TNCC Exam Questions
11. A patient with a spinal cord injury at C5 is being cared for in the emergency department while awaiting transport to a trauma center. Which of the following represents the highest priority for ongoing assessment?
a. Monitor respiratory status
b. Administer balanced resuscitation fluid
c. Perform serial assessments of neurologic function
d. Observe for signs of distributive shock
12. What is the first step to stop a hemorrhage associated with an amputated extremity?
a. Elevate the extremity to the level of the heart
b. Initiate direct pressure
c. Apply a tourniquet
d. Splint the residual limb
13. Treatment for frostbite includes:
a. warm the affected part slowly over 30 to 60 minutes
b. use gentle friction to improve circulation.
c. administer aspirin.
d. leave blisters intact.
14. A 30-week pregnant trauma patient’s vital signs include a blood pressure of 94/72 mm Hg and a heart rate of 108 beats/min. Fetal heart tones are 124 beats/min. The emergency nurse interprets the patient’s hemodynamic findings as an indication of which of the following?
a. Decompensated shock
b. Normal vital signs in pregnancy
c. Placental abruption
d. Supine hypotension syndrome
15. While performing an assessment on a 13 month-old involved in a motor vehicle collision, the nurse identifies which of the following findings from the patient as a potential sign of mental status changes?
a. Sunken fontanel
b. Crying, but consolable
c. Hyperglycemia
d. Cooperation with the assessment
16. What is the best position to maintain an open airway in the bariatric patient?
a. Prone
b. Supine
c. Reverse Trendelenburg
d. Right lateral recumbent
17. The nurse is obtaining a history for a patient who presents following sexual assault. This history is completed using which of the following techniques?
a. Bring the family in to the interview room
b. Use direct quotes to record information
c. Assure law enforcement and social services wait until the nursing history is completed
d. Provide food and drink before creating a rapport
18. A trauma nurse cared for a child with devastating burns 2 weeks ago. She called in sick for a couple of days and is now back working on the team. Which of the following behaviors would indicate this nurse is coping well?
a. She is talking about taking the emergency nursing certification examination
b. She keeps requesting to be assigned to the walk-in/ambulatory area
c. She is impatient and snaps at coworkers
d. She is thinking about transferring out of the emergency department
19. Following a bomb explosion, fragmentation injuries from the bomb or objects in the environment are examples of which phase of injury?
a. Primary
b. Secondary
c. Tertiary
d. Quaternary
20. A patient is diagnosed with small subdural hematoma with a history of a trip and fall in which he hit his head on the sink two weeks ago. He is waiting for an inpatient bed. The nursing shift report indicates that he did not sleep last night and has been very anxious. As the nurse begins an assessment, he vomits and states he couldn’t sleep because a young child kept coming in his room during the night. What is a likely cause for these signs and symptoms?
a. Increased intracranial pressure
b. Alcohol withdrawal
c. Rhabdomyolysis
d. Pulmonary embolus
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