TNCC 9th Edition EXAM LATEST 2023-2024 COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS WIT, Exams of Nursing

Download TNCC 9th Edition EXAM LATEST 2023-2024 COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS WIT and more Exams Nursing in PDF only on Docsity! TNCC 9th Edition EXAM LATEST 2023-2024 COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+. An Adult Patient with Severe Head Trauma - ANSWER>>Decrease the rate of manual ventilation An Older Adult with Head Injury Symptoms - ANSWER>>Post-concussive syndrome Patient with Lower Extremity Fracture - ANSWER>>Elevating the leg to the level of the heart Patient with Penetrating Chest Wound - ANSWER>>Bowel sounds heard in the left lower chest Patient with Rib and Femur Fractures - ANSWER>>Fat embolism Patients with Fever and Rash - ANSWER>>Immediately initiate isolation precautions Patient with Teardrop-Shaped Pupil - ANSWER>>Globe rupture Patient with Incomplete Spinal Cord Injury - ANSWER>>Voluntary anal sphincter tone Finding in Complete Spinal Cord Injury - ANSWER>>Urinary incontinence Blood Pressure Finding in Hypovolemic Shock - ANSWER>>Rising diastolic Which of the Following Is True About the Log-Roll Maneuver? - ANSWER>>It should be avoided with a suspected spine injury prior to imaging A Patient Has Uncontrolled Bleeding from a Wound to His Right Upper Extremity. What Is the Priority Intervention? - ANSWER>>Apply direct pressure to the wound Which of the Following Situations Could Cause Functional Grief? - ANSWER>>Amputation of a limb Using the American College of Surgeons Screening Guidelines, What Assessment Finding Would Prompt the Nurse to Prepare a Patient for Cervical Spine Imaging? - ANSWER>>Alert with no neurologic deficits An Adult Was Thrown Against a Concrete Wall During a Factory Explosion and Sustained a Femur Fracture, Liver Laceration, and a Small Subdural Hematoma. These Injuries Most Likely Occurred During What Level of Blast Trauma? - ANSWER>>Tertiary An Adult Patient Was Brought to the Emergency Department Following a Motorcycle Crash. On Arrival, the Patient Is Only Responsive to Pain, Has Bleeding from the Nose, and Multiple Abrasions and Contusions to the Face. What Is the Priority Intervention? - ANSWER>>Use a jaw thrust to open the airway and look for signs of obstruction An Adult Pedestrian Was Struck on the Right Side by a Sport Utility Vehicle Traveling at 40 mph. The Patient Is Awake and Alert and the Right Leg Is Shortened. Following Initial Resuscitation with Fluids, the Patient Remains Hypotensive. What Would Be the Priority Intervention? - ANSWER>>Apply a pelvic binder A Severely Injured Patient Has Been Intubated and Is Being Mechanically Ventilated. The Patient Has Received a Balanced Resuscitation Including Multiple Blood Products. Under Which Circumstance Will It Be Harder for the Hemoglobin to Release Oxygen to the Tissues? - ANSWER>>Decreased body temperature A Patient Is Thrown Against a Car During a Tornado and Presents with Obvious Bilateral Femur Fractures. The Patient Is Pale, Alert, Disoriented, and Has Delayed Capillary Refill. Which of the Following Interventions Would Be Most Appropriate for This Patient Based on the Disaster Triage Principles? - ANSWER>>Initiate two large-caliber intravenous lines for isotonic crystalloid administration A patient arrives with a large metal rod embedded in their left thigh and no active bleeding. Which intervention is most appropriate for this patient? - ANSWER>>D. Prepare the patient for surgery to remove the rod When should the definitive calculation for intravenous fluid resuscitation rate be performed for a patient with burns? - ANSWER>>B. During the secondary survey Which of the following is true about use of the focused assessment sonography for trauma exam for a patient with abdominal trauma? - ANSWER>>B. It can be used in hypotensive patients too unstable for computed tomography scan What is the priority intervention for a child who has been diagnosed with an atlanto-occipital dislocation following a high-speed motor vehicle collision? - ANSWER>>B. Maintaining spinal motion restriction What position optimizes ventilation in the obese patient with a lumbar fracture? - ANSWER>>A. Reverse Trendelenburg During the primary survey of an unconscious patient with multi-system trauma, the nurse notes snoring respirations. Which priority nursing intervention should be performed