TNCC Final Exam Test 2024 Open Book Questions and 100% Correct Answers, Exams of Nursing

Download TNCC Final Exam Test 2024 Open Book Questions and 100% Correct Answers and more Exams Nursing in PDF only on Docsity! TNCC Final Exam Test 2024 Open Book Questions and 100% Correct Answers Youfareftreatingfaf27- yearfoldfmalefinfrespiratoryfdistressfwhofwasfinvolvedfinfafhouseffire.fCalculatingfTBSAfburnedfisfdeferredfd/ tfthefneedfforfemergentfintubation.fAtfwhatfratefshouldfyoufbeginffluidfresuscitation? A)f1000fmL/hr B)f500fmL/hrf C)f250fmL/hr D)f125fmL/hrf-ffcorrectfanswer--B)f500fmL/hr AfpatientfhasfbeenfinfthefEDfforfseveralfhoursfwaitingftofbefadmitted.fHefsustainedfmultiplefribffracturesfand faffemurffracturefafterfaffall.fHefhasfbeenfawake,falert,fandfc/oflegfpain.fHisfwifefreportedfsuddenlyfbecomin gfanxiousfandfconfused.fUponfreassessment,fthefpatientfisfrestless,fwithfrespiratoryfdistressfandfpetechiaeft ofhisfneck.fthefpatientfisfexhibitingfsignsfoffsymptomsfcommonlyfassociatedfwithfwhichfofftheffollowingfcon ditions? A)facuteflungfinjury B)ffatfembolism C)fPTX D)fpulmonaryfcontusionf-ffcorrectfanswer--B)ffatfembolism Whichfpulsefpressurefdescriptionfisfanfindicationfoffearlyfhypovolemicfshock? A)fwidened B)fnarrowedf C)fbounding D)fweakf-ffcorrectfanswer--B)fnarrowed Whichfofftheffollowingfconsiderationsfisfmostfimportantfwhenfcaringfforfafgeriatricftraumafpatient? A)fheadftoftofexam B)fmedicalfhistory C)fincontinence D)ffallsf-ffcorrectfanswer--B)fmedicalfhistory Whichfofftheffollowingfassessmentffindingsfdifferentiatesfaftensionfpneumothoraxffromfafsimplefpneumoth orax? A)fincreasedfworkfoffbreathing B)funilaterallyfdiminishedfbreathfsounds C)fpleuriticfchestfpain D)fhypotensionfthatfworsensfwithfinspirationf-ffcorrectfanswer-- D)fhypotensionfthatfworsensfwithfinspiration. Assessmentffindingsfassociatedfwithftensionfpneumothoraxfincludefanxiety,fseverefrestlessness,fseverefres piratoryfdistress,fandfabsentfbreathfsoundsfonfthefinjuredfside.fHypotensionfdueftofcompressionfoffthefhea rtfandfgreatfvesselsfisfconsistentfwithfobstructivefshock.fHypotensionfworsensfwithfinspirationfdueftofincrea sedfintrathoracicfpressure.fLatefsignsfincludefdistendedfneckfveins,ftrachealfdeviation,fandfcyanosis. Thefnursefisfcaringfforfaf120fkgfmalefisfbroughtfinfafterfafwarehouseffirefandfisfcalculatingfthefpatient'sffluidfr esuscitationfneeds.fHefhasfpainfulfredfblisteringftofthefentirefsurfacefoffbothfupperfextremitiesfandfsuperfici alfburnsftofthefanteriorfchest.fUsingfthefmodifiedfLundfandfBrowderfchartftofcalculateftheftotalfBSAfburned,f howfmuchfIVffluidsfwouldfbefadministeredfinftheffirstf8fhours? A)f2280fmLf B)f3840fmL C)f4560fmL D)f7680fmLf-ffcorrectfanswer--A)f2280fmL (upperfarmf4+4f/flowerfarmf3+3f/fhandf2.5+2.5)f=f19%fTBSA. 