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TNCC Final Exam Questions and Answers 2024-2025: Trauma Nursing Study Guide, Exams of Nursing

Lancaster UniversityNursing

A series of multiple-choice questions and answers related to trauma nursing, specifically focusing on the tncc (trauma nurse core course) final exam. The questions cover a range of scenarios encountered in emergency departments, including patient assessment, prioritization of interventions, and management of various traumatic injuries. Topics include blunt trauma, spinal injuries, shock, and disaster triage. Designed to test and reinforce knowledge of trauma care principles and best practices, providing a valuable resource for nurses preparing for certification or seeking to enhance their skills in trauma management. It offers practical insights into critical decision-making and evidence-based interventions in emergency situations, making it a useful tool for both students and practicing nurses in the field of trauma care. The questions are verified and graded, offering a comprehensive review of essential concepts.

Typology: Exams

2024/2025

Available from 05/15/2025

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TNCC FINAL EXAM LATEST VERSIONS 2024-2025 CONTAINS 350 QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS) TESTBANK |ALREADY GRADED A+|100 %
COMPLETE|verified pass
A several groups of people are at higher risk foA 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?
Answer: A - ansA) report your suspicion of the maltreatment in accordance with local regulations ***
B) apply ice to the bruises and consult wound care
C) engage in therapeutic communication to determine the MOI
D) provide the family with injury prevention resourse
A 20-year old male presents to the ED c/o severe lower abd pain after landing hard on the bicycle cross
bars which performing an aerial BMX maneuver. Secondary assessment reveals lower abd tenderness
and scrotal ecchymosis. Which of the following orders would the nurse questions?
Answer: C - ansA) Fast exam
B) CT scan
C) straight cath for urine sample ***
D) ice and elevation of the scrotum
A 35-year old male presents with facial trauma after bring struck inthe face with a baseball. a tear-drop
shaped left pupil is noted on exam. What type of injury is suspected?
Answer: B - ansA) oculomotor nerve palsy
B) globe rupture ***
C) uncal herniation
D) retinal detachment
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?
Answer: B - ansA) apply a sling and elevate the extremity to the level of the heart.
B) apply a splint and ELEVATE ABOVE THE LEVEL OF THE HEART ***
C) Apply a sling and elevate the extremity above the level of the heart
D) apply a splint and elevate the extremity to the level of the heart.
A 49-year old restrained driver involved in a MVC presents to the trauma center c/o abd, pelvic, and bil
lower extremity pain Vitals signs are stable. The nurse can anticipate all of these negative fast exam
except which of the following?
Answer: A
The FAST exam is done at the bedside to identify pathological fluid in the abdominal and pelvic cavities.
FAST exams reduce the use of more invasive diagnostic peritoneal lavage and can be repeated if clinical
changes or hemodynamic changes occur. A negative FAST study does not rule out injury and may
warrant a follow-up computed tomography scan. Serial FAST exams can identify increasing abdominal
fluid collections from hemorrhage. Diagnostic peritoneal lavage/diagnostic peritoneal aspiration is
performed by the surgical team to rapidly identify the presence of hemorrhage in patients who are
hemodynamically unstable after trauma. - ansA) diagnostic peritoneal lavage ***
B) serial fast exams
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Download TNCC Final Exam Questions and Answers 2024-2025: Trauma Nursing Study Guide and more Exams Nursing in PDF only on Docsity!

CORRECT ANSWERS (VERIFIED ANSWERS) TESTBANK |ALREADY GRADED A+|100 %

COMPLETE|verified pass

A several groups of people are at higher risk foA 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? Answer: A - ansA) report your suspicion of the maltreatment in accordance with local regulations *** B) apply ice to the bruises and consult wound care C) engage in therapeutic communication to determine the MOI D) provide the family with injury prevention resourse A 20-year old male presents to the ED c/o severe lower abd pain after landing hard on the bicycle cross bars which performing an aerial BMX maneuver. Secondary assessment reveals lower abd tenderness and scrotal ecchymosis. Which of the following orders would the nurse questions? Answer: C - ansA) Fast exam B) CT scan C) straight cath for urine sample *** D) ice and elevation of the scrotum A 35-year old male presents with facial trauma after bring struck inthe face with a baseball. a tear-drop shaped left pupil is noted on exam. What type of injury is suspected? Answer: B - ansA) oculomotor nerve palsy B) globe rupture *** C) uncal herniation D) retinal detachment 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? Answer: B - ansA) apply a sling and elevate the extremity to the level of the heart. B) apply a splint and ELEVATE ABOVE THE LEVEL OF THE HEART *** C) Apply a sling and elevate the extremity above the level of the heart D) apply a splint and elevate the extremity to the level of the heart. A 49-year old restrained driver involved in a MVC presents to the trauma center c/o abd, pelvic, and bil lower extremity pain Vitals signs are stable. The nurse can anticipate all of these negative fast exam except which of the following? Answer: A The FAST exam is done at the bedside to identify pathological fluid in the abdominal and pelvic cavities. FAST exams reduce the use of more invasive diagnostic peritoneal lavage and can be repeated if clinical changes or hemodynamic changes occur. A negative FAST study does not rule out injury and may warrant a follow-up computed tomography scan. Serial FAST exams can identify increasing abdominal fluid collections from hemorrhage. Diagnostic peritoneal lavage/diagnostic peritoneal aspiration is performed by the surgical team to rapidly identify the presence of hemorrhage in patients who are hemodynamically unstable after trauma. - ansA) diagnostic peritoneal lavage *** B) serial fast exams

