Nursing > Exam > TNCC Final Exam Test 2022 Open Book 50 Questions with 100% Correct Answers BEST LAYOUT (All)

TNCC Final Exam Test 2022 Open Book 50 Questions with 100% Correct Answers BEST LAYOUT

Document Content and Description Below

TNCC Final Exam Test 2022 Open Book 50 Questions with 100% Correct Answers BEST LAYOUT 1. Why is a measure of serum lactate obtained in the initial assessment of the trauma patient? a) to measure ... oxygenation and ventilation b) to quantify the base deficit for the adequacy of cellular perfusion c) *to gauge end-organ perfusion and tissue hypoxia ** d) to determine the underlying cause of shock 2. A trauma patient is restless and repeatedly asking "where am I?" vital signs upon arrival were BP 100/60 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? A) compensated ** B) Progressive C) irreversible D) decompensated 3. An elderly patient with a history of anticoagulant use presents after a fall at home that day. she denies any loss of consciousness. She has a hematoma to her forehead and complains of headache, dizziness, and nausea. Which is a most likely cause of her symptoms? A) epidural hematoma B) diffuse axonal injury C) post-concussive syndrome D) subdural hematoma *** 4. EMS brings a patient who fell 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?A) Alert with no neurologic deficits B) Multiple abrasions to the extremities C) Multiple requests of water D) Smell of alcohol on breath *** 5. Which of the following occurs during the third impact of a motor vehicle crash? A) The driver of the vehicle collides with the steering wheel B) the vehicle collides with a tree C) the aorta is torn at its attachment with the ligamentum arteriosum D) the airbag deploys and strikes the front seat passenger *** 6. A passenger 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 interventions? A) initiate transfer to a trauma center ** B) provide report to the operating room nurse C) Obtained imaging studies D) Place a gastric tube 7. Which of the following injuries is LEAST likely to be promptly identified? A) spleen B) lung C) bowel *** D) brain 8. Patients with a crush injury should be monitored for which of the following conditions? A) Hypernatremia B) Hypercalcemia C) Dysrhthmias ** D) polyuria9. What finding raises suspicion of complete spinal cord injury? A) Weakness in the lower extremities B) Priapism *** C) voluntary anal sphincter tone D) intact reflexes distal to the injury 10. A patient with a complete spinal cord injury in neurogenic shock will demonstrate hypotension and which other clinical signs? A) Bradycardia and ipsilateral absences of motor function B) Tachycardia and respiratory depression C) Tachycardia and absent motor function below the level of injury D) Bradycardia and absent motor function below the level of the injury *** 11. 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? A) report your suspicion of the maltreatment in accordance with local regulations *** B) apply ice to the bruises and consult wound care C) engage in therapeutic communication to determine the MOI D) provide the family with injury prevention resourse 12. A patient with 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? A) elevating the extremity above the level of the heart B) repositioning and apply ice C) Elevating the extremity to the level of the heart *** D) Preparing the patient for ultrasound13. 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? A) apply a sling and elevate the extremity to the level of the heart. B) apply a splint and ELEVATE ABOVE THE LEVEL OF THE HEART *** C) Apply a sling and elevate the extremity above the level of the heart D) apply a splint and elevate the extremity to the level of the heart. 14. Which of the following is a late sign of increased intracranial pressure? Cushing Response Widening pulse pressure Reflex bradycardia Decreased RR - A) Restlessness or drowsiness B) Nausea and vomiting C) Decreased respiratory effort** D) amnesia and anxiety 15. Which of the following mnemonics can help the nurse prioritize care for a trauma patient with massive uncontrolled hemorrhage? A) ABC B) MARCH*** C) AVPU D) VIPP 16. 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 cap refill. Which of the following interventions would be most appropriate for this patient based on the disaster triage principle? A) initiate two large caliber intravenous lines for Ringers lactate solution administration *** B) Administer Dilaudid for pain control and provide comfort care C) Place the patient in an observation area for care within the next few hoursD) Contact the command center for the personnel to notify next of kin. 17. A patient arrives with a large open chest wound after being assault ed with a machete, Prehospital providers placed a nonporous dressing over the chest wound and tapes it on 3 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 interventions? A) needle decompression B) tube thoracostomy C) dressing removal ** D) surgical repair 18. A patient is found lying on the floor after falling 13 hours ago. Which of the following lab values is expected with a