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TNCC 9th Edition (questions and answers) 2025 updated Final Test Exam, Exams of Nursing

Bullard-Havens Technical High SchoolNursing

This document includes the fully updated 2025 version of the final test exam for the TNCC 9th Edition, featuring a comprehensive set of questions and correct answers. It covers all major topics required for trauma nursing certification, including primary and secondary survey steps, trauma interventions, and patient scenarios. Perfect for exam preparation and aligned with the official TNCC guidelines.

Typology: Exams

2024/2025

Available from 05/19/2025

Nurseexcel
Nurseexcel šŸ‡ŗšŸ‡ø

832 documents

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TNCC 9th Edition (questions and answers)
2025 updated Final Test Exam
Thestraumasnursesknowssthatsplacingsasbariatricspatientsinsas"rampedsposition"sprovidessbettersvisu
alizationsduringsthesinsertionsofswhichsdevice?s-sCORRECTsANSWER-sendotrachealstube
Tearingsofsthesbridgingsveinssissmostsfrequentlysassociatedswithswhichsbrainsinjury?s-
sCORRECTsANSWER-subduralshematoma
Aspatientsissfoundslyingsonsthesfloorsaftersfallings13shourssago.sWhichsofsthesfollowingslaboratorysval
uessissexpectedswithsasmusculoskeletalscomplicationsassociatedswithsthisspresentation?s-
sCORRECTsANSWER-Elevatedscreatineskinase
Aspatientsissbroughtstosthesemergencysdepartmentsofsasruralshospitalsfollowingsashigh-
sspeedsmotorsvehiclescollision.sWhenssignificantsabdominalsandspelvicsinjuriessaresnotedsinsthespri
maryssurvey,swhichsofsthesfollowingsissthesprioritysintervention?s-sCORRECTsANSWER-
Initiatestransferstosastraumascenter
WhichsofsthesfollowingsinjuriessissLEASTslikelystosbespromptlysidentified?s-sCORRECTsANSWER-
bowel
Whichsofsthesfollowingspatientsswarrantssreferralstosasburnscenter?s-sCORRECTsANSWER-As52-
year-oldsdiabeticsmaleswithsaspartial-thicknesssburnstosthesleftslowersleg
Aspatientshassbeensinsthesemergencysdepartmentsforsseveralshoursswaitingstosbesadmitted.sHessust
ainedsmultiplesribsfracturessandsasfemursfracturesaftersasfall.sHeshassbeensawake,salert,sandscompl
ainingsofslegspain.sHisswifesreportedsthatshessuddenlysbecamesanxioussandsconfused.sUponsreasse
ssment,sthespatientsissrestless,swithsrespiratorysdistresssandspetechiaestoshissneck.sThespatientsisse
xhibitingssignssandssymptomssmostscommonlysassociatedswithswhichsofsthesfollowsconditions?s-
sCORRECTsANSWER-fatsembolism
As36-
yearsoldsfemaleshassasdeformitysofsthesleftswristsaftersasfall.sShesissreluctantstosmoveshershandsduest
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TNCC 9th Edition (questions and answers)

2025 updated Final Test Exam

Thestraumasnursesknowssthatsplacingsasbariatricspatientsinsas"rampedsposition"sprovidessbettersvisu alizationsduringsthesinsertionsofswhichsdevice?s-sCORRECTsANSWER-sendotrachealstube Tearingsofsthesbridgingsveinssissmostsfrequentlysassociatedswithswhichsbrainsinjury?s- sCORRECTsANSWER-subduralshematoma Aspatientsissfoundslyingsonsthesfloorsaftersfallings 13 shourssago.sWhichsofsthesfollowingslaboratorysval uessissexpectedswithsasmusculoskeletalscomplicationsassociatedswithsthisspresentation?s- sCORRECTsANSWER-Elevatedscreatineskinase Aspatientsissbroughtstosthesemergencysdepartmentsofsasruralshospitalsfollowingsashigh- sspeedsmotorsvehiclescollision.sWhenssignificantsabdominalsandspelvicsinjuriessaresnotedsinsthespri maryssurvey,swhichsofsthesfollowingsissthesprioritysintervention?s-sCORRECTsANSWER- Initiatestransferstosastraumascenter WhichsofsthesfollowingsinjuriessissLEASTslikelystosbespromptlysidentified?s-sCORRECTsANSWER- bowel Whichsofsthesfollowingspatientsswarrantssreferralstosasburnscenter?s-sCORRECTsANSWER-As 52 - year-oldsdiabeticsmaleswithsaspartial-thicknesssburnstosthesleftslowersleg Aspatientshassbeensinsthesemergencysdepartmentsforsseveralshoursswaitingstosbesadmitted.sHessust ainedsmultiplesribsfracturessandsasfemursfracturesaftersasfall.sHeshassbeensawake,salert,sandscompl ainingsofslegspain.sHisswifesreportedsthatshessuddenlysbecamesanxioussandsconfused.sUponsreasse ssment,sthespatientsissrestless,swithsrespiratorysdistresssandspetechiaestoshissneck.sThespatientsisse xhibitingssignssandssymptomssmostscommonlysassociatedswithswhichsofsthesfollowsconditions?s- sCORRECTsANSWER-fatsembolism As 36 - yearsoldsfemaleshassasdeformitysofsthesleftswristsaftersasfall.sShesissreluctantstosmoveshershandsduest

