Study with the several resources on Docsity
Earn points by helping other students or get them with a premium plan
Prepare for your exams
Study with the several resources on Docsity
Earn points to download
Earn points by helping other students or get them with a premium plan
Community
Ask the community for help and clear up your study doubts
Discover the best universities in your country according to Docsity users
Free resources
Download our free guides on studying techniques, anxiety management strategies, and thesis advice from Docsity tutors
A collection of questions and answers related to the tncc (trauma nursing core course) written exam. It covers various aspects of trauma care, including assessment, management, and interventions. The questions are designed to test the reader's understanding of key concepts and principles in trauma nursing.
Typology: Exams
1 / 5
A 56 y/o M pt involved in a motor vehicle crash is brought to the ED of a rural critical access facility. He complains of neck pain, SOB, and diffuse abd pain. His GCS is 15. His VS: BP 98/71, HR 125, RR 26, SpO2 94% on high-flow O2 via NRB mask. Which of the following is the priority intervention for this patient? - ANSWER>>Expedite transfer to the closest trauma center Which of the following considerations is the most important when caring for a geriatric trauma pt? - ANSWER>>a pertinent medical hx is crucial Following a review of recent drills and a real disaster event, a hospital has identified deficiencies and is taking steps to minimize the impact of a future disaster. Which phase of the disaster life cycle does this describe? - ANSWER>>Mitigation EMS brings a pt who fell while riding his bicycle. Using the American College of Surgeobs screening guidelines, which assessment finding would prompt the RN to prepare the pt for a radiologic spine clearance? - ANSWER>>Multiple requests for water What is the effect of hypothermia on the oxyhemoglobin dissociation curve? - ANSWER>>hemoglobin does not readily release O2 for use by the tissues Which of the following is a component of the trauma triad of death? - ANSWER>>acidosis EMS brings a pt from MVC. VS: BP 90/49, HR 48, RR 12, temp 97.2F (36.2 C). The pt exhibits urinary incontinence and priapism. These assessment findings are most consistent with which of the following types of spinal cord injury? - ANSWER>>Complete Which of the following is an expected finding in a pt with a tube thoracstomy connected to a chest drainage system? - ANSWER>>flucuation in the water seal chamber
During the primary survey of an unconscious pt with multi-system trauma, the nurse notes snoring respirations. What priority nursing interventions should be preformed next? - ANSWER>>insert an oropharyngeal airway if there is no gag reflex A 35 y/o M presents with facial trauma after being struck in the face with a baseball. A teardrop-shaped left pupil is noted on exam. What type of injury is suspected? - ANSWER>>globe rupture A trauma pt is restless and repeatedly asking "where am i?" VS upon arrival: BP 110/60, HR96, RR 24. Her skin is cool and dry. Current VS are BP 104/84, HR 108, RR
You are caring for a pt who was involved in a MVC and is 32 weeks pregnant. Findings of your secondary survey include abd pain on palpation, fundal ht at the costal margin, and some dark bloody show. Varying accelerations and decelerations are noted on cariocgraphy. These findings are most consistent with which of the following? - ANSWER>>placental abruption Which of the following is true about the log-roll? - ANSWER>>it can worsen cord damage from an unstable spinal injury All of these are considered a critical communication point in trauma care EXCEPT which of the following? - ANSWER>>defusings What bedside monitoring parameters are used to assess for adequacy of O2 and effectiveness of ventilation? - ANSWER>>pulse oximetry and capnography Caregivers carry in a 2 y/o into the ED who fell out of a second-story window. The pt 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 injuries is LEAST likely to be promptly identified? - ANSWER>>bowel A pt is brought to the ED of a rural hospital following a high-speed MVC. When significant abd and pelvic injuries are noted in the primary survey, which of the following is the priority interventions? - ANSWER>>Initiate transfer to a trauma center A pt with a complete spinal cord injury in neurogenic shock will demonstrate hypotension and which other clinical signs? - ANSWER>>bardycardia and absent motor function below the level of injury a 37 y/o F has a deformity of the L 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 splint and elevate above the level of the heart which of the following occurs during the third impact of a motor vehicle crash? - ANSWER>>the aorta is torn at its attachment with the ligamentum arteriosum a 5 y/o child presents to the ED with bruises to the upper arm 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 survey. Which of the following is the priority nursing
intervention? - ANSWER>>Report your suspicion of maltreatment in accordance with local regulations Why is a measure of serum lactate obtained in the initial assessment of a trauma patient? - ANSWER>>to guage end-organ perfusion and tissue hypoxia A pt with a lower extremity fracture complains of severe pain and tightness in his calf, minimally by pain medications. Which of the following is the priority nursing intervention?
if a pt has received multiple transfusions of banked blood preserved with citrate, which electrolyte is most likely to drop and require supplementation? - ANSWER>>calcium Which of the following is NOT considered a benefit of debriefings? - ANSWER>>identifying individuals who made mistakes during the traumatic event You are treating a 27 y/o M in respiratory distress who was involved in a house fire. Calculating TBSA burned is deferred due to the need for emergent intubation. At what rate should you begin fluid resuscitation? - ANSWER>>500 mL/hr Which of the following is most likely to contribute to inadequate oxygenation and ventilation? - ANSWER>>advanced age Which of the following patients warrants referral to a burn center? - ANSWER>>a 52 y/o diabetic male with a partial thickness burn to the left lower leg A patient arrives with a large open chest wound after being assaulted with a machete. Prehospital providers placed a nonporous dressing over the chest wound and taped it on three sides. he is now showing signs of anxiety, restlessness, severe respiratory distress, cyanosis and decreasing blood pressure. Which of the following is the MOST appropriate immediate intervention? - ANSWER>>dressing removal EMS arrives with the intoxicated driver of a car involved in a MVC. EMS reports significant damage to the drivers side of the car. The pt is asking to have the cervical collar removed. When it is appropriate to remove the cervical collar? - ANSWER>>after a physical examination if the pt has no radiologic abnormalities on CT Which of the following mnemonics can help the nurse prioritize care for a trauma patient with massive uncontrolled hemorrhage? - ANSWER>>MARCH