120fkgfxf(2fmL)fxf(19%fTBSA)f=f4560fmL A)fThefdriverfoffthefvehiclefcollidesfwithfthefsteeringfwheel B)fthefvehiclefcollidesfwithfaftree C)fthefaortafisftornfatfitsfattachmentfwithfthefligamentumfarteriosumf D)fthefairbagfdeploysfandfstrikesftheffrontfseatfpassengerf-ffcorrectfanswer-- C)fthefaortafisftornfatfitsfattachmentfwithfthefligamentumfarteriosum Afpassengerfisfbroughtftofthefemergencyfdepartmentfoffafruralfhospitalffollowingfafhigh- speedfMVC.fWhenfsignificantfabdominalfandfpelvicfinjuriesfarefnotedfinfthefprimaryfsurvey,fwhichfofftheffoll owingfisfthefpriorityfinterventions? A)finitiateftransferftofaftraumafcenterf B)fprovidefreportftofthefoperatingfroomfnurse C)fObtainedfimagingfstudies D)fPlacefafgastricftubef-ffcorrectfanswer--A)finitiateftransferftofaftraumafcenter WhichfofftheffollowingfinjuriesfisfLEASTflikelyftofbefpromptlyfidentified? A)fspleen B)flung C)fbowelf D)fbrainf-ffcorrectfanswer--C)fbowel Patientsfwithfafcrushfinjuryfshouldfbefmonitoredfforfwhichfofftheffollowingfconditions? A)fHypernatremiaf B)fHypercalcemiaf C)fDysrhythmias D)fpolyuriaf-ffcorrectfanswer--C)fDysrhythmias Whatffindingfraisesfsuspicionfoffcompletefspinalfcordfinjury? A)fWeaknessfinftheflowerfextremities B)fPriapismf C)fvoluntaryfanalfsphincterftone D)fintactfreflexesfdistalftofthefinjuryf-ffcorrectfanswer--B)fPriapism Afpatientfwithfafcompletefspinalfcordfinjuryfinfneurogenicfshockfwillfdemonstratefhypotensionfandfwhichfot herfclinicalfsigns? A)fBradycardiafandfipsilateralfabsencesfoffmotorffunction B)fTachycardiafandfrespiratoryfdepression C)fTachycardiafandfabsentfmotorffunctionfbelowftheflevelfoffinjury D)fBradycardiafandfabsentfmotorffunctionfbelowftheflevelfoffthefinjuryf-ffcorrectfanswer-- D)fBradycardiafandfabsentfmotorffunctionfbelowftheflevelfoffthefinjury Af5- yearfoldfchildfpresentsftofthefEDfwithfbruisesftofthefupperfarmsfandfbuttocksfinfvariousfstagesfoffhealingfand fmultiplefsmall,fclean,froundfburnsftofthefback.fTherefarefnofabnormalitiesffoundfbasedfonfthefpediatricfass essmentftriangleforfprimaryfsurvey.fWhichfofftheffollowingfisfthefpriorityfnursingfintervention? A)freportfyourfsuspicionfoffthefmaltreatmentfinfaccordancefwithflocalfregulationsf B)fapplyficeftofthefbruisesfandfconsultfwoundfcare C)fengagefinftherapeuticfcommunicationftofdeterminefthefMOI D)fprovideftheffamilyfwithfinjuryfpreventionfrecoursesf-ffcorrectfanswer-- A)freportfyourfsuspicionfoffthefmaltreatmentfinfaccordancefwithflocalfregulations Af36- yearfoldffemalefhasfafdeformityfoffthefleftfwristfafterfaffall.fShefisfreluctantftofmovefherfhandfdueftofpain.fWh ichfofftheffollowingfisfthefmostfappropriatefintervention? A)fapplyfafslingfandfelevatefthefextremityftoftheflevelfoffthefheart. B)fapplyfafsplintfandfelevatefaboveftheflevelfoffthefheartf