ospain.sWhichsofsthesfollowingsissthesmostsappropriatesintervention?

  • sCORRECTsANSWER-ApplysassplintsandselevatesthesextremitysABOVEstheslevelsofsthesheart As 56 - year- oldsmalespatientsinvolvedsinsasmotorsvehiclescrashsissbroughtstosthesemergencysdepartmentsofsasrur alscriticalsassesssfacility.sHescomplaintssofsneckspain,sshortnesssofsbreath,sandsdiffusesabdominals pain.sHissGlasgowsComasScoresiss15.sHissvitalssignssaresassfollows:sBPs98/71smmsHg,sHRs 125 sbeats /minute,sRRs 26 sbreaths/minute,sSpO2s94%sonshigh-flowsoxygensviasnon- rebreathersmask.sWhichsofsthe

Yousarescaringsforsaspatientswhoswassinvolvedsinsasmotorsvehiclescrashsandsiss 32 sweeksspregnant.sFi ndingssofsyourssecondaryssurveysincludesabdominalspainsonspalpation,sfundalsheightsatsthescostals margin,sandssomesdarksbloodysshow.sVaryingsaccelerationssandsdecelerationssaresnotesdonscardio tocography.sThesesfindingssaresmostsconsistentswithswhichsofsthesfollowing?s-sCORRECTsANSWER- placentalsabruption Whichsofsthesfollowingsoccurssduringsthesthirdsimpactsofsasmotorsvehiclescrash?s- sCORRECTsANSWER-Thesaortasisstornsatsitssattachmentswithsthesligmentumsarteriosum Whichspulsespressuresdescriptionsissansindicationsofsearlyshypovolemicsshock?s- sCORRECTsANSWER-narrowed

Ansunresponsivestraumaspatientshassansoropharyngealsairwaysinsplace,sshallowsandslaboredsrespir ations,sandsduskysskin.sThestraumasteamshassadministeredsmedicationssforsdrug- assistedsintubationsandsattemptedsintubationsbutswassunsuccessful.sWhatsissthesmostsappropriates immediatesnextsstep?s-sCORRECTsANSWER-Ventilateswithsasbag-smasksdevice Whichsofsthesfollowingsassessmentsfindingssdifferentiatessastensionspneumothoraxsfromsassimplesp neumothorax?s-sCORRECTsANSWER-Hypotensionsthatsworsensswithsinspiration Aspatientswithsaslowersextremitysfracturescomplainssofsseverespainsandstightnesssinshisscalf,sminimall ysrelievedsbyspainsmedications.sWhichsofsthesfollowingsissthesprioritysnursingsintervention?s- sCORRECTsANSWER-ElevatingsthesextremitysTOstheslevelsofsthesheart As 49 - year- oldsrestrainedsdriversinvolvedsinsasmotorsvehiclescollisionspresentstosthestraumascenterscomplainin gsofsabdominal,spelvis,sandsbilateralslowersextremityspain.sVitalssignssaresstable.sThesnursescansanti cipatesallsofsthesesaftersasnegativesFASTsexamsEXCEPTswhichsofsthesfollowing?s- sCORRECTsANSWER-diagnosticsperitonealslavage Whatsfindingsraisesssuspicionsofsascompletesspinalscordsinjury?s-sCORRECTsANSWER-spriapism EMSsarrivesswithsthesintoxicatedsdriversofsascarsinvolvedsinsasmotorsvehiclescrash.sEMSsreportsssignif icantsdamagestosthesdriver'sssidesofsthescar.sThespatientsissaskingstoshavesthescervicalscollarsremove d.sWhensissitsappropriatestosremovesthescervicalscollar?s-sCORRECTsANSWER- Aftersasphysicalsexaminationsifsthespatientshassnosradiologicsabnormalitiessonsascomputedstomogr aphysscan Duringsthesprimaryssurveysofsansunconsciousspatientswithsmulti- systemstrauma,sthesnursesnotesssnoringsrespirations.sWhichsprioritysnursingsinterventionsshouldsb esperformedsnext?s-sCORRECTsANSWER-Insertsansoropharyngealsairwaysifstheresissnosgagsreflex Whysissasmeasuresofsserumslactatesobtainedsinsthesinitialsassessmentsofsastraumaspatient?s- sCORRECTsANSWER-Tosgaugesend-organsperfusionsandstissueshypoxia

