Download TNCC 8th Edition Provider Exam Questions and Answers: Trauma Nursing and more Exams Traumatology in PDF only on Docsity!
Questions and answers
EMS brings a patient who fell while riding his bicycle. Using the American College of Surgeons screening guidelines, which assessment finding would prompt the nurse to prepare the patient for radiologic spine clearance? CORRECT ANSWERS✅ Alert with no neurological deficits. The trauma nurse knows that placing a bariatric patient in a "ramped position" provides better visualization during the insertion of which device? CORRECT ANSWERS✅ Endotracheal tube. 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? CORRECT ANSWERS✅ Globe rupture Caregivers carry a 2-year-old into the emergency department who fell out of a second-story window. The patient is awake and crying with increased work of breathing and pale skin. Which of the following interventions has the highest priority? CORRECT ANSWERS✅ Padding the upper back while stabilizing the cervical spine Which of the following injuries is LEAST likely to be promptly identified? CORRECT ANSWERS✅ Bowel
Questions and answers
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? CORRECT ANSWERS✅ Diagnostic peritoneal lavage Why is a measure of serum lactate obtained in the initial assessment of a trauma patient? CORRECT ANSWERS✅ To gauge end-organ perfusion and tissue hypoxia During the primary survey of an unconscious patient with multi-system trauma, the nurse notes snoring respirations. Which priority nursing intervention should be performed next? CORRECT ANSWERS✅ Insert an oropharyngeal airway if there is no gag reflex Which of the following assessment findings differentiates a tension pneumothorax from a simple pneumothorax? CORRECT ANSWERS✅ Hypotension that worsens with inspiration (pulsus paradoxus)
Questions and answers
intervention? CORRECT ANSWERS✅ Apply a splint and elevate the extremity above the level of the heart Which of the following is a late sign of increased intracranial pressure? CORRECT ANSWERS✅ Decreased respiratory effort Tearing of the bridging veins is most frequently associated with which brain injury? CORRECT ANSWERS✅ Subdural hematoma 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 palpation, 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? CORRECT ANSWERS✅ Placental abruption A patient with a complete spinal cord injury in neurogenic shock will demonstrate hypotension and which other clinical signs? CORRECT ANSWERS✅ Bradycardia and absent motor function below the level of injury
Questions and answers
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? CORRECT ANSWERS✅ Mitigation Which of the following considerations is most important when caring for a geriatric trauma patient? CORRECT ANSWERS✅ Medical history The nurse is caring for a 120 kg male brought in after a warehouse fire and is calculating the patient's 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 intravenous fluid would be administered in the first 8 hours? CORRECT ANSWERS✅ 2280 mL An intubated trauma patient is being transferred to a tertiary care center. After moving the patient to the stretcher for transport, a drop in pulse oximetry to 85% is noted. Which of the following is the priority intervention? CORRECT ANSWERS✅ Confirm endotracheal tube placement
Questions and answers
Which of the following values indicates the need for alcohol withdrawal interventions? CORRECT ANSWERS✅ CIWA-Ar of 36 An unresponsive trauma patient has an oropharyngeal airway in place, shallow and labored respirations, and dusky skin. The trauma team has administered medications for drug-assisted intubation and attempted intubation but was unsuccessful. What is the most appropriate immediate next step? CORRECT ANSWERS✅ Ventilate with a bag-mask device Which of the following is a component of the trauma triad of death? CORRECT ANSWERS✅ Acidosis If a patient has received multiple transfusions of banked blood preserved with citrate, which electrolyte is most likely to drop and require supplementation? CORRECT ANSWERS✅ Calcium 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? CORRECT ANSWERS✅ Subdural hematoma
Questions and answers
A patient with a lower extremity fracture complains of severe pain and tightness in his calf, minimally relieved by pain medications. Which of the following is the priority nursing intervention? CORRECT ANSWERS✅ Elevating the extremity to the level of the heart Which of the following patients warrants referral to a burn center? CORRECT ANSWERS✅ A 52-year-old diabetic male with a partial-thickness burn to the left lower leg Which of the following is true about the log-roll maneuver? CORRECT ANSWERS✅ It can worsen cord damage from an unstable spinal injury A trauma patient is restless and repeatedly asking "Where am I?" Vital signs upon arrival were BP 110/60 mm Hg, HR 96 beats/minute and RR 24 breaths/minute. Her skin is cool and dry. Current vital signs are BP 104/84 mm Hg, HR 108 beats/minute, and RR 28 breaths/minute. The patient is demonstrating signs and symptoms of which stage of shock? CORRECT ANSWERS✅ Compensated EMS arrives with the intoxicated driver of a car involved in a motor vehicle crash. EMS reports significant damage to the driver's side of the car. The patient is asking
Questions and answers
There are no abnormalities found based on the pediatric assessment triangle or primary survey. Which of the following is the priority nursing intervention? CORRECT ANSWERS✅ Report your suspicion of maltreatment in accordance with local regulations Which pulse pressure description is an indication of early hypovolemic shock? CORRECT ANSWERS✅ Narrow 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? CORRECT ANSWERS✅ Expedite transfer to the closest trauma center The most reassuring finding for a male patient with hip pain after a fall is which of the following? CORRECT ANSWERS✅ Pelvic stability Which of the following mnemonics can help the nurse prioritize care for a trauma patient with massive uncontrolled hemorrhage? CORRECT ANSWERS✅ MARCH
Questions and answers
Which of the following is NOT considered goal-directed therapy for cardiogenic shock? CORRECT ANSWERS✅ Pericardiocentesis Which of the following occurs during the third impact of a motor vehicle crash? CORRECT ANSWERS✅ The aorta is torn at its attachment with the ligamentum arteriosum Patients with a crush injury should be monitored for which of the following conditions? CORRECT ANSWERS✅ Dysrhythmias What factor contributes most to the kinetic energy of a body in motion? CORRECT ANSWERS✅ Velocity Which of the following is a possible complication of positive-pressure ventilation? CORRECT ANSWERS✅ Worsening pneumothorax A patient is brought to the emergency department of a rural hospital following a high-speed motor vehicle collision. When significant abdominal and pelvic injuries
