TNCC 9th Edition Real Exam Actual Verified Exam Test Bank, Exams of Nursing

Download TNCC 9th Edition Real Exam Actual Verified Exam Test Bank and more Exams Nursing in PDF only on Docsity! TNCC 9TH EDITION REAL EXAM ACTUAL VERIFIED EXAM TEST BANK 150+ QUESTIONS AND ANSWERS VERIFIED ANSWER |ALREADY GRADED A+ 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? - ANSWER>>Apply a splint and elevate the extremity above the level of the heart Which of the following considerations is the most important when caring for a geriatric trauma patient? - ANSWER>>A pertinent medical history is crucial An 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? - ANSWER>>Subdural hematoma A 56 year old male patient involved in a MVC is brought to the emergency department of a rural critical access facility. He complains of neck pain, SOB, and diffuse abdominal pain. His GCS is 15. His vital signs are as follows: BP 98/71, HR 125, RR 26, SPO2 94% on high flow non- rebreather mask. Which of the following is the priority intervention for this patient? - ANSWER>>Expedite transfer to the closest trauma center A trauma patient is en route to a rural emergency department. Radiology notifies the charge nurse that the CT scanner will be out of service for several hours. The team gathers to plan accordingly. Which of the following terms best describes this trauma teams communication? - ANSWER>>Huddle Which of the following is a late sign of increased ICP? - ANSWER>>Decreased respiratory effort A patient is found lying on the floor after falling 13 hours ago. Which of the following laboratory values is expected with a musculoskeletal complication associated with this presentation? - ANSWER>> A 5 year old child presents to the ED with bruises to the upper arms 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 nursing intervention? - ANSWER>>Report your suspicion of maltreatment in accordance with local regulations A patient is brought to the emergency department of a rural hospital following a high speed MVC. When significant abdominal and pelvic injuries are noted in the primary survey, which of the following is the priority intervention? - ANSWER>>Initiate transfer to a trauma center EMS brings a patient who fell while riding his bicycle. Using the American College of Surgeons screening guidelines, which assessment finding would prompt the nurse to prepare the patient for radiologic spine clearance? - ANSWER>>Smell of alcohol on breath Which of the following is NOT considered goal-directed therapy for cardiogenic shock? - ANSWER>>Pericardiocentesis The nurse is caring for a 120 kg male brought in after a warehouse fire and is calculating the patients 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 the total body surface area burned, how much IV fluid would be administered in the first 8 hours? - ANSWER>>2280 ml A patient is thrown against a car during a tornado and presents with obvious bilateral femoral fractures. The patient is pale, alert, disoriented, and has delayed capillary refill. Which of the following interventions would be most appropriate for this patient? - ANSWER>>Initiate two large-caliber IVs for LR administration A patient with complete spinal cord injury in neurogenic shock will demonstrate hypotension and which other clinical signs? - ANSWER>>Bradycardia and absent motor function below the level of injury Caregivers carry in a 2 year old into the ED 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? - ANSWER>>Padding the upper back while stabilizing the cervical spine Which of the following is an expected finding in a patient with a tube thoracostomy connected to a chest drainage system? - ANSWER>>Fluctuation in the water seal chamber assessment reveals there is abdominal tenderness and scrotal ecchymosis. Which of the following orders would the nurse question? - ANSWER>>Straight catheter for urine sample Which of the following values indicates the need for alcohol withdrawal interventions? - ANSWER>>CIWA of 36 Which of the following injuries is LEAST likely to be promptly identified? - ANSWER>>Bowel You are caring for a patient who was involved in a MVC and is 32 weeks pregnant. Findings of your secondary survey include abdominal pain on palpation, fundal height at the costal margin, and some dark bloody show. Varying accelerations are noted on cardiography. These findings are consistent with which of the following? - ANSWER>>Placental abruption Which of the following occurs during the third impact of a MVC> - ANSWER>>The aorta is torn at its attachment with the ligamentum arteriosum The trauma nurse knows that placing a bariatric patient in a ramped position provides better visualization during the insertion of which device? - ANSWER>>Endotracheal tube Which of the following patients warrants referral to a burn center? - ANSWER>>A 52 year old diabetic male with a partial thickness burn to the left lower leg Which pulse pressure description is an indication of early hypovolemic shock? - ANSWER>>Narrowed A patient has been in the ED 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? - ANSWER>>Fat embolism Why is a measure of serum lactate obtained in the initial assessment of a trauma patient? - ANSWER>>To gauge end organ perfusion and tissue hypoxia 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? - ANSWER>>Elevating the extremity to the level of the heart During the primary survey of an unconscious patient with multi system trauma, the nurse notes snoring respirations. What priority intervention should be performed next? - ANSWER>>Insert an oropharyngeal airway if there is no gag reflex What factor contributes most of the kinetic energy of a body in motion? - ANSWER>>Velocity What is the effect of hypothermia on the oxyhemoglobin dissociation curve? - ANSWER>>Hemoglobin does not readily release O2 for use by the tissues