musculoskeletal complication associated with this presentation? A) elevated creatine kinase *** B) decreased potassium level C) decreased WBC D) elevated GFR 19. A 56-year- male patient involved in a MVC is brought to the ED of a rural critical access facility. He c/o neck pain, SOB, and diffuse abd pain. His GCS is 15. His vitals are as follows: BP 98/71 HR 125 beats/min RR 26 breaths/min SpO2 94% on high flow O2 via NRB mask which of the following is the priority intervention for this patient? A) Expedite transport to the CT scanner B) prepare the patient for spinal radiographs C) expedite transfer to the closest trauma center *** D) notify the patients family20. Caregivers carry a 2-year old into the ED who fell out of 2nd 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? A) padding the upper back while stabilizing the cervical spine *** B) applying a tight-fitting NRB mask with an attached resevior C) establishing intravenous access and administering a 20mL/kg bolus D) preparing for drug assisted intubation 21. Which of the following is a component of the trauma triad of death? hypothermia, metabolic acidosis, coagulopathy - A) Acidosis ** B) hyperthermia C) hemorrhage D) sepsis 22. A 35-year old male presents with facial trauma after bring struck inthe face with a baseball. a tear-drop shaped left pupil is noted on exam. What type of injury is suspected? A) oculomotor nerve palsy B) globe rupture *** C) uncal herniation D) retinal detachment 23. Which of the following is true about the log roll maneuver? A) it causes less spinal motion than the lift and slide manuever B) it is recommended for patients with unstable pelvic fractures C) it can worsen cord damage from an unstable spinal injury *** D) it does not increases the risk of life threatening hemorrhage from unstable injuries24. 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 patient is asking to have the cervical color removed. when is it appropriate to remove the cervical collar? A) after a physical examination if the patient has no radiologic abnormalities on a computed tomography scan *** B) after physician evaluation if the patient has not neurologic abnormalities on exam C) after palpation of the spine if the patient has no point tenderness the the vertebral column D) after physical examination if the patient has not neck pain with movement 25. Tearing of the bridging veins is most frequently associated with which brain injury? A) epidural hematoma B) subdural hematoma *** C) diffuse axonal injury D) intracerebral hematoma 26. If a patient has received multiple transfusions of banked blood preserved with citrate, which electrolyte is most likely to drop and require supplementation? A) potassium B) magnesium C) sodium D) calcium *** 27. A trauma patient is en route to a rural ED. Radiology notifies the charge nurse that the CT scanner will be out of service for several of hours. The team gathers to plan accordingly. Which of the following terms best describes this trauma teams communication? A) Brief B) loop C) debrief D) huddle ***28. The nurse is caring for a 120 kg male is brought in after a warehouse fire and is calculating the patient's 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 BSA burned, how much IV fluids would be administered in the first 8 hours? (upper arm 4+4 / lower arm 3+3 / hand 2.5+2.5) = 19% TBSA. 120 kg x (2 mL) x (19% TBSA) = 4560 mL 4560 / 2 (half of fluids given in first 8 hours) = 2280 mL A) 2280 mL *** B) 3840 mL C) 4560 mL D) 7680 mL 29. Which of the following assessment findings differentiates a tension PTX from a simple PTX? Assessment findings associated with tension pneumothorax include anxiety, severe restlessness, severe respiratory distress, and absent breath sounds on the injured side. Hypotension due to compression of the heart and great vessels is consistent with obstructive shock. Hypotension worsens with inspiration due to increased intrathoracic pressure. Late signs include distended neck veins, tracheal deviation, and cyanosis. - A) increased work of breathing B) unilaterally diminished breath sounds C) pleuritic chest pain D) hypotension that worsens with inspiration *** 30. Which of the following considerations is most important when caring for a geriatric trauma patient?A) head to to exam B) medical history ** C) incontinence D) falls 31. An intubated trauma patient is being transferred to a tertiary care center. After moving the patient to the stretcher for transport, a drop in pulse oximetry to 85% is noted. Which of the following is the priority interventions? A) call for a portable CXR stat B) chest to make sure the ventilator is plugged in C) suction the ET tube D) confirm ET tube placement 32. What factor contributes most the kinetic energy of a body in motion? A) acceleration B) mass C) velocity *** D) inertia 33. During the primary survey of an unconscious patient with multi-system trauma, the nurse notes snoring respirations. Which priority nursing interventions should be performed next? A) open the airway with the head-tilt/chin lift maneuver B) auscultate bilateral breath sounds to assess ventilatory status C) assist respirations using a BVM D) insert an oropharyngeal airway if there is no gag reflex *** 34. 