Anselderlyspatientswithsashistorysofsanticoagulantsusespresentssaftersasfallsatshomesthatsday.sShesde niessanyslosssofsconsciousness.sSheshassashematomastoshersforeheadsandscomplainssofsheadache, sdizziness,sandsnausea.sWhatsissthesmostslikelyscausesofsherssymptoms?s-sCORRECTsANSWER- subduralshematoma Ansintubatedstraumaspatientsissbeingstransferredstosastertiaryscarescenter.sAftersmovingsthespatientsto sthesstretchersforstransport,sasdropsinspulsesoximetrystos85%sissnoted.sWhichsofsthesfollowingsissthespri oritysintervention?s-sCORRECTsANSWER-Checkstosmakessuresthesventilatorsisspluggedsin Thesnursesisscaringsforsas 120 skgsmalesbroughtsinsaftersaswarehousesfiresandsisscalculatingsthespatien t'ssfluidsresuscitationsneeds.sHeshasspainfulsredsblisteringstosthesentiressurfacesofsbothsuppersextre mitiessandssuperficialsburnsstosthesanteriorschest. UsingsthesmodifiedsLundsandsBrowderschartstoscalculatesthestotalsbodyssurfacesareasburned,shows muchsintravenoussfluidswouldsbesadministeredsinsthesfirsts 8 shours?s-sCORRECTsANSWER- 2280 smL Followingsasreviewsofsrecentsdrillssandsasrealsdisastersevent,sashospitalshassidentifiedsdeficienciessan dsisstakingsstepsstosminimizesthesimpactsofsasfuturesdisaster.sWhichsphasesofsthesdisasterslifescyclesd oessthissdescribe?s-sCORRECTsANSWER-mitigation Aspatientsissthrownsagainstsascarsduringsastornadosandspresentsswithsobvioussbilateralsfemoralsfractu res.sThespatientsisspale,salert,sdisoriented,sandshassdelayedscapillarysrefill.sWhichsofsthesfollowingsint erventionsswouldsbesmostsappropriatesforsthisspatientsbasedsonsthesdisasterstriagesprinciples?s- sCORRECTsANSWER-Initiatestwoslarge- calibersintravenousslinessforsRinger'sslactatessolutionsadministration As 35 - year- oldsmalespresentsswithsfacialstraumasaftersbeingsstrucksinsthesfaceswithsasbaseball.sAsteardrop- shapedsleftspupilsissnotedsonsexam.sWhatstypesofsinjurysisssuspected?s-sCORRECTsANSWER- globesrupture EMSsbringssaspatientswhosfellswhilesridingshissbicycle.sUsingsthesAmericansCollegesofsSurgeonssscre eningsguidelines,swhichsassessmentsfindingswouldspromptsthesnursestospreparesthespatientsforsradi ologic-spinesclearance?s-sCORRECTsANSWER-smellsofsalcoholsonsbreath

Ifsaspatientshassreceivedsmultiplestransfusionssofsbankedsbloodspreservedswithscitrate,swhichsele ctrolytesissmostslikelystosdropsandsrequiressupplementation?s-sCORRECTsANSWER-calcium Whatsisstheseffectsofshypothermiasonsthesoxyhemoglobinsdissociationscurve?s-sCORRECTsANSWER- Hemoglobinsdoessnotsreadilysreleasesoxygensforsusesbysthestissues WhichsofsthesfollowingsissNOTsconsideredsgoal-directedstherapysforscardiogenicsshock?s- sCORRECTsANSWER-pericardiocentesis

sCORRECTsANSWER-dysrhythmias Whatsbedsidesmonitoringsparameterssaresusedstosassesssforsadequacysofsoxygenationsandseffectiv enesssofsventilation?s-sCORRECTsANSWER-Pulsesoximetrysandscapnography Thesmostsreassuringsfindingsforsasmalespatientswithshipspainsaftersasfallsisswhichsofsthesfollowing?s- sCORRECTsANSWER-Pelvicsstability