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TNCC 20th Edition Questions and Answers 2024-2025 Best, Exams of Nursing

TNCC 20th Edition Questions and Answers 2024-2025 Best

Typology: Exams

2024/2025

Available from 06/30/2025

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TNCC 20th Edition Questions and Answers 2024/2025 Best
Graded A+
ACCORDING TO NEWTONS LAW WHICH OF THESE TWO FORCE IS GREATER: SIZE OR
FORCE? - ANSNEITHER. FOR EACH FORCE THERE IS AN EQUAL AND OPPOSITE
REACTION.
DEFINE CUSHING'S TRIAD - ANSBRADYCARDIA, PROGRESSIVE HYPERTENSION
(WIDENING PULSE PRESSURE), AND DECREASED RESPIRATORY EFFORT
DEFINE THE CHARACTERISTICS OF NEUROGENIC SHOCK - ANSDISTRIBUTIVE
SHOCK WITH A T6 OR HIGHER INJURY RESULTS AND VASODILATION,
BRADYCARDIA, FLUSHED WARM DRY SKIN. RISK FOR TEMPERATURE INSTABILITY.
NURSING INTERVENTIONS INCLUDE MAINTAINING WARMTH AND SPINAL
STABILIZATION.
DEFINE THE CHARACTERISTICS OF SPINAL SHOCK - ANSTRANSIENT LOSS OF
FUNCTION CAN INCLUDE LOSS OF REFLEXES AND MUSCLE TONE BELOW THE
LEVEL OF INDUSTRY WITH POSSIBLE VASCULAR RESPONSE.
DESCRIBE ONE FAT EMBOLISM SYNDROME IS MOST LIKELY TO OCCUR IN ITS
CHARACTERISTICS - ANSWITH LONGFORM FRACTURES. TACHYCARDIA,
THROMBOCYTOPENIA, AND PETECHIAE RASH.
DESCRIBE THE CHARACTERISTICS OF CARDIOGENIC SHOCK - ANSCARDIOGENIC
SHOCK RESULTS FROM PUMP FAILURE IN THE PRESENCE OF ADEQUATE
INTRAVASCULAR VOLUME. LACK OF CARDIAC OUTPUT AND AN ORGAN PERFUSION
OCCURS SECONDARY TO A DECREASE IN MYOCARDIAL CONTRACTILITY AND OR
VALVULAR INSUFFICIENCY. THIS CAN HAPPEN WITH BLUNT CARDIAC TRAUMA OR
AN MI. SYMPTOMS CAN INCLUDE LOW BLOOD PRESSURE INCREASE HEART RATE
AND RESPIRATORY RATE CHEST PAIN SHORTNESS OF BREATH DYSRHYTHMIAS
INCREASE TROPONIN AND PALE COOL MOIST SKIN
DESCRIBE THE CHARACTERISTICS OF DISTRIBUTIVE SHOCK. - ANSDISTRIBUTIVE
SHOCK OCCURS AS A RESULT OF MEL DISTRIBUTION OF AN ADEQUATE
CIRCULATING BLOOD VOLUME WITH THE LOSS OF VASCULAR TONE OR INCREASED
PERMEABILITY. THIS CAN OCCUR WITH SPINAL CORD INJURIES, SEPSIS, OR
ANAPHYLAXIS. SYMPTOMS INCLUDE LOW BLOOD PRESSURE HEART RATE
RESPIRATORY RATE PRELOAD AND AFTERLOAD, SPINAL TENDERNESS, DIFFICULTY
BREATHING, WARM PINK AND DRY SKIN WITH A COOL CORE TEMPERATURE.
DESCRIBE THE CHARACTERISTICS OF HYPOVOLEMIC SHOCK - ANSHYPOVOLEMIA
IS CAUSED BY A DECREASE IN THE AMOUNT OF CIRCULATING VOLUME USUALLY
CAUSED BY MASSIVE BLEEDING, BUT ALSO CAN BE FROM VOMITING AND
DIARRHEA. CHARACTERISTICS INCLUDE LOW BLOOD PRESSURE AND PRELOAD,
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Graded A+

ACCORDING TO NEWTONS LAW WHICH OF THESE TWO FORCE IS GREATER: SIZE OR

FORCE? - ANSNEITHER. FOR EACH FORCE THERE IS AN EQUAL AND OPPOSITE

REACTION.

DEFINE CUSHING'S TRIAD - ANSBRADYCARDIA, PROGRESSIVE HYPERTENSION

(WIDENING PULSE PRESSURE), AND DECREASED RESPIRATORY EFFORT

DEFINE THE CHARACTERISTICS OF NEUROGENIC SHOCK - ANSDISTRIBUTIVE

SHOCK WITH A T6 OR HIGHER INJURY RESULTS AND VASODILATION,

BRADYCARDIA, FLUSHED WARM DRY SKIN. RISK FOR TEMPERATURE INSTABILITY.

