TNCC 9TH EDITION 2024-2025 NEWEST EXAM 50 DETAILED
QUESTIONS AND VERIFIED ANSWERS TOP RAKED
A+.REVISED
A 56 year old male patient involved in a motor
... [Show More] vehicle crash is brought to the
emergency department of a rural critical access facility. He complains of neck pain,
shortness of breath, and diffuse abdominal pain. His GCS is 15. His vital signs are as
follows: BP 98/71, HR 125, RR26, SpO2 94% on high flow oxygen via non-rebreather
mask. Which of the following is the priority intervention for this patient? - ANSWERExpedite transfer to the closest trauma center.
A patient with a complete spinal cord injury in neurogenic shock will demonstrate
hypotension and which other clinical signs? - ANSWER- Bradycardia and absent motor
function below the level of injury
Which of the following is a component of the trauma triad of death? - ANSWERacidosis
EMS brings a patient who fell while riding his bicycle. Using the American College of
surgeons screening guidelines, which assessment findings would prompt the nurse to
prepare the patient for radiologic spine clearance? - ANSWER- Alert with no neurologic
deficits
EMS arrives with the intoxicated driver of a car involved in a motor vehicle crash. EMS
reports significant damage to the drivers side of the car. The patient is asking to have
the cervical collar removed. When is it appropriate to remove the cervical collar? -
ANSWER- After a physical examination if the patient has no radiologic abnormalities on
a CT scan
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. What is the most likely cause of her
symptoms? - ANSWER- subdural hematoma
A 49 year old restrained driver involved in a motor vehicle collision presents to the
trauma center complaining of abdominal, pelvic, and bilateral lower extremity pain. Vital
signs are stable. The nurse can anticipate all of these after a negative FAST exam
EXCEPT which of the following? - ANSWER- serial FAST exams
The nurse is caring for a 120 kg male brought in after a warehouse fire and is
calculating the patients 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 body surface area
burned, how much IV fluid would be administered in the first 8 hours? - ANSWER- 2280
mL
Which of the following mnemonics can help a nurse prioritize care for a trauma patient
with massive uncontrolled hemorrhage? - ANSWER- MARCH
You are caring for a patient who was involved in a motor vehicle crash and is 32 weeks
pregnant. Findings of your secondary survey include abdominal pain on palpitation,
fundal height at the costal margin, and some dark bloody show. Varying accelerations
and decelerations are noted on cardiotocography. These findings are most consistent
with which of the following? - ANSWER- Placental abruption
Which of the following is NOT considered goal-directed therapy for cardiogenic shock? -
ANSWER- Pericardiocentesis
A patient is found lying on the floor after falling 13 hours ago. Which of the following
laboratory values is expected with a musculoskeletal complication associated with this
presentation? - ANSWER- Elevated creatinine kinase
Tearing of the bridging veins is most frequently associated with which brain injury? -
ANSWER- Subdural hematoma
What bedside monitoring parameters are used to assess for adequacy of oxygenation
and effectiveness of ventilation? - ANSWER- Pulse oximetry and capnography [Show Less]