CORRECT ANSWERS (VERIFIED ANSWERS) TESTBANK |ALREADY GRADED A+|100 %

COMPLETE|verified pass

C) abdominal and pelvic CT scans D) serial abdominal assessments A 56-year- male patient involved in a MVC is brought to the ED of a rural critical access facility. He c/o neck pain, SOB, and diffuse abd pain. His GCS is 15. His vitals are as follows: BP 98/ HR 125 beats/min RR 26 breaths/min SpO2 94% on high flow O2 via NRB mask which of the following is the priority intervention for this patient? Answer: C - ansA) Expedite transport to the CT scanner B) prepare the patient for spinal radiographs C) expedite transfer to the closest trauma center *** D) notify the patients family 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? Answer: A - ansA) initiate transfer to a trauma center ** B) provide report to the operating room nurse C) Obtained imaging studies D) Place a gastric tube A patient arrives with a large open chest wound after being assault ed with a machete, Prehospital providers placed a nonporous dressing over the chest wound and tapes it on 3 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 interventions? Answer: C - ansA) needle decompression B) tube thoracostomy C) dressing removal ** D) surgical repair A patient has been in the ED for several hours waiting to be admitted. He sustained multiple rib fractures and a femur fracture after a fall. He has been awake, alert, and c/o leg pain. His wife reported suddenly becoming anxious and confused. Upon reassessment, the patient is restless, with respiratory distress and petechiae to his neck. the patient is exhibiting signs of symptoms commonly associated with which of the following conditions? Answer: B - ansA) acute lung injury B) fat embolism *** C) PTX D) pulmonary contusion A patient is found lying on the floor after falling 13 hours ago. Which of the following lab values is expected with a musculoskeletal complication associated with this presentation? Answer: A - ansA) elevated creatine kinase *** B) decreased potassium level

CORRECT ANSWERS (VERIFIED ANSWERS) TESTBANK |ALREADY GRADED A+|100 %

COMPLETE|verified pass

B) diffuse axonal injury C) post-concussive syndrome D) subdural hematoma *** 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 interventions? Answer: D - ansA) call for a portable CXR stat B) chest to make sure the ventilator is plugged in C) suction the ET tube D) confirm ET tube placement An unresponsive trauma patient has an oropharyngeal airway in place, shallow and labored respiratory, 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? Answer: A - ansA) Ventilate with a BVM *** B) Prepare for cricothyroidotomy C) administer reversal medications D) contact anesthesia for assistance Caregivers carry a 2-year old into the ED who fell out of 2nd 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? Answer: A - ansA) padding the upper back while stabilizing the cervical spine *** B) applying a tight-fitting NRB mask with an attached resevior C) establishing intravenous access and administering a 20mL/kg bolus D) preparing for drug assisted intubation During the primary survey of an unconscious patient with multi-system trauma, the nurse notes snoring respirations. Which priority nursing interventions should be performed next? Answer: D - ansA) open the airway with the head-tilt/chin lift maneuver B) auscultate bilateral breath sounds to assess ventilatory status C) assist respirations using a BVM D) insert an oropharyngeal airway if there is no gag reflex *** EMS arrives with the intoxicated driver of a car involved in a MVC. EMS reports significant damage to the drivers side of the car. The patient is asking to have the cervical color removed. when is it appropriate to remove the cervical collar? Answer: A - ansA) after a physical examination if the patient has no radiologic abnormalities on a computed tomography scan *** B) after physician evaluation if the patient has not neurologic abnormalities on exam C) after palpation of the spine if the patient has no point tenderness the the vertebral column D) after physical examination if the patient has not neck pain with movement EMS brings a patient who fell 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 (VERIFIED ANSWERS) TESTBANK |ALREADY GRADED A+|100 %

