TNCC 8TH EDITION PROVIDER EXAM
QUESTION AND ANSWERS LATEST VERSION
2024 VERIFIED RATIONALE GRADED A+
A 20-year-old male presents to the ED complaining of severe lower abdominal pain after landing hard on
the bicycle cross bars while performing an aerial BMX maneuver. Secondary assessment reveals lower
abdominal tenderness and scrotal ecchymosis. Which of the following orders would the nurse question?
- ansStraight catheter for urine sample
A 35-year-old male 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? - ansGlobe rupture
A 36-year-old female has a deformity of the left wrist after a fall. She is reluctant to move her hand due
to pain. Which of the following is the most appropriate intervention? - ansApply a splint and elevate the
extremity above the level of the heart
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? - ansDiagnostic
peritoneal lavage
A 5-year-old child presents to the ED with bruises to the upper arms 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 nursing
intervention? - ansReport your suspicion of maltreatment in accordance with local regulations
A 56-year-old male patient involved in a motor 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 Glasgow Coma Score is 15. His vital signs are as follows: BP 98/71 mm Hg, HR 125
beats/minute, RR 26 breaths/minute, SpO2 94% on high-flow oxygen via non-rebreather mask. Which of
the following is the priority intervention for this patient? - ansExpedite transfer to the closest trauma
center
A patient arrives with a large open chest wound after being assaulted with a machete. Prehospital
providers placed a nonporous dressing over the chest wound and taped it on three sides. He is now
showing signs of anxiety, restlessness, severe respiratory distress, cyanosis and decreasing blood
pressure. Which of the following is the MOST appropriate immediate intervention? - ansDressing
removal
