TNCC 9TH EDITION FINAL EXAM 2024- 2025 ACTUAL EXAM COMPLETE QUESTIONS AND CORRECT DETAILE, Exams of Nursing

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TNCC 9TH EDITION FINAL EXAM 2024-

2025 ACTUAL EXAM COMPLETE

QUESTIONS AND CORRECT DETAILED

ANSWERS (VERIFIED ANSWERS)

Intervention for Patients with Fever and Rash - ANSWER>>Immediately initiate isolation precautions Facial Trauma with Teardrop-Shaped Pupil - ANSWER>>Suspected retrobulbar hematoma Incomplete Spinal Cord Injury at L1 - ANSWER>>Indicated by voluntary anal sphincter tone Complete Spinal Cord Injury Suspicion - ANSWER>>Urinary incontinence as a finding Early Hypovolemic Shock Blood Pressure - ANSWER>>Rising systolic blood pressure Log-roll Maneuver - ANSWER>>Recommended for patients with unstable pelvic fractures Uncontrolled Bleeding Priority Intervention - ANSWER>>Apply direct pressure to the wound Severe Head Trauma Management - ANSWER>>Decrease the rate of manual ventilation Symptoms in Older Adult on Anticoagulant Therapy - ANSWER>>Most likely due to epidural hematoma Priority Nursing Intervention for Calf Pain - ANSWER>>Elevating the leg above the level of the heart Diaphragm Injury from Penetrating Wound - ANSWER>>Decreased breath sounds on the left side Patient with Rib and Femur Fractures - ANSWER>>Sudden anxiety and confusion as a concerning sign Petechiae - ANSWER>>Tiny red or purple spots on the skin American College of Surgeons screening guidelines - ANSWER>>Criteria used to determine the need for cervical spine imaging

Blast trauma - ANSWER>>Injuries caused by explosions, categorized into primary, secondary, tertiary, or quaternary Nasopharyngeal airway - ANSWER>>Device inserted through the nose to maintain an open airway Pelvic binder - ANSWER>>Device used to stabilize pelvic fractures and reduce bleeding Balanced resuscitation - ANSWER>>Administering various blood products to stabilize a patient Disaster triage principles - ANSWER>>Guidelines for prioritizing care in mass casualty incidents Needle decompression - ANSWER>>Emergency procedure to relieve tension pneumothorax Tranexamic acid - ANSWER>>Medication used to prevent excessive bleeding Spinal shock - ANSWER>>Temporary loss of spinal reflex activity below the level of injury Mean arterial pressure (MAP) - ANSWER>>Average pressure in a patient's arteries during one cardiac cycle Reflex tachycardia - ANSWER>>Increased heart rate in response to low blood pressure Backboard - ANSWER>>Device used to immobilize a patient's spine during transport Priority Intervention for Active Bleeding - ANSWER>>Control the bleeding Best Position for Intubation Visualization - ANSWER>>Ramped Priority Nursing Intervention for Decreased GCS - ANSWER>>Notify the provider of the change Cause of Functional Grief - ANSWER>>Inability to live at home Nursing Intervention for Cold Exposure Injury - ANSWER>>Gently rewarm over 15 to 30 minutes Condition Exhibited by Nurse After Trauma Care - ANSWER>>Compassion fatigue

Rationale for Obtaining Serum Lactate Level in Trauma Patient - ANSWER>>Gauges end-organ perfusion and tissue hypoxia Consideration for Older Adult Trauma Patient - ANSWER>>Medical history including current medications Priority Intervention for Diminished Breath Sounds Post-gunshot - ANSWER>>Prepare for a definitive airway Organ Concerned with Upper Right Quadrant Tenderness - ANSWER>>Liver Position for Ventilation in Obese Patient with Lumbar Fracture - ANSWER>>Fowler's Priority Nursing Intervention for Child with Bruises and Burns - ANSWER>>Report your suspicion of maltreatment in accordance with local regulations Appropriate Intervention for Patient with Metal Rod in Thigh - ANSWER>>Leave the rod in place and stabilize Focused assessment sonography for trauma - ANSWER>>Detects as little as 30 mL of fluid in the abdominal cavity Atlanto-occipital dislocation - ANSWER>>Priority intervention is maintaining spinal motion restriction Snoring respirations - ANSWER>>Priority intervention is opening the airway with head- tilt/chin-lift maneuver Femur fracture patient with blood oozing - ANSWER>>Condition consistent with findings is disseminated intravascular coagulopathy Prolonged exposure trauma patient - ANSWER>>Most appropriate intervention is to initiate warming measures Increased intracranial pressure late sign - ANSWER>>Late sign is narrowing pulse pressure Prehospital transfer to trauma center - ANSWER>> 2 - year-old landing on grass from a second-story balcony warrants transfer Anterior spinal cord injury at C6 - ANSWER>>Most concerning finding is inability to move the legs Family-centered nursing care - ANSWER>>Involves allowing family to participate in the care of the patient

