio n? A)kacceleration B)kmass C)kvelocity D)kinertiak-kCORRECTkANSWER-C)kvelocity Duringkthekprimaryksurveykofkankunconsciouskpatientkwithkmulti- systemktrauma,ktheknurseknotesksnoringkrespirations.kWhichkpriori tyknursingkinterventionskshouldkbekperformedknext? A)kopenkthekairwaykwithkthekhead-tilt/chinkliftkmaneuver B)kauscultatekbilateralkbreathksoundsktokassesskventilatorykstatus C)kassistkrespirationskusingkakBVM
Thekmostkreassuringkfindingkforkakmalekpatientkwithkhopkpainkafterk akfallkiskwhichkofkthekfollowing? A)kaknormalkprostatekexam B)kabsencekofkabdominalkdistension C)kaknormalkfastkexam D)kpelvickstabilityk-kCORRECTkANSWER-D)kpelvickstability Whichkofkthekfollowingkiskankexpectedkfindingkinkakpatientkwithkakth oracostomykconnectedktokakchestkdrainageksystem? A)koutputkofk 200 kmL/hr B)ktubingkclampkclosedkforktransport C)kdependentkloopskinkthektubingktokpromotekdrainage D)kfluctuationskinkthekwaterkserialkchamberk- kCORRECTkANSWER-D)kfluctuationskinkthekwaterkserialkchamber Whichkofkthekfollowingkpatientskwarrantskreferralktokakburnkcenter? A)kak 21 - kyearkoldkfemalekwithkakpartialkthicknesskburnktokthekrightkforearm B)kak 40 - yearkoldkhypertensivekmalekwithkaksuperficialkburnktokthekback C)kak 52 - yearkoldkdiabetickmalekwithkpartialkthicknesskburnktokthekleftklowerkl egk D)kak 35 - yearkoldkhyperlipidemickfemalekwithksuperficialkburnsktokthekanteri orkthorax.k-kCORRECTkANSWER-C)kak 52 - yearkoldkdiabetickmalekwithkpartialkthicknesskburnktokthekleftklowerkl eg Whichkiskthekeffectkofkhypothermiakonkthekoxyhemoglobinkdissocia tionkcurve? A)kHemoglobinkdoesknotkreadilykreleasekoxygenkforkusekbykthektiss uesk
B)kThekamountkofkoxygenkavailablektokthektissueskincreases C)kTissuekoxygenationk(PaO2)kincreases D)kHemoglobinkmoleculeksaturationk(SaO2)kdecreasesk- kCORRECTkANSWER- A)kHemoglobinkdoesknotkreadilykreleasekoxygenkforkusekbykthektiss ues Ak 20 - yearkoldkmalekpresentsktokthekEDkc/oksevereklowerkabdkpainkafterkl andingkhardkonkthekbicyclekcrosskbarskwhichkperformingkankaerialk BMXkmaneuver.kSecondarykassessmentkrevealsklowerkabdktende rnesskandkscrotalkecchymosis.kWhichkofkthekfollowingkorderskwoul dktheknursekquestions? A)kFastkexam B)kCTkscan C)kstraightkcathkforkurineksamplek D)kicekandkelevationkofkthekscrotumk-kCORRECTkANSWER- C)kstraightkcathkforkurineksample Whichkofkthekfollowingkiskpossiblekcomplicationkofkpositive- pressurekventilation? A)kworseningkpneumothorax B)kworseningkflailkchest C)kreabsorptionkofkpleuralkair D)knegativekintrapleuralkpressurek-kCORRECTkANSWER- A)kworseningkpneumothorax WhichkofkthekfollowingkiskNOTkconsideredkgoal- directedktherapykofkcardiogenickshock? A)kcontrolledkfluidkboluses B)kantidysrhythmickadministration C)kpericardiocentesisk D)kcardiackcathk-kCORRECTkANSWER-C)kpericardiocentesis
D)kurinarykcatheterk-kCORRECTkANSWER-C)kETktube YoukarekcaringkforkakpatientkwhokwaskinvolvedkinkakMVAkandkisk 32 k weekskpregnant.kFindingskofkyourksecondaryksurveykincludekabdk painkonkpalpation,kfundalkhighkatkthekcostalkmargin,kandksomekdar kkbloodykshow.kVarying,kaccelerationskandkdecelerationskareknote dkonkthekcardiotocography.kThesekfindingskarekmostkconsistentkwi thkwhichkofkthekfollowing? A)kplacentalkabruption B)kpretermklabor C)kuterinekrupture D)kfetalkdemisek-kCORRECTkANSWER-A)kplacentalkabruption
