TNCC 9TH EDITION EXAM LATEST 2023-2024 COMPLETE 80 QUESTIONS AND CORRECT DETAILED ANSWERS, Exams of Nursing

Download TNCC 9TH EDITION EXAM LATEST 2023-2024 COMPLETE 80 QUESTIONS AND CORRECT DETAILED ANSWERS and more Exams Nursing in PDF only on Docsity! TNCC 9TH EDITION EXAM LATEST 2023-2024 COMPLETE 80 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+ TNCC 9TH EDITION EXAM LATEST 2023-2024 COMPLETE 80 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+ 1. You are caring for a patient who was involved in a motor vehicle crash and is 32 weeks pregnant. Finding of your secondary survey include abdominal pain on palpitation, fundal height at the costal margin, and some dark bloody show. Varying acceleration and decelerations are noted on cardiotocography. These finding are most consistent with which of the following? a. Placental abruption b. Preterm labor c. Uterine rupture d. Fetal demise 2. Which of the following is a possible complication of positive-pressure ventilation? a. Worsening pneumothorax b. Worsening flail chest c. Reabsorption of pleural air d. Negative intrapleural pressure 3. Which of the following is a component of the trauma triad of death? a. Acidosis b. Hyperthermia TNCC 9TH EDITION EXAM LATEST 2023-2024 COMPLETE 80 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+ c. Hemorrhage d. Sepsis 4. Following a review of recent drills and a real disaster event, a hospital has identified deficiencies and is taking steps to minimize the impact of a future disaster. Which phase of the disaster life cycle does this describe? a. Mitigation b. Preparedness c. Response d. Recovery TNCC 9TH EDITION EXAM LATEST 2023-2024 COMPLETE 80 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+ 11. EMS arrives with the intoxicated driver of a car involved in a motor vehicle crash. EMS reports significant damage to the driver’s side of the car. The patient is asking to have the cervical collar removed. When is it appropriate to remove the cervical collar? a. After a physical examination if the patient has no radiologic abnormalities on CT b. After physician evaluation if the patient has no neurologic abnormalities on exam c. After palpation of the spine if the patient has no point tenderness to the vertebral column d. After a physical examination if the patient has no neck pain and movement 12. Why is a measure of serum lactate obtained in the initial assessment of a trauma patient? a. To measure oxygenation and ventilation b. To quantify the base deficit for the adequacy of cellular perfusions c. To gauge end-organ perfusion and tissue hypoxia d. To determine the underlying cause of shock 13. Which of the following is NOT considered goal-directed therapy for cardiogenic shock? a. Controlled fluid boluses b. Antidysrhythmic administration c. Pericardiocentesis d. Cardiac catheterization 14. A patient is brought to the emergency department of a rural hospital following a high-speed vehicle collision. When significant abdominal and pelvic injuries are noted in the primary survey, which of the following is the priority intervention? a. Initiate transfer to a trauma center b. Provide a report to the operating room nurse. TNCC 9TH EDITION EXAM LATEST 2023-2024 COMPLETE 80 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+ c. Obtain imaging studies. d. Place a gastric tube. TNCC 9TH EDITION EXAM LATEST 2023-2024 COMPLETE 80 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+ 15. A patient with a complete spinal cord injury in neurogenic shock will demonstrate hypotension and which other clinical signs? a. Bradycardia and ipsilateral absence of motor function b. Tachycardia and respiratory depression c. Tachycardia and absent motor function below the level of injury d. Bradycardia and absent motor function below the level of the injury 16. You are treating a 27-year-old male in respiratory distress who was involved in a house fire. Calculation total body surface area (TBSA) burned is deferred due to the need for emergent intubation. At what rate do y begin fluid resuscitation? a. 1000ml/hour b. 500 ml/hour c. 250 ml/hour d. 125 ml/hour 17. An intubated and sedated patient in the emergency department has multiple extremity injuries with eh potential for causing compartment syndrome. What is the most reliable indication of compartment syndrome in a patient who is unconscious? a. Pulselessness b. Pressure c. Paranesthesia d. Pallor 18. Which of the following patients warrants referral to a burn center? a. A 21-year-old female with a partial-thickness burn to her right forearm. TNCC 9TH EDITION EXAM LATEST 2023-2024 COMPLETE 80 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+ c. 4560 ml d. 7680 ml TNCC 9TH EDITION EXAM LATEST 2023-2024 COMPLETE 80 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+ 23. 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? a. Open the airway with the head-tilt, chin lift maneuver. b. Auscultate bilateral breath sounds to assess ventilatory status. c. Assist respiration using a bag-mask device. d. Insert an oropharyngeal airway if there is no gag reflex. 