TNCC FINAL EXAM TEST OPEN

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TNCC FINAL EXAM TEST OPEN

BOOK UPDATED WITH

COMPLETE SOLUTION

Question : Why is a measure of serum lactate obtained in

the initial assessment of the trauma patient?

Correct answer: c) to gauge end-organ perfusion and

tissue hypoxia *

• to measure oxygenation and ventilation
• to quantify the base deficit for the adequacy of cellular

perfusion

• to determine the underlying cause of shock

Question : 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?

Correct answer: A) compensated **

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• compensated **
• Progressive
• irreversible
• decompensated

Question : 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?

Correct answer: D) subdural hematoma ***

• epidural hematoma
• diffuse axonal injury
• post-concussive syndrome
• subdural hematoma ***

Question : EMS brings a patient who fell riding his

bicycle. Using the American College of Surgeons screening guidelines, which assessment finding would

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prompt the nurse to prepare the patient for radiologic spine clearance?

Correct answer: D) Smell of alcohol on breath ***

• Alert with no neurologic deficits
• Multiple abrasions to the extremities
• Multiple requests of water
• Smell of alcohol on breath ***

Question : Which of the following occurs during the third

impact of a motor vehicle crash?

Correct answer: C) the aorta is torn at its attachment with

the ligamentum arteriosum

• The driver of the vehicle collides with the steering

wheel

• the vehicle collides with a tree
• the aorta is torn at its attachment with the ligamentum

arteriosum

• the airbag deploys and strikes the front seat passenger

***

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Question : A passenger is brought to the emergency

department of a rural hospital following a high-speed MVC. When significant abdominal and pelvic injuries are noted in the primary survey, which of the following is the priority interventions?

Correct answer: A) initiate transfer to a trauma center **

• initiate transfer to a trauma center **
• provide report to the operating room nurse
• Obtained imaging studies
• Place a gastric tube

Question : Which of the following injuries is LEAST

likely to be promptly identified?

Correct answer: C) bowel ***

• spleen
• lung
• bowel ***
• brain