TNCC Written Exam 2023 (92 Questions with 100%
Correct Answers)
What is the best measure of the adequacy of cellular perfusion and helps predict the
... [Show More] outcome of
resuscitation? correct answerBase deficit used in conjunction with serum lactate
Will hypocapnia cause vasoconstriction or vasodilation, especially in the cerebral vasculature? correct
answerVasoconstriction
What results from tissue hypo perfusion and oxygen deficit? correct answerMetabolic acidosis
What type ofshock results in generalized vasodilation? correct answerNeurogenic shock
Spinal cord injuries at C3-C5 causes loss of what nerves function, resulting in what? correct
answerPhrenic nerve; paralyzed diaphragm and inability to breath
Extremity elevation AT the level of the heart is beneficial for what type of injury? correct
answerCompartment Syndrome
What is a high risk of frostbite? correct answerThrombus formation
What two medications can be administered to maintain perfusion after a frostbite injury along with
rewarming? correct answerTissue plasminogen activator or non steroidal anti-inflammatory medication
(NSAIDS)
An rise in diastolic blood pressures is a sign of increasing what? correct answerPeripheral resistance
What position will benefit the airway and work of breathing for the bariatric patient? correct
answerReverse Trendelenburg
Which phase of a blast results from flying debris, projectiles, and bomb fragments causing lacerations or
penetrating injuries? correct answerSecondary Phase
What phase of a blast results from any explosion-related illness or injury including hyperglycemia,
hypertension, angina, asthma, COPD, or sepsis? correct answerQuaternary Phase
What phase of a blast results from individuals being thrown by the blast and impacting walls, ground, or
any hard object? correct answerTertiary Phase
What phase of a blast results from impact of the over and under pressurization wave with body surfaces.
Injuries include blast lung, tympanic membrane rupture, abdominal hemorrhage, globe rupture, and
mild traumatic brain injury? correct answerPrimary Phase
Signs of what include muscle pain or weakness, dark red or brown urine, general weakness or malaise,
and elevated creatinine kinase levels? correct answerRhabdomyolosis
Signs of what include anxiety, pleuritic chest pain, dyspnea, hypoxemia, hemoptysis, cough, orthopnea,
adventitious lung sounds, decreased lung sounds, jugular vein distention, or hypotension? correct
answerPulmonary Embolus
Signs of what include headache, nausea and vomiting, amnesia, behavioral changes, altered level of
consciousness? correct answerIncreased intracranial pressure
Signs of what include asymmetric pupillary reactivity, unilateral dilation, widening pulse pressure,
abnormal motor posturing, bradycardia, and decreased respiratory effort? correct answerLate signs of
increased ICP with Herniation Syndrome
What is caused by the tear of the bridging veins or middle meningeal artery? correct answerSubdural
and Epidural Hematoma
Affect concentration, memory,sleep, mode, and libido. Causes headaches, dizziness and nausea. correct
answerPostconcussive Syndrome/ Mild Traumatic Brain Injury
Signs and symptoms similar to early signs of increased ICP but do not worsen. correct
answerPostconcussive Syndrome/ Mild Traumatic Brain Injury
Cerebral Perfusion Pressure = - correct answerMAP - ICP
What is the range for CO2 to maximize perfusion? correct answer35-45
Does hypoventilation cause dilation or constriction? Increase or decrease ICP? correct answerDilation
and increase in ICP due to high CO2
Hyperventilation cause dilation or constriction? correct answerConstriction d/t low CO2
Pupils with pressure on cranial nerve correct answerFixed and dilated
Pupils with opiates vsstimulants correct answersmall; large
Pupils with anticholinergicssuch as atropine, ipratropium, and scopolamine correct answerlarge
Sluggish reaction of pupils is an early sign of what? correct answerIncreasing ICP
Glasgow Coma Score with Mild, Moderate, and Severe TBI correct answerMild = 13-15
Moderate = 9-12
Severe = 3-8
Goal value for ICP correct answer<15 [Show Less]