24. All of these are considered a critical communication point in trauma care Except which of the following. a. Briefs b. Defusing c. Huddles d. Debriefs 25. A 56-year-old male patient involved in a motor vehicle crash is brought to the emergency department of a rural critical access facility. He complains of neck pain, shortness of breath, and diffuse abdominal pain. His Glasgow coma score is 15. His vital signs are as follows: Bp 98/71, Hg. HR 125 beats/minutes, RR 26 breaths/minute, SpO2 94% on high flow oxygen via non=rebreather mask. Which of the following is the priority intervention for this patient? a. Expedite transport to the CT scanner. b. Prepare the patient for spinal radiographs. c. Expedite transfer to the closest trauma center. d. Notify the patients family. TNCC 9TH EDITION EXAM LATEST 2023-2024 COMPLETE 80 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+ 26. A 20-year-old male presents to the ED complaining of sever lower abdominal pain after landing hard on the bicycle cross bars while performing an aerial BMX maneuver. Secondary assessment reveals lower TNCC 9TH EDITION EXAM LATEST 2023-2024 COMPLETE 80 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+ b. MARCH c. AVPU d. VPP 30. Which of the following is most likely to contribute to inadequate oxygenation and ventilation? a. Advanced age b. Gastric reflux c. Hypertension d. Nausea and vomiting 31. Which of the following occurs during the third impact of a motor vehicle crash? a. The driver of the vehicle collides with the steering wheel. b. The vehicle collides with a tree. c. The aorta is torn as its attachment with ligamentum arteriosum. d. The airbag deploys and strikes the front seat passenger. 32. EMS brings a patient from a motor vehicle crash. Vital signs are Bp 90/49 mm Hg, HR 48 beats/minute, RR 12 breaths/minute, temperature 97.2F (36.2C). The patient exhibits urinary incontinence and priapism These assessment findings are most consistent with which of the following types of spinal cord injury? a. Brown-Sequard b. Complete c. Anterior d. Incomplete 33. An unresponsive trauma patient has an oropharyngeal airway in place, shallow and labored TNCC 9TH EDITION EXAM LATEST 2023-2024 COMPLETE 80 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+ respirations, and dusky skin. The trauma team has administered medications for drug-assisted intubation and attempted intubation but was unsuccessful. What is the most appropriate immediate next step? TNCC 9TH EDITION EXAM LATEST 2023-2024 COMPLETE 80 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+ a. Ventilate with a bag-mask device. b. Prepare for cricothyroidotomy. c. Administer reversal medications. d. Contact anesthesia for assistance. 34. Patients with a crush injury should be monitored for which of the following conditions? a. Hypernatremia b. Hypercalcemia c. Dysrhythmias d. Polyuria 35. 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? a. Elevating the extremity above the level of the heart b. Repositioning and applying ice c. Elevating the extremity to the level of the heart d. Preparing the patient for ultrasound 36. The most reassuring finding for a male patient with hip pain after a fall is which of the following? a. A normal prostate exam b. Absence of abdominal distention c. A normal FAST exam d. Pelvic stability 37. What factor contributes most to the kinetic energy of a body in motion? TNCC 9TH EDITION EXAM LATEST 2023-2024 COMPLETE 80 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+ a. Restlessness or drowsiness b. Nausea and vomiting c. Decreased respiratory effort. TNCC 9TH EDITION EXAM LATEST 2023-2024 COMPLETE 80 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+ d. Amnesia and anxiety] 42. What bedside monitoring parameters are used to assess for adequacy of oxygenation and adequacy of oxygenation and effectiveness of ventilation? a. Pulse oximetry and capnography b. Respiratory rate and capnography c. Pulse oximetry and respiratory rate d. Capnography and capnometry 43. A patient has been in the emergency department for several hours waiting to be admitted. He sustained multiple rib fractures and a femur fracture after a fall. He has been awake, alert, and complaining of leg pain. His wife reported that he suddenly became anxious and confused. Upon reassessment, the patient is restless with respiratory distress and petechiae to his neck. The patient is exhibiting signs and symptoms most commonly associated with which of the following conditions? a. Acute lung injury b. Fat embolism c. Pneumothorax d. Pulmonary contusion 44. Which of the following injuries is LEAST likely to be promptly identified? a. Spleen b. Lung c. Bowel d. Brain 45. Which of the following considerations is the most important when caring for a geriatric trauma patient? TNCC 9TH EDITION EXAM LATEST 2023-2024 COMPLETE 80 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+ a. A head-to-toe exam has limited utility. b. A pertinent medical history is crucial. c. Incontinence may cause inaccurate output measurement.