TNCC final exam test 2022/2023 open book Graded A+ 100% SUCCESS GUARANTEED

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TNCC final exam test 2022/2023 open book Graded A+ 100% SUCCESS GUARANTEED. TNCC final exam test 2022/2023 open book LATEST UPDATED. Why is a measure of serum lactate obtained in the initial asse ... ssment 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 deficits B) Multiple abrasions to the extremities C) Multiple requests of water D) Smell of alcohol on breath *** Which of the following occurs during the third impact of a motor vehicle crash? TNCC final exam test 2022/2023 open book Graded A+ 100% SUCCESS GUARANTEED. Answer: C A) The driver of the vehicle collides with the steering wheel B) the vehicle collides with a tree C) the aorta is torn at its attachment with the ligamentum arteriosum D) the airbag deploys and strikes the front seat passenger *** A passenger is brought to the emergency department of a rural hospital following a high-speed MVC. When significant abdominal and pelvic injuries are noted in the primary survey, which of the following is the priority interventions? Answer: A A) initiate transfer to a trauma center ** B) provide report to the operating room nurse C) Obtained imaging studies D) Place a gastric tube Which of the following injuries is LEAST likely to be promptly identified? Answer: C A) spleen B) lung C) bowel *** D) brain Patients with a crush injury should be monitored for which of the following conditions? Answer: C A) Hypernatremia B) Hypercalcemia C) Dysrhthmias ** D) polyuria What finding raises suspicion of complete spinal cord injury? Answer: B A) Weakness in the lower extremities B) Priapism *** C) voluntary anal sphincter tone D) intact reflexes distal to the injury A patient with a complete spinal cord injury in neurogenic shock will demonstrate hypotension and which other clinical signs? Answer: D A) Bradycardia and ipsilateral absences of motor function B) Tachycardia and respiratory depression TNCC final exam test 2022/2023 open book Graded A+ 100% SUCCESS GUARANTEED. follows: BP 98/71 HR 125 beats/min TNCC final exam test 2022/2023 open book Graded A+ 100% SUCCESS GUARANTEED. RR 26 breaths/min SpO2 94% on high flow O2 via NRB mask which of the following is the priority intervention for this patient? Answer: C A) Expedite transport to the CT scanner B) prepare the patient for spinal radiographs C) expedite transfer to the closest trauma center *** D) notify the patients family Caregivers carry a 2-year old into the ED who fell out of 2nd story window. The patient is awake and crying with increased work of breathing and pale skin. which of the following interventions has the highest priority? Answer: A A) padding the upper back while stabilizing the cervical spine *** B) applying a tight-fitting NRB mask with an attached resevior C) establishing intravenous access and administering a 20mL/kg bolus D) preparing for drug assisted intubation Which of the following is a component of the trauma triad of death? Answer: A hypothermia, metabolic acidosis, coagulopathy A) Acidosis ** B) hyperthermia C) hemorrhage D) sepsis A 35-year old male presents with facial trauma after bring struck inthe face with a baseball. a tear-drop shaped left pupil is noted on exam. What type of injury is suspected? Answer: B A) oculomotor nerve palsy B) globe rupture *** C) uncal herniation D) retinal detachment Which of the following is true about the log roll maneuver? Answer: C A) it causes less spinal motion than the lift and slide manuever B) it is recommended for patients with unstable pelvic fractures C) it can worsen cord damage from an unstable spinal injury *** D) it does not increases the risk of life threatening hemorrhage from TNCC final exam test 2022/2023 open book Graded A+ 100% SUCCESS GUARANTEED. B) chest to make sure the ventilator is plugged in TNCC final exam test 2022/2023 open book Graded A+ 100% SUCCESS GUARANTEED. C) suction the ET tube D) confirm ET tube placement What factor contributes most the kinetic energy of a body in motion? answer: C A) acceleration B) mass C) velocity *** D) inertia During the primary survey of an unconscious patient with multi- system trauma, the nurse notes snoring respirations. Which priority nursing interventions should be performed next? Answer: D A) open the airway with the head-tilt/chin lift maneuver B) auscultate bilateral breath sounds to assess ventilatory status C) assist respirations using a BVM D) insert an oropharyngeal airway if there is no gag reflex *** Following a review of recent drills and a real disaster event, a hospital has identified deficiencies and is taking steps to minimize the impact of future disaster. Which phase of the disaster life cycle does this describe? Answer: A A) mitigation *** B) preparedness C) response D) recovery Which pulse pressure description is an indication of early hypovolemic shock? Answer: B A) widened B) narrowed *** C) bounding D) weak The most reassuring finding for a male patient with hop pain after a fall is which of the following? Answer: D A) a normal prostate exam B) absence of abdominal distension C) a normal fast exam D) pelvic stability *** TNCC final exam test 2022/2023 open book Graded A+ 100% SUCCESS GUARANTEED. therapy of cardiogenic shock? TNCC final exam test 2022/2023 open book Graded A+ 100% SUCCESS GUARANTEED. Answer: C A) controlled fluid boluses B) antidysrhythmic administration C) pericardiocentesis *** D) cardiac cath What bedside monitoring parameters are used to assess for adequacy of oxygenation and effectiveness of ventilation? Answer: A A) pulse oximetry and capnogaphy ** B) respiratory rate and capnography C) pulse oximetry and respiratory rate D) capnography and capnometry Which if the following values indicates the need for alcohol withdrawal interventions? Answer: A A) CIWA-Ar of 36 *** B) GCS 13 C) ETCo2 of 48 mm Hg D) he ar t r ate of 45 beats / m i n An unresponsive trauma patient has an oropharyngeal airway in place, shallow and labored respiratory, and dusky skin. the trauma team has administered medications for drug assisted intubation and attempted intubation but was unsuccessful. What is the most appropriate immediate next step? Answer: A A) Ventilate with a BVM *** B) Prepare for cricothyroidotomy C) administer reversal medications D) contact anesthesia for assistance The trauma nurse knows that placing a bariatric patients in a "ramped position" provides better visualization during the insertion of which device? Answer: C A) Intraosseous line B) orogastric tube C) ET tube *** D) urinary catheter [Show More]

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