TNCC fnal exam test 2022 open book

Document Content and Description Below

1. Why is a measure of serum lactate obtained in the initial assessment of the trauma patient? Answer: c: 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? Answer: A: 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? Answer: D: 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? Answer: D: 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? Answer: C: 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 *** [Show More]

Last updated: 1 year ago

Preview 1 out of 12 pages