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 future disaster. Which phase of the disaster life cycle does this describe? A) mitigation *** B) preparednessC) response D) recovery 35. Which pulse pressure description is an indication of early hypovolemic shock? A) widened B) narrowed *** C) bounding D) weak 36. The most reassuring finding for a male patient with hop pain after a fall is which of the following? A) a normal prostate exam B) absence of abdominal distension C) a normal fast exam D) pelvic stability *** 37. A 49-year old restrained driver involved in a MVC presents to the trauma center c/o abd, pelvic, and bil lower extremity pain Vitals signs are stable. The nurse can anticipate all of these negative fast exam except which of the following? 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 changes or hemodynamic changes occur. A negative FAST study does not rule out injury and may warrant a follow-up computed tomography scan. Serial FAST exams can identify increasing abdominal fluid collections from hemorrhage. Diagnostic peritoneal lavage/diagnostic peritoneal aspiration is performed by the surgical team to rapidly identify the presence of hemorrhage in patients who are hemodynamically unstable after trauma. - A) diagnostic peritoneal lavage *** B) serial fast exams C) abdominal and pelvic CT scans D) serial abdominal assessments38. Which of the following is an expected finding in a patient with a thoracostomy connected to a chest drainage system? A) output of 200 mL/hr B) tubing clamp closed for transport C) dependent loops in the tubing to promote drainage D) fluctuations in the water serial chamber *** 39. Which of the following patients warrants referral to a burn center? A) a 21- year old female with a partial thickness burn to the right forearm B) a 40-year old hypertensive male with a superficial burn to the back C) a 52-year old diabetic male with partial thickness burn to the left lower leg *** D) a 35-year old hyperlipidemic female with superficial burns to the anterior thorax. 40. 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 c/o leg pain. His wife 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? A) acute lung injury B) fat embolism *** C) PTX D) pulmonary contusion 41. Which is the effect of hypothermia on the oxyhemoglobin dissociation curve? A) Hemoglobin does not readily release oxygen for use by the tissues *** B) The amount of oxygen available to the tissues increases C) Tissue oxygenation (PaO2) increases D) Hemoglobin molecule saturation (SaO2) decreases 42. A 20-year old male presents to the ED c/o severe lower abd pain after landing hard on the bicycle cross bars which performing an aerial BMX maneuver. Secondary assessment revealslower abd tenderness and scrotal ecchymosis. Which of the following orders would the nurse questions? A) Fast exam B) CT scan C) straight cath for urine sample *** D) ice and elevation of the scrotum 43. You are treating a 27-year old male in respiratory distress who was involved in a house fire. Calculating TBSA burned is deferred d/t the need for emergent intubation. At what rate should you begin fluid resuscitation? A) 1000 mL/hr B) 500 mL/hr *** C) 250 mL/hr D) 125 mL/hr 44. Which of the following is possible complication of positive-pressure ventilation? A) worsening pneumothorax B) worsening flail chest C) reabsorption of pleural air D) negative intrapleural pressure 45. Which of the following is NOT considered goal-directed therapy of cardiogenic shock? A) controlled fluid boluses B) antidysrhythmic administration C) pericardiocentesis *** D) cardiac cath 46. What bedside monitoring parameters are used to assess for adequacy of oxygenation and effectiveness of ventilation?A) pulse oximetry and capnogaphy ** B) respiratory rate and capnography C) pulse oximetry and respiratory rate D) capnography and capnometry 47. Which if the following values indicates the need for alcohol withdrawal interventions? A) CIWA-Ar of 36 *** B) GCS 13 C) ETCo2 of 48 mm Hg D) heart rate of 45 beats/min 48. An unresponsive trauma patient has an oropharyngeal airway in place, shallow and labored respiratory, 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? A) Ventilate with a BVM *** B) Prepare for cricothyroidotomy C) administer reversal medications D) contact anesthesia for assistance 49. The trauma nurse knows that placing a bariatric patients in a "ramped position" provides better visualization during the insertion of which device? A) Intraosseous line B) orogastric tube C) ET tube *** D) urinary catheter 50. You are caring for a patient who was involved in a MVA and is 32 weeks pregnant. Findings of your secondary survey include abd pain on palpation, fundal high at the costal margin, and some dark bloody show. Varying, accelerations and decelerations are noted on the cardiotocography. These findings are most consistent with which of the following?A) placental abruption *** B) preterm labor C) uterine rupture D) fetal demise [Show More]