Physiologic change in pregnant trauma patient - ANSWER>>Consideration should be given to decreased minute ventilation Chest pain trauma patient with crepitus - ANSWER>>Indicates clear and equal breath sounds Crepitus - ANSWER>>Crackling sensation in the chest Sinus tachycardia - ANSWER>>Heart rate above 100 bpm with normal rhythm Premature ventricular contractions - ANSWER>>Extra, abnormal heartbeats Trauma triad of death - ANSWER>>Concept involving acidosis, hypothermia, and coagulopathy Glasgow Coma Score - ANSWER>>Neurological scale assessing consciousness Total body surface area - ANSWER>>Percentage of body affected by burns Neurogenic shock - ANSWER>>Shock from spinal cord injury causing hypotension Partial thickness burns - ANSWER>>Burns affecting the epidermis and dermis Intravenous fluid resuscitation - ANSWER>>Administering fluids via IV for volume replacement FAST exam - ANSWER>>Focused Assessment with Sonography for Trauma Cavitation - ANSWER>>Tissues accelerate outward due to energy Needle thoracostomy - ANSWER>>Emergency procedure to relieve tension pneumothorax Fluctuation in water seal chamber - ANSWER>>Normal chest tube function during inspiration and expiration Rotational injury - ANSWER>>Injury pathway in motor vehicle collisions increasing morbidity Tension pneumothorax - ANSWER>>Differentiated from simple pneumothorax by hypotension Bruises on upper extremities - ANSWER>>Indication for screening for abuse in elderly patients

Increased work of breathing in child - ANSWER>>Priority intervention after a fall from height Rigid cervical collar removal - ANSWER>>Criteria for removing the collar after a motor vehicle collision Intravascular solution for burns - ANSWER>>Most commonly used solution for burn patients Low pressure irrigation - ANSWER>>Method to remove small debris from a wound Rebound tenderness and fever - ANSWER>>Indication of injury to the small bowel Paradoxical chest wall movement - ANSWER>>Priority intervention for a patient with this chest wall finding Immediate intubation - ANSWER>>Indicated by severe facial injuries and confusion Alcohol Breath - ANSWER>>Detectable alcohol odor on breath Cervical Spine Stabilization - ANSWER>>Priority intervention for a confused patient with lower extremity deformity Closed Loop Communication - ANSWER>>Term describing trauma team's communication planning Pelvic Binder - ANSWER>>Appropriate intervention for a patient with weak pulse and pelvic instability Crush Injury Monitoring - ANSWER>>Condition to monitor in patients with crush injuries Massive Transfusion Medication - ANSWER>>Medication that may worsen complications of massive transfusion Deformity Intervention - ANSWER>>Appropriate action for a patient with a wrist deformity Abdominal Trauma Intervention - ANSWER>>Priority intervention for a patient with significant abdominal injuries Disaster Life Cycle Phase - ANSWER>>Phase involving identification of deficiencies post-disaster Shock Stage Identification - ANSWER>>Identifying signs of shock stage in a restless trauma patient

Burn Patient Fluid Calculation - ANSWER>>When to calculate IV fluid resuscitation rate for burn patients Confusion Cause - ANSWER>>Likely cause of headache, nausea, and confusion in a burn patient Thigh Injury Intervention - ANSWER>>Initial intervention for a patient with swelling and bruising in the thigh Blood Transfusion Reaction Medication - ANSWER>>Medication for muscle tremors and ventricular tachycardia post-transfusion