TNCC final exam test 2024/2025 open book Graded A+ 100% SUCCESS GUARANTEED, Exams of Nursing

Download TNCC final exam test 2024/2025 open book Graded A+ 100% SUCCESS GUARANTEED and more Exams Nursing in PDF only on Docsity! TNCC final exam test 2024-2025 open. TNCCfinalexamtest2024openbook TNCC final exam test 2024/2025 open book Graded A+ 100% SUCCESS GUARANTEED Whyisameasureofserumlactateobtainedintheinitialassessmentofthetraumapatient? Answer:ccorrectanswera)tomeasureoxygenationandventilation b) toquantifythebasedeficitfortheadequacyofcellularperfusion c) *togaugeend-organperfusionandtissuehypoxia** d) todeterminetheunderlyingcauseofshock Atraumapatientisrestlessandrepeatedlyasking"whereamI?"vitalsignsuponarrivalwereBP100/60 mm Hg, HR 96 beats/min, and RR 24 breaths/min. Her skin is cool and dry. Current vital signs are BP 104/84mm Hg, HR 108, RR 28 breaths/min. The patient is demonstrating signs and symptoms of which stage of shock? Answer:AcorrectanswerA)compensated** TNCC final exam test 2024-2025 open. B) Progressive C) irreversible D) decompensated Anelderlypatientwithahistoryofanticoagulantusepresentsafterafallathomethatday.shedenies anylossofconsciousness.Shehasahematomatoherforeheadandcomplainsofheadache,dizziness, and nausea. Which is a most likely cause of her symptoms? Answer:DcorrectanswerA)epiduralhematoma B) diffuseaxonalinjury C) post-concussivesyndrome TNCC final exam test 2024-2025 open. WhichofthefollowinginjuriesisLEASTlikelytobepromptlyidentified? Answer:CcorrectanswerA)spleen B) lung C) bowel*** D) brain Patientswithacrushinjuryshouldbemonitoredforwhichofthefollowingconditions? Answer:CcorrectanswerA)Hypernatremia B) Hypercalcemia C) Dysrhthmias** D) polyuria Whatfindingraisessuspicionofcompletespinalcordinjury? TNCC final exam test 2024-2025 open. Answer:BcorrectanswerA)Weaknessinthelowerextremities B) Priapism *** C) voluntaryanalsphinctertone D) intactreflexesdistaltotheinjury Apatientwithacompletespinalcordinjuryinneurogenicshockwilldemonstratehypotensionand which other clinical signs? Answer:DcorrectanswerA)Bradycardiaandipsilateralabsencesofmotorfunction B) Tachycardiaandrespiratorydepression TNCC final exam test 2024-2025 open. C) Tachycardiaandabsentmotorfunctionbelowthelevelofinjury D) Bradycardiaandabsentmotorfunctionbelowtheleveloftheinjury*** A 5-year old child presents to the ED with bruisesto the upper arms and buttocks in variousstages of healingandmultiplesmall,clean,roundburnstotheback.Therearenoabnormalitiesfoundbasedon the pediatric assessment triangle or primary survey. Which of the following is the priority nursing intervention? Answer:AcorrectanswerA)reportyoursuspicionofthemaltreatmentinaccordancewithlocal regulations *** B) applyicetothebruisesandconsultwoundcare C) engageintherapeuticcommunicationtodeterminetheMOI D) providethefamilywithinjurypreventionresourse Apatientwithlowerextremityfracturecomplainsofseverepainandtightnessinhiscalf,minimally relieved by pain medications. Which of the following is the priority nursing intervention? Answer:CcorrectanswerA)elevatingtheextremityabovetheleveloftheheart B) repositioningandapplyice TNCC final exam test 2024-2025 open. Answer:BcorrectanswerA)ABC B) MARCH*** C) AVPU D) VIPP Apatientisthrownagainstacarduringatornadoandpresentswithobviousbilateralfemoralfractures. The patient is pale, alert, disoriented, and has delayed cap refill. Which of the following interventions would be most appropriate for this patient based on the disaster triage principle? TNCC final exam test 2024-2025 open. Answer:AcorrectanswerA)initiatetwolargecaliberintravenouslinesforRingerslactatesolution administration *** B) AdministerDilaudidforpaincontrolandprovidecomfortcare C) Placethepatientinanobservationareaforcarewithinthenextfewhours D) Contactthecommandcenterforthepersonneltonotifynextofkin. A