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

Download TNCC 9TH EDITION EXAM LATEST 2023-2024 COMPLETE 80 QUESTIONS AND CORRECT DETAILED ANSWERS and more Exams Health sciences 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+ A adult patient with a knife injury to the neck has an intact airway and is hemodynamically stable. They complain of difficulty swallowing and speaking. In the primary survey, further assessment is indicated next for which of the following conditions? a. Damage to the cervical spine b. An expanding pneumothorax c. Laceration of the carotid artery d. Injury to the thyroid gland - ansa. Damage to the cervical spine A patient arrives at the emergency department by private vehicle after sustaining an injury to the right lower extremity while using a saw. There is a large gaping wound to the right thigh area with significant bleeding. What is the priority intervention? a. Elevate the extremity to the level of the heart b. Initiate direct pressure c. Apply a tourniquet d. Cover the open wound with sterile saline dressings - ansb. Initiate direct pressure A patient fell two weeks ago, striking their head. Today, the patient presented with a persistent headache and nausea and was diagnosed with a small subdural hematoma. The patient has been in the ED for 24 hours awaiting an inpatient bed. The night shift nurse reports the patient has been anxious, restless, shaky, and vomited twice during the night. The patient states they couldn't sleep because a young child kept coming into the room. What is the most likely cause for these signs and symptoms? a. increase intracranial pressure b. alcohol withdrawal c. rhabdomyolysis d. pulmonary embolus - ansb. alcohol withdrawal A patient involved in a MVC has sustained a fracture to the second rib of the anterior left chest. Which concurrent injury is most commonly associated with this fracture? a. Blunt cardiac injury b. Brachial plexus injury c. Pneumothorax d. Hemothorax - ansb. Brachial plexus injury A patient with a spinal cord injury at C5 is being cared for in the emergency department while awaiting transport to a trauma center. Which of the following represents the highest priority for ongoing assessment and management for this patient? a. maintain adequate respiratory status. b. administer balanced resuscitation fluid c. perform serial assessments of neurologic function d. maintain core temperature - ansa. maintain adequate respiratory status A trauma nurse cared for a child with devastating burns two weeks ago. The nurse called in sick for a couple of days and is now back working on the team. Which of the following behaviors would indicate this nurse is coping well? a. They are talking about taking the emergency nursing certification examination. b. They keep requesting to be assigned to the walk-in/ambulatory area c. They are impatient and snap at their coworkers. d. They are thinking about transferring out of the emergency department. - ansa. They are talking about taking the emergency nursing certification examination. TNCC 9TH EDITION EXAM LATEST 2023-2024 COMPLETE 80 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+ Following a bomb explosion, fragmentation injuries from the bomb or objects in the environment are examples of which phase of injury? a. primary b. secondary c. tertiary d. quaternary - ansb. secondary In a patient with severe traumatic brain injury, hypocapnia causes which condition? a. Respiratory acidosis b. Metabolic acidosis c. Neurogenic shock d. Cerebral vasoconstriction - ansd. Cerebral vasoconstriction The general impression step in the initial assessment provides the opportunity to do which of the following? a. Assess for uncontrolled internal hemorrhage b. Accurately triage the patient c. Reprioritize circulation before airway or breathing. d. Activate the trauma team - ansc. Reprioritize circulation before airway or breathing. The nurse is obtaining a history for a patient who presents following sexual assault. This history is completed using which of the following techniques? a. Bring the family in to the interview room. b. Use direct quotes to record information. c. Obtain information specific only to the assault. d. Provide food and drink to help create rapport. - ansb. Use direct quotes to record information. The vital signs of a pregnant trauma patient at 30 weeks include a blood pressure of 94/62 mm Hg and a heart rate of 108 beats/minute. Fetal heart tones are 124 beats/minute. The emergency nurse interprets the patient's hemodynamic findings as an indication of which of the following? a. Decompensated shock b. Normal vital signs in pregnancy c. Compensated shock d. Supine hypotension syndrome - ansb. Normal vital signs in pregnancy Treatment for frostbite can include which of the following interventions? a. warm the affected part over 30-60 minutes b. use gentle friction to improve circulation c. administer tissue plasminogen activator d. leave all of the blisters intact - ansc. administer tissue plasminogen activator Understanding the kinematic concepts associated with the mechanism of injury and energy transfer can initially assist the trauma care provider in which of the following? a. Anticipating the types of injuries that may be present b. Deciding whether law enforcement should be notified c. Determining needed laboratory tests d. Predicting the need for a surgical procedure - ansa. Anticipating the types of injuries that may be present What is the appropriate technique for palpating the pelvis for stability? TNCC 9TH EDITION EXAM LATEST 2023-2024 COMPLETE 80 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+ pain. VS are stable. The nurse can anticipate all of these after a negative FAST exam EXCEPT which of the following? dressing removal (it may be causing worsening tension PTX) - ANSA patient arrives with a large open chest wound after being assaulted with a machete. Prehospital providers placed a nonporous dressing over the chest wound and taped it on three sides. he is now showing signs of anxiety, restlessness, severe respiratory distress, cyanosis and decreasing blood pressure. Which of the following is the MOST appropriate immediate intervention? dysrhythmias - ANSPatients with a crush injury should be monitored for which of the following conditions? Elevated creatine kinase - ANSA patient who was found down and unresponsive for over 13 hrs would have what suspected lab abnormality? elevating the extremity to the