TNCC Core Content and Skills 3

Question 1

In damage control resuscitation (DCR), what ratio of packed red blood cells to fresh frozen plasma is recommended?

Accepted Answer

1:1

Answer

4:1

Answer

3:1

Answer

2:1

Question 2

Which intervention is the priority when a trauma patient develops worsening respiratory distress after needle decompression of a tension pneumothorax?

Accepted Answer

Immediately perform a tube thoracostomy

Answer

Repeat the needle decompression at a new site

Answer

Increase the oxygen flow rate

Answer

Obtain a stat portable chest X-ray first

Question 3

The Revised Trauma Score (RTS) incorporates which three physiological parameters?

Accepted Answer

GCS, systolic BP, and respiratory rate

Answer

Heart rate, GCS, and oxygen saturation

Answer

Systolic BP, heart rate, and temperature

Answer

Respiratory rate, pulse oximetry, and GCS

Question 4

Which sign is most specific for a basilar skull fracture in a trauma patient?

Accepted Answer

Retroauricular ecchymosis (Battle's sign)

Answer

Periorbital ecchymosis (raccoon eyes)

Answer

Epistaxis with clear fluid

Answer

Hemotympanum on otoscopy

Question 5

A patient involved in a high-speed crash presents with left flank pain and gross hematuria. CT shows a Grade III renal laceration. What is the typical management?

Accepted Answer

Nonoperative management with close monitoring

Answer

Immediate surgical nephrectomy

Answer

Emergent angioembolization always required

Answer

Immediate urologic stent placement

Question 6

What is the primary concern with administering high-volume crystalloid resuscitation in hemorrhagic shock?

Accepted Answer

Dilutional coagulopathy and worsening of the lethal triad

Answer

Rapid correction of coagulopathy

Answer

Hypernatremia from saline infusion

Answer

Immediate resolution of acidosis

Question 7

During a trauma resuscitation, a patient's SpO2 drops to 84% despite high-flow O2 via non-rebreather mask. What is the nurse's priority action?

Accepted Answer

Prepare for definitive airway management

Answer

Order an arterial blood gas immediately

Answer

Apply a CPAP mask at 5 cmH2O

Answer

Elevate the head of the bed to 30 degrees