NURSING INTERVENTIONS INCLUDE MAINTAINING WARMTH AND SPINAL

STABILIZATION.

DEFINE THE CHARACTERISTICS OF SPINAL SHOCK - ANSTRANSIENT LOSS OF

FUNCTION CAN INCLUDE LOSS OF REFLEXES AND MUSCLE TONE BELOW THE

LEVEL OF INDUSTRY WITH POSSIBLE VASCULAR RESPONSE.

DESCRIBE ONE FAT EMBOLISM SYNDROME IS MOST LIKELY TO OCCUR IN ITS

CHARACTERISTICS - ANSWITH LONGFORM FRACTURES. TACHYCARDIA,

THROMBOCYTOPENIA, AND PETECHIAE RASH.

DESCRIBE THE CHARACTERISTICS OF CARDIOGENIC SHOCK - ANSCARDIOGENIC

SHOCK RESULTS FROM PUMP FAILURE IN THE PRESENCE OF ADEQUATE

INTRAVASCULAR VOLUME. LACK OF CARDIAC OUTPUT AND AN ORGAN PERFUSION

OCCURS SECONDARY TO A DECREASE IN MYOCARDIAL CONTRACTILITY AND OR

VALVULAR INSUFFICIENCY. THIS CAN HAPPEN WITH BLUNT CARDIAC TRAUMA OR

AN MI. SYMPTOMS CAN INCLUDE LOW BLOOD PRESSURE INCREASE HEART RATE

AND RESPIRATORY RATE CHEST PAIN SHORTNESS OF BREATH DYSRHYTHMIAS

INCREASE TROPONIN AND PALE COOL MOIST SKIN

DESCRIBE THE CHARACTERISTICS OF DISTRIBUTIVE SHOCK. - ANSDISTRIBUTIVE

SHOCK OCCURS AS A RESULT OF MEL DISTRIBUTION OF AN ADEQUATE

CIRCULATING BLOOD VOLUME WITH THE LOSS OF VASCULAR TONE OR INCREASED

PERMEABILITY. THIS CAN OCCUR WITH SPINAL CORD INJURIES, SEPSIS, OR

ANAPHYLAXIS. SYMPTOMS INCLUDE LOW BLOOD PRESSURE HEART RATE

RESPIRATORY RATE PRELOAD AND AFTERLOAD, SPINAL TENDERNESS, DIFFICULTY

BREATHING, WARM PINK AND DRY SKIN WITH A COOL CORE TEMPERATURE.

DESCRIBE THE CHARACTERISTICS OF HYPOVOLEMIC SHOCK - ANSHYPOVOLEMIA

IS CAUSED BY A DECREASE IN THE AMOUNT OF CIRCULATING VOLUME USUALLY

CAUSED BY MASSIVE BLEEDING, BUT ALSO CAN BE FROM VOMITING AND

DIARRHEA. CHARACTERISTICS INCLUDE LOW BLOOD PRESSURE AND PRELOAD,

Graded A+

INCREASE HEART RATE RESPIRATORY RATE AND AFTERLOAD, WITH

CONTRACTILITY UNCHANGED. SIGNS INCLUDE OBVIOUS BLEEDING, WEAK

PERIPHERAL PULSES, PALE COOL AND MOIST SKIN, DISTENDED ABDOMEN, PELVIC

FRACTURE, OR BRUISE SWOLLEN AND DEFORMED EXTREMITIES ESPECIALLY LONG

BONES.

DESCRIBE THE CHARACTERISTICS OF OBSTRUCTIVE SHOCK - ANSOBSTRUCTIVE

SHOCK IS IT MECHANICAL PROBLEM THAT RESULTS FROM HYPOPERFUSION OF

THE TISSUE DUE TO AN OBSTRUCTION IN EITHER THE VASCULATURE OR THE

HEART RESULTING IN DECREASED CARDIAC OUTPUT. SOME CAUSES INCLUDE A

TENSION PNEUMOTHORAX, CARDIAC TAMPONADE, OR VENOUS AIR EMBOLISM ON

THE RIGHT SIDE OF THE HEART DURING SYSTOLE IN THE PULMONARY

ARTERY.SIGNS INCLUDE ANXIETY, MUFFLED HEART SOUNDS, JVD,

HYPERTENSION, CHEST PAIN, DIFFICULTY BREATHING, OR PULSES PARADOXES.

