TNCC Test Prep 8th Edition Exam 59 Questions & Answers, Exams of Nursing

Download TNCC Test Prep 8th Edition Exam 59 Questions & Answers and more Exams Nursing in PDF only on Docsity! TNCC TEST PREP 8TH EDITION EXAM 59 QUESTIONS & ANSWERS 2023/2024 LATEST UPDATE FOR NURSING SOLUTION GRADED A+ Expedite transfer to the closest trauma center - CORRECT ANSWERS A 56 y/o M involved in a MVC is brought to the ED. He complains of neck pain, SOB, and diffuse abdominal pain. His GCS is 15, VS: BP 98/71, HR 125, RR 26, SpO2 94% on high-flow O2 via NRB mask. Which is the priority intervention for this patient? a pertinent medical hx is crucial - CORRECT ANSWERS Which of the following considerations is the most important when caring for a geriatric trauma pt? Mitigation - CORRECT ANSWERS 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? smell of alcohol on breath - CORRECT ANSWERS 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? hemoglobin does not readily release O2 for use by the tissues - CORRECT ANSWERS What is the effect of hypothermia on the oxyhemoglobin dissociation curve? acidosis - CORRECT ANSWERS Which of the following is a component of the trauma triad of death? Complete - CORRECT ANSWERS 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? TNCC TEST PREP 8TH EDITION EXAM 59 QUESTIONS & ANSWERS 2023/2024 LATEST UPDATE FOR NURSING SOLUTION GRADED A+ flucuation in the water seal chamber - CORRECT ANSWERS Which of the following is an expected finding in a pt with a tube thoracstomy connected to a chest drainage system? insert an oropharyngeal airway if there is no gag reflex - CORRECT ANSWERS 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? globe rupture - CORRECT ANSWERS 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? compensated - CORRECT ANSWERS 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 28. The pt is demonstrating s/sx of which stage of shock? ventilate with a bag mask device - CORRECT ANSWERS An unresponsive trauma pt has an oropharygeal airway in place, shallow and labored respirations, 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? within 24 hrs of trauma - CORRECT ANSWERS When is the tertiary survey completed fora trauma pt? TNCC TEST PREP 8TH EDITION EXAM 59 QUESTIONS & ANSWERS 2023/2024 LATEST UPDATE FOR NURSING SOLUTION GRADED A+ Initiate transfer to a trauma center - CORRECT ANSWERS 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? bardycardia and absent motor function below the level of injury - CORRECT ANSWERS A pt with a complete spinal cord injury in neurogenic shock will demonstrate hypotension and which other clinical signs? apply splint and elevate above the level of the heart - CORRECT ANSWERS 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? the aorta is torn at its attachment with the ligamentum arteriosum - CORRECT ANSWERS which of the following occurs during the third impact of a motor vehicle crash? Report your suspicion of maltreatment in accordance with local regulations - CORRECT ANSWERS 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? to guage end-organ perfusion and tissue hypoxia - CORRECT ANSWERS Why is a measure of serum lactate obtained in the initial assessment of a trauma patient? TNCC TEST PREP 8TH EDITION EXAM 59 QUESTIONS & ANSWERS 2023/2024 LATEST UPDATE FOR NURSING SOLUTION GRADED A+ elevating the extremity to the level of the heart - CORRECT ANSWERS 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? velocity - CORRECT ANSWERS What factor contributes most to the kinetic energy of a body in motion? subdural hematoma - CORRECT ANSWERS An elderly patient with a history of anticoagulant use presents after a fall at home today. She denies any loss of consciousness. She has a hematoma to her forehead and complains of headache, dizziness, and nausea. What is the most likely cause of her symptoms? fat embolism - CORRECT ANSWERS a pt has been in the ED for several hrs waiting to be admitted. He sustained multiple rib fractures and a femur fracture after a fall. He has been awake, alert, and complaining of leg pain. His wife reported that he suddenly became anxious and confused. Upon reassessment, the pt is restless with respiratory distress and petechiae to his neck. The pt is exhibiting s/sx most commonly associated with which of the following conditions? decreased respiratory effort (Early signs of increased intracranial pressure include headache, nausea, vomiting, amnesia, and behavioral changes (impaired judgment, restlessness, drowsiness). - CORRECT ANSWERS Which of the following is a late sign of increased intracranial pressure? serial FAST exams - CORRECT ANSWERS a 49 y/o restrained driver involved in a MVC presents to the trauma center complaining of abd, pelvic, and bilateral lower extremity pain. VS are stable. The nurse can anticipate all of these after a negative FAST exam EXCEPT which of the following? TNCC TEST PREP 8TH EDITION EXAM 59 QUESTIONS & ANSWERS 2023/2024 LATEST UPDATE FOR NURSING SOLUTION GRADED A+ pericardiocentesis - CORRECT ANSWERS Which of the following is NOT considered goal-directed therapy for cardiogenic shock? endotracheal tube - CORRECT ANSWERS The trauma nurse knows that placing a bariatric patient in a ramped position providers better visualization during the insertion of which device? hypotension that worsens w/ inspiration - CORRECT ANSWERS which of the following assessment findings differentiates a tension pneumothorax from a simple pneumothorax? calcium (Hypocalcemia is a concern with massive transfusion because citrate is added to banked blood to prevent coagulation. Citrate chelates/binds with calcium, rendering it inactive.) - CORRECT ANSWERS if a pt has received multiple transfusions of banked blood preserved with citrate, which electrolyte is most likely to drop and require supplementation? identifying individuals who made mistakes during the traumatic event - CORRECT ANSWERS Which of the following is NOT considered a benefit of debriefings? 500 mL/hr - CORRECT ANSWERS 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? TNCC TEST PREP 8TH EDITION EXAM 59 QUESTIONS & ANSWERS 2023/2024 LATEST UPDATE FOR NURSING SOLUTION GRADED A+ Which of is TRUE about rib fractures? - CORRECT ANSWERS Associated with significant geriatric morbidity and mortality. For Open Pneumothorax treatments are - CORRECT ANSWERS -Immediate treatment is 3-sided dressing -Definitive treatment is Chest Tube During Tension Pneumothorax - CORRECT ANSWERS - will cause obstructive shock - If Chest Tube placement is not ready available, needs Needle Decompression with 14-gauge needle, longer is better over the 2nd Intercostal space, midclavicular line OR 5th intercostal space, anterior axillary line S/S of Tension Pneumothorax - CORRECT ANSWERS -Decrease/Absent breath sounds ipsilaterally -JVD -Hypotension -Hyper-resonance ipsilaterally -Tracheal Deviation (late sign) -Severe Respiratory distress, Anxiety, agitation -Can lead to PEA Hemothorax: Blood in the pleural space. Assessment Finding - CORRECT ANSWERS -Persistent Blood lost following chest tube insertion TNCC TEST PREP 8TH EDITION EXAM 59 QUESTIONS & ANSWERS 2023/2024 LATEST UPDATE FOR NURSING SOLUTION GRADED A+ -Hemorrhagic shock: pallor, tachycardia, hypotension, cool peripheries -External thoracic injury -Decrease Breath sounds and decrease chest movement - dullness ipsilaterally -Anxiety/ Agitation.