C)fApplyfafslingfandfelevatefthefextremityfaboveftheflevelfoffthefheart D)fapplyfafsplintfandfelevatefthefextremityftoftheflevelfoffthefheart.f-ffcorrectfanswer-- B)fapplyfafsplintfandfELEVATEfABOVEfTHEfLEVELfOFfTHEfHEART Afpatientfwithflowerfextremityffracturefcomplainsfoffseverefpainfandftightnessfinfhisfcalf,fminimallyfrelievedf byfpainfmedications.fWhichfofftheffollowingfisfthefpriorityfnursingfintervention? A)felevatingfthefextremityfaboveftheflevelfoffthefheart B)frepositioningfandfapplyfice C)fElevatingfthefextremityftoftheflevelfoffthefheart D)fPreparingfthefpatientfforfultrasoundf-ffcorrectfanswer--C)fElevatingfthefextremityftoftheflevelfoffthefheart Whichfofftheffollowingfisfaflatefsignfoffincreasedfintracranialfpressure? A)fRestlessnessforfdrowsiness B)fNauseafandfvomiting C)fDecreasedfrespiratoryfeffort D)fAmnesiafandfanxietyf-ffcorrectfanswer--C)fDecreasedfrespiratoryfeffort Afpatientfisfthrownfagainstfafcarfduringfaftornadofandfpresentsfwithfobviousfbilateralffemoralffractures.fThef patientfisfpale,falert,fdisoriented,fandfhasfdelayedfcapfrefill.fWhichfofftheffollowingfinterventionsfwouldfbef mostfappropriatefforfthisfpatientfbasedfonfthefdisasterftriagefprinciple? A)finitiateftwoflargefborefintravenousflinesfforfRingersflactatefsolutionfadministrationf B)fAdministerfDilaudidfforfpainfcontrolfandfprovidefcomfortfcare C)fPlacefthefpatientfinfanfobservationfareafforfcarefwithinfthefnextffewfhours D)fContactfthefcommandfcenterfforfthefpersonnelftofnotifyfnextfoffkin.f-ffcorrectfanswer-- A)finitiateftwoflargefborefintravenousflinesfforfRingersflactatefsolutionfadministration Whichfofftheffollowingfmnemonicsfcanfhelpfthefnursefprioritizefcarefforfaftraumafpatientfwithfmassivefunco ntrolledfhemorrhage? A)fpotassium B)fmagnesium C)fsodium D)fcalciumf-ffcorrectfanswer--D)fcalcium Tearingfoffthefbridgingfveinsfisfmostffrequentlyfassociatedfwithfwhichfbrainfinjury? A)fepiduralfhematomaf B)fsubduralfhematomaf*** C)fdiffusefaxonalfinjury D)fintracerebralfhematomaf-ffcorrectfanswer--B)fsubduralfhematoma AftraumafpatientfisfenfrouteftofafruralfED.fRadiologyfnotifiesfthefchargefnursefthatfthefCTfscannerfwillfbefoutf offservicefforfseveralfoffhours.fThefteamfgathersftofplanfaccordingly.fWhichfofftheffollowingftermsfbestfdescr ibesfthisftraumafteamsfcommunication? A)fBrief B)floop C)fdebrief D)fhuddlef-ffcorrectfanswer--D)fhuddle Anfintubatedftraumafpatientfisfbeingftransferredftofaftertiaryfcarefcenter.fAfterfmovingfthefpatientftofthefstr etcherfforftransport,fafdropfinfpulsefoximetryftof85%fisfnoted.fWhichfofftheffollowingfisfthefpriorityfintervent ions? A)fcallfforfafportablefCXRfstat B)fchestftofmakefsurefthefventilatorfisfpluggedfin C)fsuctionfthefETftube