TNCC Test Prep Study Guide Exam Questions and Answers Best Graded A+ 2024-2025., Exams of Nursing

Download TNCC Test Prep Study Guide Exam Questions and Answers Best Graded A+ 2024-2025. and more Exams Nursing in PDF only on Docsity! TNCC Test Prep TNCC Test Prep Study Guide Exam Questions and Answers Best Graded A+ 2024-2025. 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 1 TNCC Test Prep 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 Surgeons’ screening guidelines, which assessment finding would prompt the RN to prepare the pt for a radiologic spine clearance? - Answer: Smell of ETOH on breath 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 2 TNCC Test Prep Secondary assessment reveals lower abd tenderness and scrotal ecchymosis. Which of the following orders would the RN question? - Answer: straight cath for urine sample 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 (C-spine is part of the Pedi Alertness and Airway Assessment) 5 TNCC Test Prep 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 (there is no SLING in TNCC interventions for fx, at the level of the heart is for suspected compartment syndrome) 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 6 TNCC Test Prep 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? - Answer: elevating the extremity to the level of the heart (suspected compartment syndrome) What factor contributes most to the kinetic energy of a body in motion? - Answer: velocity (KE=1/2mv^2, if mass doubles so does E, but when v is doubled E is quadrupled) 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? - Answer: subdural hematoma (in geriatrics, s/s are often more subtle, and they are more likely to have tearing of the bridging veins from brain atrophy) 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 7