TNCC final exam test 2024 open book| 100
Questions and Answers |With 100% Verified
Solutions | Updated & Verified | 2024
Why is a measure of serum lactate obtained in the initial assessment of the trauma patient?
Answer: c - ✔✔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 - ✔✔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 - ✔✔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 - ✔✔A) Alert with no neurologic deficit
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