Elaborated TNCC Questions With
Correct Answer
Expedite transfer to the closest trauma center - CORRECT ANSWER -A 56 y/o M pt
involved in a motor vehicle crash is brought to the ED of a rural critical access facility.
He complains of neck pain, SOB, and diffuse abd pain. His GCS is 15. His VS: BP
98/71, HR 125, RR 26, SpO2 94% on high-flow O2 via NRB mask. Which of the
following is the priority intervention for this patient?
a pertinent medical hx is crucial - CORRECT ANSWER -Which of the following
considerations is the most important when caring for a geriatric trauma pt?
Mitigation - CORRECT ANSWER -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?
Multiple requests for water - CORRECT ANSWER -EMS brings a pt who fell while riding
his bicycle. Using the American College of Surgeobs screening guidelines, which
assessment finding would prompt the RN to prepare the pt for a radiologic spine
clearance?
hemoglobin does not readily release O2 for use by the tissues - CORRECT ANSWER -
What is the effect of hypothermia on the oxyhemoglobin dissociation curve?
acidosis - CORRECT ANSWER -Which of the following is a component of the trauma
triad of death?
Complete - CORRECT ANSWER -EMS brings a pt from MVC. VS: BP 90/49, HR 48,
RR 12, temp 97.2F (36.2 C). The pt exhibits urinary incontinence and priapism. These
assessment findings are most consistent with which of the following types of spinal cord
injury?
flucuation in the water seal chamber - CORRECT ANSWER -Which of the following is
an expected finding in a pt with a tube thoracstomy connected to a chest drainage
system?
insert an oropharyngeal airway if there is no gag reflex - CORRECT ANSWER -During
the primary survey of an unconscious pt with multi-system trauma, the nurse notes
snoring respirations. What priority nursing interventions should be preformed next?
globe rupture - CORRECT ANSWER -A 35 y/o M 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?
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