patient arrives with a large open chest wound after being assault ed with a machete, Prehospital providersplaced anonporous dressingoverthe chestwound andtapes iton3 sides. He is nowshowing signsofanxiety,restlessness,severerespiratorydistress,cyanosis,anddecreasingbloodpressure.Which of the following is the MOST appropriate interventions? Answer:CcorrectanswerA)needledecompression B) tubethoracostomy C) dressingremoval** D) surgicalrepair Apatientisfoundlyingonthefloorafterfalling13hoursago.Whichofthefollowinglabvaluesis expected with a musculoskeletal complication associated with this presentation? TNCC final exam test 2024-2025 open. Answer:AcorrectanswerA)elevatedcreatinekinase*** B) decreasedpotassiumlevel C) decreasedWBC D) elevatedGFR A56-year-malepatientinvolvedinaMVCisbroughttotheEDofaruralcriticalaccessfacility.Hec/o neck pain, SOB, and diffuse abd pain. His GCS is 15. His vitals are as follows: BP 98/71 HR125 beats/min TNCC final exam test 2024-2025 open. D) sepsis A35-yearoldmalepresentswithfacialtraumaafterbringstruckinthefacewithabaseball.atear-drop shaped left pupil is noted on exam. What type of injury is suspected? Answer:BcorrectanswerA)oculomotornervepalsy B) globerupture*** C) uncalherniation D) retinaldetachment Whichofthefollowingistrueaboutthelogrollmaneuver? Answer:CcorrectanswerA)itcauseslessspinalmotionthantheliftandslidemanuever B) itisrecommendedforpatientswithunstablepelvicfractures C) itcanworsencorddamagefromanunstablespinalinjury *** D) itdoesnotincreasestheriskoflifethreateninghemorrhagefromunstableinjuries TNCC final exam test 2024-2025 open. EMSarriveswiththeintoxicateddriverofacarinvolvedinaMVC.EMSreportssignificantdamagetothe driverssideofthecar.Thepatientisaskingtohavethecervicalcolorremoved.whenisitappropriateto remove the cervical collar? Answer:AcorrectanswerA)afteraphysicalexaminationifthepatienthasnoradiologicabnormalitieson a computed tomography scan *** B) afterphysicianevaluationifthepatienthasnotneurologicabnormalitiesonexam C) afterpalpationofthespineifthepatienthasnopointtendernessthethevertebralcolumn D) afterphysicalexaminationifthepatienthasnotneckpainwithmovement TNCC final exam test 2024-2025 open. Tearingofthebridgingveinsismostfrequentlyassociatedwithwhichbraininjury? Answer:BcorrectanswerA)epiduralhematoma B) subduralhematoma*** C) diffuseaxonalinjury D) intracerebralhematoma Ifapatienthasreceivedmultipletransfusionsofbankedbloodpreservedwithcitrate,whichelectrolyte is most likely to drop and require supplementation? Answer:DcorrectanswerA)potassium B) magnesium C) sodium D) calcium*** TNCC final exam test 2024-2025 open. Assessmentfindingsassociatedwithtensionpneumothoraxincludeanxiety,severerestlessness,severe respiratorydistress,andabsentbreathsoundsontheinjuredside.Hypotensionduetocompressionof the heart and great vessels is consistent withobstructive shock. Hypotension worsens with inspiration duetoincreasedintrathoracicpressure.Latesignsincludedistendedneckveins,trachealdeviation,and cyanosis. correct answerA) increased work of breathing B) unilaterallydiminishedbreathsounds C) pleuriticchestpain D) hypotensionthatworsenswithinspiration*** Whichofthefollowingconsiderationsismostimportantwhencaringforageriatrictraumapatient? TNCC final exam test 2024-2025 open. Answer:BcorrectanswerA)headtotoexam B) medicalhistory** C) incontinence D) falls Anintubatedtraumapatientisbeingtransferredtoatertiarycarecenter.Aftermovingthepatienttothe stretcher for transport, a drop in pulse oximetry to 85% is noted. Which of the following is the priority interventions? Answer:DcorrectanswerA)callforaportableCXRstat B) chesttomakesuretheventilatorispluggedin C) suctiontheET tube D) confirmETtubeplacement Whatfactorcontributesmostthekineticenergyofabodyinmotion? TNCC final exam test 2024-2025 