next? - ANSWER>>D. Insert an oropharyngeal airway if there is no gag reflex A trauma patient is being held in the emergency department because there are no available inpatient beds. The patient sustained a femur fracture and required multiple blood products. The patient now has blood oozing from abrasions, IV sites, the nose, and gums. What condition is most consistent with these findings? - ANSWER>>C. Disseminated intravascular coagulopathy A patient is brought to the emergency department following a snowmobile crash with prolonged exposure time prior to transport. The patient is confused. Vital signs are BP 96/54 mm Hg, HR 114 beats/minute, RR 24 breaths/minute, T 34.6°C (94.2°F) and an SpO2 of 90% on oxygen at 15L per non-rebreather mask. Other findings include ETCO2 24, serum lactate of 6 mmol/L, and a pH of 6.8. Based on these findings, what is the most appropriate intervention? - ANSWER>>Initiate warming measures Which of the following is a late sign of increased intracranial pressure? - ANSWER>>Decreased respiratory effort Based on fall mechanism, which patient warrants prehospital transfer to a trauma center? - ANSWER>>A 2-year-old lands on grass from a second-story balcony The trauma nurse is caring for an unrestrained driver who struck their head on the windshield following a high-speed MVC. The patient has been diagnosed with an anterior spinal cord injury at the level of C6. Which assessment finding would be most concerning? - ANSWER>>Increasing work of breathing While caring for a child who has been injured, what nursing intervention is consistent with a family-centered approach? - ANSWER>>Allowing family to participate in the care of the patient A patient is brought to the emergency department with chest pain and shortness of breath following a high-speed motor vehicle collision in which they were the unrestrained driver. There is crepitus to the left chest with clear and equal breath sounds. The vital signs are BP 80/40 mmHg, HR 140 beats/minute, and RR 40 breaths/minute. Cardiac monitor shows sinus tachycardia with premature ventricular contractions. These findings are most consistent with which type of shock? - ANSWER>>Cardiogenic A trauma patient who is 30-weeks pregnant arrives at the emergency department following a motor vehicle collision. Which normal physiologic change should be considered when assessing ventilatory status? - ANSWER>>Increased oxygen consumption A patient who sustained severe injuries was brought to the emergency department following a high-speed motor vehicle collision. Interventions for hypovolemic shock have been initiated. What component of the trauma triad of death is most likely to have begun at the time of injury? - ANSWER>>Coagulopathy An adult patient involved in a motor vehicle collision is brought to the emergency department of a rural critical access facility. They complain of neck pain, shortness of breath, and diffuse abdominal pain. The Glasgow Coma Score is 15. Vital signs are: BP 98/71 mm Hg, HR 125 beats/minute, RR 26 breaths/minute, and SpO2 94% on high-flow oxygen via non-rebreather mask. Which of the following is the priority intervention for this patient? - ANSWER>>Expedite transfer to the closest trauma center A patient who weighs 120 kg is brought to the emergency department after sustaining partial thickness burns to both upper extremities and chest with a total body surface area burned of 27%. How much intravenous fluid should be administered in the first 8 hours? - ANSWER>>3240 mL A Patient with Severe Burns is Exhibiting Signs of Hypovolemic Shock. What is the Priority Intervention? - ANSWER>>Administering Intravenous Fluid Resuscitation A Patient with a Suspected Spinal Cord Injury Presents with Loss of Reflexes. What Condition is Consistent with this Finding? - ANSWER>>Spinal Shock A Trauma Patient with Bilateral Femur Fractures is Pale, Alert, and Disoriented. What Intervention is Most Appropriate Based on Disaster Triage Principles? - ANSWER>>Initiating Large-Caliber Intravenous Lines for Isotonic Crystalloid Administration A Patient with a Traumatic Brain Injury has a Mean Arterial Pressure of 65 mm Hg and an Intracranial Pressure of 22 mm Hg. What Finding Indicates the Body's Response to these Conditions? - ANSWER>>Widening Pulse Pressure A Nurse Caring for a Trauma Patient Verbalizes Guilt and Remorse. What Condition is Most Consistent with this Behavior? - ANSWER>>Moral Injury