DESCRIBE THE FOUR TYPES OF SPINAL CORD INJURY - ANSCENTRAL CORD

INJURY RESULTS IN GREATER WEAKNESS DISTALLY, ANTERIOR INJURY INCLUDES

MOTOR LOSS OR WEAKNESS BELOW THE CORD LEVEL OF INJURY YET SENSORY IS

INTACT, BROWN-SEQUARD (HEMICORD) IS WEAK ON ONE SIDE WITH SENSORY

DEFICIT ON OPPOSITE SIDE, POSTERIOR CORD SYNDROME ALTHOUGH RARE IS

WHEN THE PATIENT IS UNABLE TO USE SENSE VIBRATION IN PROPRIOCEPTION

DESCRIBE THE MEASUREMENT OF AN NPA - ANSMEASURE FROM THE TIP OF THE

PATIENT'S NOSE TO THE TIP OF THE PATIENTS EARLOBE.

DIFFERENTIATE BETWEEN THE THREE IMPACTS OF MOTOR VEHICLE IMPACT

SEQUENCE. - ANSTHE FIRST IMPACT OCCURS WHEN THE VEHICLE COLLIDED WITH

ANOTHER OBJECT. THE SECOND IMPACT OCCURS AFTER THE INITIAL IMPACT

WHEN THE OCCUPANT CONTINUES TO MOVE IN THE ORIGINAL DIRECTION OF

TRAVEL UNTIL THEY COLLIDE WITH THE INTERIOR OF THE VEHICLE OR MEET

RESISTANCE. THE THIRD IMPACT OCCURS WHEN INTERNAL STRUCTURES COLLIDE

WITHIN THE BODY CAVITY.

MEASUREMENT OF AN OPA - ANSPLACE THE PROXIMAL END OR FLANGE OF THE

AIRWAY ADJUNCT AT THE CORNER OF THE MOUTH TO THE TIP OF THE

MANDIBULAR ANGLE.

NAME THE THREE WAYS TO CONFIRM ETT PLACEMENT - ANSPLACEMENT OF A CO

MONITORING DEVICE, ASSESSING FOR EQUAL CHEST RISE AND FALL, AND

LISTENING AT THE EPIGASTRIUM AND FOUR LUNG FIELDS FOR EQUAL BREATH

SOUNDS.

Graded A+

WHAT ARE THE SIGNS AND SYMPTOMS OF IRREVERSIBLE SHOCK? - ANSOBTUNDED

STUPOROUS OR COMATOSE STATE, MARKED HYPERTENSION AND HEART FAILURE,

BRADYCARDIA WITH POSSIBLE DYSRHYTHMIAS, DECREASED AND SHALLOW

RESPIRATORY RATE, PALE COOL AND CLAMMY SKIN, KIDNEY LIVER AND OTHER

ORGAN FAILURE, SEVERE ACIDOSIS, ELEVATED LACTIC ACID LEVELS, WORSENING

BASE ACCESS ON ABGS, COAGULOPATHIES WITH PETECHIAE PURPURA OR

BLEEDING.

WHAT ARE THE SIGNS OF COMPENSATED SHOCK? - ANSANXIETY, CONFUSION,

RESTLESSNESS, INCREASED RESPIRATORY RATE, NARROWING PULSE PRESSURE

WERE DIASTOLIC INCREASES YET SYSTOLIC REMAINS UNCHANGED, TACHYCARDIA

WITH BOUNDING PULSES, AND DECREASED URINARY OUTPUT

WHAT ARE THE SYMPTOMS OF A SUBDURAL HEMATOMA? - ANSDECREASED LOC,

NAUSEA VOMITING HEADACHE AND IPSILATERAL PUPILLARY CHANGES

WHAT ARE THE THREE FACTORS THAT CONTRIBUTE TO THE DAMAGE CAUSED BY

PENETRATING TRAUMA'S? - ANSTHE POINT OF IMPACT, THE VELOCITY AND SPEED

OF IMPACT, AND THE PROXIMITY TO THE OBJECT.

WHAT ARE THE THREE PROCESSES THAT TRANSFER OXYGEN FROM THE AIR TO

THE LUNGS AND BLOOD STREAM - ANSVENTILATION: THE ACTIVE MECHANICAL

MOVEMENT OF AIR INTO AND OUT OF THE LUNGS; DIFFUSION: THE PASSIVE

MOVEMENT OF GASES FROM AN AREA OF HIGHER CONCENTRATION TO AN AREA

OF LOWER CONCENTRATION; AND PERFUSION: THE MOVEMENT OF BLOOD TO AND

FROM THE LUNGS AS A DELIVERY MEDIUM OF OXYGEN TO THE ENTIRE BODY.

