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Nursing Skills Flashcards

6 cards from real TNCC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 6 Nursing Skills flashcards as text

  1. A trauma patient presents with Beck's triad. Which combination of signs does this include?

    Answer: Hypotension, distended neck veins, muffled heart sounds

    Beck's triad — hypotension, distended neck veins, and muffled heart sounds — is the classic presentation of cardiac tamponade.

  2. During trauma resuscitation, which blood product should be administered first in a massive transfusion protocol?

    Answer: Packed red blood cells (PRBCs)

    Packed red blood cells are administered first to restore oxygen-carrying capacity. Current protocols emphasize a balanced ratio of PRBCs, plasma, and platelets.

  3. A trauma nurse is assessing a patient using the Glasgow Coma Scale. The patient opens eyes to pain, makes incomprehensible sounds, and exhibits abnormal flexion. What is the GCS score?

    Answer: 7

    Eye opening to pain = 2, incomprehensible sounds = 2, abnormal flexion = 3, totaling a GCS of 7.

  4. Which intervention is contraindicated in a patient with a suspected basilar skull fracture?

    Answer: Nasogastric tube insertion

    Nasogastric tube insertion is contraindicated in suspected basilar skull fracture due to the risk of intracranial penetration through the cribriform plate.

  5. A trauma patient's arterial blood gas shows pH 7.28, PaCO2 28 mmHg, HCO3 14 mEq/L, and lactate 6.2 mmol/L. This pattern is most consistent with:

    Answer: Metabolic acidosis with respiratory compensation

    The low pH, low bicarbonate, and elevated lactate indicate metabolic acidosis. The low PaCO2 reflects respiratory compensation (hyperventilation).

  6. When applying the TNCC primary survey framework, which component is assessed during 'B' (Breathing)?

    Answer: Breath sounds and chest wall integrity

    The 'B' in the primary survey stands for Breathing and Ventilation, which includes assessment of breath sounds, chest wall movement, respiratory rate, and chest integrity.