level of the heart (suspected compartment syndrome) - ANSA pt with a lower extremity fracture complains of severe pain and tightness in his calf, minimally by pain medications. Which of the following is the priority nursing intervention? endotracheal tube - ANSThe trauma nurse knows that placing a bariatric patient in a ramped position providers better visualization during the insertion of which device? Expedite transfer to the closest trauma center - ANSA 56 y/o M pt involved in a motor vehicle crash is brought to the ED of a rural critical access facility. He complains of neck pain, SOB, and diffuse abd pain. His GCS is 15. His VS: BP 98/71, HR 125, RR 26, SpO2 94% on high-flow O2 via NRB mask. Which of the following is the priority intervention for this patient? fat embolism (petechia/femur fx) - ANSa pt has been in the ED for several hrs 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 pt is restless with respiratory distress and petechiae to his neck. The pt is exhibiting s/sx most commonly associated with which of the following conditions? flucuation in the water seal chamber - ANSWhich of the following is an expected finding in a pt with a tube thoracstomy connected to a chest drainage system? globe rupture - ANSA 35 y/o M 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? hemoglobin does not readily release O2 for use by the tissues - ANSWhat is the effect of hypothermia on the oxyhemoglobin dissociation curve? Hypotension (on inspiration) - ANSwhich of the following assessment findings differentiates a tension pneumothorax from a simple pneumothorax? identifying individuals who made mistakes during the traumatic event - ANSWhich of the following is NOT considered a benefit of debriefings? Initiate transfer to a trauma center - ANSA pt is brought to the ED of a rural hospital following a high- speed MVC. When significant abd and pelvic injuries are noted in the primary survey, which of the following is the priority interventions? TNCC 9TH EDITION EXAM LATEST 2023-2024 COMPLETE 80 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+ insert an oropharyngeal airway if there is no gag reflex - ANSDuring the primary survey of an unconscious pt with multi-system trauma, the nurse notes snoring respirations. What priority nursing interventions should be preformed next? it can worsen cord damage from an unstable spinal injury - ANSWhich of the following is true about the log-roll? MARCH - ANSWhich of the following mnemonics can help the nurse prioritize care for a trauma patient with massive uncontrolled hemorrhage? Mitigation - ANSFollowing 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? narrowed - ANSWhich of the following pulse pressures indicate early hypovolemic shock? padding the upper back while stabilizing the cervical spine (C-spine is part of the Pedi Alertness and Airway Assessment) - ANSCaregivers carry in a 2 y/o into the ED who fell out of a second-story window. The pt is awake and crying with increased work of breathing and pale skin. Which of the following interventions has the highest priority? partial and full thickness (superficial burns are not included) - ANSWhat degree of burns are used to calculate fluid resuscitation in a burn patient? pelvic stability - ANSthe most reassuring finding for a male pt with hip pain after a fall is which of the following? pericardiocentesis (this would be for obstructive shock such as with pericardial tamponade) - ANSWhich of the following is NOT considered goal-directed therapy for cardiogenic shock? placental abruption - ANSYou are caring for a pt who was involved in a MVC and is 32 weeks pregnant. Findings of your secondary survey include abd pain on palpation, fundal ht at the costal margin, and some dark bloody show. Varying accelerations and decelerations are noted on cariocgraphy. These findings are most consistent with which of the following? pressure - ANSAn intubated and sedated pt in the ED 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? pulse oximetry and capnography - ANSWhat bedside monitoring parameters are used to assess for adequacy of O2 and effectiveness of ventilation? Report your suspicion of maltreatment in accordance with local regulations - ANSa 5 y/o child presents to the ED with bruises to the upper arm and buttocks in various stages of healing and multiple small, clean, round burns to the back. There are no abnormalities found based on the pediatric assessment triangle or primary survey. Which of the following is the priority survey. Which of the following is the priority nursing intervention? TNCC 9TH EDITION EXAM LATEST 2023-2024 COMPLETE 80 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+ Smell of ETOH on breath - ANSEMS brings a pt who fell while riding his bicycle. Using the American College of Surgeobs screening guidelines, which assessment finding would prompt the RN to prepare the pt for a radiologic spine clearance? straight cath for urine sample - ANSA 20 y/o M presents to the ED complaining of severe lower abd pain after landing hard on the bicycle cross bars while preforming an aerial BMX maneuver. Secondary assessment reveals lower abd tenderness and scrotal ecchymosis. Which of the following orders would the RN question? subdural hematoma - ANSTearing of the bridging veins is most frequently associated with which brain injury? subdural hematoma (in geriatrics, s/s are often more subtle, and they are more likely to have tearing of the bridging veins from brain atrophy) - ANSAn elderly patient with a history of anticoagulant use presents after a fall at home today. 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? the aorta is torn at its attachment with the ligamentum arteriosum - ANSwhich of the following occurs during the third impact of a motor vehicle crash? to guage end-organ perfusion and tissue hypoxia - ANSWhy is a measure of serum lactate obtained in the initial assessment of a trauma patient? velocity (KE=1/2mv^2, if mass doubles so does E, but when v is doubled E is quadrupled) - ANSWhat factor contributes most to the kinetic energy of a body in motion? ventilate with a bag mask device - ANSAn unresponsive trauma pt has an oropharygeal airway in place, shallow and labored 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? within 24 hrs of trauma - ANSWhen is the tertiary survey completed fora trauma pt? worsening pneumothorax - ANSWhich of the following is possible complication of positive-pressure ventilation?