COMPLETE|verified pass

Answer: D - ansA) Alert with no neurologic deficits B) Multiple abrasions to the extremities C) Multiple requests of water D) Smell of alcohol on breath *** 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 future disaster. Which phase of the disaster life cycle does this describe? Answer: A - ansA) mitigation *** B) preparedness C) response D) recovery If a patient has received multiple transfusions of banked blood preserved with citrate, which electrolyte is most likely to drop and require supplementation? Answer: D - ansA) potassium B) magnesium C) sodium D) calcium *** Patients with a crush injury should be monitored for which of the following conditions? Answer: C - ansA) Hypernatremia B) Hypercalcemia C) Dysrhthmias ** D) polyuria Tearing of the bridging veins is most frequently associated with which brain injury? Answer: B - ansA) epidural hematoma B) subdural hematoma *** C) diffuse axonal injury D) intracerebral hematoma The most reassuring finding for a male patient with hop pain after a fall is which of the following? Answer: D - ansA) a normal prostate exam B) absence of abdominal distension C) a normal fast exam D) pelvic stability *** The nurse is caring for a 120 kg male is 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 BSA burned, how much IV fluids would be administered in the first 8 hours? (upper arm 4+4 / lower arm 3+3 / hand 2.5+2.5) = 19% TBSA. 120 kg x (2 mL) x (19% TBSA) = 4560 mL

CORRECT ANSWERS (VERIFIED ANSWERS) TESTBANK |ALREADY GRADED A+|100 %

COMPLETE|verified pass

Which of the following assessment findings differentiates a tension PTX from a simple PTX? answer: D Assessment findings associated with tension pneumothorax include anxiety, severe restlessness, severe respiratory distress, and absent breath sounds on the injured side. Hypotension due to compression of the heart and great vessels is consistent with obstructive shock. Hypotension worsens with inspiration due to increased intrathoracic pressure. Late signs include distended neck veins, tracheal deviation, and cyanosis. - ansA) increased work of breathing B) unilaterally diminished breath sounds C) pleuritic chest pain D) hypotension that worsens with inspiration *** Which of the following considerations is most important when caring for a geriatric trauma patient? Answer: B - ansA) head to to exam B) medical history ** C) incontinence D) falls Which of the following injuries is LEAST likely to be promptly identified? Answer: C - ansA) spleen B) lung C) bowel *** D) brain Which of the following is a component of the trauma triad of death? Answer: A hypothermia, metabolic acidosis, coagulopathy - ansA) Acidosis ** B) hyperthermia C) hemorrhage D) sepsis Which of the following is a late sign of increased intracranial pressure? Answer: C A a 22 yr old was struck by a vehicle while crossing the street, sustaining multiple fx she is alert and answering qestions and crying what is the best method for initial pain assessment for this pt - ANSself report scale A a pt sustrained a penetrating injury of his upper leg. the pre hospital personnel states a large amount of blood loss before hemostasiswas achieved. he presents to the ER responding to painful stimuli with moaning. he is tachy 142 b/p 104/96 and RR 24 - ANSdecompensated

CORRECT ANSWERS (VERIFIED ANSWERS) TESTBANK |ALREADY GRADED A+|100 %

COMPLETE|verified pass

A an unrestrained driver was involved in a frontal collision without airbag deployment. he is hypotensive and tachycardic with shallow respirations, distended JVD and muffled heart tones the nurse prepare for what - ANSpericardiocentesis A during assessment of an extremety with suspected pulses are - ANScan be normal A for a ptwho has undergone recent bariatric surgery, flouroscopy is recommended to place - ANSNG tube A identification of vulnerabilities is an example of what phase of disaster management - ANSmitigation A in mass casualty "doing the greatest good for the greatest number of people refers to a situation where - ANSthere may be more patients than resources A in neurogenic shock, alterations in vital signs include hypotension and which other abnormal VS - ANSbradycardia A In the primary survey AVPU is performed to determine if the patient can: - ANSProtect their aiway A prego trauma pt develops tachy, hypotension, a rigide board like uterus, and dark, red vaginal bleeding. she reports constant back pain which is increasing. the most likely cause of s/s is - ANSplacental abruption Cushing Response Widening pulse pressure Reflex bradycardia Decreased RR - ansA) Restlessness or drowsiness B) Nausea and vomiting C) Decreased respiratory effort** D) amnesia and anxiety Which of the following is an expected finding in a patient with a thoracostomy connected to a chest drainage system? Answer: D - ansA) output of 200 mL/hr B) tubing clamp closed for transport C) dependent loops in the tubing to promote drainage D) fluctuations in the water serial chamber *** Which of the following is NOT considered goal-directed therapy of cardiogenic shock? Answer: C - ansA) controlled fluid boluses B) antidysrhythmic administration

CORRECT ANSWERS (VERIFIED ANSWERS) TESTBANK |ALREADY GRADED A+|100 %

COMPLETE|verified pass

You are caring for a patient who was involved in a MVA and is 32 weeks pregnant. Findings of your secondary survey include abd pain on palpation, fundal high at the costal margin, and some dark bloody show. Varying, accelerations and decelerations are noted on the cardiotocography. These findings are most consistent with which of the following? Answer: A - ansA) placental abruption *** B) preterm labor C) uterine rupture D) fetal demise You are treating a 27-year old male in respiratory distress who was involved in a house fire. Calculating TBSA burned is deferred d/t the need for emergent intubation. At what rate should you begin fluid resuscitation? Answer: B - ansA) 1000 mL/hr B) 500 mL/hr *** C) 250 mL/hr D) 125 mL/hr