FREE TNCC Trauma Care Questions and Answers

Question 1

Why is a serum lactate measurement used during the trauma patient's initial evaluation?

Accepted Answer

to measure tissue hypoxia and end-organ perfusion

Answer

to identify the shock's underlying source

Answer

to monitor ventilation and oxygenation

Answer

to calculate the base deficit required to provide adequate cellular perfusion

Question 2

The trauma patient's vital signs were 100/60 mm Hg, 96 beats per minute, and 24 breaths per minute when they arrived. The patient is agitated and asks "where am I?" frequently. She has dry, cold skin. The patient's vital signs are 104/84 mm Hg, 108 bpm, and 28 breaths per minute. Which stage of shock is the patient exhibiting symptoms and signs of?

Accepted Answer

compensated

Answer

decompensated

Answer

gradual

Answer

irreversible

Question 3

That day, an elderly patient who has used anticoagulants in the past comes in after falling at home. She disputes that she ever lost consciousness. In addition to complaining of headache, nausea, and dizziness, she has a hematoma on her forehead. Which of the following best describes her symptoms?

Accepted Answer

subdural hematoma

Answer

hematoma epidural

Answer

axonal damage that is diffuse

Answer

concussion-related syndrome

Question 4

A patient who fell off his bicycle is brought in by EMS. Which evaluation result, according to the American College of Surgeons screening recommendations, would lead the nurse to get the patient ready for radiologic spine clearance?

Accepted Answer

alcohol odor on breath

Answer

Water demands repeated

Answer

many cuts on the extremities

Answer

Unaffected by neurologic impairments and alert

Question 5

After a high-speed MVC, a passenger is taken to the emergency room of a rural hospital. Which of the following procedures should be prioritized if the main survey reveals substantial damage to the abdomen and pelvis?

Accepted Answer

start the trauma center transfer process

Answer

acquired imaging investigations

Answer

insert a stomach tube

Answer

provide the surgery room nurse a report.

Question 6

Which of the following injuries has the LEAST chance of being found right away?

Accepted Answer

bowel

Answer

heart

Answer

liver

Answer

spleen

Question 7

Which of the following conditions should be kept an eye out for in patients who have had crush injuries?

Accepted Answer

Dysrhthmias

Answer

Polyuria

Answer

Hypernatremia

Answer

Hypercalcemia

Question 8

Which discovery makes one suspect a whole spinal cord injury?

Accepted Answer

Priapism

Answer

Reflexes intact far from the injury

Answer

Limb weakness in the lower limbs

Answer

Tone of the voluntary anal sphincter

Question 9

Which additional clinical indicators, in addition to hypotension, will a patient with a full spinal cord injury in neurogenic shock exhibit?

Accepted Answer

Bradycardia and lack of movement below the injured site

Answer

Absence of motor function and tachycardia below the site of damage

Answer

Bradycardia and unilateral motor function deficits

Answer

Both respiratory depression and tachycardia

Question 10

A five-year-old child arrives at the emergency department (ED) with many small, clean, circular burns on her back and bruises to her upper arms and buttocks that are in varying states of healing. The primary survey and the pediatric assessment triangle do not reveal any problems. Which nursing intervention is the most important among the following?

Accepted Answer

In compliance with local laws, report your suspicions of abuse.

Answer

Give the family resources for preventing injuries

Answer

converse therapeutically to ascertain the MOI.

Answer

After applying ice to the bruising, seek wound care advice