open. answer:CcorrectanswerA)acceleration B) mass C) velocity*** D) inertia Duringtheprimarysurveyofanunconsciouspatientwithmulti-systemtrauma,thenursenotessnoring respirations. Which priority nursing interventions should be performed next? Answer:DcorrectanswerA)opentheairwaywiththehead-tilt/chinliftmaneuver B) auscultatebilateralbreathsoundstoassessventilatorystatus TNCC final exam test 2024-2025 open. A49-yearoldrestraineddriverinvolvedinaMVCpresentstothetraumacenterc/oabd,pelvic,andbil lower extremity pain Vitals signs are stable. The nurse can anticipate all of these negative fast exam except which of the following? Answer:A The FAST exam is done at the bedside to identify pathological fluid in the abdominal and pelvic cavities. FAST exams reduce the use of more invasive diagnostic peritoneal lavage and can be repeated if clinical changesorhemodynamicchangesoccur.AnegativeFASTstudydoesnotruleoutinjuryandmaywarrant a follow-up computed tomography scan. Serial FAST exams can identify increasing abdominal fluid collectionsfromhemorrhage.Diagnosticperitoneallavage/diagnosticperitonealaspirationisperformed by the surgical team to rapidly identify the presence of hemorrhage in patients who are hemodynamically unstable after trauma. correct answerA) diagnostic peritoneal lavage *** B) serialfastexams C) abdominalandpelvicCTscans D) serialabdominalassessments Whichofthefollowingisanexpectedfindinginapatientwithathoracostomyconnectedtoachest drainage system? TNCC final exam test 2024-2025 open. Answer:DcorrectanswerA)outputof200mL/hr B) tubingclampclosedfortransport C) dependentloopsinthetubingtopromotedrainage D) fluctuationsinthewaterserialchamber*** Whichofthefollowingpatientswarrantsreferraltoaburncenter? TNCC final exam test 2024-2025 open. Answer:CcorrectanswerA)a21-yearoldfemalewithapartialthicknessburntotherightforearm B) a40-yearoldhypertensivemalewithasuperficialburntotheback C) a52-yearolddiabeticmalewithpartialthicknessburntotheleftlowerleg*** D) a35-yearoldhyperlipidemicfemalewithsuperficialburnstotheanteriorthorax. ApatienthasbeenintheEDforseveralhourswaitingtobeadmitted.Hesustainedmultipleribfractures and a femur fracture after a fall. He has been awake, alert, and c/o leg pain. Hiswife reported suddenly becoming anxious and confused. Upon reassessment, the patient is restless, with respiratory distress and petechiae to his neck. the patient is exhibiting signs of symptoms commonly associated with which of the following conditions? Answer:BcorrectanswerA)acutelunginjury B) fatembolism*** C) PTX D) pulmonarycontusion Whichistheeffectofhypothermiaontheoxyhemoglobindissociationcurve? TNCC final exam test 2024-2025 open. C) reabsorptionofpleuralair D) negativeintrapleuralpressure WhichofthefollowingisNOTconsideredgoal-directedtherapyofcardiogenicshock? Answer:CcorrectanswerA)controlledfluidboluses B) antidysrhythmicadministration C) pericardiocentesis*** D) cardiaccath TNCC final exam test 2024-2025 open. Whatbedsidemonitoringparametersareusedtoassessforadequacyofoxygenationandeffectiveness of ventilation? Answer:AcorrectanswerA)pulseoximetryandcapnogaphy** B) respiratoryrateandcapnography C) pulseoximetryandrespiratoryrate D) capnographyandcapnometry Whichifthefollowingvaluesindicatestheneedforalcoholwithdrawalinterventions? Answer:AcorrectanswerA)CIWA-Arof36*** B) GCS 13 C) ETCo2of48mmHg D) heartrateof45beats/min TNCC final exam test 2024-2025 open. Anunresponsivetraumapatienthasanoropharyngealairwayinplace,shallowandlaboredrespiratory, 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? Answer:AcorrectanswerA)VentilatewithaBVM*** B) Prepareforcricothyroidotomy C) administerreversalmedications D) contactanesthesiaforassistance Thetraumanurseknowsthatplacingabariatricpatientsina"rampedposition"providesbetter visualization during the insertion of which device?