TNCC 9th Edition: Trauma Test Prep Questions and Answers, Exams of Nursing

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TNCC 9th edi. Test Prep Question answered 50/50 Correctly Graded A+

An adult patient who sustained a severe head trauma has been intubated and has been manually ventilated via a bag mask device at a rate of 18 breaths per minute. The patient has received one intravenous fluid bolus of 500 ML of warmed isotonic crystalloid solution. The PaCO2 is 30 and a pulse ox symmetry is 92%. BP is 142/70. What is the most important intervention to manage the cerebral blood flow? - Correct answer decrease the rate of manual ventillation An older patient with a history of anticoagulant use presents after a fall at home the previous day. She denies any loss of consciousness. She has a hematoma to her forehead and complains of headache, dizziness, and nausea. What is the most likely cause of her symptoms? - Correct answer subdural hematoma An adult who fell from a second story roof is brought to the emergency department by private vehicle - Correct answer ABC A trauma patient is restless and repeatedly asking "where am I?" Vitals upon arrival were BP 110/60, HR96, RR 24. Her skin is cool and dry. Current VS are BP 104/84, HR 108, RR 28. The pt is demonstrating s/sx of which stage of shock? - Correct answer compensated A 35-year-old male presents with facial trauma after being struck in the face with a baseball. A teardrop-shaped left pupil is noted on exam. What type of injury is suspected? - Correct answer globe rupture An adult patient with a restraint passenger involved in a high-speed motor vehicle collision. The passenger - Correct answer What intravascular solution is most commonly use for patients who have sustained burns? - Correct answer Lactated Ringers (LR) You are speaking with the family of a critically injured patient. The spouses, crying loudly and the - Correct answer Which of the following is true about use of the focused assessment sonography for trauma exam for a - Correct answer A patient with a chest tube is being transported to the intensive care unit and fluctuation is noted - Correct answer A trauma patient is being held in the emergency department, because there are no available inpatient beds - Correct answer

A patient has uncontrolled bleeding from a wound to his right upper extremity. What is a priority intervention? - Correct answer A patient has received multiple transfusions of banks blood in the past two hours. the patient has - Correct answer Three adults present at different times during a one hour. With a high fever, fatigue, and headache - Correct answer A trauma patient who is 30 weeks pregnant arrives at the emergency department following a motor vehicle crash - Correct answer Following a gunshot wound prehospital providers report diminished breath sounds bilaterally. Upon - Correct answer A patient with a traumatic brain injury has a mean arterial pressure of 65 mm Hg and - Correct answer An adult patient involved in assault presents with shortness of breath, BP 88/50 MMHG heart rate - Correct answer Which blood pressure finding is associated with early or compensated hypovolemic shock? - Correct answer A patient who jumped out of a second floor window, landing on their feet is diagnosed with a lumbar spinal - Correct answer During the primary survey of an unconscious, patient with multisystem trauma, the nurse notes snoring, respirations - Correct answer A patient with a complete spinal cord injury, who is a neurogenic shock will demonstrate hypotension - Correct answer When can an accurate determination of total body surface area burned be made an order to make - Correct answer A patient is thrown against a car during a tornado in presents with obvious bilateral femur fractures - Correct answer A restrained driver involved in a motor vehicle collision is brought to the emergency department with - Correct answer A patient is diagnosed with a T 12 spinal cord injury, following a 12 foot for which finding is consistent - Correct answer

A patient arrives with a large open chest wound after being assaulted with a machete. Prehospital professionals - Correct answer What assessment finding is consistent with impending herniation syndrome? - Correct answer A nurse, verbalizes, guilt and remorse after caring for multiple severely injured patience during a - Correct answer You are caring for a patient who has thrown from a bike and was not wearing a helmet. While performing. - Correct answer A patient who weighs 120 kg is brought to the emergency department after sustaining partial thickness burns - Correct answer A teenage patient presents to the emergency department with left arm pain after a ground level fall - Correct answer Which of the following is a late sign of increased intracranial pressure? - Correct answer A patient is brought to the emergency department of a rural hospital following a high- speed, motor vehicle crash - Correct answer And unconscious patient arrives following a motor vehicle collision. The patient is on the backboard with. - Correct answer Your patient is a pedestrian struck by a car and third and 35 feet. They were unconscious at the scene. - Correct answer What is the most important consideration during the initial assessment when caring for an older adult? - Correct answer What position optimizes ventilation in the obese patient with a lumbar fracture? - Correct answer 836 year old. Patient has a deformity of the left wrist after a fall. The patient is reluctant to move. - Correct answer What is the rationale for obtaining a serum lactate level during the initial assessment of a trauma patient - Correct answer An older adult presents to the emergency department with complaints of dizziness, headache, and nausea - Correct answer

A patient with a lower extremity fracture, complains of severe pain and tightness in his calf, minimal - Correct answer Face on full mechanism, which patient warrants prehospital transfer to a trauma center - Correct answer Which of the following is true regarding cavitation? - Correct answer A patient has been diagnosed with an incomplete spinal cord injury at L1. Which finding would indicate. - Correct answer Following a motor vehicle collision, a patient presents with decreased level of consciousness and respiratory - Correct answer A patient arrives at the emergency department following a motor vehicle collision. Prehospital personnel. - Correct answer You are caring for a patient who was involved in a motor vehicle crash and is 32 weeks pregnant. Find. - Correct answer An adult patient is brought to the emergency department, following a vehicle rollover with prolonged - Correct answer Patience with a crush injury should be monitored for which of the following conditions? - Correct answer