Last updated: 4 months ago

Preview 1 out of 14 pages

Add to cart

Instant download

OR

Reviews( 3 )


by Shemarie21 · 10 hours ago

Haven't been able to review yet, as it's asking to rate prior to download


by ugapanic · 6 days ago

excellent


by Mrelady · 1 month ago

It's good.

Thank you Come back for more in all other courses. merchantmuchiri@gmail.com by Tessa. 1 month ago

Recommended For You

 Nursing> Exam > NCLEX RN Versions 1 -12 (Latest) With 850 Questions And Answers Guaranteed 100% Grade A. (All)

NCLEX RN Versions 1 -12 (Latest) With 850 Questions And Answers Guaranteed 100% Grade A.

NCLEX RN Versions 1 -12 (Latest) With 850 Questions And Answers Guaranteed 100% Grade A

By Rixx Dennis 1 year ago

Exam

$30.5

32  

 Nursing> Exam > ATI Med-Surg Proctored Exam 2020 Question And Answers/ Download To Score An A. (All)

ATI Med-Surg Proctored Exam 2020 Question And Answers/ Download To Score An A.

ATI Med-Surg proctored Exam Questions & Answers A nurse is assisting with the care of a client who has a femur fracture and is in skeletal traction. Which of the following actions should the nurse...

By succeeded 1 year ago

Exam

$26.5

66  

 Nursing> Exam > Week 3 Clinical Swift River|NUR 2460C Week Three Clinical Swift River| Week Three Clinical Swift River (All)

Week 3 Clinical Swift River|NUR 2460C Week Three Clinical Swift River| Week Three Clinical Swift River

NUR 2460C Week 3 Clinical Swift River/NUR 2460C Week 3 Clinical Swift River/NUR 2460C Week 3 Clinical Swift River/NUR 2460C Week 3 Clinical Swift River/NUR 2460C Week 3 Clinical Swift River NUR 2460C...

By Elam 2 years ago

Exam

$20

10  

 Nursing> Exam > 2022/2023 NCLEX-RN EXAM QUESTIONS AND ANSWERS (LATEST VERSION) (All)

2022/2023 NCLEX-RN EXAM QUESTIONS AND ANSWERS (LATEST VERSION)

2022/2023 NCLEX-RN EXAM QUESTIONS AND ANSWERS (LATEST VERSION)/////////////2022/2023 NCLEX-RN EXAM QUESTIONS AND ANSWERS (LATEST VERSION)/////////2022/2023 NCLEX-RN EXAM QUESTIONS AND ANSWERS (LATEST...

By Rixx Dennis 3 months ago

Exam

$28.5

9  

 Nursing> Exam > Shadow Health Tina Jones Musculoskeletal Subjective. Musculoskeletal | Completed Health Assessment Laboratory - Fall 2019, NUR 305L. Subjective Data Collection: 22 of 23 (95.7%). (All)

Shadow Health Tina Jones Musculoskeletal Subjective. Musculoskeletal | Completed Health Assessment Laboratory - Fall 2019, NUR 305L. Subjective Data Collection: 22 of 23 (95.7%).