WHAT ARE THE THREE STAGES OF SHOCK - ANSCOMPENSATED, DECOMPENSATED

OR PROGRESSIVE, AND IRREVERSIBLE.

WHAT ARE THE TREATMENT GOALS FOR A TBI? - ANSO2 SATURATION > OR EQUAL

TO 95%, SYSTOLIC BLOOD PRESSURE > OR EQUAL TO 100 MMHG, ICP < 15 MMHG,

CPP > OR EQUAL TO 60 MMHG, NORMAL GLYCEMIA, HEMOGLOBIN > OR EQUAL TO

7 G/DL, SODIUM 135-145, OSMOTIC DIURETICS, ANTI-EMETICS, SEDATIVES,

ANTICONVULSANTS, HEAD OF BED AT 30°, AND NECK AT MIDLINE

WHAT CAUSES QUARTERNARY EFFECTS OF BLAST TRAUMAS? - ANSALL

EXPLOSION RELATED INJURIES, ILLNESSES, OR DISEASES NOT DUE TO THE FIRST

THREE MECHANISMS. INJURIES INCLUDE EXTERNAL AND INTERNAL BURNS,

CRUSH INJURIES, CLOSED AND OPEN BRAIN INJURIES, ASTHMATIC OR BREATHING

PROBLEMS FROM DUST SMOKE OR TOXIC FUMES, ANGINA, OR HYPER GLYCEMIA

AND HYPERTENSION.

Graded A+

WHAT CAUSES QUINARY EFFECTS OF BLASTS TRAUMAS? - ANSTHOSE

ASSOCIATED WITH EXPOSURE TO HAZARDOUS MATERIALS FROM RADIOACTIVE,

BIOLOGIC, OR CHEMICAL COMPONENTS OF A BLAST. INJURIES INCLUDE A

VARIETY OF HEALTH EFFECTS DEPENDING ON AGENT.

WHAT CAUSES THE PRIMARY EFFECTS OF BLAST TRAUMAS? - ANSTHE DIRECT

BLAST EFFECTS. TYPES OF INJURIES INCLUDE LAST LONG, TYMPANIC MEMBRANE

RUPTURE AND MIDDLE EAR DAMAGE, ABDOMINAL HEMORRHAGE AND

PERFORATION, GLOBAL RUPTURE, MILD TRUMATIC BRAIN INJURY.

WHAT CAUSES THE SECONDARY EFFECTS OF BLAST TRAUMAS? -

ANSPROJECTILES PROPELLED BY THE EXPLOSION. INJURIES INCLUDE

PENETRATING OR BLUNT INJURIES OR I PENETRATION.

WHAT CAUSES THE TERTIARY EFFECTS OF BLAST TRAUMAS? - ANSRESULTS FROM

INDIVIDUALS BEING THROWN BY THE BLAST WIND. INJURIES INCLUDE HOLE OR

PARTIAL BODY TRANSLOCATION FROM BEING THROWN AGAINST A HARD SERVICE:

BLUNT OR PENETRATING TRAUMA'S, FRACTURES, TRAUMATIC AMPUTATIONS.

WHAT IS A TRADEMARK SYMPTOM OF AN EPIDURAL HEMATOMA - ANSLOSS OF

CONSCIOUSNESS THEN AWAKE AND ALERT THEN LOSS OF CONSCIOUSNESS

WHAT IS BENDING? - ANSLOADING ABOUT AN AXIS. BENDING CAUSES

COMPRESSION ON THE SIDE THE PERSON IS BENDING TOWARD INTENTION TO THE

OPPOSITE SIDE

WHAT IS COMBINED LOADING? - ANSANY COMBINATION OF TENSION

COMPRESSION TORSION BENDING AND/OR SHEAR.

WHAT IS COMPRESSION? - ANSCRUSHING BY SQUEEZING TOGETHER

WHAT IS CULLEN'S SIGN AND ITS SIGNIFICANCE? - ANSCULLENS SIGN IS

PERIUMBILICAL BRUISING AND IS INDICATIVE OF INTRAPERITONEAL BLEEDING

WHAT IS SHEARING? - ANSDAMAGE BY TEARING OR BENDING BY EXERTING

FAUCET DIFFERENT PARTS IN OPPOSITE DIRECTIONS AT THE SAME TIME.

WHAT IS TENSION? - ANSSTRETCHING FORCE BY PULLING AT OPPOSITE ENDS

WHAT IS THE MINIMUM PERMISSIVE HYPERTENSION AND A TRAUMA PATIENT? -

ANSA SYSTOLIC OF GREATER THAN OR EQUAL TO 90 MMHG