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TNCCPRETEST_06_2009

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Copyright ENA/TNCC Pre Test -Compiled: February 2009 Test number: _____________ (Assigned by Instructor) EMERGENCY NURSES ASSOCIATION NOTE: TO BE USED AS THE TNCC REVERIFICATION PRE-TEST PRE-TEST EXAMINATION INSTRUCTIONS: Please read each question CAREFULLY, and mark the ONE best answer to each question on the answer sheet. 1. The following is a sign/symptom of a diffuse axonal brain injury: A. Transient loss of consciousness B. Hypotension C. Hypothermia D. Elevated intracranial pressure 2. In a patient who has sustained a fractured larynx, the nurse should anticipate definitive airway control using: A. Endotracheal intubation B. Cricothyrotomy C. Laryngeal mask airway D. Combitube® Pre-Test This examination must be used solely as a PRETEST for the ENA Trauma Nursing Core Course. It must be given to all participants of a Reverification course and is an option for use in Provider courses. Using this examination or any questions from this examination outside of a preapproved TNCC-P course is strictly prohibited. If there are any concerns that this examination has been compromised, please contact Course Operations at 800/900-9659 ext. 4120. Photocopying of this exam is strictly prohibited 2 3. A trauma patient has extensive abrasions over the lateral aspect of his right leg. The most appropriate choice of dressing for wound coverage is: A. Non-adhering gauze dressing B. Moist, sterile gauze under a dry gauze dressing C. Wound left open to air with topical antibiotic ointment D. A dry sterile dressing 4. Which of the following sign/symptom indicates a mandibular fracture? A. Nasal deformity B. Cerebrospinal fluid leak C. Malocclusion D. Dysphagia 5. During the resuscitation of a 24-month-old child in uncompensated hypovolemic shock, the most immediate accessible route for fluid resuscitation is: A. Femoral line placement B. Percutaneous central line placement C. Intraosseous access D. Venous cut down 6. A fracture which does not go through the entire bone is: A. Open B. Comminuted C. Displaced D. Greenstick 7. A burn patient is to be transferred to a burn care center. Prior to transport the emergency nurse should: A. Provide report to the receiving facility B. Tell the family to wait for police escort C. Cover the patient in cool, moist dressings D. Initiate administration of IV antibiotics Photocopying of this exam is strictly prohibited 3 8. A patient arrives with facial trauma sustained in a motor vehicle crash. The emergency nurse’s priority assessment is to: A. Look for blood in the oropharynx B. Listen for breath sounds C. Palpate a central pulse D. Observe for a cerebrospinal fluid leak 9. The primary intervention for the family of a trauma patient being resuscitated is: A. Placing the family in a private waiting area B. Regularly updating the family on the patient’s condition C. Providing a telephone to call relatives and friends D. Addressing appropriate coping mechanisms with the family 10. A patient is brought into the emergency department after receiving an electrical injury of 18,000 volts. Fluid resuscitation of this patient is guided by: A. Heart rate B. Parkland formula C. Urine output D. Blood pressure 11. Which of the following is a physical symptom of stress caused by a critical incident? A. Nausea B. Nightmares C. Irritability D. Pacing 12. The most frequent complication associated wi

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