TNCC / TNCC 8th Edition /
TNCC 9TH Edition (A GRADED
AND REVIEWED 2024 -
2025)Questions And Answers /
final exam test 2024 open
book updated
Why is a measure of serum lactate obtained in the initial
assessment of the trauma patient?
Answer: c - ANS-a) to measure oxygenation and ventilation
b) to quantify the base deficit for the adequacy of cellular
perfusion
c) *to gauge end-organ perfusion and tissue hypoxia **
d) to determine the underlying cause of shock
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?
Answer: A - ANS-A) compensated **
B) Progressive
C) irreversible
D) decompensated
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?
Answer: D - ANS-A) epidural hematoma
B) diffuse axonal injury
C) post-concussive syndrome
D) subdural hematoma ***
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?
Answer: D - ANS-A) Alert with no neurologic deficits
B) Multiple abrasions to the extremities
C) Multiple requests of water
D) Smell of alcohol on breath ***
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