Musculoskeletal Results | Completed Health Assessment Laboratory - Fall 2019, NUR 305L Return to Assignment Your Results Turn In Lab Pass Subjective Data Collection: 22 of 23 (95.7%) Hover To Rev...

By QuizMaster 2 years ago

Exam

$9

4  

 Nursing> Exam > ATI COMPREHENSIVE EXIT FINAL (summer 2020) (All)

ATI COMPREHENSIVE EXIT FINAL (summer 2020)

ATI COMPREHENSIVE EXIT FINAL 1) A nurse in an emergency department completes an assessment on an ​adolescent​ client that has ​conduct disorder.​ The client ​threatened suicide​ to teacher at school...

By Expert1 2 years ago

Exam

$15

23  

 Nursing> Exam > PN comprehensive predictor 2020/2021 180 Questions And Answers.(SCORE A GUARANTEED) (All)

PN comprehensive predictor 2020/2021 180 Questions And Answers.(SCORE A GUARANTEED)

Ati PN comprehensive predictor 2020/2021 180 Questions And Answers.(SCORE A GUARANTEED)

By Rixx Dennis 10 months ago

Exam

$40

43  

 Nursing> Exam > NCLEX-PN TEST BANK (2022) Questions, Answers plus Rationale | (100% Guaranteed Pass) (All)

NCLEX-PN TEST BANK (2022) Questions, Answers plus Rationale | (100% Guaranteed Pass)

NCLEX-PN TEST BANK (2022) Questions, Answers plus Rationale | (100% Guaranteed Pass)

By Rixx Dennis 7 months ago

Exam

$50.5

17  

 Nursing> Exam > ATI TEAS 6 EXAM STUDY GUIDE Science (All)

ATI TEAS 6 EXAM STUDY GUIDE Science

ATI TEAS 6 EXAM STUDY GUIDE Science

By CHRIS JAY 2 years ago

Exam

$20

7  

 Nursing> Exam > TNCC 8th Edition Questions and Answers (Updated 2022) 52 Questions with 100% Correct Answers (All)

TNCC 8th Edition Questions and Answers (Updated 2022) 52 Questions with 100% Correct Answers

What are the greatest risks for transport? - ✔✔Loss of airway patency, displaced obstructive tubes lines or catheters, dislodge splinting devices, need to replace or reinforce dressings, deteriorati...

By Tessa 4 months ago

Exam

$7

49  

Exam

$8.00

Add to cart

Instant download

OR

Can't Find what you want?

PLACE CUSTOM WRITING ORDER
308
25

Document information


Connected school, study & course



About the document


Uploaded

4 months ago

Number of pages

14

Written in

All

Type

Exam

Seller


Tessa

Member since 4 months ago

262 Documents Sold


Additional information

This document has been written for:

Course

Nursing

Paper Category

Exam

Uploaded

4 months ago

Downloads

 25

Views

 308

THE BEST STUDY GUIDES

Avoid resits and achieve higher grades with the best study guides, textbook notes, and class notes written by your fellow students

Avoid examination resits

Your fellow students know the appropriate material to use to deliver high quality content. With this great service and assistance from fellow students, you can become well prepared and avoid having to resits exams.

Get the best grades

Your fellow student knows the best materials to research on and use. This guarantee you the best grades in your examination. Your fellow students use high quality materials, textbooks and notes to ensure high quality

Earn from your notes

Get paid by selling your notes and study materials to other students. Earn alot of cash and help other students in study by providing them with appropriate and high quality study materials.

WHAT STUDENTS SAY ABOUT US


What is Browsegrades

In Browsegrades, a student can earn by offering help to other student. Students can help other students with materials by upploading their notes and earn money.

We are here to help

We're available through e-mail, Twitter, Facebook, and live chat.
 FAQ
 Questions? Leave a message!

Follow us on
 Twitter

Copyright © Browsegrades · High quality services·