TNCC 9TH EDITION EXAM LATEST 2023-2024 COMPLETE 8O QUESTIONS AND CORRECT ANSWERS, Exams of Nursing

Download TNCC 9TH EDITION EXAM LATEST 2023-2024 COMPLETE 8O QUESTIONS AND CORRECT ANSWERS and more Exams Nursing in PDF only on Docsity! TNCC 9TH EDITION EXAM LATEST 2023-2024 COMPLETE 80 QUESTIONS AND CORRECT ANSWERS DETAILED WITH RATIONALES (VERIFIED ANSWERS) 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 (VERIFIEDANSWERS) |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 (VERIFIEDANSWERS) |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. Ant dysrhythmic 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 (VERIFIEDANSWERS) |ALREADY GRADED A+ c. Obtain imaging studies. d. Place a gastric tube. TNCC 9TH EDITION EXAM LATEST 2023-2024 COMPLETE 80 19. Tearing of the bridging veins is most frequently associated with which brain injury? a. Epidural hematoma b. Subdural hematoma c. Diffuse axonal injury d. Intracerebral hematoma 20. Which of the follow assessment finding differentiates a tension pneumothorax from a simple pneumothorax? a. Increased work of breathing b. Unilaterally diminished breath sounds c. Pleuritic chest pain d. Hypotension that worsens with inspiration. 21. Which of the following pulse pressures indicate early hypovolemic shock? a. Widened b. Narrowed c. Greater than 50 d. Increased 22. The nurse is caring for a 120kg male brought in after a warehouse fire and is calculating the patient’s fluid resuscitation needs, He has painful red blistering to the entire surface of both upper extremities and superficial burns to the anterior chest. Using the modified Lund and Browder chart to calculate ethe total body surface area burned. How much IV fluid would be administered in the first 8 hours? a. 2280 ml TNCC 9TH EDITION EXAM LATEST 2023-2024 COMPLETE 80 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIEDANSWERS) |ALREADY GRADED A+ b. 3840 ml QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES c. 4560 ml d. 7680 ml (VERIFIEDANSWERS) |ALREADY GRADED A+ TNCC 9TH EDITION EXAM LATEST 2023-2024 COMPLETE 80 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 (VERIFIEDANSWERS) |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 TNCC 9TH EDITION EXAM LATEST 2023-2024 COMPLETE 80 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 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 (VERIFIEDANSWERS) |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 TNCC 9TH EDITION EXAM LATEST 2023-2024 COMPLETE 80 c. Inertia 38. A 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 following is the MOST appropriate immediate intervention? a. Needle decompression b. Tube thoracostomy c. Dressing removal d. Surgical repair 39. If a patient has received multiple transfusions of banked blood preserved with citrate, which electrolyte is most likely to drop and require supplementation? a. Potassium b. Magnesium c. Sodium d. Calcium 40. A 36-year-old female has a deformity of the left wrist after a fall. She is reluctant to move her hand due to pain. Which of the following is the most appropriate intervention? a. Apply a sling and elevate the extremity to the level of the heart. b. Apply a splint and elevate the extremity above the level of the heart. c. Apply a sling and elevate the extremity above the level of the heart. d. Apply a splint and elevate the extremity to the level of the heart. TNCC 9TH EDITION EXAM LATEST 2023-2024 COMPLETE 80 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIEDANSWERS) |ALREADY GRADED A+ d. 41. Which of the following is a late sign of increased intracranial pressure? a. Restlessness or drowsiness b. Nausea and vomiting Decreased respiratory effort. TNCC 9TH EDITION EXAM LATEST 2023-2024 COMPLETE 80 c. 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 (VERIFIEDANSWERS) |ALREADY GRADED A+ d. a. Output of 200 mL per hour TNCC 9TH EDITION EXAM LATEST 2023-2024 COMPLETE 80 b. Tubing clamp closed for transport. c. Dependent loops in the tubing to promote drainage. d. Fluctuation in the water seal chamber TNCC 9TH EDITION EXAM LATEST 2023-2024 COMPLETE 80 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIEDANSWERS) 49. Caregivers carry in a 2-year-old into the emergency department who fell out of a second-story window. The patient is awake and crying with increased work of breathing and pale skin. Which of the following interventions has the highest priority? a. Padding the upper back while stabilizing the cervical spine b. Applying a tight-fitting nonrebreather mask with an attached reservoir c. Establishing an IV and administering a 20 mL/kg bolus d. Preparing for drug-assisted intubation 50. Which of the following is true about the log-roll? a. It causes less spinal motion than the lift-and-slide maneuver. b. It is recommended for patients with unstable pelvic fractures. c. It can worsen cord damage from an unstable spinal injury.