D)fconfirmfETftubefplacementf-ffcorrectfanswer--D)fconfirmfETftubefplacement Whatffactorfcontributesfmostfthefkineticfenergyfoffafbodyfinfmotion? A)facceleration B)fmass C)fvelocity D)finertiaf-ffcorrectfanswer--C)fvelocity Duringfthefprimaryfsurveyfoffanfunconsciousfpatientfwithfmulti- systemftrauma,fthefnursefnotesfsnoringfrespirations.fWhichfpriorityfnursingfinterventionsfshouldfbefperfor medfnext? A)fopenfthefairwayfwithfthefhead-tilt/chinfliftfmaneuver B)fauscultatefbilateralfbreathfsoundsftofassessfventilatoryfstatus C)fassistfrespirationsfusingfafBVM D)finsertfanforopharyngealfairwayfifftherefisfnofgagfreflexf-ffcorrectfanswer-- D)finsertfanforopharyngealfairwayfifftherefisfnofgagfreflex Followingfafreviewfoffrecentfdrillsfandfafrealfdisasterfevent,fafhospitalfhasfidentifiedfdeficienciesfandfisftakin gfstepsftofminimizefthefimpactfofffuturefdisaster.fWhichfphasefoffthefdisasterflifefcyclefdoesfthisfdescribe? A)fmitigationf B)fpreparedness C)fresponse D)frecoveryf-ffcorrectfanswer--A)fmitigation Af49- yearfoldfrestrainedfdriverfinvolvedfinfafMVCfpresentsftoftheftraumafcenterfc/ofabd,fpelvic,fandfbilflowerfextr emityfpainfVitalsfsignsfarefstable.fThefnursefcanfanticipatefallfoffthesefnegativeffastfexamfexceptfwhichfoffth effollowing? A.fDiagnosticfperitonealflavage B.fSerialfFASTfexams C.fAbdominalfandfpelvicfCTfscans D.fSerialfabdominalfassessmentsf-ffcorrectfanswer--A)fdiagnosticfperitonealflavagef ThefFASTfexamfisfdonefatfthefbedsideftofidentifyfpathologicalffluidfinfthefabdominalfandfpelvicfcavities.fFASTf examsfreducefthefusefoffmorefinvasivefdiagnosticfperitonealflavagefandfcanfbefrepeatedfiffclinicalfchangesfo rfhemodynamicfchangesfoccur.fAfnegativefFASTfstudyfdoesfnotfrulefoutfinjuryfandfmayfwarrantfaffollow- upfcomputedftomographyfscan.fSerialfFASTfexamsfcanfidentifyfincreasingfabdominalffluidfcollectionsffromfh emorrhage.fDiagnosticfperitonealflavage/diagnosticfperitonealfaspirationfisfperformedfbyfthefsurgicalfteam ftofrapidlyfidentifyfthefpresencefoffhemorrhagefinfpatientsfwhofarefhemodynamicallyfunstablefafterftrauma . Thefmostfreassuringffindingfforfafmalefpatientfwithfhopfpainfafterfaffallfisfwhichfofftheffollowing? A)fafnormalfprostatefexam B)fabsencefoffabdominalfdistension C)fafnormalffastfexam D)fpelvicfstabilityf-ffcorrectfanswer--D)fpelvicfstability Whichfofftheffollowingfisfanfexpectedffindingfinfafpatientfwithfafthoracostomyfconnectedftofafchestfdrainage fsystem? A)foutputfoff200fmL/hr B)ftubingfclampfclosedfforftransport C)fdependentfloopsfinftheftubingftofpromotefdrainage D)ffluctuationsfinfthefwaterfserialfchamberf-ffcorrectfanswer--D)ffluctuationsfinfthefwaterfserialfchamber Whichfofftheffollowingfpatientsfwarrantsfreferralftofafburnfcenter? A)faf21-fyearfoldffemalefwithfafpartialfthicknessfburnftofthefrightfforearm