TNCC Test Questions

TNCC Exam Questions

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1. What is the key to a high performing trauma team?
a. Individual goals
b. Use of the SBAR tool
c. Identification of a single decision maker
d. Consistent communication

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2. When obtaining a history for an injured patient, determining energy transfer through biomechanical data helps the nurse to:
a. anticipate the types of injury that may be present.
b. decide if law enforcement should be notified.
c. determine needed laboratory tests.
d. predict the need for a surgical procedure.

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3. The major preventable cause of death in the trauma patient is:
a. airway compromise.
b. ineffective ventilation.
c. secondary head injury.
d. uncontrolled hemorrhage.

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4. The across-the-room observation step in the initial assessment provides the opportunity to:
a. assess for uncontrolled internal hemorrhage.
b. accurately triage the patient.
c. reprioritize circulation before airway or breathing.
d. activate the trauma team.

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5. Which of the following accurately describes ventilation principles associated with a bag-mask device?
a. Ventilate at a rate of 10 to 12 breaths/min
b. Deliver 100% oxygen
c. Compress the bag-mask device completely
d. Maintain the oxygen saturation level between 92% and 94%

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6. Which of the following is the best measure of the adequacy of cellular perfusion and helps to predict the outcome of resuscitation?
a. End-tidal carbon dioxide
b. Hypoxia
c. Base deficit
d. Oxygen saturation

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7. According to the World Health Organization pain relief ladder, adjuvant medications are:
a. Treatment for symptoms associated with pain
b. An alternative to nonpharmacologic interventions
c. Given for sedative properties
d. Most effective for severe pain

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8. In a patient with severe traumatic brain injury, hypocapnia causes:
a. respiratory acidosis.
b. metabolic acidosis.
c. neurogenic shock.
d. cerebral vasoconstriction.

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9. A patient with a knife injury to the neck has an intact airway and is hemodynamically stable. He complains of difficulty swallowing and speaking. Further assessment is indicated next for which of the following conditions?
a. Damage to the spinal cord
b. An expanding pneumothorax
c. Laceration of the carotid artery
d. Injury to the thyroid gland

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10. What is the appropriate technique to palpate the pelvis for stability?
a. Apply gentle pressure over the iliac wings downward and laterally
b. Apply gentle pressure over the iliac wings downward and medially
c. Apply firm pressure over the iliac wings downward and laterally
d. Apply firm pressure over the iliac wings downward and medially

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